The role of grandparents in preventing aggressive and other externalizing behavior problems in children from rural, methamphetamine-involved families.

Preventive interventions are urgently needed for children from rural, methamphetamine-involved families, who are at risk for the development of aggressive and other externalizing behavioral problems. This mixed method study explored naturally occurring sources of protection and considers the implications for targeted interventions. Participants were 41 children aged six to 14 years from rural families involved with methamphetamine and the public child welfare system, their primary caregivers, and 19 parents recovering from methamphetamine addiction. When invited during semi-structured interviews to talk about their families, 48% of children spontaneously described socially and emotionally supportive relationships with healthy grandparents. Children's reports of support from grandparents were associated with lower scores on CBCL Social Problems, [t(37)= 2.23, p<.05 ]; externalizing behaviors, [t(37)= 2.07, p<.05]; and aggressive behaviors, [t(37)= 2.75, p<.01]. When asked to talk about their families, 58% of parents spontaneously described the support their children received from grandparents, and 26% also described the support that they had received from their own grandparents. Children's and parents' descriptions of grandparent support suggest how grandparents may protect children from the development of aggressive and other externalizing behavior problems. First, grandparents may prevent obstacles to healthy development by providing their grandchildren with safe shelter and basic child care when parents are incapacitated from substance misuse. Second, they may promote their grandchildren's positive social-emotional development through supportive relationships. Third, they may promote social competence through enjoyable leisure activities with healthy adults and non-delinquent peers. Understanding naturally occurring sources of protection for children can inform the development of interventions by identifying strengths on which to build, and suggesting culturally sensitive approaches when children are struggling.

Mothers' strategies for protecting children from batterers: the perspectives of battered women involved in child protective services.

During in-depth, individual interviews, seventeen battered women involved in the public child welfare system discussed the effects of domestic violence on their children, and their strategies for protecting and supporting them. Most mothers articulated the detrimental effects of domestic violence on their children and coherent strategies to protect them physically, but described difficulties supporting young children psychologically. Collectively, mothers reported a number of apparently useful strategies for supporting children's psychological resilience. Implications for intervention are discussed.

Enhancing parent-child interaction during foster care visits: experimental assessment of an intervention.

Mothers of young children recently placed in foster care participated in an intervention to enhance parent-child interaction during visits. The mothers all reported substantial loss and trauma histories. Immediately prior to the visits, the mothers were coached on strategies for separating from their children at the visit's end. The mothers displayed more behavioral strategies for supporting their children when the visit was over, but were less engaged with their children during the leave-taking sequence and displayed fewer ways of maintaining the child's involvement in mother-child interaction during leave-taking than those in a comparison group. This article discusses consideration of parents' trauma history in designing interventions to enhance parent-child interaction.

Understanding and supporting parent-child relationships during foster care visits: attachment theory and research.

Parent visitation, the scheduled, face-to-face contacts between parents and their children in foster care, is the primary intervention for maintaining and supporting the development of parent-child relationships necessary for reunification. A review of the child welfare literature, however, reveals that for some parents and children, visits are problematic. Indeed, parents and children's experiences of visits, the quality of interaction observed during visits, and outcomes for children vary widely. The parent-child attachment relationship is one important factor influencing the quality of visits. Attachment theory and research indicate that there are universal, developmental, variable, and problematic aspects of attachment relationships. These aspects of attachment relationships provide a heuristic approach for understanding, assessing, and intervening in parent-child relationships during foster care visits.

Making visits better: the perspectives of parents, foster parents, and child welfare workers.

Mothers of children recently placed in foster care, foster mothers, and child welfare workers participated in semistructured, clinical interviews focusing on the challenges of parent visitation with young children. Mothers described their feelings of grief, trauma, and rage about the forced separation from their children and stressed the importance of emotional expression and communication during visits. Child welfare workers described the complexities of supporting emotionally close parent-child interactions while monitoring and assessing parental behavior during visits. Foster mothers described the importance of preparing children for visits and the difficulties of supporting the children afterward. Implications of understanding mothers', foster mothers', and child welfare workers' perspectives on enhancing the quality of visits with young children are discussed.