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Human Services

Is Counseling For You

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Co-Authors: Michael Kalkbrenner, & Sandy-Ann Griffith

Have you been in counseling or therapy? If not, have you ever hesitated in seeing a counselor, or wondered why you felt so wary? Studies show about 20-35% of Americans having attended some form of counseling and psychotherapy compared to approximately 80% of mental health professionals.

Believing that counseling and psychotherapy could be helpful for anyone in alleviating problems, improving relationships, and developing a more positive outlook toward life, a Journal for Human Services research study explores why some people attend counseling or therapy while others do not.

Researchers, Ed Neukrug, Mike Kalkbrenner, and Sandy Griffith wondered why it was that some people seemed readily to attend counseling while others hesitate or who don’t attend often to their own detriment. Their research on attendance in counseling of helping professionals and their upcoming research on attendance in counseling of the public in general offers a thoughtful analysis which will hopefully shed some light on this important concern.

After an exhaustive review of the literature, researchers independently looked at over 60 potential barriers to attendance in counseling and eventually reduced this number down to 32 specific items. Their research found three broad areas or reasons likely to affect individuals who tend to avoid counseling and therapy. They identified these areas as “Fit,” “Stigma,” and “Value” to reflect the areas they represent.

Factor 1: Fit

Fit has to do with one’s sense of comfort with being in counseling and whether one has the ability to trust the process of counseling will be beneficial. Some typical fit questions were related to whether a potential client believed a counselor would feel comfortable with the potential client’s sexuality, disability, or other aspects of the client’s identity. Other questions in this area assessed whether a potential client believed a counselor could understand him or her, was competent enough to deal with the client’s problem and could keep the client’s concerns confidential. In addition, other “fit” questions queried whether potential clients had a bad experience with a counselor in the past and if they thought they could find a counselor near to where they lived

Factor 2: Stigma

Stigma is the feeling of shame or embarrassment some people experience when they consider entering a counseling relationship. Some of the stigma questions highlighted whether a potential client believed their friends, family, peers, colleagues, or supervisors might view them negatively if they knew the individual was in counseling. Other questions focused on how some potential clients might consider themselves weak, embarrassed, or unstable if they were in counseling. Often, those with high scores on stigma believed others would judge them, and thus, they would feel badly if they were to enter counseling.

Factor 3: Value

Value is the perceived benefit or worth one believes he or she is receiving from attendance in counseling. Potential clients who would score high in this area often believed the financial cost of counseling was not worth its benefits. Participants in this category simply could not afford counseling or they didn’t have time for it. Many participants in this category believed counseling wasn’t necessary because problems usually resolve on their own, or that counseling was simply not an effective use of their time. These individuals simply did not embrace the counseling process because the financial costs in their mind are hard to justify over meeting basic needs and/or having to take time off from work.

Although some individuals cannot find a counselor to their liking, participants worried whether counseling would be worthwhile, or they were ashamed or embarrassed about going to counseling. Most people believe that when faced with difficult life problems, counseling could be helpful.

It is hoped through research like this, people can better understand why they might be hesitant to seek a counselor and  maybe overcome some of their fears. Additionally, this research can help national organizations, in the helping fields, find ways to help clients overcome these barriers.

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Edward Neukrug is a Professor of Counseling and Human Services at Old Dominion University. In addition to teaching, Dr. Neukrug has worked as a counselor at a crisis center, an outpatient therapist at a mental health center, an associate school psychologist, a school counselor, and as a private practice psychologist and licensed professional counselor.

          
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Child Welfare

Building Families: Social Workers in Foster Care

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Sponsored by Campbellsville University

According to the U.S. Department of Health & Human Services, there were approximately 443,000 children in foster care in 2017 with more than one-quarter of those children waiting to be adopted.

Unfortunately, the foster care system needs help, according to Anne Adcock, program director and assistant professor of social work at Campbellsville University. Some people get into fostering for the wrong reasons, thinking that they’ll be able to live off the money they receive.

Fortunately, social workers in foster care can help. According to the National Association of Social Work (NASW), social workers play a critical role in child welfare systems, and studies point to social workers’ education linking to better outcomes for children and families. “The foster care system is not perfect, but social workers are there to make it as good as it can be,” Adcock said. How does that happen in roles like the foster care social worker? In an interview, Adcock shared details on job responsibilities and the impact that social workers in foster care have.

