South Africa faces a high disease burden and a limited public capacity to provide care to the ill. Research from the UK and sub-Saharan Africa suggests the burden often falls to children, who also take over domestic responsibilities necessary for household survival. To date, there is limited research exploring the relationship between parental illness and children’ responsibilities, or the moderating effect of socio-demographic variables. The thesis is comprised of three research phases. The first is a literature review to summarise existing research and identify substantial gaps, which included limited amounts of quantitative evidence on this topic and a lack of a tool to as-sess child responsibility that had both been adapted to the South African context and included caring responsibilities. The second research phase consists of an exploratory study of n = 349 children living with ill adults in urban and rural communities in the Western Cape province of South Africa to investigate their range of responsibility, which included caring for an ill parent, household chores, childcare, and income-generation. The resulting data were used to create the Child Responsibility Measure, which assesses the range and time burden of re-sponsibilities among South African children. The third research phase is a cross-sectional quantitative survey of n = 2,476 pairs of children and parents from urban and rural communities in KwaZulu-Natal province, South Africa. Resulting data on parental health, socio-demographics, and child responsibilities were analysed with multiple regres-sions to determine drivers of children’s responsibility. Among the findings were that parental illnesses increase the likelihood children provide care and have larger responsibility workloads, and girls are more likely to take on all types of responsibility excluding income-generating activities, which were more common in boys. Additionally, while urban children were more likely to provide personal care, rural children had greater responsibility workloads.

The sharing of personal information among health and social service organisations is a complex issue and problematic process in present-day England. Organisations which provide services to children face enormous challenges on many fronts. Internal ways of working, evolving best practice, data protection applications, government mandates and new government agencies, rapid changes in technology, and increasing costs are but a few of the challenges with which organisations must contend in order to provide services to children while keeping in step with change. This thesis is an exploration into the process of sharing personal information in the context of public sector reforms. Because there is an increasing emphasis of multi-agency collaboration, this thesis examines the information sharing processes both within and among organisations, particularly those providing services to children. From the broad principles which comprise a socio-technical approach of information sharing, distinct critical factors for successful information sharing and best practices are identified. These critical success factors are then used to evaluate the emerging national database, ContactPoint, highlighting particular areas of concern. In addition, data protection and related issues in the information sharing process are addressed. It is argued that one of the main factors which would support effective information sharing is to add a timeline to the life of a dataset containing personal information, after which the shared information would dissolve. Therefore, this thesis introduces Dynamic Multi-Agency Collaboration (DMAC), a theoretical model of effective information sharing using a limited-life dataset. The limited life of the DMAC dataset gives more control to information providers, encouraging effective information sharing within the parameters of the Data Protection Act 1998.

In England around 68,000 children are currently looked after by the state. Sixty two per cent of this population are admitted to care or accommodation in response to abuse and neglect. As the United Nations Convention on the Rights of the Child acknowledges, the state has a unique responsibility for these children and is expected to ensure their safety, wellbeing and development. Underpinned by a rights-based framework the publications in the thesis make an original contribution to social work research, policy and practice, in respect of looked after children nationally and internationally. Three cohering theoretical strands - the new sociology of childhood, attachment theory and focal theory, and different methodological lenses, (from participatory research with young people to cross-national analysis of administrative data), are employed to advance understanding of the balance of protective, provisional and participatory rights ( 3 Ps ) for these children and young people. The work focuses upon their life pathways at two key stages in the lifespan: early infancy and adolescence into adulthood. Consistent with the theoretical underpinnings of the research, the methodological approach employed in two of the four core studies sought to promote children s active participation in the research process, and to give them a voice . The participatory peer methodology adopted moved beyond involving care experienced young people in interviewing their peers, to training and engaging them in several major aspects of the research cycle, including analysis of the data and the design and write up of the findings, to produce accessible peer research reports for young people. At the national level the work undertaken demonstrates how a needs-based discourse, and orientation towards considering looked after children as objects of concern, can mean that young children s protective rights may be prioritised in policy and practice, at the expense of their provisional and participatory rights. Children s participation rights are also constrained due to assumptions about the (in)capacities of younger children to express their wishes and feelings. In this context parents rights tend to be prioritised at the expense of the rights of the child. Whereas parents rights may take precedence when children are young, in adolescence the rights of parents are more peripheral. Cross-national comparisons reveal variations in how young people s provisional, participatory and protective rights are balanced as young people negotiate the transition from care to adulthood in western societies, as well as different drivers for reform. Empirical research on recent policy developments in England also illuminates the tensions and dilemmas professionals can face as they attempt to protect and provide for young people, whilst recognising their evolving capabilities and their right to autonomy and active participation in decision making processes. Finally, the studies highlight that young people with the most complex care histories may be denied the right to decide for themselves if they want to remain in foster or residential care into early adulthood.

