MAKING IT WORK: A QUALITATIVE EXPLORATION OF LIFE IN A GROUP HOME Brittany Carolonna Auernig B.A, California State University, Sacramento 2008 THESIS Submitted in partial satisfaction of the requirements for the degree of MASTER OF ARTS in SOCIOLOGY at CALIFORNIA STATE UNIVERSITY, SACRAMENTO FALL 2011 © 2011 Brittany Carolonna Auernig ALL RIGHTS RESERVED ii MAKING IT WORK: A QUALITATIVE EXPLORATION OF LIFE IN A GROUP HOME A Thesis by Brittany Carolonna Auernig Approved by: __________________________________, Committee Chair Ellen Berg, Ph.D. __________________________________, Second Reader Cid Martinez, Ph.D. ___________________________ Date iii Student: Brittany Carolonna Auernig I certify that this student has met the requirements for format contained in the University format manual, and that this thesis is suitable for shelving in the Library and credit is to be awarded for the thesis. __________________________, Graduate Coordinator Amy Liu, Ph.D Department of Sociology iv ___________________ Date Abstract of MAKING IT WORK: A QUALITATIVE EXPLORATION OF LIFE IN A GROUP HOME by Brittany Carolonna Auernig A group home is a home for children who have experienced various types of abuse and/or neglect by a parent/guardian and are for some reason unable to be maintained in typical foster care placements. Group home life is complex and vastly understudied. This qualitative study interviewed six female residents and four staff at a local group home to investigate the informal structures, social orders and overall perception of group home life. Multiple parallels were found between the experiences of the group home residents and those of prison inmates, reinforcing that group homes operate in many ways as “total institutions” and residents are often learning unhealthy behaviors from their peers. Recommendations for a more effective group home program arose from the research and are centered on making the group home environment feel more like “real life.” Residents need a sense of family, support, caring, and trust which is difficult to create with staff members who by necessity must enforce professional boundaries. Some possible steps to address this seeming dilemma are proposed. _______________________, Committee Chair Ellen Berg, Ph.D. _______________________ Date v DEDICATION I would like to dedicate this thesis to my amazing family members, each of whom supported me differently but provided me what I needed to see it to its completion. I would also like to separately acknowledge my grandfather, Willard Hinckley. He and I shared many conversations over the years that both enlightened and motivated me. He was an avid supporter of my educational goals and sadly passed away before he could see me achieve them. His presence is greatly missed. vi ACKNOWLEDGEMENT I would like to acknowledge the inspirational instruction and supervision of Dr. Ellen Berg. Dr. Berg has given me a deep appreciation and love for Sociology. Without her guidance and support this would have been far more grueling than it was. vii TABLE OF CONTENTS Page Dedication .......................................................................................................................... vi Acknowledgements ........................................................................................................... vii List of Tables ...................................................................................................................... x Chapter 1. INTRODUCTION .......................................................................................................... 1 Statement Of Research Question ............................................................................ 1 Significance Of The Study ...................................................................................... 5 2. LITERATURE REVIEW ............................................................................................... 7 Pre-Placement ......................................................................................................... 8 While In Group Home .......................................................................................... 12 Post Group Home .................................................................................................. 19 Ideas For Change .................................................................................................. 21 3. METHODOLOGY ....................................................................................................... 24 Location ................................................................................................................ 24 Participants ............................................................................................................ 27 Data Collection ..................................................................................................... 28 4. RESULTS ..................................................................................................................... 32 Life In The Group Home Is Not Like “Real Life” ................................................ 32 Emotional Attachment Is A Part Of “Real Life” .................................................. 40 Discussion ......................................................................................................................... 51 Appendix A Consent Forms.............................................................................................. 56 Appendix B Resident Interview Questions ....................................................................... 67 viii Appendix C Focus Group Questions ................................................................................ 69 Appendix D Staff Interview Questions ............................................................................. 70 Appendix E Human Subjects Approval ............................................................................ 