The
Good, the Glad,
the Sad and the Ugly
A
review of four books based on research into residential childcare
Pain, Normality, and the Struggle
for Congruence
Professor Dr James Anglin 2002 The Haworth Press ISBN 0-7890-2141-2
Better
than you think : Staff morale, qualifications and retention in residential
child care
Amanda Mainey 2003 National Children’s Bureau ISBN 1-900990-85-7
Burnout
Across Thirteen Cultures : Stress and Coping in Child and Youth Care
Workers
Professor Victor Savicki 2002 Praeger ISBN 0-275-97453-7
Victims
of Benevolence : The Dark Legacy of the Williams Lake Residential
School
Elizabeth Furniss 1992 Arsenal Pulp Press ISBN 1-551520015-X
Although all four books are based on research, the projects and subject
matter are all completely different, and will have very different
impacts on the reader. Yet there are many points of agreement, and
many similar messages emerge, re-inforcing each other as they approach
residential childcare from different angles.
Pain,
Normality, and the Struggle for Congruence : A Call for Congruence
To
start with Jim Anglin’s work, this is a brilliant book, which
will become one of the standard texts on residential childcare. Any
criticisms in this review have to be seen against this overall judgement.
Jim
is the Director of the Child and Youth Care course at the University
of Victoria in British Columbia, Canada. The course has developed
an excellent reputation both in Canada and internationally, and in
reading about Jim’s thinking, you will understand why the course
has achieved its standing.
Jim
undertook a sabbatical and decided to try to get under the skin of
good quality residential childcare. He wanted to know what made it
successful, and adopted the “grounded theory” approach
to his research. In essence this meant that, rather than collecting
masses of data and analysing it before reaching conclusions or setting
up a hypothesis and testing it, Jim visited a sample of children’s
homes to observe what was actually happening and to try to identify
the main concepts by which the homes appeared to be working, before
then gathering detailed data to cross-check his impressions, continually
refining his thinking until a theoretical approach had been identified
which still matched the actual practice of the homes.
The
first part of the book covers contextual material, and explains grounded
theory. This part could stand alone as an explanation of this research
method, which deserves to be used more widely in work with children
and young people. Equally, if you know all about grounded theory,
you could skip some of the early chapters.
Jim
then goes on to his main conclusions. He found that the homes were
trying to achieve three things :
-
to create extra-familial living environments for the children
- to respond to the children’s pain and pain-based behaviour
- to develop a sense of normality.
The
key test in judging the effectiveness of the homes was their achievement
of “congruence”, a word that peppers the book. Congruence
needed to be developed between the policies and practices of each
home, between what the head of the home said and did, between practice
and supervision, in teamwork, in recording, and in training.
While
most of Jim’s sample were homes which were acknowledged to be
successful, a couple were not, and in these there were symptoms of
lack of congruence. This finding will of course come as no surprise
to those who have worked in the field, and one of the functions of
research is to enable people to say to themselves (or others) that
they always knew the situation, and that it is nice to have the reassurance
of research to confirm one’s views.
The
point is that identifying congruence as a key factor offers a tool
for people analysing ineffective services to check possible reasons
for failure. (It reminded me that in Britain, for example, for many
years, residential childcare workers were relatively powerless, with
low status, and yet they were meant to provide a model which would
help the children in their care develop a sense of self-worth so that
they could move on to independence - surely a fundamental lack of
congruence.)
The
book is at its best in analysing the task of group homes for children,
where there is a useful distinction in the differing roles of residential
and fostercare, criticising the comparisons often made as to which
is better for children and pointing out their respective qualities.
The
central chapters of this book should be read by anyone training to
work in residential childcare, and by those who have been critics
of work in the residential setting. Too often residential care has
been dismissed as institutional, (for example in the Stockholm Declaration)
and of course, it can be; but Jim’s description of life in good
group homes and its impact on the children and young people shows
that it can be a very powerful tool to enable the residents to cope
with the problems they face and to re-orientate themselves.
Of
the key messages, I found the discussion of a sense of normality somewhat
unconvincing and still prefer the formulation devised by the British
Department of Health, but maybe I need to read that chapter again.
The final chapters of the book consider a sample of other literature
about residential childcare to see how Jim’s ideas cohere with
other major books, and look at the implications for training residential
childcare workers. For me, these chapters were useful in reminding
one of key historical texts, but they seemed to tail off from the
brilliance of the central message of the book, and the consideration
of other literature looked like the edited remnants of a section which
the author had had to put in his doctoral thesis.
