Instrumental safety net configurations and changes over time among economically marginalized families.

Poverty, a social determinant of health, disproportionately affects families with children. Public and private safety nets, or support networks available in times of need, can help address poverty and its consequences. Independently, strong safety nets (public or private) promote health and well-being, yet little is known about how private and public safety nets combine and evolve over time. Using latent class and latent transition analyses, this study examined public and private safety net configurations of mothers with low-income, sociodemographic characteristics associated with these configurations, and safety net changes over time. Using data from the Future of Families and Child Wellbeing Study from child ages 1, 5, and 9 (N = 2,251), results indicated that mothers were sorted into four safety net configurations (public support only, private support only, all high, and all low) and 30%-53% of each class of mothers transitioned from one safety net configuration to another at the next neighboring wave, underscoring the importance of examining both public and private supports simultaneously and longitudinally. Membership in configurations with low private support (e.g., public only, all low) and sociodemographic disadvantage (e.g., more poverty, recent experience of hardship) predicted transitions, commonly leaving mothers without advantage in the riskiest safety nets. To promote a more responsive, equitable safety net, lengthening public safety net program certification periods and increasing outreach efforts (e.g., through schools, churches) to potentially eligible mothers could strengthen and stabilize safety nets to lessen poverty and its consequences for economically marginalized families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Economic Impacts of COVID-19 on Autistic Children and Their Families.

PURPOSE: We used data from the National Survey of Children's Health to (1) examine differences in economic hardship and safety net program use after the implementation of federal relief efforts, and (2) assess whether the COVID-19 pandemic exacerbated autism-based disparities in hardship and program use. METHODS: We examined five dimensions of economic hardship (poverty, food insecurity, medical hardship, medical costs, and foregone work) and four safety net programs (cash assistance, Supplemental Nutrition Assistance Program (SNAP), Special Supplemental Nutrition Program for Women, Infants and Children (WIC), and free or reduced-cost meals). First, we calculated adjusted prevalence and odds ratios to compare pre-COVID (2018-2019) and during COVID (2021) outcomes by autism status. Next, we calculated the adjusted odds of each outcome among autistic children compared to those of children with and without other special healthcare needs at both time points. RESULTS: COVID-19 exacerbated autism-based disparities in food insecurity, SNAP, and public health insurance, but alleviated inequities in medical hardship, foregone work, and cash assistance. Autistic children did not experience declines in food insecurity or increases in SNAP like other children; medical hardship and foregone work decreased more for autistic children; and the magnitude of autism-based differences in public coverage significantly increased during the pandemic. CONCLUSION: Federal relief efforts likely improved economic outcomes of children; however, these effects varied according to type of hardship and by disability group. Efforts to promote economic well-being among autistic populations should be tailored to the financial challenges most salient to low-income autistic children, like food insecurity.

Profiles of perceived resources among low-income, rural mothers: Prospective associations with maternal and child outcomes.

Low-income, rural families face significant mental health risks. However, the understanding of resources associated with mental health risks is limited. The present study investigated the associations between perceived resources of low-income, rural mothers, and longitudinal maternal and child outcomes. This study utilized longitudinal data from the Family Life Project (N = 1203), from US rural areas with high poverty rates. Mothers reported their resources at 6-month postpartum, and their levels of depression, anxiety, and role overload were assessed at 2-year postpartum. Mothers reported their children's behavioral problems at 3 years old. Using a person-centered approach, we identified four maternal profiles: lower resources (7.1%); higher intra-family support (11.1%); higher inter-family support (20.8%); and higher resources (60.9%). In general, the higher resource profile was associated with lower mental health concerns of mothers and lower levels of behavior problems of children. Mothers in the higher intra-family support profile had disproportionately higher role overload. Children of mothers in the higher inter-family support profile showed disproportionately higher behavioral problems. Maternal partner status and education were significant predictors of resource profiles. Findings support the heterogeneity in perceived resources among low-income, rural families and different risk levels. Identifying these subgroups has significant implications for policy and interventions aimed toward this vulnerable population.

The Importance of Job Demands and Supports: Promoting Retention Among Child Welfare Workers.

