d 3 1. .a. -_‘ ‘d-3 FACTORS AFFECTING THE PLACEMENT OF ADOLESCENT GIRLS by Kathleen Northey Giddings A PROJECT REPORT Submitted to the School of Social Work Michigan State University in Partial Fulfillment of the Requirements for the Degree of MASTER OF SOCIAL WORK June 1960 Approved W ‘ hairman, Research Committee Director 0 .: ”fr;- 4"" IMP J.’.' Miti‘:1_;_;y '- 11-? “ Umvcrsn; T H ES!’ __£. ACKNOWLEDGMENTS The writer wishes, first, to express her appreciation to Mr. Arnold Gurin, research director, for his excellent instruction and guidance. She also wishes to thank Dr. Lucille Barber, research committee chairman, and Mr. Morris Gluckin, adviser, for their assistance and encouragement. The writer is indebted to Right Reverend Monsignor John D. Slowey, director of Lansing Catholic Social Services, for use of agency facilities. She is also grateful to the staff of the agency for their cooperation, particularly Miss Helen Brown, supervisor. The latter has been especially helpful throughout the entire study. To family and friends, for their interest and encourage— ment, the writer extends her gratitude. Of particular help have been her sisters in the final formulation of the paper and her daughter's grandmothers in offering babysitting services. Finally, and most, the writer is indebted to her husband and daughter, to her husband for his unfailing assistance and support and to her daughter for her patience. ii ACKNOWLEDGMENTS. LIST OF TABLES Chapter I. INTRODUCTION. II. HISTORICAL BACKGROUND AND CURRENT OPINION III. METHODS AND PROCEDURES EMPLOYED IN THIS STUDY IV. ANALYSIS AND PRESENTATION OF DATA. The Girl Pefore Placement Placements Inappropriate Placements Comparison to Mersham Study V. GENERALIZATIONS. VI. IMPLICATIONS OF THE CONCLUSIONS RECOMMENDATIONS. APPENDICES BIBLIOGRAPHY. iii Page ii iv LA) LA) Table UU \TI 10. ll. 13. IA. LIST OF TABLES Race and Religion of Girls Studied. Number of First Placements and Replacements in Each Age Group Source of Girl‘s Support Before and After Placement . . Income Level of Source of Support Before Placement Marital Status of Parents and Outstanding Characteristic of Girl at First Placement Income Level of Source of Support and Original Reason for Placement Outstanding Characteristic of Girl at First Placement and Income Level of Source of Support. Outstanding Characteristic of Girl at First Placement and Original Reason for Placement Contact with the égcncy Previous to Thirteenth Birthday and Original Reason for Placement. Contact with the Agency Previous to Thirteenth Birthday and Original Referral Source . . . . . . . . . Outstanding Characteristic of Girl at First Placement and Original Referral Source Actual Placements and Order of Placements Marital Status of Parents and First Actual Placement Original Reason for Placement and First Actual Placement. iv Page 3A LA.) Ch 40 Al Al 42 A3 A5 A7 Table Page 15. Age and Actual Placement . . . . . . . 48 16. Recommended Placements and Order of Placement . . . . . . . . . . . A9 17. Recommended Placements and Actual Placements 51 18. Reasons for Inappropriate Placement . . . 53 19. Original Referral Source and Reason for Inappropriate Placement . . . . . . 5A 20. Outstanding Characteristic of Girl and Reason for Inappropriate Placement. . . 55 21. Age and Reason for Inappropriate Placement . 56 22. Source of Support During Placement and Reason for Inappropriate Placement. . . 57 V CHAPTER I INTRODUCTION This study will, first, attempt to determine whether adolescent girls known to Lansing Catholic Social Services are placed appropriately to individual need. It is assumed that placements will not always be appropriate and the study's focus will be to determine the reasons for this discrepancy. The caseload of Lansing Catholic Social Services has experienced an increase in the number of adolescent girls needing placement. Child welfare has been a service of this agency only since 1952. It began on a small scale and has grown with the agency. The agency believes this expansion of service and the increase in population of this age group account for the larger number of adolescent girls considered for placement. With this increase, an awareness of the problem arose. Questions included: Why are adolescent girls considered for placement? Is the agency choosing the correct place- ment? Is the agency able to follow through on the recom- mended placement? If not, why not? To what extent are factors such as community resources, the client's situation, and/or the worker's activity involved? What can Catholic I R) Social Services do to improve the situation? These ques- tions have been discussed among workers individually and at staff meetings. It was not felt that any extensive exploration was done. While in field placement at Catholic Social Services, the writer gained an interest in the problem. Workers in the agency were consulted regarding the availability of necessary data. It emerged that written agency criteria for placement were absent. Workers, however, seemed to have similar opinions regarding such criteria, suggesting a common unwritten agreement. Questionnaires allowing unrestricted, essay-type answ rs were distributed to each worker involved in placement of girls in this age group. Criteria thus formed, plus unstructured interviews with workers, were intended to become the basis of assessing placements "appropriate" or "inappropriate." It was assumed that the agency tries to conform to general principles concerning placement but is not always able to do so. The nucleus of the study thus emerged: what factors prevent the appropriate placement? These factors may be found in community resources, the client's situation, and/or the orientation or practice of the agency worker. The agency expected recommended placements to be impeded mainly by lack of community resources or by lack of financial support for the girl. For the purposes of the study "adolescent girls" was defined as from thirteen to seventeen years of age. The DO term ”known to Lansing Catholic Social Services” may mean that the girl is part of a family group seeking help or is, herself, the reason for an original contact with the agency. Girls in family groups known to the agency, but with problems not of concern to the study, were excluded. Also excluded were unmarried mothers. Such girls in this age range are not placed in foster homes. Some remain at home. If the service demands placement outside the home, maternity homes are used for the young girl's protection. For the girl nearing seventeen years of age or over, a wage home may be used. Unmarried mothers do not present a placement problem for the agency. Placements will be spoken of as actual, recommended, appropriate, or inappropriate. "Actual" is to refer to the girl's known placement,and"recommended" is to be the place- ment indicated by the criteria. If actual and recommended placements are the same, the placement would be "appropriate." If the two are not the same, the placement would be "inap- propriate." Each placement is to be evaluated in terms of the situation at the time of the placement. Thus, in considering a past placement, "hindsight" is to be avoided. What was recommended at the time of the placement is the factor. There is to be no attempt to determine what should have been the placement. Remaining home will be included as a placement, as placement outside the home was a consideration with all girls in this study. If placement outside the home was not considered, the girl was excluded. Also, girls placed before the dates used in the study, and with no further consideration of placement during the period of time covered in the study, were not included. Thus, with girls studied, a placement at home may have been recommended or may have been the only facility available. This is pertinent to the study. The agency, Lansing Catholic Social Services, was organized in February, 19A9, and chartered under the laws of Michigan for such agencies. It began as a private social casework agency with only one worker, now the director, Right Reverend Monsignor John D. Slowey. Anyone desirous of receiving help is eligible. Financial assis- tance is given on a temporary basis to those not eligible for public assistance. The purpose of the agency is explained in the consti- tution to better "preserve wholesome family life and to care for dependent, neglected and delinquent children in accordance with rules, regulations, and sacred canons of the Catholic Church by:" l. Offering consultation services to persons and organizations on spiritual and material problems affecting family and child care. Providing trained caseworkers to assist families and individuals in preserving and developing proper family and child care. f\) U7 3. Promoting and participating in community work for the betterment of the family and child.1 Clientele is accepted from the Greater Lansing area including Ingham, Clinton, and Eaton counties. This is the area served by the United Community Chest of Lansing, of which the agency is a member. Chest funds are the agency's sole support. A large percentage of clientele is of the Catholic faith but no religion or race is barred from receiving help. The agency staff now consists of a director and supervisor, both of whom also have a caseload, four full- time trained caseworkers, two part-time untrained case- workers, a receptionist-bookkeeper, and a dictaphone operator. Data were secured from case records, foster home studies, and workers. Records may be found under the name of the girl herself or of her family grouping. Recordings were made by the worker for the purposes of review, appraisal, and providing background material for a new worker and include interviews, correspondence, and reports. The writer used brief, informal interviews with workers to fill in gaps in records. The study includes the period from December 1, 1956, to December 1, 1959. Choice of this period was arbitrary, established to include a sufficiency of case material 1Constitution of Catholic Social Services, Incorporated, Lansing, Michigan, 19A9, Appendix, Article.II, p. O\ for the study. Thirty-three girls had been placed in this period, many of them experiencing several placements. Girls were included who were known to the agency before theii*thirteenthbdrthday, but only placements after the age of thirteen were used in the study. Other girls experi— encing placement were those referred after the age of thirteen. No placement after the age of seventeen was included. In summary, this study will examine the adequacy of the placement of thirty-three girls by Catholic Social Services during a three-year period, in the light of criteria secured through a questionnaire returned by staff members. CHAPTER II HISTORICAL BACKGROUND AND CURRENT OPINIONS Child care programs first began with those for destitute children. The Elizabethan Poor Laws were the basis of the English system of placement; this system the American Colonies also adopted. Homeless or neglected children were placed in almshouses, as apprentices, or as indentured servants. As it became evident that children were not properly cared for in almshouses along with elderly and ill adults, many states began developing large congregate institutions for the purpose of caring for and housing children who could not be indentured or apprenticed. Their purpose, besides providing food, shelter, and clothing, was primarily to provide sound religious training and education sufficient to make children capable of following a craft. One of the first such institutions was that established in New Orleans in 1729 by the Ursuline Sisters, for children left homeless by Indian massacres. By 1850 there were at least 116 institutions for dependent children and the rapid growth lSpencer H. Crookes, ”Child Welfare," Social Work Year Book, ed. Russel H. Kurtz (New York: American Book- Stratfdrd Press, Inc., 1954), p. 82. 