Supporting informal kinship care.
Saunders, Hilary ; Selwyn, Julie
Background
When children cannot remain with their parents, the Children Act
1989 encourages local authorities to place them with a relative, friend
or other suitable person, unless that would not be reasonably
practicable or consistent with their welfare (section 23(6)(b)). The
Government has expressed a preference for kinship care in such
circumstances, claiming that this is 'much better for most children
than entering care' (Department for Education and Skills, 2006a).
This assertion is supported by research which has found that kinship
care arrangements are more stable than placements with unrelated foster
carers and that kin carers show greater commitment to the children (Rowe
et al, 1984; Rowe et al, 1989; Aldgate and McIntosh, 2006; Farmer and
Moyers, 2008). Kinship care is particularly helpful in providing secure
long-term placements for adolescents (Rowe et al, 1989). Children placed
with relatives or friends are likely to do as well as those placed with
unrelated foster carers despite facing similar difficulties and often
receiving less support (Sinclair et al, 2005; Farmer and Moyers 2008).
Moreover, kinship care might enable better matching with regard to
culture and ethnicity, and can help to preserve a sense of belonging
because usually the young people already know and love their carer (Broad et al, 2001; Farmer and Moyers, 2008). An overview of kinship
care studies (Hunt, 2001) emphasised that there are also benefits for
society, as kinship care helps to meet the rising demand for out-of-home
placements while limiting the cost of public services.
Although most kinship care studies have been undertaken in the US,
their findings cannot be generalised to the UK because kinship carers
there are predominantly single African-American or Hispanic grandmothers
(Berrick and Barth, 1994; Hegar and Scannapieco, 1999), whereas in
England they are mostly white couples (Sykes et al, 2002; Farmer and
Moyers, 2008). Indeed, Farmer and Moyers's large-scale study of
looked after children (2008) found that significantly more black and
minority ethnic children (60%) were placed with unrelated foster carers
than were living with family and friends (40%). However, financial
hardship, poor health, overcrowding and inadequate support appear to be
common experiences for kinship carers in both countries (Dubowitz et al,
1993; Hegar and Scannapieco, 1999; Ehrle et al, 2001; Richards, 2001;
Sykes et al, 2002; Farmer and Moyers, 2008).
As grandparents are often kinship carers (Pitcher, 1999; Broad et
al, 2001; Hunt, 2001), some of these disadvantages are age related, but
they are clearly exacerbated by inadequate local authority support.
Farmer and Moyers (2008) detected a general attitude that kin should be
able to manage without help. In their study only eight per cent of the
kin carers had the benefit of a family placement support worker compared
with 92 per cent of local authority foster carers (see also Sykes et al,
2002), and despite tensions and conflict with birth parents, 43 per cent
of kin carers were expected to supervise contact visits themselves.
As the research on kinship care in England has focused mostly on
cases where local authorities have placed looked after children with
relatives or friends, very little is known about the much larger group
who make private kin care arrangements. However, one finding on this
group is especially worrying. Farmer and Moyers (2008) found that when
relatives or friends cared for a child without initially involving
children's services but later asked for help, local authorities
generally said that the child was not their responsibility and refused
to provide any financial support.
Evaluation of the Kinship Care Team
In 2005 the Hadley Centre at Bristol University was contacted by
the London Borough of Greenwich, which asked for an independent
evaluation of their Kinship Care Team (KCT). The KCT had been in
operation since June 2004 and consisted of two social workers and a
support worker. Their work focused on 'children in need' who
were not looked after but who could not live with their parents. By
offering support to kinship carers, children and young people and birth
parents, they aimed to enable these children to remain within their
extended family. The initial intention was to support each family for a
maximum of one year. The range of support services included:
* advice on welfare rights and legal options;
* emotional support and counselling;
* advice on managing difficult behaviour and attachment issues;
* help to access other services such as CAMHS;
* supervised contact;
* payments for bedding, furniture and clothing, and occasionally a
small weekly allowance.
The KCT operated under the legislation on children in need
(Children Act 1989, section 17) and as these were not 'looked after
children', the kinship carers were not bound by the fostering
regulations. Assessments, therefore, related technically to the child
and to the quality of care provided by the family member or friend.