Child welfare workers typically face strict deadlines, limited training periods, high caseloads, and understaffing. These high-demand positions often coupled with few organizational or supervisory supports contribute to decreased worker well-being and low retention. Informed by the Job Demands-Resources model, we examined common demand-resource sub-groups among recently-hired child welfare workers and how sub-group membership contributed to agency retention. This study used data from the Florida Study of Professionals for Safe Families (FSPSF), a four-year, longitudinal cohort study of child welfare workers hired in 2015-16 (n = 912). We used a three-step Latent Profile Analysis (LPA) with logistic regression to identify profiles of workers based on demand and support levels at 6 months to predict agency retention 12 months later. Findings resulted in five profiles: floundering, surviving through supervisor, surviving through role, surviving through supports, and thriving. Profile distributions indicated both demands and supports were independently important for retention. Each profile had higher odds of staying at the agency compared to the floundering profile, those floundering in role and support (ORs = 2.08-7.68). Those in the thriving profile, thriving in role and support, had higher odds of staying when compared to each other profile (ORs = 2.12-7.68). Findings identify that demands and supports operate in an additive way to promote retention and suggest that agencies can address individual aspects of workers' role and support challenges to improve retention without requiring a single approach to combat workload and environment simultaneously.

Informal support and obligation contribute to fewer child behavior problems over time.

Objective: This study used longitudinal data from a sample of low-income mothers and their children to examine how informal support and obligation, or informal networks, contribute to children's behavior. We also tested the potential mediating role of maternal parenting stress. Background: Many studies document the importance of informal support for maternal stress and child behavior to offset the negative impact of poverty for low-income families. Evidence suggests the importance of also considering the obligations that such informal support access may impart. Method: Using data from the Welfare, Children, Families Study, a longitudinal study of diverse, low-income, urban mothers in three cities (n = 2,142), we used a parallel process latent growth curve model approach to examine how informal support and obligation contributed to maternal stress and child behavior. Results: Models indicated that mothers with healthy safety nets, including informal support and manageable obligations, had children with fewer behavior problems, and parenting stress partially accounted for the positive effects. Conclusions: Results highlight the importance of considering reciprocity norms among low-income mothers; one-sided support or obligation can be problematic for both maternal stress and child behavior problems. Implication: Results suggest the merit of empirically supported interventions to teach relationship skills and facilitate healthy relationships among low-income mothers.

"Showing Everybody's True Colors": Informal networks of low-income single mothers and their young children during the COVID-19 pandemic.

Extensive evidence suggests low-income mothers depend upon their families and friends for emotional, practical, and economic support in times of need. This is the first study to examine the operation of low-income mothers' informal support networks and the impact of such networks on maternal well-being during the COVID-19 pandemic. We interviewed low-income, single mothers of young children (<12 years; N = 34) twice over Summer 2020 to consider mothers' decisions around network engagement and how their interactions contributed to their well-being. Consistent with the social capital framework and previous studies, most mothers turned to their networks and exchanged support. Thematic analysis uncovered 4 inter-related themes of mothers' experiences: (1) discovering emotionally-available networks, (2) navigating resource-limited networks, (3) reassessing network member relationships, and (4) establishing boundaries for in-person contact. Although emotionally valuable, networks could not meet increased economic and child care needs. The COVID-19 pandemic's economic impact and its impact on time use tested network relationships with some relationships strengthening and others dissolving. Widely-available emotional support was essential to mothers adapting to the pandemic. Safe, affordable child care options coupled with accessible, economic supplements can promote well-being among single mothers and their children.

"Business as Usual": Child Protective Services Workers' Perceptions and Experiences of and Responses to Client-Perpetrated Violence.

Client-perpetrated violence (CPV) against child protective services (CPS) workers is prevalent and problematic for workers and clients leading to psychological distress, physical injury, and compromised service delivery. With accumulating evidence of prevalence and detrimental consequences, few studies examine the characteristics of violent incidents among CPS workers. This study explores how CPS workers perceive CPV through exploring characteristics of incidents that they experienced. We applied components of the stress process model to consider the importance of workers' perspectives when interpreting violence and its effects. We used inductive, thematic analysis to analyze interview data focused on workers' experiences with CPV during their first 3 years as CPS workers. The qualitative subsample (N = 34) was drawn from the Florida Study of Professionals for Safe Families (FSPSF), a statewide, longitudinal sample of recently hired frontline child welfare workers. With few exceptions, workers experienced a variety of physical and nonphysical violence. Some experienced more frequent exposure than others, particularly those who defined yelling as violent. Workers identified predictable patterns of violent circumstances and people, and commonly felt that their agencies treated violence as "business as usual." The high prevalence of violence, often predictable, indicates the importance of promoting a violence-free workplace through agency culture and responding to workers' reports of CPV with empathy and support. In addition, given workers' diverse perceptions of CPV, a manual could provide definitions of CPV, procedures to increase worker safety, and procedures to respond effectively to violence. Skill-based trainings can support workers at all levels to minimize, yet prepare for and handle, violence.