A
final grumble is that the book was also published as volume 24 of
the journal Child and Youth Care Services, and perhaps as a consequence
it starts with several pages of advertising which detracts from its
impact and should be excised when it is reprinted. For all the criticisms
I have made, this is an outstanding book, and it deserves to reach
a wide readership.
Indeed,
if Jim can find the time, there would be an argument for publishing
a truncated version, focusing on the key central findings, to have
maximum impact on practitioners. It is certainly the sort of book
which is bulging with messages to people in the work, raising questions
and suggesting answers about ways in which practice can be improved.
My guess is that years from now there will still be young people living
in residential care who will be unaware that the quality of their
experiences has been influenced by Jim’s thinking through its
impact on the practice of the workers in their homes.
Better
Than You Think : A Welcome Message
The
title of the second book is apposite. I would class myself among those
who have taken a gloomy view of the predicament of residential child
care services in recent years, having heard the stories of high staff
turnover, poor pay, lack of training, reliance on agency staffing
and so on. It was therefore a real encouragement to be told by Amanda
Mainey that in many ways the situation is not too bad, that there
is some stability in the staffing of homes, and that staff morale
is positive.
The
research was undertaken by the National Children’s Bureau and
funded by the Social Education Trust. It was based on questionnaires
sent to residential child care workers, followed up by a smaller number
of structured interviews and a series of interactive seminars. In
all, 408 staff took part, consisting of 318 care staff and 90 people
in managerial posts. Over a third held no formal qualifications, but
a fifth had achieved the National Vocational Qualification Level 3
in Caring for Children and Young People.
As
I remarked above, possibly the most surprising finding was the high
level of morale : 15% said their morale was high and 59% said it was
satisfactory, with only just over a quarter saying it was low. They
picked out three factors as being important motivators - teamwork,
residents’ progress and job satisfaction. Knowing their work
was valued and being supported both scored high as factors creating
high morale, but again, teamwork came out top, neatly underlining
the argument put forward in Jim Anglin’s book for congruence.
In
the chapter on information and support, staff were reported to be
well-informed, they knew the aims and objectives of their homes, they
had received clear guidance on good practice, and they were generally
positive about their managers. None of these findings is a sign of
a failing service, and they all suggest that the staff should be offering
a competent service to their residents.
Staff
turnover and shortages were acknowledged as problems. Although over
half the staff said they would be reluctant to leave the work, shortages
and staff loss had affected over half the homes in the previous twelve
months, according to the managers in the sample. In general, staff
did not feel that the use of agency staff was excessive.
The
key to good practice, according to the respondents, was clearly teamwork
within the home, though they also looked outwards and wanted to improve
their collaboration with field social workers and colleagues in education.
Meeting the needs of children and young people holistically was seen
as vital to the success of their work.
The
book itself is laid out very clearly, with simple charts and summaries
at the end of every chapter, making the absorption of its main messages
easy. Managers, planners, lecturers and central policy-makers in the
field of childcare should all read this book.
Overall,
the research revealed a committed and enthusiastic workforce, who
value teamwork, support and positive approval, and who need further
training and closer collaboration with allied professional groups.
It gives a surprisingly positive message. Things are better than you
think.
Burnout
Across Thirteen Cultures : A Study of the Effects of Stress
Professor
Victor Savicki has built up his study of stress and burn-out over
many years in thirteen countries. His book represents a solid piece
of research, based on extensive data and careful analysis. The very
theme inevitably means that the book focuses on a problematic area,
and so there are no comforting messages of the sort provided in Amanda
Mainey’s study.
Vic
starts by looking at basic concepts and the nature of child and youth
care work. He considers culture as a suitable medium for considering
stress, as it reflects both environmental factors and personal aspects
of staff functioning, with burn-out as a possible outcome of the behavioural
coping of staff working in their contexts.
He
describes the nature of stress and patterns of burn-out, and considers
most of the main literature on the subject, though I was surprised
to see no reference to the main British work in this field. Nor does
he mention the labile phase prior to breakdown, which I had understood
was a key feature in observing stress patterns.