7 of the United States saw their increase under sectarian 1 Public subsidies were also and non-sectarian sponsorship. granted to voluntary organizations and homes were established for the children of soldiers and sailors. Today, only rarely does one find public institutions for the care of dependent children and only a few of the most backward states place children in county poor farms. In 1797 there were beginnings of the modern cottage plan of group care. Also, the New York Society for the Relief of Poor Widows with small children provided special financial assistance. By 1860 a start had been made toward the development of a child-placing system as it is known today; this was the organization of children's aid societies which had as their purpose placing children either in family homes or in child-caring institutions. The movement began in 1868 with the founding of the Illinois Children's Home and Aid Society in Chicago. This program was pioneered by groups within the Methodist Church and thirty-six states later developed such home societies. A national community conscience in behalf of children had begun.2 The need for the care and training of children apart from their families continues. The necessity of preventing family break-up is recognized, but in certain instances it it necessary to provide care for children away from their llbid. 2Ibid. families. Children may have no family, be released by their families, or legally removed because of neglect, incapacity, or abuse. Death, divorce, desertion, or serious illness of one or both parents may create a need for placement. Other such services include unmarried mothers, runaway children, young people in need of social control and training, or children without legal guardians.1 Child welfare personnel recognize physical and mental limitations and behavior problems of children better and earlier than ever before. Advances have been made in every rea affecting the development of children. However, there are serious omissions. Community conditions and community rograms do not make adequate provision for helping parents to prevent disruption of home and family ties. That every child needs a home and family of his own is generally accepted as a basic fact in child welfare.2 We are concerned here with placement of adolescent girls. Placement of an adolescent is one of the most dif- ficult assignments of a caseworker. One author believes that it is usually better to keep an adolescent with his family unit until a usual reason for leaving occurs, such as a job or advanced schooling.3 He believes that some l 2 Ibid., p. 83. Ibid., p. 8A. ’2 “John G. Milner, "Some Determinants in the Differential Treatment of Adolescents," Child Welfare, XXIX, No. 8 (October, 1950), 6. IO of the most effective casework with this age group can be done with the child in his own home. Caseworkers realize how much even an imperfect parent means to a child and thus make efforts to help parents to broaden their capacity. If parents do not wish separation, it seems advisable only if it is the most effective solution and the parents are totally unable to give their children a minimum of care. If a child is more harmed than helped by remaining with his own family, substitute parental care offers the best solution. Sometimes, if a social worker is fortunate, she will have access to psychiatric consultation in her decision whether or not to break up a family group. More often she must decide alone. What constitutes a good home? Factors include physical, moral, and social advantages; love; sympathetic intimacy; emotional security; and opportunity for growth.2 Young and Glasscock suggest situations which might cause adolescent -placements. Young believes a child should be removed in cases of: defective family relationships, defective disci- pline, parental alcoholism, general lack of guidance and training, inability to adjust and change after trying, lHenrietta L. Gordon, Casework Services for Children (Boston: Houghton Mifflin Company, 1956), p. 9. 2Florence M. Teagarden, Child Psychology for Profes- sional Workers (New York: PrenETCe—Hall, Inc., I946), p. 225. 11 children who have lost respect for parents, children dis- organized because of disorganization of parents, children‘s health and discipline neglected, children profiting from change of schools or neighborhoods, importance of breaking up gang associations.1 Glasscock presumes that, for the; most part, adolescents needing placement are an emotionally disturbed group. Homes exhibit divorce, death, mental illness, and crime. The child may already have been in a custodial or correctional institution. Such reasons for placement mean trauma and little preparationikn°the added stresses of adolescence. Gordon cautions, A parent's physical or emotional disturbance, a child's behavior disorder, or any other similar problem is not in itself a sufficient basis for assuming that foster care is necessary, for these same conditions can, under some circumstances, be dealt with more satisfactorily if the child remains at home. Among determining considerations are the parents' wishes and abilities to work out the problem with or without place- ment of the children. Milner believes the problem of becoming independent of a parental authority, plus the problem of developing inner lPauline V. Young, Social Treatment in Probation and Delinquency (New York: McGraw-Hill Book Co., 19377, p. 385. 2 Thomas A. Glasscock, ”Placement Prescription for Adolescents,” Child Welfare, XXXVIII (July, 1959), ll. '2 “Gordon, op. Cit., p. 36. I2 and outer strengths making it possible to live without that authority, is a big job. He recommends not rushing the placement. This may also be the child's last move away from home ties and if unsatisfying, there is no chance of making it 80.1 Whatever the situation, placement is a frightening and disillusioning experience and often follows parents' rejection. Once placed, a -eturn home suggests one of the following: 1. True rehabilitation of the family a. Child's emotional or mental disturbance improved b. Crisis or reality situation causing placement improved c. Parents' emotional needs improved and helped 2. Premature termination as treatment measure a. Placement hurting child more than helping b. If child later has to be removed--may realize that family, not agency, causing the situation and be better able to accept help c. As treatment only as last resort, not in hopelessness or revenge LA.) Termination at parents' request a. Life situation now makes Child's return objectively possible b. Court's approval, given on base of a semblance of an adequate physical home and family group, makes it neces ary for the agency to concur in such a plan 1Milner, op. Cit., p. 5; Healy, Bronner, and Baylor differ with this opinion in saying that placement should be as speedy as possible. William Healy, Edith M. H. Baylor, and Augusta F. Bonner, Reconstructing Behavior in Youth (New York: Alfred A. Knopf, 1929), p. 120. dEsther Glickman, Child Placement Through Clinically Oriented Casework (New York: Columbia University Press, 1957), pp. BBB-EBB. 13 Once a decision to place is made, parents are not to be forgotten but are a very real part of the total picture to be considered. Radinsky states that two essential beliefs of a caseworker in child welfare should be: a belief in the capacity of a parent to change and to grow, and a belief in the parent's right to decide what he wants for his child in care. The caseworker, at intake, should establish the understanding that the parent's continuing relationship with the caseworker is a requisite for care.1 When a parent has meaning for a child he must be helped in establishing a continuous relationship with his child. This would include factors such as financial responsibility, visiting, and operative consents.2 Selection of proper placement follows a decision to place a child. The child's needs are the determining factor here. It is important to evaluate the child's total situation; social, emotional, and familial. Two major types of placement outside the home are institutions andfoster homes. The experts differ on recom- mendations regarding their use. Lippman believes that a la Elizabeth K Radinsky, "The Parent's Role in Long- Time Care,” Child Welfare, XXIX, No. 2 (February, 1950), 8; Hutchinsonagreesiflmfiipflacement in most cases is futile and barren without a casework relationship with parents. Dorothy Hutchinson, ”The Request for Placement Has Meaning," The Family, XXV, No. a (June, l9uu), 130. "“ 2 Radinsky, op. Cit., p. 12. IA minority can use foster home care; Burmeister says the majority should be in foster homes to create greater inde- pendence and a setting of normal family life; Dula and Howard believe a struggling adolescent or an "adolescent in revolt" needs group care; Derning agrees with this in saying adolescents need more small group placements, that foster homes are better suited for young children.1 Charnley believes placement to be dependent on adolescent revolt, which may come elsewhere chronologically, or never. An adolescent cannot revolt against dependence on, affection and control of, parents when these qualities have not existed for him. A youngster actively engaged in establishing his independence from one set of parents is in no condition to take on another set. Some adolescents in revolt still can and will use a foster home placement effectively if such a home is sensitive to his needs. She believes foster parents in early thirties or late twenties are best here because of greater flexibility and less attempt to possess the child? Certainly other factors such as age, intelligence, physical condition, emotional make-up, behavior record, and nature of the present problem should be considered in choosing a placement. The caseworker will also be influenced by the existence and quality of each type of setting in her com- 1 , '2 munity and by her own professional exper1ences.J l 2 Ibid., pp. 82-83. Ibid., pp. 80-81. 