Childhood Bullying Victimization, Substance Use and Criminal Activity among Adolescents: A Multilevel Growth Model Study.

BACKGROUND: This study aims to examine the effects of childhood bullying victimization (CBV) on substance use and criminal activity among adolescents over time. In addition, it identifies the moderating effects of gender and race/ethnicity on the associations of CBV with substance abuse and criminal activity in adolescence and young adulthood. METHODS: This study included 8984 adolescents aged 12 to 18 years (Mage = 14.22 years) assessed biennially at four time points utilizing the National Longitudinal Survey of Youth 1997. The two-level hierarchical linear modeling was employed to test the effects of CBV on substance use and criminal activity. RESULTS: The incidence of substance use increased over time throughout adolescence to young adulthood, while that of criminal activity decreased. CBV increased the risks of cigarette use, marijuana use, and criminal activity. Gender and race/ethnicity significantly moderated the effect of CBV on alcohol use and alcohol binges. The effect of CBV on alcohol use was stronger among females than males. Among Hispanic adolescents, CBV was more strongly related to alcohol use and binges compared to non-Hispanic White. CONCLUSION: Findings suggest the need for early intervention for children at high risk of being bullied to reduce later substance abuse and involvement in criminal activities. Considering the moderating effects of gender and ethnicity on the associations, target-specified intervention and prevention programs are also required. Further studies focusing on the lifelong effects of CBV beyond adolescence are recommended.

"I don't have much of a choice": Low-income single mothers' COVID-19 school and care decisions.

OBJECTIVE: This study used a preferences and constraints framework to understand mothers' decision-making processes around childcare and schooling during the COVID-19 pandemic and how socioeconomic context contribute to these decisions. BACKGROUND: Despite potential long-standing consequences of school decision making during the COVID-19 pandemic, we know little about how parents consider childcare and education options during these times. And, these decisions are particularly important for single mothers in resource-scarce environments whose children benefit disproportionately from appropriate care and education. METHOD: This study used qualitative data gathered from semistructured interviews with low-income, single mothers (N = 34). RESULTS: Approximately half of mothers selected home-based care while the other half selected site-based care. Findings suggest that mothers made decisions largely on the basis of constraints-safety or financial need. Given high levels of fear and system mistrust, Black mothers more commonly selected home-based care than White mothers. CONCLUSION: The COVID-19 pandemic seems to exacerbate the restricted childcare calculus of low-income mothers. IMPLICATIONS: Partnering with communities and disseminating accurate information, particularly in Black communities, is critical for establishing trust and positioning low-income single mothers to make current care and education decisions, as well as future decisions, such as vaccination decisions.

Client-Perpetrated Violence Among Frontline Child Welfare Workers.

Client-perpetrated violence against child protective services (CPS) workers is common and detrimental to worker wellbeing with consequences including physical injury and psychological illnesses. Despite the impacts of violence, few studies capture violence in a representative sample of CPS workers. This study examines prevalence and applies a structural inequality framework to consider who among CPS workers is most susceptible. This article used the Florida Study of Professionals for Safe Families dataset, a longitudinal panel study of newly hired CPS workers (N = 1,501) to examine the prevalence of violence in the first 6 months of employment and consider the influence of individual characteristics. CPS workers experienced high levels of non-physical violence (75%), threats (37%), and physical violence (2.3%). Age and race were significantly related to instances of violence as were college major and position. Relationships were nuanced and did not uniformly follow a structural inequality framework. The high prevalence of violence within the first months on the job illustrates the importance of conflict and violence training before workers acquire independent caseloads. In addition, institutionalized mandatory reporting procedures with definitions of non-physical violence, threats, and physical violence may promote a culture of safety rather than an attitude that violence is part of the job. Finally, supervisors and peers can benefit from opportunities to support one other. The high prevalence of violence within certain subgroups of workers coupled with its wide-ranging consequences call for additional theoretical and empirical research and responsive policy to prioritize worker safety and wellbeing.