72 References ......................................................................................................................... 77 ix LIST OF TABLES Page Table 1 Possible “Front Half” Work Schedule for Group Home Staff Member .............. 47 Table 2 Possible “Back Half” Work Schedule for Group Home Staff Member .............. 47 x 1 Chapter 1 INTRODUCTION Statement Of Research Question Imagine what it would be like for a child to go to a place where there is no family, no familiarity, and a significant amount of chaos. This child did nothing to deserve being ripped out of his or her home, except be born into an unfit environment (i.e. unsafe environment, abusive parents, etc.). Many children who have experienced maltreatment in their lives are sent to live in a group home (sometimes called residential institutions). A group home is a facility that offers 24-hour care by paid staff who attempt to provide a therapeutic environment (Baker and Caldron 2004). The maltreatment these children experience tends to come from a parent or guardian. There is an extensive process to this, and usually a child ends up in a group home as a last resort (Ryan, Marshall, Herz, and Hernandez 2008). Once a case has been reported and accepted as factual, Child Protective Services will attempt to intervene and give the family resources to help with the child. During the intervention process, which usually lasts 12 months, Family Preservation and Support Services will come into the home and help the family. These programs will assist the family in identifying the problems that would result in losing their parental rights. These programs will provide goals and timeframes for the parents to fix the identified problems. If the family is still unable to support the child by filling his or her basic needs, the state will take custody of the child (California Department Of Social Services 2007). 2 The maltreatment these children experience can be physical, emotional, sexual, and/or neglect (Ackerman and Dozier 2005). Such maltreatments cause many children to develop psychological problems, behavioral issues and/or physical impairments. These mental and/or physical impairments leave children in need of counseling and behavior management, sometimes requiring an extended group home stay. Also, many children, prior to their group home placement lived in unsafe neighborhoods and in turn have gang affiliations and have learned the rules of the street and how to survive on them. Using the framework developed by Anthony Bottoms (2003) to understand interactions in a prison environment this study focuses upon group home residents’ multiple interactions. Bottoms investigated the social order in prisons by focusing on the multiple interrelationships between inmates, guards, and the environment. This research focuses on the informal structures and social order within group homes. It also investigates the interrelationships between residents, staff members, and the environment from the perspective of the resident. Bottoms suggests that it’s important to look at the inmates’ personal backgrounds and individual characteristics. While this researcher is unable to take into account the personal histories of the residents due to the subjects’ ages (being considered legal minors), this study does take into account the general population’s history and background. Bottoms looked at prisoners’ social orders, informal rules prisoners create, and how policies affect the individual prisoner. From my own previous experience working at a local group home, I observed residents creating their own informal rules and structure regardless of what the policies are. This is comparable to what Bottoms (2003) 3 was investigating in the prisons. From what I have witnessed, the informal structures created by the residents are geared towards socializing one another in order to create interpersonal bonds. I have also observed how, at different stages of a group home resident’s stay, he or she interacts with his or her staff and peers differently. Lastly, I have noticed how the physical structure of the building affects the residents. I have heard many residents say that the building alone makes them feel angry. Group home life can be extremely stressful for a child. Not only are children living with multiple deviant peers, but staff turn over rates are high and programs change constantly. As a supervisor, I was dealing with staff members who were paid extremely low hourly wages while often working 12-hour days in a challenging environment. Many staff last less than one year because of these circumstances. Also, there were changes to the program because nothing seemed to be working. These changes may be why the children create their own structures, as a way to achieve some consistency. There are a few questions associated with this thesis: 1) What are the informal structures and social order within group homes and how do residents develop them? 2) What are the interrelationships between residents, staff and the environment from the perspective of the resident? How do these interrelationships affect the residents’ development and their socialization process? 3) Based on previous research and the results of this study, is it possible to create a program that is successful? If so, what would it entail? 