How Foster Care Social Workers Help Children and Families

Social workers in foster care are often employed by private agencies that have contracts with the state, Adcock explained. The agencies have a number of foster care families who are considered when it’s time to place children into homes.

Foster care agencies employ social workers who work as therapists for children and those who work as case managers. Case managers, who are also known as foster care social workers, take care of responsibilities like assessing families for suitability, placing children and monitoring children. Regular contact is often made with the family about two to four times a month.

There are two crucial tasks that encompass how foster care social workers help children and families. “Mainly, the social worker’s role in the foster care system is to make the connections between the family and the kids,” Adcock said. “And then to monitor those relationships to make sure the child is getting what they need and the foster parents are managing that situation well.”

Making Connections

Building connections with foster care children and potential families is vital for creating a successful placement. Social workers in foster care must take care in choosing the right home for kids in foster care.

Once children are removed from their homes by Child Protective Services, according to Adcock, they receive a social worker either through the state or the state will contract out with an agency to provide a social worker. The social worker will begin the process of finding a more permanent foster home.

In some cases, children have greater needs, such as those with disabilities or behavior problems. In that case, foster care social workers will start searching for what’s known as therapeutic foster homes. Those homes and parents can accept children who need special attention. If that scenario unfolds, social workers will need to work on connecting children with the right therapeutic home. There’s a lot of linking required to find the right environment for those children.

Monitoring Relationships

Once a placement is made, foster care social workers will monitor the relationship. Regular contact is kept with at least two visits a month must be in person, at the home, and the remaining visits can be by phone.

If help is needed, social workers can step in and respond accordingly. “As a crisis comes up on the part of either the parent or the child, they go and take care of those things,” Adcock said. From crisis prevention and response to providing other types of support, there are a number of ways foster care social workers monitor cases.

  • Emotional Support: Foster care children need emotional and behavioral support. “Most of the time these kids also have a therapist,” Adcock said. “The case manager and the therapist kind of work as a team. So, if there are things that the case manager sees that need to be discussed in therapy, they can communicate that to the therapist.” The foster care social worker can also talk with children in general about their concerns and fears, or anything else on their mind. Another way social workers in foster care provide emotional support is by accompanying children at family court. That enables children to receive some help navigating the court system.
  • Financial Support: If children have extra needs that go beyond the monthly stipend parents receive for food, clothing and basic necessities, social workers will ensure they receive what they need.
  • Mediation and Crisis Intervention: Some situations can be difficult to deal with. “A lot of these kids have trauma in their past,” Adcock said. “They have abuse in their past. It’s not uncommon for a foster child to have significant behavior problems . . . Sometimes they will run away from the foster care home. I know I had a former student that was in a foster care agency, and the kid just took off.” The social worker in that case was out with the police helping look for the child. In other instances, such as when foster parents have proven to be inadequate, the social worker may need to correct the situation or remove the child from the foster home.
  • Respite Care: Parents can request respite care for circumstances when they cannot care for foster children. For example, if a parent has surgery or an out-of-town family reunion, there are respite homes social workers can locate to take children for a few days.

The Rewarding Nature of Working in Foster Care

There are some tough times for social workers in foster care, but that’s not always the case. “Overall, it’s rewarding, because they get connected to the kids and the kids rely on them,” Adcock said. “Sometimes they’re the only one that the kid trusts, and that’s a good thing.”

There are times that demonstrate why foster care social workers dedicate their lives to helping children and families. “If everything goes well, they’re (reunited) with their original family,” Adcock said. “The best times, I think, for a lot of my former students . . .  is when an adoption goes through. When the foster care family is the right fit, everybody’s happy, and it moves forward to adoption . . . I think those are the best days.”

Optional pull quote: “When the foster care family is the right fit, everybody’s happy, and it moves forward to adoption . . . I think those are the best days.”

Another great part of social work is that there’s always room to move up. Foster care social workers, or case managers, can earn their master’s degree and become a therapist. That enables them to have some variety while staying in the foster care specialty.