These were undertaken holistically using the Framework for Assessment
guidance (Department of Health, 2000) and the Integrated Children's
System procedures. The child received an initial assessment carried out
by Greenwich's Initial Response and Assessment Service, and the
initial plan then triggered the referral to the KCT. The KCT then
carried out a Core Assessment and drew up a Child in Need plan,
determining the support requirements of everyone involved--the child,
the carer and the parent(s). That plan was reviewed every six months.
This meant that carers were not formally approved or rejected as such.
If, however, issues relating to harm or potential harm were identified,
this might lead to formal child protection interventions under the
Children Act 1989 (section 47), as had happened on a few occasions.
What was particularly interesting about this local authority's
scheme was that it was supporting kinship carers to help 'children
in need' remain within their family network. This was quite
different from the local authorities participating in previous research,
where kinship care was primarily used as a placement solution for
children who, in most cases, were already being looked after by the
local authority.
Methodology
The evaluation involved extracting and analysing quantitative data
from all of the 58 case files opened by the KCT since the start of the
project. This part of the study was designed to ensure that 'core
data' were available on all the families who had been referred to
the KCT, ie both closed and open cases.
Service users were also contacted by their social worker and asked
to give consent to be interviewed by a researcher from the Hadley
Centre. This produced a sample of 25 individuals in 12 families, which
represented 50 per cent of the families currently receiving services
from the team. The sample included 12 kin carers, four birth mothers and
nine children and young people. Unfortunately we were unable to
interview any birth fathers, a problem that has been encountered by
other researchers in this field (Farmer and Moyers, 2008). The
interviews were conducted using semi-structured interview schedules.
Most interviews were taped where permission was given. We asked the
interviewees about the reasons for the kinship care arrangement, the
quality of support provided by the KCT, relationships with social
workers and how the arrangement was working for them--and we compared
responses from the carers, the children and the birth parents. By
combining quantitative and qualitative research, we aimed to provide a
retrospective view of all the work already undertaken by the KCT, while
also looking at the experiences and views of current service users.
Case file data were entered onto an Access database and analysed
within Access and SPSS. Interview data were transcribed and entered into
a matrix (Dey, 1993) so that answers from carers, children and birth
parents could be compared.
Findings from the case file study
The KCT only accepted referrals which had come through the
children's services department. This was the route established by
the team.
The children and their birth families
Two-thirds of the birth families were not receiving services from
any children's services department before the first referral. This
is not surprising as only about ten per cent of children in need are
known to local authority social workers at any one time (Department of
Health, 2001), but it also indicates that the KCT were making contact
with many 'new' families where children were vulnerable. Most
of the children and young people were teenagers (the average age was 14
but ages ranged from 5 to 18), and this finding reinforced previous
research showing that kinship care is frequently used for adolescents
(Rowe et al, 1989). Just under a third of the youngsters were of
minority ethnicity and ten spoke languages other than English.
The birth parents had experienced a wide range of difficulties,
including factors which are known to present a risk to the healthy
development of children. More than a third of birth parents had misused drugs or alcohol, a third had mental health problems, and domestic
violence, homelessness or imprisonment also featured in many cases. In
these circumstances, it was not surprising that almost half of the
youngsters (48%) had experienced some rejection by their mother, with
half of this being severe or persistent, and nearly three-quarters had
been rejected by their father. A quarter of the youngsters had had
multiple moves and carers, and 40 per cent had suffered a significant
loss or bereavement, such as the death of a parent or not knowing where
a parent was. Twenty-two youngsters had been identified as having
educational difficulties; other problems mentioned in the case files
included self-harm, eating disorders, violent outbursts, promiscuity and
ADHD.
Nearly three-quarters (72%) of the children and young people were
already being cared for by relatives at the time of the first referral,
and in these cases the KCT's intention was to provide support for
an arrangement which the family had already made. In about a third of
cases social workers played a more proactive role, either asking the
birth parent if there was a relative whom the child could stay with or
suggesting kinship care to other family members. However, despite such
attempts, in almost every case only one person or couple offered to care
for the child.