Titel: Orosanmälningar i förskolan - En intervjustudie om förskolepersonals perspektiv på orosanmälningar Författare: Anna Sjöström   Tidigare forskning visar att det råder en stor brist på orosanmälningar till socialtjänsten, speciellt från de professionella som arbetar med barn. I den här studien har kvalitativa intervjuer utförts med personal inom förskolan, detta för att ta del av deras subjektiva bild av utsatta barn och anmälningsplikten. Studien gjordes på fyra förskollärare inom förskolan och materialet analyserades sedan med hjälp av systemteori, stämplingsteori och utvecklingspsykopatologins begrepp risk- och skyddsfaktorer. Resultatet visade att anmälningsplikten sågs som både logisk och viktig för förskollärare även om det var svårt att veta vart gränsen gick för när de skulle anmäla. Det var även svårt att se vissa tecken på utsatthet och mer utbildning önskades inom området. Studien visar att det fanns vissa brister i samverkan med socialtjänsten, vilket skulle kunna förbättras genom mer information om socialtjänstens arbete samt ett tätare samarbete. / Title: Notifications of concern in preschool- An interview study on preschool teachers’ perspective of notifications of concern Author: Anna Sjöström   Previous Research shows a shortage of notifications of concern to social services, especially from professionals who work directly with children. In this study, qualitative interviews were made on four preschool teachers to see their subjective view of vulnerable children, and their duty to report. The material obtained was then analyzed based on systems theory, labeling theory and the concepts of developmental psychopathology; risk- and protection-factors. The results show that the informants felt that the duty of notification was logical and important, but they sometimes thought that it was difficult to know the line between reporting or not, they found it difficult to see some of the signs of exposure and they wanted more education in the area. There were also some lack of collaboration with the social services, which they stated could be improved through more information about the work of the social services and a closer cooperation.

<p>This research proceeds via a mixed methods paradigm using both qualitative and quantitative methods in a case study research design. A conceptual framework of mutually interacting variables influencing each other and impacting on and defining the roles teachers have to execute to deal effectively with HIV and AIDS challenges, is provided to facilitate the research process. This conceptual framework in conjunction with a theoretical framework which includes critical constructivist theory and the pedagogical models of Delors and Bronfenbrenner, guide the course of this study. The main recommendation of this study was that formal focused training should be given to teachers. This formal training should emphasise the role of the teacher as counselor, the teacher as an anti-stigma, anti-discrimination and anti-prejudice agent, a HIV-aware, HIV-competent and HIV-safe teacher and pastoral carer having the competence to deal with the practical issues around HIV and AIDS.</p>

<p>This research proceeds via a mixed methods paradigm using both qualitative and quantitative methods in a case study research design. A conceptual framework of mutually interacting variables influencing each other and impacting on and defining the roles teachers have to execute to deal effectively with HIV and AIDS challenges, is provided to facilitate the research process. This conceptual framework in conjunction with a theoretical framework which includes critical constructivist theory and the pedagogical models of Delors and Bronfenbrenner, guide the course of this study. The main recommendation of this study was that formal focused training should be given to teachers. This formal training should emphasise the role of the teacher as counselor, the teacher as an anti-stigma, anti-discrimination and anti-prejudice agent, a HIV-aware, HIV-competent and HIV-safe teacher and pastoral carer having the competence to deal with the practical issues around HIV and AIDS.</p>

This research proceeds via a mixed methods paradigm using both qualitative and quantitative methods in a case study research design. A conceptual framework of mutually interacting variables influencing each other and impacting on and defining the roles teachers have to execute to deal effectively with HIV and AIDS challenges, is provided to facilitate the research process. This conceptual framework in conjunction with a theoretical framework which includes critical constructivist theory and the pedagogical models of Delors and Bronfenbrenner, guide the course of this study. The main recommendation of this study was that formal focused training should be given to teachers. This formal training should emphasise the role of the teacher as counselor, the teacher as an anti-stigma, anti-discrimination and anti-prejudice agent, a HIV-aware, HIV-competent and HIV-safe teacher and pastoral carer having the competence to deal with the practical issues around HIV and AIDS. / Philosophiae Doctor - PhD

