Chapter 1 Introduction
The focus of this book is social work and foster care. The book's primary, but not sole, focus is the role of the foster carer's supervising social worker (SSW). I wanted to write about the interrelationship between foster care and social work because, other than best practice guidance, the interface between the two has attracted little research, or scholarly attention. The intended readers of the book are: SSWs, foster carers, fostering service managers, students on a qualifying or post-qualifying social work degree, foster children's social workers or managers in children's social services.
Goodyer writes:
As with other areas of social work, knowledge about fostering comes from a variety of sources: practice wisdom, individual retrospective accounts, rhetoric about what ought to happen, and also from research.
(Goodyer, 2011, p49)
This book is a contribution to the âknowledgeâ we have about social work and foster care, and falls into Goodyer's category of ârhetoric about what ought to happenâ; informed by relevant published âknowledgeâ, and my practice experience prior to 1989 and since 2005.
I approached writing the book from three perspectives, informed by my experience of: first, chairing fostering panels since 1998; second, chairing foster carer reviews, as an independent reviewing officer since 2005; and third as a social work academic since 1989. In writing the book I have drawn from research findings, scholarly texts, best practice guidance, and mine and othersâ practice experience. My theoretical orientation draws on psychodynamic understanding, systemic ideas and social learning theory to inform specific interventions.
Foster Care
It is generally agreed that human beings have been âdoingâ foster care, in the sense that adults have cared for other people's children, when those children have not been able to live with their birth parents, for millennia. However, the start of âformalâ, paid fostering is unclear; the origins of fostering are confused and obscured by the mists of history (Thomas and Philpot, 2009, p15). Foster care's explicit naming, categorisation and regulation are more recent than the âmists of historyâ. Smith writes:
The foundations of foster care in the United Kingdom (UK) lie in the apprenticeships that were established by means of the Poor Law of 1536 and the practice of wet nursing that emerged during the early part of the 19th century.
(Smith, 2011, p9)
The beginnings of the formalisation of foster care, as we would recognise it today, have been associated with the use of foster carers by: the Thomas Coram Foundling Hospital established in 1741; Reverend Armistead in Cheshire in 1853; Mrs Hannah Archer in Swindon around the same time; Dr Barnardo; and Thomas Bowman Stephenson, who was the founder of Action for Children, the then National Children's Home and Orphanage. Foster care in the late nineteenth century had become so ubiquitous that, for example, by 1891 a third of children cared for by Barnardo's were fostered (Thomas and Philpot, 2009).
Barnardo's, early on in the development of foster care, had its own equivalent to the later Government Boarding-out Regulations, to make sure that children were kept safe in foster homes. Echoes of these early regulations can be identified in the United Kingdom's (UK) 1933, 1947, 1955, 1988 and 2002, and England's 2011 and 2013 Regulations governing foster care. In each, reference was made to fostering services (or their then equivalent) being required to assess a person's âsuitabilityâ to foster children. The need to assess âsuitabilityâ was triggered, in part, by the âbaby farmingâ scandals of the nineteenth century, and the hanging of Margaret Waters in 1870 for the murder of one of the children she fostered for payment. The need to comprehensively assess prospective foster carers was re-visited by Sir Walter Monkton in his inquiry report, after the death of Dennis O'Neill, killed by his foster parents in 1945 (Home Office, 1945).
In recent research about people's motivations to foster, and barriers that prevent them fostering, concern about the stigma still associated with foster care, and a person receiving payment for caring for other people's children, was identified as a barrier for some people applying to be foster carers. Worries about being seen to profit from caring for children remains a barrier for some people applying to be foster carers (McDermid, Holmes, Kirton and Signoretta, 2012, p6). This concern can be traced back to the above events in foster care's history, which remain in our collective memories.
From a non-State controlled beginning, foster care has been transformed, in recent times, into a highly regulated activity. We currently have a mixed economy of providers of foster care including local authorities, not-for-profit and for-profit fostering services (Sellick, 2011).
Foster carers now receive regular supervision from their SSWs, to ensure that they work effectively with others responsible for the realisation of a foster child's care plan: providing a warm, facilitative, stimulating, family environment, and the enabling direct care needed to help that foster child reach their potential and be well cared for during their time in foster care. Today foster care can provide both a secure base for a child, and what I refer to as âreparatory family careâ, when that is needed. Foster care, at its most basic function, is a form of âaccommodationâ for children who are looked after, and at its best is an intervention in a child's life that can potentially make a significant difference for the better.
How this Book is Structured
The book is made up of seven substantive chapters, all of which relate to different aspects of social work and foster care. Six of the chapters have illustrative case studies which are fictitious, but informed by my practice experience since 2005.
Two points need explaining to the reader. First, I refer to foster carer in the singular, in the main, for ease of reading, but am aware that most fostering households are comprised of couples who foster. Second, like many local authorities are increasingly doing, I refer to âchild looked afterâ, with its related acronym, CLA, thus avoiding the much criticised shortening of the term âlooked after childâ to LAC; an unfortunate acronym, being so close as it is to âlackâ, a word we would not want associated with children in public care.