3Jean Charnley, The Art of Child Placement (Minneapolis: University of Minnesota Press, 1955), p. 83. f—J \H A foster home should be considered for an adolescent if it is felt that a continuance of family experience is necessary. He should be intellectually able to participate in school programs available, emotionally able to accept personal attention of foster parents, and able to participate sufficiently in the give-and-take of family life without hurting others. In deciding whether a disturbed adolescent can use a foster home the caseworker should look at his earlier experiences, current behavior and performance, and, most important, the capacity to establish a relationship with the worker. She will be an important, stabilizing person, a friend and authority.1 Foster homes may fail because attempting relationships with adolescents is often taxing and not considered worth the effort by foster parents.2 Such children may have never known a tie to a parent or parent substitute, may deny adults any rights to have any authority over him, or may have a psychological void of relationships. Some children -may "blow up" several homes before wanting a foster home and working to succeed and settle in the placement. Charnley wonders if the adolescent is releasing angry feelings by such "blow-ups”and suggests going into possible institutional care slowly. The child in the foster home is not thought of as "different” as often as an institutional child may be.3 1Betty Gray, ”A Foster Family Program for Disturbed Children," Child welfare, XXXVI, No. 9 (November, 1957), 12. 2Classcock, loc. cit. 3Charnley, op.cit., pp. 88-89. H The primary function of an institution is to provide temporary care of children needing group experience for a definite period of time.1 It serves the child needing dis- tance in interpersonal relations as a neutral setting is sometimes necessary to permit healing from some acute shock; parents might accept an institutional rather than a foster placement and those who might disrupt foster home placement can be better tolerated and dealt with in their contacts with children; varying degrees of social opinion of peers may be a constructive force; an anxious child may gain sup- port when constantly surrounded by a group.2 An adolescent needing a regular routine receives well-defined regulations governing day-to-day activities flexibly administered to enable him to learn to submit to essential routines. Adults in institutions offer a relationship of accepting the child and trying to help him modify his behavior without being punitive or rejecting him for his misbehavior. Adolescents exhibit an additional factor suggesting group placement, that of their group tendencies and the safety of a group in their age of revolt and anxiety. Those without parents interested in their daily progress do not feel as slighted because those who do have ties are lCecelia McGovern, Services to Children in Institutions (Washington, D. C.: Conference of Catholic Charities, 19487, p, 3. 2Glickman, op. Cit., pp. 9u—98. 3Gisela Konopka, Group Work in the Institution (New York: Whiteside, Inc., 19547, pp. 29-30. 17 often struggling hard to break them. Types of institutions include those for mentally and physically ill and those for girls with behavior problems. Girls are more likely to be sheltered by the home until it cannot, and society will not, tolerate a girl's misdemeanors any longer. Thus such girls are usually in a serious con- dition of maladjustment and their offenses often revolve around sex. An adolescent girl with behavior disorders is more likely to be recommended for an institutional placement than a boy.1 Some guiding principles of modern institutions are as follows: 1. Children who live in institutions need the same things that all children need, plus help with the problems which bring them to institutions. . 2. Institutional care is especially helpful for some children and unsuitable for others. Institutional care alone is not sufficient for Children. . A. Child welfare is the master to be served.2 LU Lack of foster homes may cause some girls to be placed in institutions. One handicap of an institution is the heterogeneity of its population which may cause some girls to become ”worse." Other problems of an institution may include sex perversion, enuresis, running away, little individual identification, types of education offered, lTeagarden, op. Cit., p. 265. 2Mary Lois Pyles, Institutions for Child Care and Treatment (New York: Child Welfare League of American, Inc., 1947)) pp- 12-19- l8 recreational facilities, and usage of the institution as a "last resort."1 The institutional demand for a less inter- personal relationship may mean that a "good adjustment" conceals a basic pathology. An adolescent girl liking privacy may suffer in such a setting. It is also recog- nized that a ”good" institution is not an adequate substi- tute for parents.2 "Delinquent” girls are very apt to become institution- alized. Lippman defines delinquency as an " . . . outlet for hostility engendered in a people that is either sub- jugated or has been deprived of gratifications which are 3 vitally needed." Among adolescents in placement in the United States nearly fifty per cent could be classified as delinquent, predelinquent, or semidelinquent. A large number of referrals are from the juvenile courts. Schools and parents also refer. The average agency has many delin- quents because of referrals, adolescence being the point at which delinquent behavior often makes a first appearance, and delinquency being most common among the emotionally deprived. lTeagarden, op. Cit., pp. 280-283. 2 Sarabelle McCleery, "Institutions and Child Placement," Child Welfare, XXXVI, No. 4 (April, 1957), 22. ’2 “Konopak, op. Cit., p. 192, as quoted in Hyman S. Lippman, ”Preventing Delinquency," Federal Probation, March, 1953. uAlbert Deutsch, Our Rejected Children (Boston: Little, Brown, and Co., 1950), p. 222. Charnley says that delinquent or troubled children can be treated in either an institution or a foster home, that diagnosis of underlying needs will guide the worker in her choice.1 Peck then reminds us of the reality of foster homes for delinquent adolescents being almost completely unavailable. He also laments the fact that institutional care is usually only custodial and for the purpose of protecting the community. If treatment facilities are available in an institution, he believes them to be generally inadequate.2 A wrong placement in an institution for delinquents is serious in that it not only may aggravate the illness of the wrongly placed, but often disturbs and disrupts any attempted training program for delinquents. If a mentally defective girl is unable to adjust in her community, she stands a very good chance of being com- V mitted to a custodial or correctional institution. The type of institution depends on the resources of the community and the type of problem she presents. If her outstanding features are subnormality and inadequacy, a state school for defectives is most likely. If asocial tendencies are most prevalent, it is more likely that she will be committed as a delinquent.3 lCharnley, op. Cit., p. 86. /‘ (Harris Peck, Treatment of the Delinquent Adolescent (New York: Family Service Association Of America, l954),p.62. 3Theodora M. Abel and Elaine F. Kinder, The Subnormal P Adolescent Girl (New York: Columbia University Press, l9fi2), p. lO3. In the absence of a stable home environment or an adequate substitute giving a background of emotional security, the subnormal adolescent girl is more exposed than her intelligent peer to both emotional and environ- mental influences contributing to delinquent behavior, and delinquency is more frequent than among those of average intelligence. Her limited intellectual resources and her restricted imaginative capacity limit both her understanding of social requirements and her resources for meeting these requirements. She is unable to recognize the full impli— cations of her problem or to solve it by talking about it. She lacks "good judgment" and lacks control over emotional reactions, acting impulsively and without thought of con- SeQuence.1 The major delinquency of subnormal adolescent girls is sexual. Some are easily led, some simply act spontaneously in a sexual manner without any regard for possible consequences of such behavior, others may be dom- inated by another individual.2 A correctional institution, for a defective, has an effect similar to that of a boarding school which helps many of its students bridge the uncertainties of the years of transition from the dependence of childhood to the responsibilities of adult living.3 Heiser reminds us, however, that the mentally defective may receive more of lIbid., pp. 132-133. 2Ibid., pp. 139-140. 3Ibid., p. 150. ———.