4 Through interviews and a focus group, the researcher found answers to why and how group home residents create their own informal structures, how they view interactions with staff members and peers, and how their living conditions affect them personally. To uncover these informal structures and how they affect the children, a qualitative analysis was particularly effective. Interviewing children from a local group home helped the researcher understand the impact their living conditions have on the individual residents from their own perspectives. A focus group was also used to see how the children interact with one another. Since interaction is an integral part of group home life and a key factor in child development (Akers and Sellers 2009), the focus group allowed the researcher to observe the roles each resident played within her environment. The focus group also provided a forum for free discussion and gave residents an opportunity to discuss issues that had not necessarily been asked. Discovering how these children view the informal structures within group homes might give group home staff a better understanding of their residents’ needs. It’s easy to point the finger at a problem but often much harder to find a solution. This researcher will propose changes that will improve the environment and outcomes for group home residents. These solutions will give current group home administrators a better understanding of their residents’ needs and daily challenges, along with some ideas on how to restructure their program in order to be more successful. “Success” can be defined as residents moving out of a group home to a lower level of care such as a foster care or lower-level group home. 5 Significance Of The Study This research will aid in the development of successful group home structures and raise awareness of the need for positive change. According to the Administration for Children and Families (2010), in 2008 group homes/institutions served over 75,000 young persons in the United States alone. This is a large number, and there have been few research studies on this population. If group home supervisors are aware of the informal structures group home residents create and the interrelationships that affect them, the supervisors might be better equipped to understand the true needs of the child. Supervisors will ideally also become more understanding of the challenges these children face being labeled a “group home child.” Children who have experienced group home life have a lower probability of success because of the lack of support and guidance (Gramkowski, Kools, Paul, Boyer, Montasterio, and Robbins 2009). Once aged out of the system, success for former group home residents can be defined as simply not ending up incarcerated, homeless and/or repeating the cycle of abuse and neglect with their own children. This research will ideally give group home management a better explanation of risk factors that contribute to residents’ difficulties, along with a program that will help to limit these negative factors. In addition, this research will offer solutions and/or informative tools to alleviate the drastic struggles that group home children face. The questions asked in the interview will be geared towards how group homes affect residents personally. The researcher came up with some recurring themes that will help in the creation of a better program that takes the resident’s informal structures and social order 6 into account. This research will be a tool for group home supervisors to create a facility that helps their residents create realistic and positive goals. Previous research has focused on children living in group homes from a psychological perspective or a sociological perspective but rarely both. Social psychology can be defined as the study of relations between people and groups. This study is investigating just that - the study of relations between residents and the group around them (i.e. peers, staff members and the environment). Identity theory provides one relevant explanation of the development process young people go through. According to Sandstrom, Martin and Fine (2010) identity theory plays an essential role in explaining the negative selfidentities these children create because of their previous maltreatment. Identity theory can also be used as a framework when discussing how these negative self-identities can lead to negative peer interactions. Few researchers have had the opportunity to interview group home residents to get a personal account of their living situations and their ideas for change. Many researchers focus their study primarily on the solution without going into any depth about the problem, while others focus on the problem and give no solution. This study will hopefully bring a new perspective to this area of research by locating the issues within the group home from the child’s perspective and then figuring out a solution to lessen any future negative effects on the residents. Also, this research will allow the children to assist in the creation of the program. This will be done by asking them what they perceive current problems to be with group home programs, what they feel their needs are, and which needs aren’t being met. 7 Chapter 2 LITERATURE REVIEW Key steps of socialization happen during childhood and early adolescence. Children who are removed from unhealthy homes have typically missed out on some of these key steps. In some cases these children have not only missed out on these important steps but also these steps are replaced by negative stimuli, such as abuse. When they enter the group home, their situation just gets worse. They are out of the unhealthy home environments but are put into a facility with similar youth who have their own unique behavioral issues and developmental problems. If they are going to be helped it is necessary to understand the several stages of their life in order to better understand how each stage impacts the others. It’s important to recognize the importance of each stage so that when investigating life in the group home, there is a foundation for what the children have gone through prior to placement and, ultimately, how their group home experience may affect their adulthood. Due to the many issues corresponding with group home adolescents’ development, this literature review will use an integrative life-span approach to understand the many experiences of group home children (Akers et al. 2009). The first section of this literature review will cover the typical development of a child, specifically focusing on the issues that foster youth face during their prime developmental years. It will focus on social bonding theory emphasizing the relationships with the parents and/or guardians prior to being taken into the system. The next section will focus on group home life using social learning theory to analyze the interrelationships between peers, staff, and the environment (both internal and external). 