Psychological distress among low-income mothers: the role of public and private safety nets.

Poverty is linked with a host of negative outcomes. Approximately one-third of unmarried mothers and their children live in poverty in the United States. Public and private supports have the potential to mitigate the adverse effects of poverty; however, these supports may be unstable over time. The purpose of this study was to determine public and private safety net configurations of low-income mothers longitudinally and test linkages between safety net configurations and maternal psychological distress. Using longitudinal data from the Welfare, Children, Families project conducted in 1999, 2001, and 2005 (n = 1,987), results of multilevel models of change indicated that less than one-half of low-income mothers used public assistance and had private support at any one point. Safety net configurations and psychological distress levels changed over time with deterioration occurring more than improvement, and private safety net availability offered protection from psychological distress. These findings can be used to inform family support services and highlight the need to augment public assistance programs with services aimed to also address maternal psychological well-being and social support. Doing so can be a means of improving the public and private safety nets and outcomes of vulnerable families.

Informal Networks of Low-Income Mothers: Support, Burden, and Change.

OBJECTIVE: The authors examined the support and burden of low-income, urban mothers' informal networks. BACKGROUND: Living or growing up in poverty strongly predicts barriers and instability across several life domains for mothers and their children. Informal networks can play a critical role in promoting maternal and child well-being particularly in the midst of poverty. Understanding informal support and the reciprocal burden it may create is especially relevant for low-income families living with a reduced public safety net in the post-welfare reform era. Therefore, study aims were to measure support and burden among low-income mothers and determine if support and burden change over time. METHOD: Data were from the Welfare, Children, Families (WCF) project, a longitudinal study of 2,400 low-income, caregivers of children and adolescents living in Boston, Chicago, or San Antonio (http://web.jhu.edu/threecitystudy/index.html)). We applied latent class analyses to support and burden indicators in four domains-emotional, favor, child care, and financial. RESULTS: Results supported four profiles of informal networks - healthy, unhealthy, burden only, and support only. Although most mothers had healthy informal networks, approximately one-third experienced no support or support imbalance which related to network changes at later time points. Demographic characteristics largely were not predictive of support profile or profile change. CONCLUSION: Although many mothers had healthy support and burden, the most vulnerable did not have consistently healthy informal networks. The identification of a sizable minority of low-income mothers who cannot consistently rely on informal support is significant in light of diminished formal supports available to children and families.

Social networks of unaccompanied women experiencing homelessness.

This study explored strengths, barriers, and role of social networks among unaccompanied women experiencing homelessness. Twenty women from two local shelters participated in semistructured, face-to-face interviews. A constant comparative analysis revealed 4 themes: support as a coping mechanism, loss of support as a path to homelessness, support as a drain, and support as a way to give. Almost universally, women experienced considerable barriers to housing, including physical health, mental health, substance abuse, or domestic violence. Despite precarious circumstances, women showed optimism, interest, and readiness to move forward and exit homelessness. Most women utilized social networks to cope with their difficult situations. Their networks, however, were limited such that abusive relationships and substance abuse commonly contributed to homelessness and delayed entrance into secure housing. Together with identifying unaccompanied women as a subgroup in the homeless population, targeted interventions can help women capitalize on healthy relationships to promote housing security and well-being.

Revising the Lubben Social Network Scale for use in residential long-term care settings.

PURPOSES: We revised the Lubben Social Network Scale (LSNS) to develop a measure of social support specific to residential long-term care (LTC) settings, the LSNS-LTC with five domains (i.e., family, friends, residents, volunteers, and staff). METHODS: The authors modified the LSNS-18 to capture sources of social support specific to LTC, specifically relationships with residents, volunteers, and staff. We piloted the resultant 28-item measure with 64 LTC residents. Fifty-four respondents provided adequate information for analyses that included descriptive statistics and reliability coefficients. RESULTS: Twenty of the items performed well (had correlations >0.3, overall α = 0.85) and were retained. Three items required modification. The five items related to volunteers were eliminated due to extensive (>15%) missing data resulting in a proposed 23-item measure. DISCUSSION: We identified, and to some degree quantified, supportive relationships within the LTC environment, while developing a self-report tool to measure social support in these settings.

Adapting a parenting intervention for parents aging out of the child welfare system: A systematic approach to expand the reach of an evidence-based intervention.