—I 21 what they need in a foster home rather than in an insti- tution.1 The child must be considered as an individual. Another group of defective adolescent girls are the psychopathological. They express their inability to cope with their environment by extreme forms of introversion: retreat into fantasy; complaintsof non-existent physical disorders; weeeping, sulking, moodiness, temper tantrums; no open rebellion. These girls are usually in the higher levels of intelligence and constitute a small percentage of subnormals, but a special group. They require psychiatric attention and often need care in a highly specialized environ- ment where psychotherapeutic measures for treatment are available.2 Many adolescent girls undergo replacement. Reasons for replacement from foster homes may include an unexpected reality situation in a foster family, mistaken evaluation of foster family, and the child's own disturbed behavior found to be worse than an average foster family can tolerate.3 Other reasons for replacement from a foster home named by Healy, Bronner, and Baylor are superficial investigation by the agency, home unsuited to needs of adolescents, changed 1Karl F. Heiser, Our Backward Children (New York: W. W. Norton and Co., 1955), p. 150. 2Abel and Kinder, op. Cit., pp. 134-135. ’2 “Glickman, op. Cit., pp. 139-143. (U R) conditions in foster home, a necessity for breaking family ties, friction between foster parents and child, and over- attachment.l It is suggested that adolescents be replaced from institutions in order to see what normal family life is, in preparation for their future.2 Unless parents are destructive, there is no special purpose to distance in placement. A placement in town offers the advantages of closer ties of the worker with the child and parent, economy of time, and work with the insti- tution or home within which the child is placed. Distance offers less proximity to the parent and home and may be an advantage in cutting destructive interference of some parents. It also gives extensive periods of relaxation without the parent for the child. Distance may dim reality and delay adjustment, it may make adjustment possible, or an out-of-town placement may be of no difference from one in town.3 Factors of importance in determining distance of placement include the nature of the child's problem and resources available for treatment, the degree to which the child is able to understand and accept or is threatened by separation, and the acceptability of a placement in or out of town to the parents. lHealy, Bronner, and Baylor, op. Cit., pp. 203-209. Glickman, loc. cit. 3Goldie Goldstein, "A Community Without Institutional Facilities," Jewish Social Service Quarterly, XXV (September, l9A8-June, 1949), l8A-l85. R) LA.) Often the worker is left with little choice regarding distance 9: placement. It is an unfortunate community situation that makes it necessary for a teen-ager to hgyg to go to one facility or another. Many girls could be spared institutionalization if their communities were ade- quately provided with social agencies for handling their special problems. Probation officers are needed for offering guidance at home. Rural communities are especially lacking in resources and Negroes are doubly rejected.1 Facilities for care of all children are inadequate, usually unalluring, and often grim. Difficulty in finding a sufficient number of foster homes and the number of Children failing to adjust in these families bring an awareness of needs for institutions. There is often no facility in the community set up for the purpose of observation and study of children with behavior and personality difficulties and no local treatment resources for children in need of institutions other than the feebleminded, epileptic, and psychotic. Goldstein's article on the need for institutional resources states that institutional placement was indicated professionally in 17% of a sample. Of these, no facilities were available for 15%. This included fifteen predelinquent and delinquent; five severe neurotics, not delinquent; two pre-psychotic; two in need of a group situation because of parental inter- 2 ference. 1Deutsch, op. Cit., p. 224. 2Goldstein, op.cit.,p.183. l A (‘4 The Federation of Jewish Philanthropies in New York did a study in 19A5 on institutional placement needs and resources. Ten types of treatment were arrived at, eleven including unmarried mothers. They are as follows:1 1. Children requiring controlled environment and therapy for behavior problems, usually of aggressive nature. 2. Children requiring group care but who do not present serious behavior problems. Pre-adolescent seriously disturbed, needing psychiatric care. A. Adolescents seriously disturbed, additional com- plication of adolescence and deterioration due to longer duration of difficulty. 5. Adolescents, particularly from institutions, no longer likely to profit frim that form of care, not ready for independent living, not able to go home. Small residence units proposed. 0. Older youths, orientation to work and adult life, requiring separate homes. 7. Retarded, but no serious behavior problems. Small institutional units proposed. 8. Temporary shelter, four weeks or less, emergency care. 9. Physically handicapped--handicap over and above other basic causes for foster placement. 10. Children primarily suited for foster home but temporarily, and for a variety of reasons, not reacting to any orthodox foster home situation with characteristic emotional demands. Need modified but not "institutional" group care for limited period. LA) In groups three and four, no institution existed for four of every ten. Adolescents should be cared for separately in entirely different units than the younger or pre-adolescent, even though diagnostically similar. Individ- ualized care is needed and the large personnel and special services required are bound to be expensive. lPhilip Klein, ”Community Planning Toward Greater Specialization in Child Placement," Jewish Social Service Quarterly, XXV, No.2 (December, 1948), 173-176 2Ibid., p. 177. R) \W Special foster homes are needed for children with behavior disorders with which foster parents are not ordinarily able to cope. Different types of homes are recommended here: the professional foster home offers a foster parent who accepts more training and supervision than an average foster parent in providing specific care required by a given child; a subsidized home's premises can belong to the foster family who is paid a sizable fee for occupancy by children and extra operating expenses incurred by their care; a contractual home receives a regular amount paid for the full foster care of a given number of children, even if not there; an agency may own a home and pay parents either a subsidy to operate the home over and above a salary for services or a fixed sum for service and total operation.1 The above offer the insurance of stability for a disturbed child whose difficult behavior causes replacements from numerous foster homes. Teens with mental disorders and defects are often committed to reform schools because there is no room in public psychiatric institutions or because of rigid unreal- istic laws limiting admission to those adjudged legally insane.2 The probability of being helped by psychiatric treatment is high for an adolescent confining aggression to certain areas, for one timid and retiring, or for one lGlickman, op. cit., pp. 71-72. 2Deutsch, op. cit., p. 255, R) U responding to frustration by renewing the attack or giving way to annoyance and temper. Those extremely aggressive and hostile in almost all situations, or those showing little or no feeling, have little chance for successful treatment.1 Residential treatment centers are of value in psychiatric treatment. These are of two types, a hospital or ward connected with a hospital, or a conditioned social structure which is usually a social agency. Both have controlled settings. Also needed are boarding homes to serve the older adolescent whose needs for dependency care in family life, both physical and emotional, are minimal; who does not need close supervision; and who does not neet to make new close family ties. Yet he may not be ready for totally dependent living.3 Such a placement offers more social prestige and independence. A study somewhat resembling the one to follow is the dersham Experiment of the Mersham Reception Centre, Kent A The Centre was set up for placement County, England. planning with a generous grant from the Nuffield Foundation and cooperation of Kent County authorities in October, 19A7. 1Sue Albright and Helen Gambrell, "Personality Traits as Criteria for the Psychiatric Treatment of Adolescents," Smith College Studies in Social Work, IX, No. 1 (September, 1938), 25-28? 2Glickman, op cit., pp. 81-82. 3Ibid., p. 21 O ——_ _—- “Hilda Lewis, Deprived Children: The Mersham Experi— rnent, A Social and ClinicaI Study (London: OXford University Press, 195E), pp. 2-3. 27 Its resident whole—time staff included a warden, assistant warden, matron, assistant matron, two teachers, and domestic staff. In addition, a psychiatric social worker served on a full-time basis and a psychiatrist and psychologist, part- time. Contact with a children's officer and with staff of the children's department of Kent County Council was close and constant. There was also cooperation with other officials of local authority, child guidance clinics, school teachers, probation officers, and officials of voluntary bodies, especially the National Society for Prevention of Cruelty to Children. The Centre held twenty-five children at one time and received a total of 500 children living in Kent County between October, 19A7, and July, 1950. Children were admitted because they were believed to need care away from home and the placement planning available. The Centre was the first of its kind. Children of all ages were admitted. Of a total of 500, sixty-five, or 13%,were girls between the ages of twelve and fifteen, and five, or 1%, were above the age of fifteen.1 There is little differentiation according to age and sex in results of this study. Later, comparisons to the following study will include the general conclusions of the Mersham Experiment. CHAPTER III METHODS AND PROCEDURES EMPLOYED IN THIS STUDY To begin gathering data, the writer first obtained the names of girls to be included in this study. This was done by consultation with workers and obtaining names of present and closed cases from them. At this time the agency lost a full-time untrained worker and two part-time untrained workers replaced her. The former worker was consulted regarding names and again later, for a questionnaire and interview. Two full-time workers also furnished names and they and the supervisor were given the questionnaire and interviewed. Two other workers and one of the new workers do not have, and are not expected to have, cases involving placement of adolescent girls. The other new worker is expected to have such cases and was given the questionnaire. However, she declined to answer because of lack of recent experience. Thus, the supervisor, the former worker, and two present workers were those involved directly with the study. Cases were not read in any planned order.) Data was recorded on small cards. A simplified schedule was used and brief notes were written regarding such factors as the girl's and parents' behavior and attitudes. Data were later trans- ferred to a large schedule. 