Section A: Article 1.Due to the increasing number of people being infected with or affected by HIV or AIDS, the need for home-based care services has increased. The psycho-social needs of families have also increased due to HIV infection resulting in a need for more extensive service rendering by relevant service providers. By exploring the role of Hospice T.L.C. caregivers in meeting these needs, recommendations could be made for service rendering to families infected with or affected by HIV or AIDS. Main focus areas for service rendering to these families were identified. / Section B, Article 1: In Kokstad, Kwazulu-Natal Hospice caregivers have been rendering services to families infected with and affected by HIV and AIDS. The role of these caregivers was explored by means of a qualitative study making use of focus groups. The focus of this article is the role that Hospice caregivers fulfil in meeting the needs of these families. Through their training and knowledge they obtain access to families infected with and affected by HIV and AIDS. From the study, certain recommendations could be made that could improve future service rendering, and assist the caregivers in meeting the needs of their patients more effectively. / Section B, Article 2: Literature indicates that people are widely affected by the presence of HIV or AIDS in their lives. The effects are of a physical, psychological, as well as a social nature. This has several implications for the affected families. In this study the bio-psychosocial needs, as identified by families themselves, receive attention. This qualitative study was conducted with the help of caregivers of Hospice T.L.C. operating in the Kokstad area, Kwazulu-Natal and involved home visits to affected families where an interview schedule guided the process of data collection. Material needs, as well as a need for emotional support were the most prevalent. The relationship between the caregivers and affected families are very positive, allowing an open door for further service rendering. / Section B, Article 3: Hospice T.L.C. is a non-profit organization (NPO) operating since 2006. They are rendering holistic, palliative and frail care services to ail patients in the Kokstad area, southern. KwaZulu-Natal. This qualitative study was aimed at exploring the extent of involvement of welfare organisations in meeting the bio-psychosocial needs of families infected with and affected by HIV or AIDS. This article deals with the stakeholders rendering services to these families and possible ways in which service rendering could be improved. Data was obtained during a focus group session with the caregivers and their supervisor. Interviews were conducted with members of the relevant resources that could meet the bio-psychosocial needs of families infected with or affected by HIV and AIDS. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2010.

Section A: Article 1.Due to the increasing number of people being infected with or affected by HIV or AIDS, the need for home-based care services has increased. The psycho-social needs of families have also increased due to HIV infection resulting in a need for more extensive service rendering by relevant service providers. By exploring the role of Hospice T.L.C. caregivers in meeting these needs, recommendations could be made for service rendering to families infected with or affected by HIV or AIDS. Main focus areas for service rendering to these families were identified. / Section B, Article 1: In Kokstad, Kwazulu-Natal Hospice caregivers have been rendering services to families infected with and affected by HIV and AIDS. The role of these caregivers was explored by means of a qualitative study making use of focus groups. The focus of this article is the role that Hospice caregivers fulfil in meeting the needs of these families. Through their training and knowledge they obtain access to families infected with and affected by HIV and AIDS. From the study, certain recommendations could be made that could improve future service rendering, and assist the caregivers in meeting the needs of their patients more effectively. / Section B, Article 2: Literature indicates that people are widely affected by the presence of HIV or AIDS in their lives. The effects are of a physical, psychological, as well as a social nature. This has several implications for the affected families. In this study the bio-psychosocial needs, as identified by families themselves, receive attention. This qualitative study was conducted with the help of caregivers of Hospice T.L.C. operating in the Kokstad area, Kwazulu-Natal and involved home visits to affected families where an interview schedule guided the process of data collection. Material needs, as well as a need for emotional support were the most prevalent. The relationship between the caregivers and affected families are very positive, allowing an open door for further service rendering. / Section B, Article 3: Hospice T.L.C. is a non-profit organization (NPO) operating since 2006. They are rendering holistic, palliative and frail care services to ail patients in the Kokstad area, southern. KwaZulu-Natal. This qualitative study was aimed at exploring the extent of involvement of welfare organisations in meeting the bio-psychosocial needs of families infected with and affected by HIV or AIDS. This article deals with the stakeholders rendering services to these families and possible ways in which service rendering could be improved. Data was obtained during a focus group session with the caregivers and their supervisor. Interviews were conducted with members of the relevant resources that could meet the bio-psychosocial needs of families infected with or affected by HIV and AIDS. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2010.

The aim of this study is to describe how children’s literature is included in working with vulnerable children. Six persons in different professions have been interviewed to research this. Three of them are preschool teachers and three of them work in places where they meet vulnerable children. The interviews have been thematically analyzed to answer how they work with children’s literature, which the themes in the books are and why the books are used. The result shows that themes as secrets and rights are included in work both in preschool and in places where they meet vulnerable children. Though it also shows that there are more themes included where they meet vulnerable children, such as violence, feelings and integrity. The ways in which the children’s literature is used includes reading, digital reading, dramatizing, dialogue and drawing in preschool. These ways to include children’s literature is also used where they meet vulnerable children, although not all of them. This study is about a subject that has touched many people and will need to be researched further in the future.