8 Labeling theory will also be used here to explain the negative self-image these children develop due to their “group home child” label. Some research in this section will focus on prison culture as corollary to group home life along with the similarities associated with them both. The third section of this literature review will focus on strain theory and the issues that arise after children leave a group home and foster care. The last section will cover previous programmatic research from other group homes and institutions. This will assist me in developing a new program along with giving the reader a better understanding of how group homes currently operate. Pre-Placement Bottoms (2003) explains that it’s crucial to take into account the history and background of the client when investigating his or her environment. While this research doesn’t have the means to do that because the subjects are minors, a general analysis of this population will lay the foundation for what these children typically have gone through and the hardships they have faced. Social Bonding Theory. According to Akers (2009), states that social bonding theory has four primary “elements”–attachment, commitment, involvement, and beliefs. Akers states, “the stronger the social bond with parents/guardians the more the individual’s behavior will be controlled in the direction of conformity” (2009:219). Children who have been maltreated have a poor social bond with their parents and thus have a weaker ability to conform to social norms. Akers defines attachment as the affection and admiration towards, and identification with others. Maltreatment can be construed as being disliked or disapproved of by a parent or guardian. This leads to a lack 9 of affection and a void in admiration for parents and guardians, and an inability to identify with him or her. Sandstrom, Martin, and Fine state, “If we believe others view us negatively, we feel ‘mortified’ and develop low self esteem” (2010:122). This idea explains how a child who is abused or maltreated can have a poor vision self image and their identity. If a child has low self-esteem he or she may be more likely to partake in high-risk behaviors and/or have a disregard for people of authority like a foster parent, group home staff member, and/or guardian. Stryker and Vryan (2003) further explain that the meaning of self is developed through interaction and the location of oneself in socially recognized categories. Children raised in a nuclear family are socialized through the continuous interactions with their parents; they are able to create their self-identity by consistently learning different roles from their parents. Maltreated children may learn to create their own structures because it’s ultimately easier for them to live up to their own low standards than the expectations of others (group home staff, foster parents, guardians, etc.). Understanding how these children develop negative self identities early in their lives makes it easier to see why, when surrounded by like peers, their interactions will be unhealthy and destructive. Due to the maltreatment these children have experienced many residents have faced multiple placements and a lack of parental involvement. Commitment and involvement are the second and third elements that Akers (2009) discusses. Commitment refers to an individual’s investment in conventional activities while involvement is said to be the amount of time an individual spends doing these conventional activities. However, because these children have been moved so many times, they are unable to participate in 10 conventional activities and thus, have little commitment to conventional activities. Sandstrom et al. (2010) explains that when a child loses a significant person in his or her life—such as a parent or guardian— or is removed from that individual’s care, the child is likely to experience a significant sense of disruption and a loss of self. A child in a group home may be incapable of grasping the concepts of commitment and involvement because of the original maltreatment. Trickett (1993) further explains that it’s not simply physical abuse that causes maladaptive behavior and maladjustment in the child, but also rejection, lack of caring and involvement, verbal abuse, and a host of other factors that add up to define what can be characterized as a poor, malfunctioning child-rearing environment. Belief is a final key element in children’s development (Akers 2009). Akers defines belief as the “endorsement of general conventional values and norms” (2009:130). According to Lutfey and Mortimer, “It is among families that children develop physically, cognitively, and acquire the sense of social self and language skills that are required for interaction with others” (2003:186-187). So, parents and/or guardians are responsible for teaching children conventional values and norms. Children who are maltreated and removed from the home miss out on this developmental stage. When a child lacks attachment, commitment, involvement and/or belief it can reduce conformity and ultimately lead to deviancy. Van der Kolk (2005) adds that children learn to regulate their behavior through the responses of caregivers whom they trust. Again, children who are abused and taken out of the home miss out on the understanding of behavioral reactions. 