28 Each worker involved was given an unstructured ques- tionnaire to derive agency criteria for placement.l This was designed to obtain the worker's opinions and ideas with no suggestion as to expected answers. These were completed by the workers and returned to the writer within a week or ten days. They were then carefully analyzed, summarized, and arranged into criteria for placement of adolescent girls.2 This represents a congregate of workers' opinions and is not based on one alone. Such criteria may be compared to those discussed in the previous chapter. Catholic Social Services supports the hope that the child may be kept in his home if possible and gives similar reasons for placement away from home. The considerations in choosing placements are also very like those in the background reading. What are the stated needs? Community awareness, more foster homes, a facility for observation and treatment, institutions for the seriously disturbed, special foster homes, a facility for mentally i11--these are listed by the authors represented in the readings and by workers of Catholic Social Services. The authors add a need of boarding homes for older adolescents. Workers of the agency recommend the addition of more facili- ties of the Child Guidance Clinic, more funds for support of girls, a group setting for non-delinquents, a Family Court, and a resource for a child with multiple problems. 1 2 Appendix A. Appendix B. )O 1‘ Such criteria were derived for the purpose of judging a placement appropriate or inappropriate. The writer first looked at the factors leading up to each placement and evaluated the placement in terms of the criteria. Later, interviews were held with workers to fill gaps in written records. Workers were questioned on each placement and asked to provide pertinent material regarding said place— ments. They were asked to state what type of placement they had recommended at the time the placement was made, and the reason a recommendation was not carried out, if that had happened. In such interviews, it became obvious that many records were not providing sufficient material regarding the place- ment which had been recommended. Workers often spoke of important determinants of which the writer had not gained knowledge from the record. If the worker was no longer with the agency and records were scanty, many unknowns were present. There was also no uniform pattern followed in selecting a recommendation. A placement may have been recommended by a worker alone, or by various combinations of decision-making. It was realistically impossible to determine whose judgment was involved in each placement. In first formulating the problem for the study, the writer had intended to include judgment of the worker as a factor in inappropriate placements. Because of scanty record material and inability to determine source of L A.) H judgments, this proved difficult to consider. Also, in attempting to use the criteria as a final base for judgment, it was found that such criteria did not provide an objective base. Criteria were new to workers and could be read subjectively. Consequently, the actual method of designating a placement as appropriate or inappropriate consisted, first, of analysis of each placement by the writer. This involved working with the criteria and with the factors leading to placement. Workers were then interviewed. Each placement was analyzed in terms of the situation at the time of the placement, a definite attempt made to rule out any consid- eration of later developments. A serious lack here was the staff's inability to think in terms of needs and desires in placement facilities. So attuned were they to obstacles of reality that it was common for a worker to decide on a recommended placement because " The writer's analysis of place- 'there was nothing else. ments beforehand, plus her questioning, eliminated many such situations, but certainly not all. If workers disagreed on recommended placements, the supervisor was consulted. Usually,a majority opinion was found. In one case, there was no agreement as to the recom— mended placement, although all agreed the actual placement was not desired. The writer then decided the recommended place- ment by means of her interpretation of the criteria. This coincided with the opinion of a worker, also. LO f\) In many instances the writer found it necessary to use her own judgment in classifying data. Despite attempts to classify material objectively, decisions often involved subjective judgment. CHAPTER IV ANALYSIS AND PRESENTATION OF DATA This study is based on the assumption that Lansing Catholic Social Services tries to conform to general prin- ciples concerning placement, but is not always able to do so. An attempt will be made to find the reasons for any inability to place as recommended. Lack of community resources is expected to be the main factor in such inability. Actual placements will refer to the girl's known placement. Recommended placements are those recommended by a member or members of the agency staff at the time of the actual placement.l If the actual and recommended placements are identical, the placement is stated to be appropriate. If the two placements differ, the placement is designated as inappropriate. Reasons for inappropriate placement may include factors in the community or factors in the client's situation. Worker's judgment was eliminated as a factor because of the different methods of placement in the agency and because of a frequent lack of information in the records. The thirty—three girls studied for the purpose of the investigation are from thirteen to seventeen years of age lSee discussion, pages 30 and 31, of difficulties en- countered in determining what the recommended placement was. 33 K .k) and, with the exception of unmarried mothers, include those considered for placement by the agency within a three-year period. The Girl Before Placement Of what race and religion are the thirty-three girls? 'Table l indicates the predominance of white Catholics. TABLE 1 RACE AND RELIGION OF GIRLS STUDIED Race Catholic Protestant Total White 25 -- 25 Negro l 2 3 Mexican 3 -- 3 Other1 2 -- 2 TOTAL 31 2 33 1Includes one Indian girl and one girl of Polish- Chinese descent. The large number of white Catholic girls was expected. It is interesting to note that the two Protestant girls are both Negroes. These seem to be referrals to a particular worker who has done extensive work in the Negro community. Is one age group more apt to be placed and replaced than another? Table 2 shows the greater chance of the older girl to be replaced. TABLE 2 ACEMENTS AND REPLACEMENTS IN CH AGE GROUP Number of Number of Age First Placements Placements Total l3-l5 _ Years is l2 28 15-17 _ Years 17 27 4h Unknown —- 3 3 TOTAL 33 M2 75 First placements are almost equally divided among age groups. However, replacements are quite obviously more numerous among girls aged fifteen years and over. This latter group experienced over twice the number of replace- ments as did the younger age group. What was the girl's placement history before the period of the study? Both records and workers lacked in- formation regarding this. The writer attempted to determine the number of times a girl was placed in a setting and the number of years in each, but there was not enough information. Consequently, a sparse picture of placement history was received. Basic information was obtained, however. Eight giris were known to have no placement history and nothing was known about the possibility of past placements for three girfls. Thus, at least twenty—two, or two-thirds of the girfls studied, had some sort of placement history. Who supports the girl before and after placement? Table 3 points out that fathers are the main source of support at both times, with the Juvenile Division of the Probate Court also supporting a large number of girls after placement. TABL 3 SOURCE P GIRL'S SUPPORT BEFORE AND AFTER PLACEMENT Fl Source of Support Before Placement After Placement Father 20 1M Mother 7 2 Relative 2 1 Juvenile Division of the Probate Court -- 13 ‘Unknown 1 -- Other1 3 3 1 Estate, Social Security While 71% of the mothers supporting a child before placement did not do so after placement, only 30% of the fathers did not support after placement. This may indicate a lower income level of the mothers represented, and this is confirmed in Table A. Of the fathers supporting, 65% earned a comfortable income. No mother had a comfortable income, but was either in the dependent or marginal income group. LU ‘ J TABLE u INCOKE LEVELlOF SOURCE OF SUPPORT BEFORE PLACEMENT‘ Source of Support Dependent Marginal Comfortable Unknown Father 1 6 13 -- Mother A 3 -- -- Relative -- _- 2 -_ Unknown _- -- __ 1 ’2 Others -- -_ _- 3 1"Income Level” does not take into consideration such factors as regularity of employment. 2Terms used in Table 4 are defined as follows: dependent--on public or private agency; marginal--barely self-sufficient, cannot handle emergency; comfortable--some luxuries; affluent--many luxuries. Albright and Gambrell, op. cit., pp. 3-u, as used by Child Guidance Clinics in Worcester, Massachusetts, and Hartford, Connecticut. 0 k Estate, Social Security. Does the marital situation of the stated natural parents have any bearing on the outstanding characteristic of the girl at the time of her first placement? Such characteristics may include her dependence upon the public for support and maintenance; her neglect, abuse, or rejection by parents; or delinquency, her adjustment to the demands of society not acceptable to society. 