Career Information for Foster Care Social Workers

Salary and Job Outlook

According to the Bureau of Labor Statistics (BLS), social workers earn a median annual wage of $47,980 per year. Starting salaries will be less when starting out, according to Adcock, but there is plenty of growth in this area. “Especially if someone with their BSW moves forward and gets their MSW,” she added. “That’s where the most significant growth in earnings would come. Typically, there’s a $10,000 to $15,000 salary difference right off the bat, depending on where you are.”

Employment for all social workers is projected to grow 16 percent by 2026, according to the BLS. That figure is more than double the average percentage increase for all occupations, which is 7 percent. According to Adcock, there is a special need for social workers in foster care. Private foster care agencies are always hiring, given the demand that has resulted from states contracting their work to those agencies. “And then a lot of foster care agencies are expanding their services and starting to provide alcohol and drug addiction treatment services for juveniles,” Adcock said.

Educational Requirements

The BLS noted that social workers need a bachelor’s degree. Providing counseling services as a clinical social worker requires a master’s degree in social work.

An online bachelor’s degree in social work can allow you to become a foster care social worker. You’ll develop an understanding of the basics of social work while gaining, hands-on, practical experience in the field. There’s also a course, “Foster Care & Adoption,” that covers the foster care specialty.

Campbellsville University’s program lets you study in a convenient, flexible environment. Gain the skills and knowledge needed to become a social worker at an institution that was ranked the 4th most affordable among Christian colleges in the United States. The program is accredited by the Council on Social Work Education.

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Human Services

SWHELPER Announces Its Second Annual Global Social Welfare Digital Summit

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On March 19th thru March 22nd, SWHELPER will be hosting the Global Social Welfare Digital Summit which is an all online digital conference. You can attend the conference from any place in the world with an internet connection. The conference themes will focus on advocacy, trauma-informed care, self-care and healing, and solutions.

Are you feeling unmotivated or uninspired? Maybe you need some professional nourishment to broaden your perspective or add tools to your toolbox for future career growth. The Global Social Welfare Digital Summit aims to extend learning to a global classroom by allowing you to connect with helping professionals around the world. Additionally, you may be eligible for up 10 continuing education credits (CEUs).

Early Bird Tickets went on sale January 1st at 50% off the regular price. The Four Day Education Pass regularly $55 is available at $25. For government employees, the four day pass is $49 and $69 for private and nonprofit. All passes come with 1 year access to view all the sessions on your schedule.

Click here and Use coupon code 4DAYSWH to get an additional 10% off of early bird pricing. Early Bird pricing ends February 8th, 2019. You can also view the session agenda before purchasing your ticket.

Some of the presentations include:

  • Twitter – Jerrel Peterson, MSW: From Micro to Macro Leveraging Research, Data, and Ethics for Social Impact
  • Facebook – Avani Parehk: Tech and Movement Building…How to Hold Space in the Digital Age
  • USC – Melissa Singh: Trauma Informed Interview Coaching for Global Environments
  • Columbia University – Matthea Marquart: Helping the Helpers Online Self-Care Technique

Some of our sponsors include the International of Association for Schools of Social Work, International Council for Social Work, Network for Social Work Managers, and the National Organization for Human Services.

For more information visit, https://www.globalsocialwelfaresummit.com.

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Child Welfare

Right from the Start: Investing in Parents and Babies – Alan Sinclair

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It is widely accepted the earliest months and years of a child’s existence have the most profound impact on the rest of the lives. Attachment theorists believe the early bonds and relationships a child forms with his/her carer(s) or parent(s), informs that child’s ability or inability to form successful and healthy relationships in the future.

Alan Sinclair’s ‘Right from the Start’ is the latest in the Postcards from Scotland series of short books, which aim to stimulate new and fresh thinking about why us Scots are the way we are.

In my previous book review in the Scottish Journal of Residential Child Care, I commended the author of ‘Hiding in Plain Sight’ (another book in the same series) Carol Craig for her ability to write succinctly and accessibly about a complex subject matter. I feel the same way about Alan Sinclair’s writing in this book.

The premise of this book, put simply, is laying out the bare truths of how good and bad us Scots are at parenting as well as having the appropriate supporting systems in place for parents and carers of our most vulnerable children.