11 Beidy (1977) broke down the difference in abused children versus neglected children. He indicated that abused children are significantly more aggressive than nonabused children. Neglected children tended to be non-aggressive in unstructured environments, but fail to learn the skills necessary to cope non-aggressively with the provocations and frustrations inherent in more structured environments such as school. Understanding what these children experience pre-placement is crucial to understanding the importance of investigating what goes on in the group home. A group home is a home for children that have experienced all kinds of abuse and neglect. Children come in to the group home with their own individual issues, but since they are a member of the collective whole, those issues become a part of the entire group home make up. Biological Theory. According to Akers (2009), current biological theories have utilized new ways of investigating biological causes for actions. Attention is now focused on the interaction between biological factors and the social environment. For example, Van der Kolk (2005) discussed children’s impairment from early complex trauma. He defined complex trauma as chronic prolonged traumatic events that would remove a child from a home. According to Van der Kolk, “Chronic trauma affects the neurobiological development and the capacity to integrate sensory, emotional and cognitive information into a cohesive whole” (2005:402). Van der Kolk makes a bold statement when he says the entire criminal justice population has a history with childhood trauma. Van der Kolk explains in depth how chronic exposure to trauma creates developmental issues that lead to functional impairments. He states that when trauma occurs, this creates negative selfattribution, a distrust of caregivers, loss of trust in people associated with helping, lack of 12 recourse to social justice and future victimization. Van der Kolk states, “After a child is traumatized multiple times, the imprint of the trauma becomes lodged in many aspects of his or her makeup” (2005:407). Children who have experienced maltreatment in their lives are predisposed to a number of developmental issues and eventual impairments. These issues could be a precursor to criminality among children who have experienced trauma such as continuous maltreatment. This is important to understand because children living in a group home may have functional impairments and developmental issues due to the chronic trauma they have experienced. Cullerton-Sen, Cassidy, Murra-Close, Chicchetti, and Crick (2008) showed a link between maltreatment and physical/relational aggression. These authors explained that maltreatment could disrupt the internal development of a child. In other words, a child’s view of his or her self-worth is altered negatively by abuse. Mistreated children carry this negative internal representation into relationships with their peers. These children usually misinterpret social cues and perceive threats from peers, which may result in an aggressive response. Culletron-Sen et al. (2008) found that family systems that experience maltreatment not only increase children’s physical aggression but also the degree to which they relationally manipulate their peers. The maltreatment these children experience becomes a part of their overall makeup. The maltreatment becomes a part of who they are and ultimately how they will respond to various life circumstances. While In Group Home According to the Administration for Children and Families (2010), in 2008 there were 170,143 youth ages 12-18 in the United States foster care system. Within the foster 13 care system, 16% (76,287) of all youth 20 years and younger were in group homes or institutions. Of the entire American foster care population in 2008, 31% (142,502) of the children were African American. The average age of entry into the system was eight years old. The average length of stay for group homes and/or temporary placement was 21.8 months. According to Ryan et al. (2008), youth placed into group homes tend to be older in age (12-18 years old) and non-Caucasian. They typically have a range of behavioral and emotional issues often resulting in involvement with the juvenile justice system. Ryan et al. (2008) found considerable evidence to show that victims of maltreatment have an increased risk of juvenile delinquency. Of all arrests in the child welfare system, 40% were associated with group home placement. Since my research is unable to give the exact demographics of the population being studied—they are legal minors—the aforementioned statistics will provide a framework for the overall population. According to the California Department Of Social Services (2009), group homes are divided into 14 different levels depending upon the services that are provided to the child and the intensity of treatment required. Since the agency in this study provides 24hour childcare and supervision, along with social work activities, and mental health treatment, it would be classified somewhere between levels 12-14. Generally speaking, the higher the level, the more behavioral issues the children have. This leads to more high-risk interactions and negative socialization from peers. Social Learning Theory. As a child ages the family becomes less of a primary group for development and peers become more influential. Especially, as is the case for 14 group home adolescents, when the family network is completely removed and the peer group surrounds the child all day, every day. According to Akers and Sellers (2009), social learning theory is the idea that people learn through the interactions with others. In terms of criminology and group home youth, there is continuous pressure from peers in the group home to assimilate to a deviant lifestyle, thus the majority of children conform to deviancy. Group home adolescents are often surrounded by residents with psychological problems, behavioral issues and/or physical impairments. Dupree (2008) proposed