'Table 5 suggests that girls from unbroken homes usually exhibit delinquency. Seven of the nine girls from unbroken homes exhibited .pm 3 I m I I H I I I I I I mEo: oHHCo>Sw H I I I H I I I I I I I :mHheq OH H I I I w I I I H I I mHLmZ mHHH> H I I I I I H I I I I I pcosmm Loepo : m I I I I I I H H I I o>HumHom m I I I I I I I H H I I oEoz topmom CH chEom mfi Om m I m I H I I I mm I I oEom Lepmom Ha I I I H m I I N I m I QEOI CCHHHDOE HH I l I H H I l I m I 0 @EOE CflmEmm u e H a TI X who 000 d MTA dnu Ae .dnu Ja H H at u 09 ad ad e1 p:4 I How ”go He He 3 O mat. n+0 J JTL Tau. e OHsT: Ons moi. w w E M a A 3n I. will a a 3 w 3 U m Or w h «Um 9 TL u M MWQ m eve w,a M. new I am” dew W pcoeoomHm Hmzpo< ha 3 e .U mpceEooeHm eoecoEEOoom Hzmzmuqqm Haabod QZQ QMQZmZEOQmm NH mqmdb To continue reading, we find that twenty-eight were recommended for a foster home, and a greater number, thirty, were so placed. Six were recommended to remain home and actually eleven did. In like manner, five were recommended to return home and actually eleven did so. This seems to indicate that several possibilities of placement failed, resulting in a placement at home. The greatest numerical difference, then, between actual and recommended placements was in remaining home and in returning home. Taken together, eleven were recom- for their own home and twenty-one actually were so placed. Indication of lack of facility may also be evidenced and actual placements. Of thirty— (I) by other recommendation two recommendations to a foster home, almost one—fourth were placed in their own home or with relatives. Of fourteen recommendations to Villa Maria, a little more than one- fourth of the girls were placed in their own homes. Two of the three girls recommended for Adrian were placed at home. When a group setting was recommended, a foster home was the placement. The juvenile detention home was never recommended, but was used four times. In three cases, a diagnostic receiving home was the preferred placement. Inappropriate Placements Twenty-two placements were inappropriate. Eighteen were because of reasons involving community resources. Lack of facilities was the major problem in the community, \W KO accounting for twelve of the inappropriat< placements. Of the twelve, five of the recommended placements were prevented because of lack of foster homes. Three recommended place- ments were for a receiving home and two recommended place- ments for a group setting. Neither of these settings is available in the community. Another facility lack is that of financial support for a girl above the age of seventeen, this causing two inappropriate placements. TABLE 18 REASONS FOR INAPPROPRIATE PLACEMENT (H r—1 0’?» >> (up 4—3 04-) CU) U) x-H CC OH —C: (Jr-4 ma) le—J 430 03H {ICE 4—3 c-H I—Io <0 SbO (1)4.) CU > 4—35: or—Ictj In. LII—I oHoH I—Iz (DO 434—3 04—3 .C:> (Dov—I .H 4—3:: cm (/1 OH H3 Community Resources Another problem originating in the community is that of other agency involvement, accounting for three wrong placements. An institutional waiting list also resulted in three misplacements. Four inappropriate placements were caused by reasons in the client's situation. Two such placements were because of the refusal of the parents to participate in the planning process. One inappropriate placement was due to interference by the mother and one to interference by relatives. Thus, of the seventy-five placements, 29% were indi- cated as inappropriate, 59% as appropriate, and 12% as unknown. Fi teen girls experienced the twenty-two inappro- priate placements. Eleven of these girls also experienced appropriate placements and four girls had only inappropriate placements. One girl experienced four inappropriate place- ments and four girls had two. Does referral source seem to be important in inappro- priate placements? Table 19 indicates that almost all cases with inappropriate placement were referred by a public agency. TABLE 19 ORIGINAL REFERRAL SOURCE AND REASON FOR INAPPROPRIATE PLACEMENT Referral Client's Lack of Other Agency Waiting ET— Source Situation Facility Involvement List Total Public 3 ll 2 3 19 Private 1 l 1 ‘ 3 TOTAL 4 l2 3 3 22 \, H K 5‘ Of the referrals from a public source, lack of facility is the major factor in misplacement. In each suggest that the speculation in this chapter that ”problem” cases are rezerred by public agencies is followed by an indication that "problem" c.ses experience more difficulty Does a girl experiencing an inappropriate placement exhibit a particular characteristic? Table 20 indicates that most inappropriate placements are with delinquent girls. OUTSTLNDING CHARI'T A R RISTIC OP GIRL AND REASON FOR IN. R ‘ IIHIE PLACEMENT Client's Lack of Waiting Other Agency Characteristic Situation Facility List Involvement Total Dependent -- 1 -- _- 1 Neglected 1 3 -_ 1 5 Delinquent 3 8 3 2 16 TOTAL 4 l2 3 3 22 In all reasons for inappropriate placement, delinquent girls form the largest number. Within the number of delin- quent girls, lack of facility accounted for half the number. Delinquent girls form 73% of inappropriate placements. Does age have a bearing on an inappropriate placement? Table 21 suggests that it does. 56 TABLE 21 AGE AN REASON FOR INAPPROPRIATE PLACEMENT Client's Lack of Waiting Other Agency Age Situation Facility List Involvement Total 13- a Ye 2 4 -- l 7 15-17 Years 2 8 3 2 15 TOT L A 12 3 3 22 Over twice as many in the older age group experienced inappropriate placements as in the younger group. This is true also in problems of lack of facility and other agency involvement. Client's situation yields equal distribution and there was no waiting list problem in the younger age group. Both younger and older girls experienced the lack of facility as the main problem. Is one source of support during placement more preva- lent than others in inappropriate placements? Table 22 suggests that a girl supported by the Probate Court is more prone to inappropriate placement. In looking at inappropriate placements, constituting 29% of actual placements, the following is suggested: Of actual placements, the larger percentage of those inappropriate were girls returning home, only half these returns recommended. Recommendations followed a pattern of family settings as first placements, institutional later. —4 \H TABL' 22 m SOURCE F SUPPORT DURING PLACEMENT AND REASON FOR INAPPROPRIATE PLACEMENT Client's No Waiting Other Agency Support Situation Facility List Involvement Total Probate Court 2 8 3 2 15 Father 1 2 -- -- 3 Mother -- 1 -- 1 2 Other 1 l -— -- 2 TOTAL 4 l2 3 3 22 Study again Girls misplaced were usually referred by a public facility. Of girls placed inappropriately, 68% were supported during placement by the Juvenile Division of the Probate Court. Delinquent girls constituted 73% f inappropriate placements. Of inappropriate placements, 68% were in the age group of fifteen to seventeen years. Comparison to Mersham Study A study found closely resembling this was the Mersham introduced on page twenty-six. It should be stressed that the Mersham Study included children of all ages.1 The criteria for placement used by the Mersham Centre were on the following broad lines and may be compared to the 1Lewis, op. cit., pp. 6-8. criteria in Appendix B. Foster homes were recommended for those in normal mental health or for the mildly distrubed with no parents or relatives. Small cottage-homes were sought for sibling groups. Good children's homes were ted for children with parents who would be likely to up- set a foster home placement. Children's homes with trained staff were recommended for neurotics and for those with troublesome behavior. If needed, treatment at a psychiatric hospital was suggested. The seriously backward education- ally were in need of residential schools for educationally subnormal pupils. Open-air residential schools or convales- cent homes were recommended for the grossly physically di (I) abled as a preliminary measure. In all cases, if parents were at all adequate and/or separation would aggravate the child's symptoms, a return to the home was recommended. The criteria of Catholic Social Services follow these same general lines. However, the Lansing agency does not have the same situation in selecting placement. At Mersham Centre the psychiatric social worker talks to the parents, if possible, and gathers case histories from many different sources. Time is not of the same importance as at the Lansing agency because Mersham Centre is residential and the child has care. The child is observed by all members of the Centre staff and at the end of a week is given psychological testing. A psychiatric examination and brief physical examination follow. A conference is then held, presided over by the psy- chiatrist. Present is the professional staff of the Centre and workers from other agencies. All material is reviewed, followed by discussion and recommendations.1 Lansing Catholic Social Services is often pressed for time. Decisions are made by worker, and with the aid of the supervisor and director as needed. Also used are con— sultations with workers from the Probate Court, Child Guid- ance Clinic, and anyone else who may be in contact with the case, such as medical doctors and psychiatrists. There is no systematic, carefully planned course of action as exhibited at Mersham Centre. Of the 223 girls represented in the Mersham Study, seventy were twelve years or older.2 Neglect by parents was the main cause of admission for these girls, uncontrol- lable at home or school the second cause, and pilfering was the third reason. Sexual misdemeanor was a minor reason, as were truancy and wandering.3 The writer found in her study that neglect or rejection by the parent accounted for nine of thirty-three reasons for placement, and inability to handle the girl, for three. Girl's misbehavior, usually of a sexual nature, accounted for ten of the thirty-three reasons for placement. 