A consistent thread throughout the book is the author arguing that by investing in parents and babies ‘from the start’, governments and the surrounding systems who support children and families can relieve the heartache of tomorrow in the form of poorer outcomes in education, employment and in health.
The book begins by acknowledging the UK’s position on the UNICEF global league table of child well-being, ranking 29 of the world’s richest countries against each other. The UK is placed 16th, our particular challenge being a high proportion of young people not in work, training or education. Although the league table did not single out the devolved nation of Scotland, the author describes the UK as a ‘decent proxy for Scotland’.

The first 1,000 days

The author goes on to explore the theory of the first 1,000 days of a child’s life. This theory suggests this is the most significant indicator of what the future holds for them. He touches on child poverty, which we know from well-cited research can lead to adversities in life, but he also mentions too much money can be an issue as well.

This point is explored more deeply later in the book’s in a chapter titled: ‘Is social class a factor?’. The author is effective at challenging the popular rhetoric that it’s the least educated and most poverty-stricken parents in society who are most likely to neglect their children. He talks about the longitudinal study, Growing Up in Scotland, which tracks the lives of thousands of children and families from birth to teens. Amongst many other findings, the survey shows 20% of children from the top income bracket have below average vocabulary; it also finds problem-solving capabilities are below average for 29% of this group. This proposes child poverty is only a small indicator of the child’s developmental prospects.

Where the Dutch Get it Right

The most intriguing part of the book from my point of view is the comparison the author makes between raising a child in Scotland versus the Netherlands (which ranked first in the UNICEF league table). In Holland, pregnant women have visits from a Kraamzorg, an omnipresent healthcare professional who identifies the type of support required. Post-birth the Kraamzorg plays a very active role and can typically spend up to eight hours a day supporting the new mother in her first week of childcare. The Kraamzorg also becomes involved in household chores including shopping and cooking. And it doesn’t stop there. The Dutch system includes Mother and Baby Wellbeing Clinics, which support families from birth to school age and have been doing so effectively for the last century.

On reading how the Dutch system operates, it’s hard to not make comparisons to the system here in Scotland (and the wider UK) within our NHS where mothers are wheeled in to give birth and very quickly wheeled out again to free up bed space. I exaggerate slightly here and I do not want to discredit the incredible job hard-working NHS staff do, but I’m sure I’m not alone in feeling envious of the Dutch system and thinking they’ve got something right, in comparison with Scotland. This was neatly summarised at the start of the book in a quote from a Dutch woman who had spent time living in both Holland and Scotland when she said: ‘In Holland we love children. In Scotland you tolerate children.’

But it’s not all bad. As the author remarks himself: ‘Scottish parenting is not universally awful: if we were we would not be almost halfway up the global table of child well-being’ (p. 12).

The penultimate chapter explores some real-life examples of parents who are struggling and striving to succeed in bringing up children with some success despite the odds stacked against them. I found the author’s injection of such human stories among the explanation of evidence useful as it allowed a chance for the reader to reflect on how all this is applicable in everyday life in Scotland.

To me, there was, however, a glaring omission in these stories: a voice from the LGBT community. Gay adoption in Scotland was legalised almost 10 years ago in 2009, and at the same time the Looked After Children (Scotland) Regulation 2009 came into force allowing same-sex couples to be considered as foster parents. It would have been interesting to hear from this historically marginalised part of our society what the experience has been like and how different, or similar, this was from the other stories included in this chapter. Are they arguably better equipped as carers of Scotland’s most vulnerable children given their own life experiences of being marginalised?

The book ends with the author setting out his vision for a better future for Scotland’s children where they have better life chances and are fully nurtured. It’s clear we have some way to go but reading this book makes you feel a glimmer of hope that could, one day, become a reality.

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Child Welfare

Reps. Bass, Marino Introduce Legislation To Develop And Enhance Kinship Navigator Programs

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Earlier this week, Rep. Karen Bass (D-Calif.) and Congressman Tom Marino (R-Penn.), Co-chairs of the Congressional Caucus on Foster Youth, introduced legislation to provide grants to states, tribes (including tribal consortia), territories or community-based organizations to develop, enhance, and evaluate Kinship Navigator programs. Kinship Navigator programs support family caregivers through complex legal and administrative systems, help avert crises, prevent multiple child placements, and avoid the need for more costly services.