The carers
Grandmothers were caring for almost half of the children, aunts and
older siblings cared for about a third, and friends of the family cared
for a fifth. Nearly all (93%) of the youngsters were living with a carer
who held the same religious beliefs and was of the same ethnicity, and
all had a carer who spoke the same language. (1)
The 58 children were being cared for in 48 different kinship
arrangements. Ninety per cent of the carers were living in rented
accommodation and this was often overcrowded (51%). Almost half of the
youngsters had to share a bedroom and some had to share a bed or sleep
on the sofa due to overcrowding. Nineteen (39%) of the carers had other
children living with them, often adult children so they ranged in age
from six to 36 years, but 13 carers (27%) had never cared for a child
before. Very few adults living in the carers' households were
employed, so most were dependent on pensions and benefits. Forty per
cent had some problem with debt. Eleven (23%) of the carers were in poor
health and six (12%) were disabled.
Despite these difficulties, the quality of care according to social
work recording in the case files was considered good or very good in 78
per cent of cases. Most carers were described by social workers as
responding to the child's needs sensitively and demonstrating
warmth, affection, praise and encouragement. Some carers (13%) were high
on warmth but also high on criticism, a style of parenting that is
'good enough' but may provoke conflict with teenagers.
However, in eight per cent of cases relationships were very problematic;
this seemed to be because the carer had difficulty in setting
boundaries, could not help the children to regulate their emotions and
behaviours, and did not always model appropriate behaviour.
Contact
Most youngsters saw at least one of their birth parents regularly,
and where contact was occurring it was described mostly as positive.
However, contact visits were described in case file recording as having
an adverse effect on 36 per cent of the children and young people, often
because the birth parent did not turn up or due to conflict, drug/
alcohol misuse or rejecting behaviour. Over a third of the youngsters
had no direct contact with their birth parents, although some of these
had indirect contact. When contact was unreliable, the KCT tried to
support visits by providing travel expenses and occasionally supervising
contact (in four cases they supervised visits). Five youngsters had no
contact with their birth family because their parents were dead or their
whereabouts unknown.
Length of KCT involvement
A quarter of cases were closed within 16 weeks, but most of the
current kinship arrangements were expected to be long term and to
require continuing support. Only seven of the 27 youngsters with whom
the KCT were currently working were highly likely to return home.
Interview findings
We interviewed 12 carers, nine children and young people and four
birth mothers from a total of 12 families (almost half of the KCT's
caseload at the time). The answers provided by the children and young
people were generally very brief, the birth parents tended to say more
and some kin carers described their situation in great detail.
The experiences of the carers
Most of the kinship carers said that they had willingly agreed to
care for the child. Nearly all had previously looked after her or him
overnight, at weekends or during school holidays, so they already had a
close relationship with the child and they thought this had contributed
to the success of the placement. In two cases involving teenage mothers,
grandmothers said they had always looked after both the mother and the
child. Only one carer had initially expected to care for the child short
term; in fact, the arrangement had lasted several years.
Most kinship carers showed a remarkable level of commitment to the
child. We found lots of evidence of carers doing everything they could,
often in very difficult circumstances. For example, one carer got up
before 6am to accompany the child on a lengthy bus journey to school in
order to ensure that he was not bullied, and another tutored the child
in all the subjects he would have to learn at school while waiting
months for a school place to be provided. We got the impression that,
although many of these children and young people had suffered neglect,
trauma or abuse, they were now loved, protected and cared for. As one
grandmother expressed it:
He's my grandson, he's been through hell and I'm now
telling you that I am going to turn the tables round for him.
Kin carers could also be very sensitive to the needs of birth
parents. Some refused to apply for adoption or residence orders because
they hoped that eventually one of the birth parents would be able to
reclaim the child. One described how she and the birth mother had worked
together to address the child's emotional needs. However, the
goodwill of carers was sometimes stretched to breaking point by the
behaviour of birth parents. One carer had found it impossible to provide
for the child because the birth mother had not handed over the Child
Benefit book. She commented:
This was going on for seven months and I just couldn't do it
... I sat there and I cried, and I said, 'I tell you what, you take
that child and you deal with it, because I can't deal with
it.' I had 47 [pounds sterling] myself. I said, 'I can't
feed this child, buy nappies and everything else.'