1 2 Ibid., pp. 3-6. Ibid., p.12. , CO The main recommendations of Mersham's diagnostic con— ferences were that one-twelfth of the children be returned to their own homes, one-fifth placed in foster homes, and slightly more than one—third placed in children's homes. As Mersham considered only first placements, the writer will do so in speaking of this study's recommended placements. Catholic Social Services recommended one-fifth to their own homes as compared to Nersham's one-twelfth; three-fifths to foster homes as compared to Mersham's one- fifth; and one-tenth to institutions as compared to Mersham's one—third. Mersham Centre was more apt to use institutional care. If its criteria are followed exactly, this would suggest one-third of the parents unable to accept foster care. Mersham found that 76% of their children were placed as recommended, as compared to this study's 59%.2 The fact that Mersham included all ages may be an important variable in the difference. Also, an important factor is that Mersham Centre stated a placement as recommended despite any delay in placement. Temporary accomodations were for periods of time up to eighteen months, the temporary accommo- dations were considered as a placement in the study. llbid., p. 1M. 21bid., p. 9. CHAPTER V GENERALIZATIONS The adolescent girl awaiting placement at Catholic Social Services often exhibits identifying characteristics. The broad background data given, when analyzed, yields cer- tain generalizations. The girl is usually referred to Catholic Social Services by a public facility, the main representative being the Juvenile Division of the Probate Court. Of the girls so referred, the larger number is apt to be above the age of thirteen at first referral and "delinquent." Referrals from a private source suggest a neglected girl. Girls referred before the age of thirteen are more often referred because of loss or inadequacy of parents rather than their own behavior. Most girls are also from broken homes which show a large percentage of neglected girls. A girl from an unbroken home usually exhibits delinquency at first placement. Income does not seem to be a factor in considering placement. Girls supported by a marginal income tend to show a higher percentage of delinquency; there is little or no differentiation in dependent and comfortable incomes, however. 61 In attempting to isolate determinants of actual place- f must be considered. ound that marital tatu (I) (I) ment, it was Girls frcm unbroken homes were usually placed first at home and girls from broken homes, away from home. Also, the riginal reason for placement points out that girls placed because of parental loss or inadequacy go into care outside the home, while the large majority of girls placed because cf their misbehavior are placed at home. This follows logically, because a large number of girls showing misbehavior also are rem unbroken homes. Girls of the older age group have three times the number of institutional placements as those younger, and almost three times the number of placements at home. Lctual first placements are in the girl‘s own home .r a foster home. Recommended first placements are mostly for a foster home. There seems to be an attempt to keep a girl in a family setting and to use institutional care when this fails for one reason or another. Of the seventy-five placements, 29% were indicated as inappropriate, 59% as appropriate, and 12% as unknown. All figures represent the judgment at the time of the place- ment. Of the twenty-two inappropriate placements, eighteen were for reasons involving community resources. This in- cludes twelve due to lack of facility, three due to other agency involvement, and three due to an institutional waiting list. Pour of the inappropriate placements were because of the client's situation. Two of these were because of a refusal by parents to cooperate, one because of interference by the mother, and one because of interference by relatives. The greatest discrepancy between actual and recommended placements was in placements at home. Altogether, eleven were recommended for a placement at home and twenty-two were placed at home. Foster homes were substituted for the group setting wanted, and the juvenile detention home was the substitute for the needed diagnostic receiving home. The twenty-two inappropriate placements were experi- enced by fifteen girls, eleven of them also having appro— priate placements. The highest number of inappropriate placements experienced by one girl was four, four other girls having two such placements. Inappropriate placements occurred more frequently among girls referred by a public facility. This suggests " that such girls were delinquent” and it seems that 73% of such placements did occur with this type of girl. In inappropriate placements, 68% were in the age group of fifteen to seventeen years, suggesting that the older girl presents more difficulty in placement. This same number, 68%,was supported during placement by the Juvenile Division of the Probate Court. For some reason, parents were unable to support. The working hypothesis throughout this study has been that the agency is assumed to attempt appropriate placements g 1 of adolescent girls, but is not always able to do so. The focus was to determine reasons for any inability to place. It was expected that community resources would emerge as the main problem. The concluding generalizations support the thought that the agency is sometimes handicapped in following through on recommended placements. Actually, this occurred bx.— {'U in 29 of the placements. Also, community resources accounted for eighteen of the twenty-two inappropriate g ' ‘ placements, which would strongly support the original expectation. This studv yields some comparisons to that of Mersham Centre in England. Mersham Centre's method of placement is much more extensive than that of Catholic Social Services. The residential Centre offers care for the child during this time, however, and time is not as pressing as at the Lansing agency. The latter agency recommended a larger percentage to own homes and to foster homes than did Mersham Centre. In- stitutiwnal care was recommended more often by Mersham Centre. The Centre's major reason for placement was neglect of parents and a minor reason was sexual misbehaviér of the girl. At Catholic Social Services these two reasons for placement were almost equal in number. Mersham Centre experienced 76% appropriately placed, as compared to this study's 59%. However, temporary \ H placements were not considered as placements. If the recom- m mended placement was obtained s much as eighteen months later, it was considered appropriate. CHAPTER VI IRPLICAT ows c? THE CONCLUSIONS AI‘ RECOMMENDATIONS The fact that girls from unbroken homes were almost always delinquent at first placement leads to a suggestion for social work practice. Referrals of girls in this study may have been delayed until parents or society could no longer tolerate their behavior. A better informed society that can be more sensitive to a developing problem is nec- essary to refer a girl before her acts are intolerable. Parents are of extreme importance here,as is awareness by schools, churches, and other units of society. Parents of broken homes tend to refer a girl earlier, who most often can be described as ”neglected." A suggestion might be that a lone parent is less able to assume respon- sibility for the girl, in fact, may fear it. For this reason, he or she may be quick to place a child. An agency can "shar a load" here in assuming a supportive role to the parent and helping him assume responsibility. A parent may then be better able to keep children at home. Of course, possible step-parents may aggravate the child's relationship with his own parent. This,too, needs careful evaluation by the agency in concluding whether a child remaining at home may be harmed or helped. ‘\ O‘\ It seems that older girls experience a larger number of replacements and inappropriate placements than younger girls. An older adolescent may not adjust to a foster home as readilv, and undesirable behavior patterns may be more firmly entrenched. A problem, also, is the lack of public support for a girl after her seventeenth birthday. The ‘ 0 Juvenile Division of the Probate Court usually ischarges a girl at this age. She may not be self-sufficient and has no other means of support. Serious consideration by the pro- Further research studies the writer would recommend, as suggested by this study, include: 1. Needs and resources of the girl aged seventeen to twenty-one. Follow-up study on success and failure of R) placements reported in this study to attempt to learn if there is a differentiation in terms of success between the appropriate and inappropriate placements. U0 The effectiveness of the agency's attempts at getting facilities. 4. Examination of the reasons for replacement to attempt to see if replacements could be reduced in number. The agency's main problem in placement appears to be lack of facilities: receiving home, group setting for non- delinquents, and foster homes. These are needs of the 63 community, and the agency as a part of the community has the same responsibility as a private citizen in attempting to initiate social action. A worker can work toward desired ends in C). ividually, as a member of the agency, or as a member of an organization. Catholic Social Services has already tried the media of radio and newspaper advertising to find new foster homes. Neither of these was effective. Word-of-mouth by workers of the agency and by present boarding parents has been the most fruitful. Perhaps volunteer help could be enlisted in finding foster homes and lay participation may be of value. Child welfare first became a part of the program of Catholic Social Services in 1952. Thus, placement of adolescent girls is a fairly new program. The present staff has little precedent for an established method of placement. An attempt is now being made to lay the groundwork for a coordinated program of placement. At this stage of develop- ment, recommendations are being sought as an aid in this process. One may predict that the Juvenile Division of the Probate Court and other referral sources will continue to refer hard-to-place girls to the agency. Such expansion of the total program of Catholic Social Services influences the structure of the staff and administrative policy. Basic, of course, to any recommendation is the need for more funds and for more staff. A worker may experience severe pressure because of a heavy caseload. She will then be in the unfortunate position of having to work within time consid- erations. This may limit casewor‘ service. Specific recommendations suggested by the study are based on the assumption that the agency must have an increase in staff, funds, and administrative services. Recommenda- tions include: 1. The lack of time and staff has resulted in a sparse background history of the girl. A partic- ular record lack was information regarding past