The
body of the book covers Vic’s research in different countries,
analysing the different patterns of responses with care. He compares
different cultures within one country using the same language, (East
and West Germany), cultures in one country using different languages
(French and English-speaking Canada) and cultures using - or separated
by - the same language (Australia, Canada, England, Scotland and the
United States). This section makes for dense reading, and is probably
of greatest benefit to other researchers working in allied fields,
for instance studying culture differences.
It
is only towards the end that Vic spells out some of the messages,
with chapters on Burn-out Prevention, Remediation and Recovery and
Implications for the Twenty-first Century. He suggests thirteen ways
of countering stressful situations, and interestingly, they tie in
closely with the messages given by Jim Anglin and Amanda Mainey. Among
other things, staff need personal strength, coping styles which reduce
stress, job ownership, workload management, consistency of goals and
rewards.
Anyone
concerned about stress in residential child care should read this
book. It contains a wealth of material, though if you want the implications
for practice, go to the end chapters first.
Victims
of Benevolence : An Ugly Legacy
The
fourth book being reviewed here was actually first published in 1992,
but reprinted in 2000, and it is included here, partly it deserves
to be well-known, partly because it contrasts so sharply with the
other research works described above, partly because we need to be
aware of the possible harm which even well-intentioned intervention
can cause, and partly because we happened upon it in the shop at the
State Museum of British Columbia in Victoria.
The
book tells the story of the use of residential schools by the Government
of Canada to educate and socialise children from tribes which were
then known as Indians but are now generally termed First Nations.
The first residential school in Canada was founded in 1630, but the
story really took off in the second half of the nineteenth century,
and by 1923, there were 72 residential schools.
The
incoming European people who were settling Canada saw the indigenous
population as being backward culturally, unskilled in modern ways
and in consequence vulnerable. They wished to see the Indians given
skills to cope with modern life so that they could be absorbed into
the new country of Canada, which was stretching westwards to include
British Columbia.
The
method they chose was to establish residential schools and Indian
children were removed from their tribes for virtually the whole of
their childhoods, to be taught the skills needed in European ways
of living. This had a terrible impact on First Nations communities,
as it made them almost child-free, as well as denying the children
the chance to learn the values, culture and skills of their own communities.
Worse
still, the schools were very harsh settings and the education was
of variable quality. There were high death rates among the pupils,
who often absconded. There were scandals, and children were abused.
In the end there was an outcry, and the schools were closed, but the
last one, in Saskatchewan, was only closed in the 1980s.
Elizabeth
Furniss undertook the research on which the book is based, and it
is well-grounded in fact. The story is a shameful one. It started
with high intentions, but the founders of the system made assumptions
then prevalent world-wide that their style of living was best and
that others should adopt it. This assumption is made no longer in
Canada, and there is greater respect for all cultures, but the lesson
took a lot of learning, and the children who went through the residential
school system in Canada were its casualties.
Unlike
the other three books, this one has a campaigning tone, no doubt influenced
by the injustices it describes. This detracts from the book as an
account of dispassionate pure research, but it also gives the book
a sharp edge, with the message that this type of thing must not happen
again.
Before
we smugly claim that this was a past era, reflecting days of imperialism
and colonisation, we need to consider the messages for current practice.
In any country where one ethnic or cultural group dominates another,
there needs to be a critical consideration of policies.
For
instance, in many countries in eastern Europe, Romany children are
over-represented in children’s homes and special schools, while
the staff are predominantly non-Romany. In Britain, foster carers
and the children they care for are often from different social classes.
In several western European countries, children and young people from
ethnic minorities are over-represented in their children’s extra-familial
services while the staff are largely from the white indigenous populations.
(This is often reflected in adult prisons as well.)
In
all these cases, one ethnic or cultural group may be imposing its
values and ways of living on another, and we need to be aware of the
possible impact. The main effect on the children can be that they
end up belonging nowhere, neither in their birth community nor fully
accepted in that of their carers. Of course, not everyone is a casualty,
and some succeed through such systems, but the potential for damage
is there, and this book gives a powerful example.
In
Conclusion
Residential
care is a potent medium for working with children and young people.
Elizabeth Furniss describes an example of the harm which it can do,
while Jim Anglin demonstrates the positives. Vic Savicki shows the
stress which staff may suffer across several countries, while Amanda
Mainey shows that on the whole morale is not that bad in the United
Kingdom.
The
styles of research of the four volumes all differ, but they share
some common messages, such as the need to be clear about the purpose
of the services offered, the need for congruence between the needs
of the children and the methods of work, and the importance of teamwork
throughout the staff.