Fortunately this carer was given a small weekly allowance by the
KCT, which enabled her to continue caring for the child.
Preventing children from entering the care system
Most of the 12 kinship carers said that if they had not provided
care, the child would have 'gone into care' or they could not
imagine what would have happened. Only two thought that another family
member would have taken the child. One asked rhetorically: 'Who
else could have done this?' Another insisted that there was nobody
else because the birth mother had 'fallen out' with everyone
else in the family. In three cases the carer's willingness to
provide care had not only benefited the child but had also enabled the
birth mother to recover from mental illness or addiction, as described
in the following comment:
I think he would have gone into care. Or [his mother] wouldn't
have tried to detox--she might have just kept him and stayed as she was.
You see, I was the only person she could trust.
All the kin carers believed that the children had benefited from
living with them. They often talked about providing encouragement,
security, boundaries or proper meals for the child, and some described
how the child had changed:
[She's] a different child now ... happy, outgoing, outspoken,
dancing around, singing, going to school on time, everything a child
normally should do ... It's like she put everything behind her.
He's slowly becoming a more confident child, whereas before he
could not do anything. He actually couldn't even tie his shoelaces
when he arrived. His confidence grows because we keep making him take
little steps at a time.
The carers also reported that although several of the children and
young people had previously missed a lot of school, most were now
attending regularly (at their carer's insistence) and their results
were improving.
The carers' views of the KCT
The carers' first impressions of the KCT were generally very
positive, with social workers being described as 'easy to talk
to', 'lovely, lovely, nice people', 'quite
enthusiastic' and 'a bit of a guardian angel'. None of
the carers complained about the assessment process and some expressed
appreciation that this task had been carried out sensitively by the
social workers. In particular, they appreciated the fact that the KCT
was supporting them in keeping the child within the family network:
I like the way they are straight down the line ... more normal,
more family centred than the social services department, who always want
to know whether you're abusing the child.
The service provided was generally rated highly, although carers
often said that particular kinds of help were not needed. Several carers
stated that they really appreciated being listened to, having emotional
support or reassurance, being valued and knowing that there was someone
they could turn to. Some were very grateful for financial assistance and
practical support, particularly with filling in forms. Three-quarters of
the carers (9) were satisfied with the service but two said they were
dissatisfied.
The dissatisfied carers had both been hoping that the KCT would
help them to obtain assistance from another council department,
specifically transport to school for a child with special needs and
rehousing for a family living in extremely overcrowded conditions due to
the kinship care arrangement. The inequitable funding of different types
of foster care was also raised by another kinship carer, who was
receiving a regular allowance of 30 [pounds sterling] per week from the
KCT. She commented:
It was just an awful struggle obviously, having to give up work, so
initially it was a relief to have that [30 [pounds sterling]]. I suppose
what I'm comparing it to is children who are fostered ... I know
that had she been fostered through the system, that the foster carer
would have had enough income to have met all of [the child's]
social needs.
It is possible that some of the other kinship carers may have
shared these views, if they had been aware of the allowances paid to
local authority foster carers. However, mostly they appeared to be
grateful that the KCT was helping them to do what they wanted to do--to
protect and care for the child.
The views of the children and young people
The children and young people mostly chose to say very little about
the circumstances in which they had come to live with their kinship
carers, but their comments usually confirmed information provided by the
carers. One child, for example, spoke about feeling scared when the
police took him to the carer's house because he didn't know
why, and the carer also complained that the situation had not been
explained to her. However, in another case where the carer tried to
protect the child's feelings by concealing the reason for the
kinship care arrangement, the child clearly knew the reason but felt
unable to talk about it for fear of upsetting the carer.
Five children and young people confirmed that their social worker
had asked them how they felt about coming to live with their relatives
and had taken their views into consideration. In other cases social
services became involved later, but one child was too young to be
consulted and two youngsters said they 'had no choice' and
were not happy with the decision.
Some of the children and young people were relieved to find that
their social worker was nicer than expected, particularly if their
expectations were based on Elaine the Pain in the Tracy Beaker stories!