“With the rise of substance abuse highlighted by the opioid epidemic, more and more kinship caregivers are stepping up to raise children in need of temporary care or permanent homes,” said Rep. Bass. “This is happening in every state and every county in the United States. While we work to address this immediate epidemic, our child welfare systems are being overwhelmed. Kinship caregivers need support and this bill will help provide the assistance necessary to creating a stable home and environment for the child. I hope Congress can come together on this bipartisan issue to stand up for our kinship caregivers and our nation’s most vulnerable youth.”

“Every child deserves to grow up in a healthy, safe, and loving home,” said Congressman Marino. “We know that when children grow up in stable households, they are much more likely to succeed as adults. This legislation will help ensure that every foster child has the opportunity to pursue their dreams, start great careers, and raise loving families of their own.”

The bill will allow community-based organizations to apply directly to the Department of Health and Human Services for funding and also require program evaluations that include community perspectives. You can read the full bill here.

Why Kinship Care Matters:

Research demonstrates that children in kinship care are less likely to experience numerous different placements with different families. Kinship care results in better outcomes for all children living in out-of-home care because they are more likely to remain in their same neighborhood, in the same educational setting, be placed with siblings, and have consistent contact with their birth parents than other children in foster care. This is one critical piece in improving outcomes for the children in the child welfare system.

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Child Welfare

What is Collaborative Law and Social Work

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Collaborative Family Law offers divorcing couples a new approach to untangling marriage. The traditional approach has family lawyers settle disputes with at least the threat of litigation.

Collaborative Family Law takes the threat of litigation out of the equation to concentrate on helping the parties settle between themselves yet with legal support. Litigation is not an option.

Lawyers practicing Collaborative Family Law report more satisfaction with this form of practice and believe that negotiated settlements leave the parties more intact as individuals and as parents.

Along with the new approach to settling disputes, there is a new role for those professionals who would otherwise practice divorce mediation or provide custody and access assessments.

These professionals, often social workers and psychologists, are being reenlisted by Collaborative Lawyers as Divorce Coaches and Child Specialists.

In traditional family law, a Divorce Coach may be hired to prepare one parent for court in order to gain a strategic advantage in the litigation process. In the Collaborative Law context, the Divorce Coach helps the parent to understand emotional issues that could cause him or her to be unreasonable.

In other words, in the former context, the coach helps make a better warrior for the battle of litigation, while in the latter context the coach helps make a better conciliator to facilitate settlement. Within the Collaborative Law model, each parent has his or her own Divorce Coach.

The “Child Specialist” is generally described in therapeutic terms, working with the children directly. In this context, the Child Specialist meets with the children to help them deal with the impact of the parents’ divorce on their lives. The Child Specialist may also share information with parents to help them protect the children from untoward outcomes.

There can be challenges arising when using individual Divorce Coaches and Child Specialists as described. Each coach may provide perspectives or information to their respective client that pulls them in different directions, confounding settlement. Certainly “over-identification” with one’s client is a risk inherent in any form of individual support.

Further, when a Child Specialist meets alone with children, there can be conflicts of interest and confidentiality issues if the Child Specialist then reports to parents. Some jurisdictions have confidentiality rules for counsellors working with children, particularly early adolescents.

There are ways to mitigate these issues.  Social workers have a rich tradition in working with entire family. As such, the social worker can engage the entire family in a consultant role. Within this role, perhaps titled Family Divorce Consultant, one social worker would be assigned rather than hiring two separate coaches.

Working from a system’s theory perspective and using clinical discretion, the social worker would have latitude to meet with the entire family system and/or pertinent subsystems (marital, sibling, parent-child and even individuals) as necessary.

The Family Divorce Consultant’s involvement would be time limited and goal directed. The goal is to facilitate the transition to a new family structure (pre-divorce to post divorce) whilst maintaining the integrity of pertinent relationships. Further, the consultant would provide education to the parents to facilitate their mutual interest – the well-being of their children now and developmentally.

Social Work has much to offer Collaborative Family Law. Social Work is built on a tradition of inter-disciplinary teamwork with the goal of win/win outcomes. The structural changes sought to facilitate post-divorce adjustment meet well with the training and values of social workers. Collaborative lawyers and social workers make a natural team.