placement history, psychosocial diagnosis, and treatment plan. In interviews with workers, the writer found much of the missing material known, but not recorded. Such material can often be of great value in treatment if analyzed in recording. The worker should have the opportunity to do this for her own benefit and for the client's. K) A more systematic and uniform method of agency placement might be gained by further developing the body of criteria for placement used in this study. Such development might be furthered through group conferences and discussions. Differences of opinion may be found, value of statements noted, and a sharing process of benefit to each worker would result. L0 . It is recommended that parents be included more constructively. There are often few contacts 70 recorded with parents while the girl is away from home. She will usually return to the parents or, at least, be in contact with them. Workers should have the opportunity of helping to continue con- structive relationships between parent and child. Finally, and most fundamental, is the realization that placement of adolescent girls is an extremely complex part of social work practice. Child placement in itself demands time, knowledge, and experience from the worker, The adolescent girl presents problems in many areas. The worker must use a variety of case work skills in handling the situation. Because of this, it is recommended that experienced workers with an understanding of adolescent girls be used in such a placement program. The worker should have a controlled caseload which permits her to give the best service to her clients. {APPENDI 71 C) m [J 'U "U [11 Z (J H >< ‘I (Q ) C4 [11 (n ,4 H 32 2 H :0 LT} The purpose of the study being done at Catholic Social Ser- vices is, first, to determine if adolescent girls aged thirteen to seventeen years are placed appropriately. If not, an attempt will be made to determine why. Reasons may include factors in the community, the girl's situation, or the agency. In order to make a conclusion as to whether or not a place- ment is appropriate, there must be some criteria for judgment. Your contribution here, plus those of other workers in the agency, will be used to formulate such criteria. Answer questions as fully as you like; you may spell out exceptions if desired. If you wish to do any classifying, please define terms. Remember that this will be taken as your recommendation under ideal conditions. Do not think in terms of obstacles as you experience them in reality. It is hoped that such obstacles will become apparent when studying recommendations and actual placements. These possible obstacles will become the main focus of the study. I would greatly appreciate your completion of this by Monday, February 22nd. Thank you very much for your cooperation. Please consider the girl, parents, siblings, and other agencies in the following: 1. Under what conditions would you, as a worker at Lansing Catholic Social Services,consider placing a girl in her own home? a. Include in this, as in any other setting you might desire, placement with probation and/or casework service? Under what conditions would you consider placing a girl with relatives? R) k A.) Under what conditions would you consider placing a girl in a foster home? a. Under what conditions would you consider placing a girl in an institution? Differentiate institutions by name. 72 \1 k U Under what conditions would in a detention home? you consider placing a girl Do you feel the lack of a resource for adolescent girls in this community? If so, what? Who would be served by such a resource or resources? APPENDIX B PLACEMENT CRITERIAl PLACE-TENT IN OWN HOT-"E First choice, if at all possible Regarding Parent If parents are willing to cooperate in attempt to work through problem If casework service is provided to parents If girl is predelinquent and probation for her may mean support for parents in handling of the girl Regarding Girl If girl is willing to cooperate in attempt to work through problems If casework service is provided to the girl If girl is predelinquent, probation to enable controls on behavior and give worker authoritative approach in her casework service If child has strong ties to parents which would cause difficulty, if not impossibility, for her to be happy in another placement If child requested placement, should have evaluation by Child Guidance Clinic If girl is delinquent, opportunity for her to show her capability of correcting her own behavior without harsh disciplinary action Regarding Physical Environment If home has absence of serious neglect, physical abuSe, alcoholism when child endangered, mental illness of parents Would tend to favor less-than-ideal at home rather than elsewhere under similar conditions Regarding Emotional Environment Positive factors as above--the fact that home is girl's own is the greatest benefit 1This represents the answers of workers of Catholic Social Services to the questionnaire. The criteria are arranged under each heading in a manner so that those most frequently mentioned by workers begin the listing. 74 J H *U [—1 L11 0 L l ’— kn v 1 PL T] 'l] _1 r—) +4 d a L7 Regarding Parents Nust consent to such a placement if they are unable to care for girl because of physical disability, absence from home, mental illness situations demanding short-term care out of home I; a divorce, and ste ep-parent is creating problem for girl a fa:nily break-up family economically disabled arents maintain contact with girl, hesitant on relative placement--dang er:s of jealousy, conflicting allegiinces of child,an dd disagreements between two families regarding raising of child and ”right" to h r? I" f parent requests placement of girl, would place with relative only in extreme emergency If girl removed because of parental violation, only if child a permanent ward of the court and parents controlled regarding contact F‘1F1F1 “JHJHJ .— '0 F1 Regarding Girl If girl requested placement away from home, or if removed because of violation, only in extreme emer- gency girl close to relatives and willing to accept them sework service, if needed {1) by OH Regarding Physical Environment Situation of pariwn: s as above If size and number of siblings would hinder worker's relationship with girl (sibling rivalry, economic conditions, lack of privacy) Regarding Emotional Environment Parents' problems aggravating girl‘s Relatives interested in providing home for girl, have qualifications for foster parents PIACEMENT IN FOSTER HOME Regarding Parents Death of parent or parents Cannot cope with problem of girl Need temporary care for girl-- parents economically or physically disabled pa rents absent marital problems adding to girl's problems parent has given to child, but unable to at this point Parents cannot take responsibility for child If parents can accept foster home for the child When parents reject girl, if not difficult for her to accept parent substitutes at this age Regarding Girl if can accept foster parents as parent substitutes Pr edelinquent whose parents cannot handle or why aggravate problem f foster home available to accept particular child f girl requests placement away from home and foster hime placement can give her a different perspective of home situation If girl not too disturbed If girl non-adoptable and with no prospects of returning home If Child Guidance Clinic recommends such a placement PISCEHEN IN INSTITUTION Adrian Girls‘ Training School—-serious offender, needs strong controls, court action Villa Maria--protect girl from own behavior Girl needs controlled environment Girl needs pattern of living Girl cannot adjust to own home, relative, or foster home Girl cannot accept close relationship Help girls complete school If) Cf Vincent Home for Children--If under fourteen, and if placement to be less than one year; if girl more comfortable in, or better suited to, group setting oldwater--mentally retarded State or private mental hospital--mentally ill General Comments--institution of value for observation of girl and making treatment plan Regarding Parents: if they are not threatened and placement is not their fault PLACEMENT IN JUVENILE DETENTION HOIVE 0n emergency, temporary placement Regarding Girl if delin uent, until other plans can be made if seriously disturbed and might harm self or others Observation and testing Never at request of parent or girl Daily casework Regarding Home If parent cannot control girl if home influences her behavior If home unsuitable 1. Foster homes a. special treatment homes, specialized subsidized 2. Group setting for non-delinquents 3. insti itution for mentally ill needing immediate placement 4. Receiving home diagnostic E. E larged or expanded facilities of Child Guidance Clinic 6. More funds for supporting girls in placement 7. Court of Domestic Relations (Family Court) 8. Peso urce for child with multiple problems 9. mmunity awareness of needs VHVD NEEDS Girl who as no special emotional or delinquency problems but who do not do well in foster care. Needs neutral group setting without stigma Me tally ill needing immediate placement--institution appropriate Emotionally disturbeb--diagno"tic resources of receiving home to make recommendations as quickly as possible, Child Guidance Clinic facilities for immediate evaluation and treatment and to get the important timing in placement and replacement Chi dren of divorced-~need funds for support. Circuit Courts do not have funds if parents do not pay. deed Family Court to protect them and plan for them Non-delinquent--less likely to receive support from Probate Court than delinquent or predelinquent. Courts more likely to use state institution for atter Child with multiple problems--particularly physical nandicap coupled with emotional or intellectual handicap--foster h~me or other resource F—f T' APPENDIX C PLACEPENT FACILITIES Placement facilities USud in this study include foster homes licensed by an agency. Also used are placements in the child's own home, with the other parent, or with a relative. St. Vincent Home for Children is located in Lansing, Michigan, and is a Catholic home principally serving both five to thirteen. The program is geared to non- r O (T) C ); xes age disturbed children. Villa Maria is a Catholic institution in Grand Rapids, Michigan, serving predelinquent and delinquent adolescent girls. There is close supervision by the nuns