Chapter 2 gives the reader an overview of the legal and policy landscape that foster care and social work inhabit. The rate of change regarding legislative and policy developments in this area of practice is formidable; what is covered in the chapter relates to the time of writing. It was beyond the scope of this book to cover the legislative frameworks for foster care in all four nations of the UK; this chapter only addresses that of England. However, the substance of the rest of the book is relevant to social work and foster care practice in all four UK nations.
Chapter 3 considers seven inquiries and serious case reviews (SCR) involving the deaths of, or injury to, children while in foster care. From the findings of the related reports the chapter draws together matters relating to: the regulatory framework; the assessment process; inter-professional communication; resources; and skills acquisition or application.
Chapter 4 addresses the assessment of prospective foster carers and includes discussion about: recruitment of foster carers; types of foster care; assessment in general; assessment of foster carers in particular; what the Standards, Guidance and Regulations say; what needs to be considered in all foster carer assessments; tools for undertaking assessments; assessing sameness and difference; recruiting and assessing particular groups of foster carers; ethnicity, nationality and religion; and the assessment of lesbian and gay prospective foster carers.
Chapter 5 discusses the supervision and support of foster carers. Here the role of the SSW is explicitly examined. What the Standards, Guidance and Regulations say; the SSW/foster carer supervisory relationship; supervision; support and development; child-focused reparatory care; placement planning; team around the child; contact; foster children moving on; managing allegations; valuing and developing a child's heritage/positive sense of self; and permanence are all considered.
Chapter 6 examines what we know about the support and development of foster carers and the SSW role. The following are explored: the Skills to Foster preparation training programme; personal development plans (PDP); the Training Support and Development Standards (TSDS); what the research tells us about the effectiveness of training for foster carers; Fostering Changes; Multidimensional Treatment Foster Care (MTFC)/Keeping Foster Parents Trained and Supported, KEEP; and foster carer support groups.
Chapter 7 argues for the need for fostering services to place particular emphasis on foster carer reviews, as a mechanism through which each individual foster carer's practice can be developed and foster care enhanced more generally. This chapter covers: what the Standards, Guidance and Regulations say; the review administrative process; the SSW's report; facilitating contributorsâ input into foster carer reviews; and the review meeting.
Chapter 8 looks at fostering panels, and specifically: the related regulatory framework; foster carers, SSWs and reviewing officers attending fostering panels; approvals; matching; and reviews.
The main message that I hope to convey in this book is that foster care can make a beneficial difference to children's lives, and that the role of the SSW is fundamental to making this happen.
Chapter 2 The Legal and Policy Framework for Foster Care
Chapter Objectives
By the end of this chapter, readers should:
- be familiar with and understand the legal and policy framework for social work and foster care in England;
- be able to consider how the legal and policy framework for foster care can be utilised by you, as a social worker, to enhance the quality of foster carersâ and foster children's lives.
Introduction
I start this chapter with a pertinent quote from a young person who was interviewed as part of the Care Inquiry (2013), reminding us that a legal framework, which is fit for purpose, alone does not necessarily guarantee good outcomes for foster children:
I think what's important is for the Government to stop making new laws and work instead with what we have already and try and develop it for the better. What's important is for them to try and find ways of catering for all of us as individuals so that we grow up and become successful young people who were in care, not young people who are not successful because they were in care.
(Care Inquiry, 2013, p24)
A similar message was conveyed to the UK Government some 68 years before by Sir Walter Monkton, the author of the Dennis O'Neill Inquiry (Home Office, 1945), when he suggested that further regulatory change was not what was needed to safeguard foster children. He believed that the then 1933 Boarding-out Regulations (Home Office, 1933) were still fit for purpose and that, rather than instigating change, their requirement should be treated as a minimum, not a barely attainable maximum (Home Office, 1945, p18).
However, relentless changes in the last 60 years to legal regulation and social servicesâ organisational structures, relating to social work with children and families, are, in part, testament to the words of neither Sir Monkton nor the young person giving evidence to the Care Inquiry being heeded. The legislative frameworks for children looked after by the State, and foster care, have been in a regular state of flux since 1945. The seeming belief that changing the detail of the law, and the structure of organisations, will improve children's life chances, rather than addressing why such changes have not, in the last 68 years, in the main led to radically improved outcomes for children for whom the State acts as the corporate parent, has been a hallmark of children and families social policy in the UK. However, an interruption to this pattern more recently, in the field of child protection, was the Government-commissioned report (Munro, 2011), which tried to address some of the more complex matters relating to social work with children and families, about social work practice itself, among other matters.
Laws, regulations, guidance and standards provide a framework for what must be, as well as what can be done. However, as noted above, legal regulation cannot by itself safeguard foster children's interests. As Brammer writes:
Policies, legislation, structures and procedures are, of course, of immense importance, but they serve only as a means of securing better life opportunities for each young person. It is the robust and consistent implementation of these policies and procedures which keeps children and young people safe.
(Brammer, 2010, p166)
In other words, it is the quality of the implementation of law, regulations, guidance and standards that makes a difference to young people and children who are fostered.
Following the Conservative and Liberal Democrat Coalition Government coming to power in May 2010, the new Government continued the work started by the previous Labour Government, regarding improving the quality of the lives of children looked after, and foster care. The outputs of this work were the current Standards, Guidance and Regulations governing fo...