a developmental model of how exposure to non-normative social contexts can help predict future negative transitions. This grouping of disadvantaged children leads to negative and high-risk interactions, such as, but not limited to, fighting, sexual activity, and/or drug use. Residents want to feel socially connected with other residents, and in order to do that they must interact with their peers. According to Gramkowski et al. (2009), adolescents’ perception of peers and their behaviors impact that child’s own behavior. So, if a child’s peers at a group home are engaging in high levels of risky behavior, this will more often result in the child partaking in similar disruptive behavior so that they can feel connected and a part of the group. Bottoms (2003) investigated the social interrelationships between inmates, guards, and the environment. This system of analysis is a significant step in understanding group home residents. Like a prisoner entering prison, an adolescent enters a group home. A prisoner is surrounded my other prisoners charged with different crimes. A group home resident is surrounded by peers with unique behavioral and emotional issues. Placing a 15 child in an environment where she/he is surrounded by deviant peers, especially those who are sexually active is a key factor in predicting future negative behavioral patterns in a child. Jahnukainen and Jarvinen (2005) discuss how social environment and identity are interrelated, meaning that with different experiences comes different understandings. Through different social context, individuals learn their own place in society. Labeling Theory. Adams, Robertson, Gray-Ray, and Ray (2003) define labeling theory as, “The perceived negative societal reactions (that) lead to the development of negative self-conceptions and greater delinquent involvement.” Akers and Seller (2009) explain that labeling theory clarifies the power of a social label. Negative factors associated with the title “group home child” lead to depersonalization and a stigmatized sense of self. Akers and Seller (2009) further states that individuals can become what others think they are. If the outside community views foster youth as damaged, the children view themselves in this same context. Since others view them as delinquents and/or impaired due to their foster care status, the youth take on these same characteristics because this is how they define themselves. The construction of self has implications for how an individual views his or her future. Kools (1997) explains that children begin to internalize all the negative labels associated with being a part of the foster care program (or in this case group homes). Self-identity, self-esteem, and self-concept are all affected negatively because of this internalization of others’ negative labels. This negative self-outlook affects all the resident’s relationships, both with other residents and with staff. These relationships become unhealthy, and ultimately the entire group home structure may be affected 16 negatively because of the individual’s negative self-image. This self-image was developed prior to placement but is still being perpetuated while in placement. Ryan et al. states, “Youth in congregate residential settings, and specifically the prolonged exposure to high risk peers, has the unintended effect of exacerbating deviance via positive social relationships” (2008:2-3). Living in group homes according to Ryan et al. (2008), gives residents a sense of social anxiety due to the continual increase of peer pressure. Social psychologists focus on symbolic interactionism to define the role of interaction between an individual and the rest of society. This is similar to what Bottoms (2003) examined in his analysis of prison relationships. Bottoms investigated the inmates’ interrelationship with the rest of the prison. Kools (1997) says that peer interaction for foster youth can create stigmatized self-identity, which leads to low selfconfidence and lack of future orientation. This may lead group home adolescents to have a skewed perception about the important factors in life. Since peers and staff members surround group home children day in and day out, their self-identity and the interaction with peers and staff members are interwoven. The interrelationships play a large role in the overall development of a group home child. These interrelationships may lead to more deviant behavior, academic problems and placement instability. A larger study of 302 children ages 6-12 completed by Zima, Bussings, Freeman, Yang, Belin, and Forness (2000) showed that 69% of children in foster care exhibited behavioral issues, academic skill delay and/or school failure. Zima’s et al. research found that children living in group homes had three times the odds of repeating at least one grade. Also, placement instability was highly correlated to 17 academic skill delays. Ryan et al. (2008) explains that youth in group homes received Cs or lower in their classes. Most of them are in remedial and low-level classes. Ryan et al. states that these students lack opportunities to do extra-curricular activities and to surround themselves with socially healthy peers. Surrounding a group home youth with healthy peers would allow them to feel like they are healthy as well. Being a part of a group labeled “healthy” would allow group home kids to feel healthy. Prisons. Prison life is very similar to that of group home life. Group home children are under constant surveillance by staff, surrounded by peers all day, and have a very structured day. Prisoners lead relatively similar lives. They are under constant guard supervision, are surrounded by other prisoners, and have structured days. Prison research will be used here to give a better understanding of the issues these children face. Since prisons are composed of many individuals, with relatively similar histories, living together