Parents aging out of the child welfare system face a constellation of unique risk factors that threaten the well-being of themselves and their children. Although parenting interventions are an important resource for providing much-needed services to parents aging out, there is currently a lack of evidence-based parenting interventions that address the unique needs of this population. The purpose of this project was to systematically adapt an evidence-based parenting intervention for parents aging out. An established adaptation framework was used to guide this process, and acceptability and feasibility outcomes were evaluated as part of a pilot study of the adapted intervention. Preliminary intervention adaptations included modifications to program delivery and program content. Study findings indicated a high level of parent satisfaction with the adapted intervention but challenges to feasibility because of inconsistent attendance and the substantial effort required for intervention delivery. This study constitutes a critical first step toward increasing the reach of evidence-based parenting interventions among parents aging out of the child welfare system and underscores the need for continued efforts to develop sustainable and effective parenting services for this at-risk population. (PsycINFO Database Record

Informal Support among Low-income Mothers Post Welfare Reform: A Systematic Review.

The vulnerability and instability of low-income mothers situated in a context with a weak public safety net make informal social support one of few options many low-income mothers have to meet basic needs. This systematic review examines (a) social support as an empirical construct, (b) the restricted availability of one important aspect of social support-informal perceived support, hereafter informal support-among low-income mothers, (c) the role of informal support in maternal, economic, parenting, and child outcomes, (d) the aspects of informal support that influence its effects, and (e) directions for future research. Traditional systematic review methods resulted in an appraisal of 65 articles published between January 1996 and May 2017. Findings indicated that informal support is least available among mothers most in need. Informal support provides some protection from psychological distress, economic hardship, poor parenting practices, and poor child outcomes. To promote informal support and its benefits among low-income families, future research can advance knowledge by defining the quintessential characteristics of informal support, identifying instruments to capture these characteristics, and providing the circumstances in which support can be most beneficial to maternal and child well-being. Consistent measurement and increased understanding of informal support and its nuances can inform intervention design and delivery to strengthen vulnerable mothers' informal support perceptions thereby improving individual and family outcomes.

Unmarried Mothers' Postnatal School Enrollment: The Role and Intersection of Demographic and Socioeconomic Characteristics.

Drawing from a theoretical model of educational decisions and intersectionality theory, this study examined demographic, socioeconomic, and public assistance characteristics that influence unmarried mothers' postnatal enrollment. Using the Fragile Families and Child Wellbeing Study (FFCWS), binomial and multinomial regression techniques were used to examine unmarried mothers' enrollment in their child's first nine years. Results showed unmarried mothers' educational commitment coupled with the influence of race and class indicate that they need additional opportunities to optimize their educations and job opportunities. Targeting outreach and enrollment assistance to underrepresented groups can reduce social-origin inequalities. Important directions for future research include understanding unmarried mothers' rationale for school enrollment and considering how race and class work in combination to support or deter enrollment.

But Where Can We Buy an Ounce of Prevention? Sprawl, Access, and Fresh Fruit and Vegetable Consumption.

Fresh fruit and vegetable consumption (FFV) is integral to a healthy diet and increased longevity, yet 25.8 million Americans live in areas of restricted access, with under-resourced communities particularly vulnerable. To consider how immediate environment influences FFV, this study uses the Behavioral Risk Factor Surveillance System (BRFSS) survey (N = 122,265) to examine the influence of sprawl on FFV consumption. Findings indicate that higher sprawl relates to lower FFV consumption, and this relationship persists net of demographic covariates. Implications offer that social work's person-in-environment approach can increase FFV access in under-resourced communities.

Predictors of Stability and Change in Private Safety Nets of Unmarried Mothers.

Although the importance of social supports for single mothers in times of crisis is widely recognized, little is known about the stability of such "private safety nets" over time, as children age and maternal and household characteristics change. This study uses multilevel models and 4 waves of data from the Fragile Families and Child Wellbeing Study to describe trajectories of social support perceptions for 3,065 unmarried mothers. Results suggest that, following a birth, most unmarried mothers perceive the availability of support, but these support perceptions disintegrated somewhat in subsequent years. Mothers who appeared to have the greatest need for support-those without stable employment or a stable partner-experienced more rapid deterioration of their perceived safety nets than more advantaged mothers. Future research should examine network composition and conditions for support provision among the most vulnerable single mothers and consider how safety net stability influences maternal and child health and well-being.