Collaborative lawyers looking for social workers should consider those with; a “systems” perspective; custody and access experience; current knowledge of relevant theory and practice of divorce and child development; and good inter-personal boundaries. Collaborative Law marks a revolution in thinking. Next will be interesting to view the evolution. Social work is a good fit.

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Child Welfare

Why Involving Entire Families in Child Protection Cases Can Improve the Lives of Endangered Children

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By: Susan Meyers Chandler and Laurie Arial Tochiki

Annually, about 435,000 children across the United States are taken away from their custodial parents following a confirmed incident of abuse or neglect. In 2015, approximately two million cases of abuse and neglect were accepted for investigation by child protection services agencies in the fifty U.S. states. Although other family members currently care for such children in informal arrangements, the vast majority of children in protective cases are placed with non-biological foster families (now called resource families) until the parent’s home is considered safe.

Outcomes in the child welfare system are relatively poor – with such children at high-risk for school dropout, homelessness, unplanned and unwanted pregnancies, and future joblessness. According to available research, kinship and foster placements protect children and eventually reunite them with their biological parents about equally, yet kin placements are less disruptive. In practice, however, many child protective services agencies do not encourage kin to get involved in decisions until after a case of abuse or neglect has been confirmed.

Challenges in the Child Welfare System

Children and families who enter the child welfare system often have multiple challenges including behavioral health issues, special educational needs, substance abuse challenges, and delinquency. Often the families are poor, struggle with food and housing insecurity, and may have poor parenting skills or mental health challenges.

Various public agencies are charged with meeting these multiple needs, but child protective services agencies, by legal mandate, are the sole state system charged with ensuring children’s safety and well-being – and these agencies are bound by firm administrative rules and practices that often exclude family members and other relatives from involvement in decisions about the child. Due to confidentiality requirements, other child-serving agencies may not be involved, either. Nevertheless, research shows that children needing protection do better when their families are involved; and collaboration among various service agencies also improves outcomes for children and their families.

What Can Be Done?

Although family inclusion does not consistently happen, it is stressed by most child protective services agencies and a cornerstone of federal and state policy. The federal Fostering Connections Act of 2008 now requires that, within 30 days, child protective services notify adult relatives and grandparents that a child has been removed from parental custody. Family members are required by law to be included in case planning and decision-making meetings. In addition, financial assistance for guardianships is now provided when children are placed with relatives.

The 2010 Child Abuse Prevention and Treatment Act Reauthorization requires agencies to document their capacity to ensure meaningful involvement of family members in the planning, implementation, and evaluation of child protective decisions. For all states, a Child and Family Services Review evaluates conformance with federal requirements. This review measures family engagement and agency practices that reach out to extended family members. Restorative practices are encouraged – such as agency efforts to promote healing in family relationships and involvement in family conferences. Newer models of family engagement include creating family “circles” that acknowledge the harm done, further child safety and parental confidence, and provide ongoing family support services.

Lessons from Innovations in Hawai’i

The state of Hawai‘i has a state-wide system of family conferencing that is offered to all families entering the child welfare system. Family Group Decision Making is based on an indigenous process developed in New Zealand. In Hawaiʻi, the ʻOhana Conferencing model draws upon western mediation and social work practice, as well as the indigenous Hawaiian practice of reconciliation and forgiveness. The system has involved more than 17,000 families in the decisions involving children in the child welfare system, by assuring that families are:

  • Included in the decision-making process as true, respected and active partners in the decisions that affect them;
  • Listened to and heard, with their input valued;
  • Encouraged to find appropriate strategies to solve their own problems;
  • Actively engaged in collaborative problem-solving;
  • Equipped with the knowledge that there are partners in the community to help support the child and the family;

Using ʻOhana Conferencing has allowed Hawaiʻi to enjoy one of the highest percentages of kinship care in the child welfare system. The state is in the top three for kinship care, and more than two-fifths of children in protective care have been placed with kin since 2008.

ʻOhana Conferencing is strengthened by Hawaii’s strong process for strong commitment to finding kin and including all appropriate family members in the decisions about protection and foster care placements. This Family Finding process has reduced the number of children living in foster care and improved outcomes for the state’s endangered children.

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