However, two teenagers 'couldn't see the point of a social
worker' or thought there wasn't 'a problem to fix'.
Most of the children and young people said that they could talk to their
social worker, but none had a phone number to enable them to contact him
or her directly.
Some of the children were clearly struggling to deal with very
difficult emotions. Two expressed agonising fears that their elderly
carer might die and both said they couldn't talk to anyone about
this. One child said that he felt as though his 'heart had been
punched and ripped out' when his father refused to visit him.
Permanency arrangements
The remit of the KCT is to support informal kinship care
arrangements (ie where there is no legal order) and to work towards
permanence for the children and young people. However, they found that
when they raised the issue of legal orders, many kinship carers were
very reluctant to consider this due to the potential effect on family
relationships. Such concerns were sometimes expressed in the interviews.
For example, one carer said that she had refused to apply for a
residence order because she 'couldn't possibly do that'
to her own (adult) child, especially as she still hoped that the birth
parents might be more involved with the child in future.
In three out of the 12 families who took part in the interviews, it
was clear that the birth mothers would not be able to care for the child
in the future due to serious health problems. These three cases all
involved younger children and the KCT wanted to ensure that they had
permanent placements. In two of these cases they were helping carers to
apply for special guardianship orders (covering the legal costs in one
case), and in the third case they advised the carers to obtain a
residence order at their own expense, but the carers decided they could
not afford this.
In a further three cases birth mothers had recovered from mental
illness or addiction and, following assessments by the KCT, were about
to reclaim their children. In other cases there may have been some
possibility of reunification with birth parents, but in two cases where
birth parents were in prison, it was not clear what the care
arrangements would be following their release. One carer who was looking
after a young person over the age of 16 was very relieved to be told
that there was no need to apply for a residence order.
The experiences and views of the birth mothers
We were only able to interview four birth mothers. However, their
experiences illustrated the extremely difficult circumstances that often
prompted referrals to the KCT and the scheme's potential to provide
security for the child while sometimes also enabling reunification with
a parent in the long term.
The four birth mothers had all experienced severe problems in terms
of physical or mental illness, drug or alcohol misuse, or domestic
violence. In two cases the support provided by the KCT enabled relatives
to continue looking after the child for a very long time (five years in
one case) and this respite made it possible for the birth mothers to
obtain treatment and to regain their health. Both of these mothers were
happily anticipating the imminent return of their children. In the two
other cases reunification was impossible as the mothers had a
progressive debilitating illness. However, one mother accepted the
kinship care arrangement as the best solution in the circumstances:
I suppose that my health will deteriorate, so that's a kinda
bad thing, but I know that mum and dad will always be supportive ...
because they always have been, no matter what ... It's good because
I can talk to my mum and dad about anything.
The other seriously ill birth mother resented the KCT's role
in arranging for the child to live with a relative because she thought
that support should have been provided to enable the child to remain in
her care. While it was doubtful that this would have been possible, it
was worrying that this birth mother appeared to have hardly any contact
with social services and only very limited medical assistance. In this
case the carer and the child were also very distressed by the lack of
medical care provided for the birth mother. Interestingly, in one of the
reunification cases both the birth mother and the carer also claimed
that if adequate medical support had been provided when the birth mother
first became ill, the kinship care arrangement would not have been
necessary.
The birth mothers appreciated being able to keep the child within
the family and having frequent contact. With one exception, handing over
the child was not seen as an irrevocable act, as it might have been if
local authority fostering had been the only alternative. However, their
views on the KCT tended to be less positive, apart from one mother who
was extremely grateful for the support she had received. One appreciated
attending parenting classes, which the KCT arranged for her. Another
stated that, given that the kinship care arrangement was voluntary, it
was 'a bit intrusive' for the KCT to require a police check
and medical check before the child could stay with her overnight. Two
mothers said that they felt uninformed and excluded from the work of the
KCT and were uncertain about the process for reclaiming their children.
Suggested improvements to the service
Although the KCT was generally working well, our evaluation
identified areas where improvements could be made.
Multi-agency working
Many families assisted by the KCT had acute needs that could only
be met by working in partnership with other departments and agencies.
