Background Interhospital transfer of patients is a routine part the care at community hospitals, but current process may lead to suboptimal patient outcomes. A microlevel analysis processes has not earlier been carried out. Research Design We conducted semistructured qualitative interviews with providers 3 purposively sampled hospitals describe mechanisms, focusing on perceptions transfers and candidates, choice destination, perceived process. interviewed physicians, nurses, technicians from...

Previous research outlines the correlates of childcare expulsion in USA, yet researchers know little about how these produce expulsion. This in‐depth qualitative analysis 30 providers’ accounts finds a patterned process to expulsion: Teachers search for causes and solutions challenging behaviours. When interventions fail, overwhelmed teachers shift their focus from ‘struggling’ children ‘bad families’. Once explanation behaviour changes within outside child, is imminent. Interventions...

In an effort to manage risk under chronic resource constraints, information uncertainty, and accountability pressures, U.S. child welfare organizations have embraced the structured decision-making (SDM) model, which combines actuarial-based assessment with clinical decision making. Although 33 states adopted SDM impose greater rationality precision making, little is yet known about how interacts workers' own judgment in implementation, what effect. Drawing on original data from a case study...

Racial inequality persists despite major advances in formal, legal equality. Scholars and policymakers argue that individual biases (both explicit implicit) combine with subjective organizational decision-making practices to perpetuate racial inequality. The standardization of decision making offers a potential solution, promising eliminate the subjectivity consequential decisions. We ask, under what conditions may reduce inequality? Drawing on research science studies law society, we must...

Though he no longer claims the policy would aim to deter other migrant families, Secretary of Homeland Security John Kelly has left open possibility separating children from their parents at border — threatening children's growth, health, and well-being.

Care-giver substance abuse (SA) represents one of the most common reasons for entering child welfare system in USA with families and children whom is an issue fairing worse at every stage process from investigation to removal reunification. In this conceptual article, we assert that a paradigm clash between framework SA understands treatment recovery be linear views relapse as normative underlies many seemingly intractable within welfare. We identify mismatch mechanism more severe...

The Structured Decision-Making Model's risk assessment (RA) is a prominent feature of front-end child protection work. Examining how two different states have set policy to implement the RA, we analyze their distinct choices and unintended consequences. We propose that variation in implementation originates not from individual workers but nested sources. First, RA embeds an implicit epistemological conflict between actuarially based clinical decision making, with very little guidance on...

Abstract Studies are largely optimistic about the ability of standardized procedures to constrain decision-makers’ biases and produce more equitable results across fields. However, work that embraces standardization as an equalizing force stands in contrast research on street-level bureaucrats, which asserts not self-actuating cannot be understood apart from environments they used. I examine how frontline workers vary their approach actuarial-based tool intended standardize judgments. In a...

Abstract Background Substance use disorders (SUDs) have been consistently shown to exhibit moderate intergenerational continuity (1–3). While much research has examined genetic and social influences on addiction, less attention paid clients’ lay persons’ perceptions of the heritability SUD (4) implications for treatment. Methods For this qualitative study, twenty-six structured Working Model Child Interviews (WMCI) were conducted with mothers receiving inpatient These interviews thematically...

Peer-learning networks (PLN) can be valuable tools for doctoral students. Participation in these aid the completion of dissertation, lead to increased scholarship productivity, and assist student retention. Yet, despite promise PLNs, few studies have documented their effect on social work education. This article explores aspects an interdisciplinary PLN focused child welfare. study used a questionnaire with scaled survey items open-ended questions examine use, benefits, challenges...

Human service organizations (HSO) have increasingly recognized the value of employing trauma-informed care (TIC) in a variety practice settings. Evidence suggests that effectively adopting TIC has shown client improvements. Organizational barriers to implementation, however, exist. To improve practice, attitudes related (ARTIC) scale was developed measure staff and beliefs towards TIC. The ARTIC been widely adopted by researchers without evaluating its psychometric performance diverse...

The intergenerational influence of adverse childhood experiences on individual outcomes demonstrates a need for research that considers both personal and environmental contributors to risk. As such, the current study explored how maternal cumulative risks relationship between Adverse Childhood Experiences (ACEs) their children’s behavioral dysregulation among families involved with child welfare system ( N = 314). importance age is also considered. sample was stratified by groups children...