For this reason we recommended that the KCT should meet with key service
providers to discuss how procedures could be improved to meet the needs
of children living in kinship care. The following problems needed to be
addressed on a multi-agency basis:
Education
Paying more attention to the
educational needs of children and
young people, eg by fast-tracking the
provision of school places for children
in kinship care and ensuring that
coursework was transferred promptly
to the new school.
Health
Ensuring that medical support
services were provided for birth
parents and providing easier access to
CAMHS provision for children and
young people in kinship care. (Only
one child in the interview sample had
been offered counselling, but loss,
rejection and bereavement were
prevalent in the sample.)
Housing
Giving more priority to rehousing kinship
carers in acute housing need. (In
one case the kinship care arrangement
had led to severe overcrowding, but a
flat previously occupied by the child
and birth parent had remained empty
for two years while the family waited
for an offer of suitable housing.)
Police
Improving liaison between the police
and the KCT, so that social workers
could provide support quickly for
children placed in emergency kinship
care arrangements by the police. Also
enabling children to reclaim their
possessions after premises had been
searched, if possible.
Transport
Ensuring that transport could be provided
flexibly, if it was needed to
sustain a kinship care arrangement,
particularly if a child was disabled or
had special needs.
Children with more complex needs
The case file analysis identified a small sub-group of children
with early instability in their lives, multiple carers and challenging
behaviour. These children and young people would not be easy to care for
and had kin carers who seemed unable to meet their complex needs. There
were also a few carers who lacked warmth and were very ambivalent about
the children living with them. In these situations, children and young
people needed more intensive support to be provided on a multi-agency
basis.
Contact details and information about the KCT
None of the children and young people had been given a phone number
to contact their kinship care social worker. This was a serious problem
because they were generally aware of all that was going on, and some
were struggling to deal with difficult emotions which they felt unable
to share with their carers. Several said they had no one to share their
worries with. For this reason we suggested that every child and young
person should be given contact details for their KCT social worker,
perhaps on a card also containing the number for ChildLine.
We also suggested that the KCT should review how they worked with
birth parents and should introduce themselves, explain their involvement
and be clear about what parents needed to change to be able to care for
their child. However, we also acknowledged that as a small team the KCT
would have to decide where to concentrate their resources, especially
when there were child protection concerns.
Conclusions and implications for practice
The evaluation found that the work of the KCT in Greenwich fitted
the Every Child Matters framework for service provision well and
reflected the emphasis in the Children Act 2004 on children being
brought up within their own families whenever possible. While it was
impossible to state categorically that without the work of the KCT the
children would have become 'looked after', two pieces of
evidence suggested that this was highly likely. First, the case file
evaluation found that although 34 per cent of children had other
relatives who were spoken to about a potential kinship care placement,
the reality was that in almost every case there was only one relative or
friend who offered to care for the child. Second, when carers were asked
in the interviews what would have happened to the children if they had
not stepped in, most thought that the child would have 'gone into
care'. The evaluation concluded that the KCT was effective in
promoting stability for children and young people and reducing the need
for them to be looked after by the local authority.
Most significantly, the Greenwich KCT was working with
'children in need' and providing support for kinship care
arrangements that in 72 per cent of cases had already been agreed
informally by family members. This was very different from the approach
of the local authorities described by Farmer and Moyers (2008), who in
such circumstances generally took the view that the children were not
their responsibility and refused payment if the carers later requested
help.
While the financial help provided by the KCT was mostly restricted
to oneoff payments for furniture and clothing, and in some cases a small
weekly allowance, it was often what was needed to prevent a kinship care
arrangement from breaking down. Indeed, it could be argued that the
KCT's willingness to engage with these families and to provide
practical and financial help or advice was instrumental in reducing the
risk of the children needing to be looked after by the local authority.
This, in itself, represented a substantial saving to the local
authority. Figures compiled by the Department for Education and Skills
show that in 2006 the unit cost of providing an in-house foster
placement was estimated at 633 [pounds sterling] per week (Department
for Education and Skills, 2006b). In comparison, the cost per child of
having a kinship care service was around 140 [pounds sterling] per week.
(2) Indeed, as most of the sample were teenagers, children's
services might have had difficulty providing an in-house placement and
therefore an independent agency placement might have been needed,
incurring higher costs.
Another advantage of the Greenwich project was that it aimed to
ensure that children and young people did not undergo the experience of
being removed from their parents and placed in the care of strangers.
The importance of avoiding local authority care is highlighted in an
earlier study (Broad et al, 2001), which described the experiences of 50
young people who were looked after by the local authority before being
placed in kinship care. This report stated (pp 17 and 18):
Most of the young people had spent time in local authority care and
for most this was a traumatic experience. They described frequent moves,
feelings of rejection, and an increasing sense of isolation ... Almost
all those who had experience of local authority care described how
desperate they were to leave residential or foster care ... The young
people we interviewed did not want to live with strangers ... For some,
the behaviour of adults they had previously lived with--birth parents,
foster carers or residential care workers--made them feel unsafe and
vulnerable.
The young people interviewed by Broad and his colleagues were very
positive about being placed with relatives or friends, and they said
that kinship care was about being cared for, belonging somewhere and
feeling safe. Our evaluation of the KCT revealed similar benefits. Most
of the children and young people had the security and stability of
living with a carer who belonged to their family network, knew them well
and was committed to caring for them. In most cases they were loved,
protected and cared for, and the kin carers showed a high level of
commitment to the child, echoing a key finding of Farmer and
Moyers's research (2008). Nearly all the youngsters were living
with a carer who shared the same ethnicity, culture, religion and
language, and most of them had continuity with regard to their school,
their friendships and their surroundings. The outcomes for the children
and young people generally appeared to be positive, and despite their
previous experiences some were doing very well, particularly at school.
Research shows that looked after children who are rejected by their
parents tend to have very poor outcomes (Quinton et al, 1998; Rushton et
al, 2001) and a similar finding might have been expected here, given the
very high levels of parental rejection. We were not able to quantify the
effect of parental rejection on outcomes. However, the interviews with
12 families revealed that at least six of the children and young people
felt secure in their placements and loved and accepted by their carers,
and were making very good progress with regard to their education.
Obviously we cannot generalise from the findings of such a small study,
but this would be an interesting area for further research.
Another notable feature of the Greenwich scheme was the good
relationship which the KCT appeared to have with many of their clients.
Several kin carers said they would be delighted to speak to us because
they were fed up with the bad press that social workers usually receive
and wanted to give a different view. In other studies (eg Quinton, 2004)
social services clients often report that their first contact with the
service was not positive, but in our evaluation carers commented not
only on their positive first impressions of their social worker but also
on the openness and warmth of administrative staff who answered the
phone. Social work assessments were described as relaxed and
non-intrusive but professionally and sensitively conducted. Unlike
findings from other kinship care research (Pitcher, 1999), there were no
complaints about this area of practice and the carers understood why
assessments had to be done. Most carers said that they felt respected,
valued and well supported, and several children and young people also
praised their social workers.
However, issues (Farmer and Moyers, 2008) about kinship
arrangements continuing despite concerns about whether the standard of
kin care was 'good enough' were also apparent in a few cases.
Social workers were concerned about these young people and were faced
with complex decisions about whether to remove the child when the family
wanted the arrangement to continue, and/or when reunification was being
planned.
The issue of financial support for kinship carers raised by Farmer
and Moyers (2008), Richards (2001) and Broad and Skinner (2005) was also
problematic in our study. While carers generally appreciated the limited
financial help provided by the KCT, 40 per cent had debt problems and
having to provide for an extra child was often a real struggle. Two of
the carers whom we interviewed indicated that they could not have
continued caring for the child if the KCT had not given them a small
weekly allowance.
While our evaluation of the KCT was very positive, we emphasised
that their aim of limiting support to a maximum of one year for each
family was unrealistic. In many cases long-term support, including
financial support, would be required to meet the acute needs of the
kinship carers and the children and young people in their care. This
issue needs to be urgently addressed by the government because the
substantial welfare and financial advantages of enabling youngsters to
remain within their extended family cannot be sustained in the long term
without adequate financial support for kinship carers.
We would like to make one final comment with regard to this
research. At a time when local authorities appear increasingly reluctant
to participate in research involving children, we found it very
refreshing to be invited by the London Borough of Greenwich to evaluate
practice in this scheme. Since the completion of the evaluation, we have
been informed that almost all of our recommendations have been
implemented, including ensuring children know how to contact their
social workers. In a recent email, John Dicks, manager of the KCT,
commented: 'Our aim to achieve permanence for children is coming to
fruition in a small but satisfying way.'
References
Aldgate J and McIntosh M, Looking After the Family: A study of
children looked after in kinship care in Scotland, Edinburgh: Social
Work Inspection Agency, 2006
Berrick J D and Barth R, 'Research on kinship foster care:
What do we know? Where do we go from here?', Children and Youth
Services Review 161:1-2, pp1-5, 1994
Broad B, Hayes R and Rushforth C, Kith and Kin: Kinship care for
vulnerable young people, London: National Children's Bureau, 2001
Broad B and Skinner A, Relative Benefits: Placing children in
kinship care, London: BAAF, 2005
Department for Education and Skills, Care Matters: Transforming the
lives of children and young people in care, London: DfES, 2006a
Department for Education and Skills, Children's Services:
Overarching report on children's services markets, London: Price
Waterhouse Cooper, 2006b
Department of Health, The Children Act Now: Messages from research,
London: The Stationery Office, 2001
Department of Health, Framework for the Assessment of Children in
Need and their Families, Norwich: The Stationery Office, 2000
Dey I, Qualitative Data Analysis: A user friendly guide for social
scientists, London: Routledge, 1993
Dubowitz H, Feigelman S and Zuravin S, 'A profile of kinship
care', Child Welfare 72, pp 153-69, 1993
Ehrle J, Geen R and Clark R, Children Cared for by Relatives: Who
are they and how are they faring?, Washington, DC: The Urban Institute,
USA Series B, No. B-28, 2001
Farmer E and Moyers S, Kinship Care: Fostering effective family and
friends placements, London: Jessica Kingsley Publishers, 2008
Hegar R and Scannapieco M, Kinship Foster Care: Policy, practice
and research, Oxford: Oxford University Press, 1999
Hunt J, Family and Friends Carers, Scoping Paper prepared for the
Department of Health, 2001
Pitcher D, When Grandparents Care, Plymouth: Plymouth City Council
Social Services, 1999
Quinton D, Rushton A, Dance C and Mayes D, Joining New Families,
Chichester: John Wiley & Sons, 1998
Quinton D, Supporting Parents: Messages from research, London:
Jessica Kingsley Publishers, 2004
Richards A, Second Time Around: A survey of grandparents raising
their grandchildren, London: Family Rights Group, 2001
Rowe J, Hundleby M and Garnett L, Child Care Now: A survey of
placement patterns, London: BAAF, 1989
Rowe J, Cain H, Hundleby M and Keane A, Long-Term Foster Care,
London: Batsford, 1984
Rushton A, Dance C, Quinton D and Mayes D, Siblings in Late
Permanent Placement, London: BAAF, 2001
Sinclair I, Wilson K and Gibbs I, Foster Placements: Why they
succeed and why they fail, London: Jessica Kingsley Publishers, 2005
Sykes J, Sinclair I, Gibbs I and Wilson K, 'Kinship and
stranger foster carers: How do they compare?', Adoption &
Fostering 26:2, pp 38-48, 2002
(1) Following the introduction of the Children (Private Arrangement
for Fostering) Regulations 2005, children placed in the care of friends
are now considered to be privately fostered and in Greenwich they no
longer come within the remit of the KCT.
(2) Developed from Personal Social Services Research Unit, Unit
Costs of Health and Social Care, Canterbury: University of Kent, 2004.
This figure does not include management services or buildings, but these
elements would not increase the amount significantly.
Hilary Saunders is a Training and Research Development Officer,
Hadley Centre for Adoption and Foster Care Studies, School for Policy
Studies, University of Bristol
Julie Selwyn is a Senior Lecturer and Director of the Hadley Centre
for Adoption and Foster Care Studies