under constant surveillance from staff (guards). Garbedian’s (1963) study of prisons can be correlated to what group home residents experience. Garbedian explains that socialization of inmates happen at varying degrees and rates. Garbedian along with several other researchers, broke down inmates’ prison sentences into three phases. The first phase is the first six months of placement. During this time, Garbedian concluded that the new inmates’ dominant process was isolation from other inmates and guards. The second phase was known as the involvement phase. Garbedian believed that there were internal pressures from other inmates to get involved. This was believed to be the case because this was the point at the furthest point from the free community. Hayner and Ash (1940) explained that inmates who want a favorable position within the social structure of 18 prisoners must adopt the patterns of behavior inline with the prison culture. Eventually, prisoners in order to “fit-in” must assimilate to the prison culture. Jensen and Jones (1976) explained that in the middle-phase inmates were more likely to take on contrary views of official expectations in order to “fit-in.” The last phase Garbedian (1963) discussed contains a process known as anticipatory socialization, which means that prisoners go through a “change of heart” where they re-conform to the rules placed on them by the guards. This phase is usually the last six months of the sentence. Garbedian notes however that a large portion of released inmates return for either parole violations or new offenses. This is important because, at least from my own experience, many group home residents return to group home life quickly after graduating the program. While it may seem like an odd transition to go from group homes research to regarding prison research, the similarities between the two are numerous. Jensen and Jones (1976) make clear that younger inmates reported breaking prison rules more frequently. Jensen and Jones also noted that age appears to be a key factor in consequences for inmate behavior, reactions to behavior, and normative orientation toward prison staff. What this means for the present project is that the younger the age of the inmate the more behavioral issues and the quicker assimilation to prison norms. Group home residents are at a prime age for behavioral disruption and quick socialization to a negative culture. From my own experience, I have noted that residents come into the group home and isolate themselves from everyone. Slowly, they develop relationships with other 19 residents, staff members and their environment. The behaviors become noticeably more negative and don’t seem to be conducive to the overall development of the child. In order to be discharged, the youth must accept the rules and prove they have positively changed. As stated in this section, the transitions that group home residents go through are similar to those experienced by prisoners, with peer interactions playing a huge role in these groups’ transitions. Post Group Home General Strain Theory. Akers and Sellers (2009) explains that strain can occur when an individual is unable to achieve positive goals, when there is a removal of positive stimuli, and when an interaction with negative stimuli occurs. When one or more of these things happen, deviance can be the result in order to limit the amount of strain. Currently, our country is facing a serious issue with youth who age out of the system, especially group home youth. According to Reilly (2003), “Many of these (foster) youth face serious problems (once aged out of the system), including homelessness, poverty, incarceration, early pregnancy, and unstable employment” (p. 728). Reilly also explains that educational achievement is low 34% not completing high school and health problems rampant—44% have serious health problems. Courtney, Piliavin, Grogan-Kaylor, and Nesmith’s (2001) Foster Youth Transitions to Adulthood study tracked 141 young adults who aged out of the system in 1995 and 1996. Courtney et al. found that 10% of females and 27% of males in his study were incarcerated at least once after aging out, and 14% of males and 10% of females reported being homeless at least once since their discharge. A quarter of respondents (22%) reported living in four or more separate places, while 40% 20 of females and 23% of males reported receiving some type of financial aid. Serious victimization was reported by 25% of males and 15% of women. Though this was a small sample, it gives a general idea of the issues with aging out of the system. The National Survey of Child and Adolescent Well-Being (2010) presented a study of 620 young adults who were reported as victims of some type of maltreatment. The study investigated the well being of 18-21 year olds post-maltreatment. It showed that mental health, academic achievement, sexual behavior, and income were all below the national averages. According to the findings, 27.5% of young adults were in clinical range of major depression, and 10.2% reported still experiencing posttraumatic stress. In regards to education, maltreated youth scored substantially lower than norms on standardized measures. Of the 37.4% of young adults with children, 61.8% were living in poverty and 55.6% reported using corporal punishment to discipline their children. This survey concluded that for maltreated youth their previous living conditions lead to more challenges developmentally in adulthood. According to ChildHelp.org (2010) in 2007, Abused children are 25% more likely to experience teen pregnancy. Abused teens are three times less likely to practice safe sex, putting them at greater risk for STDs. Children who experience child abuse and neglect are 59% more likely to be arrested as a juvenile, 28% more likely to be arrested as an adult, and 30% more likely to commit violent crime. Children who have been sexually abused are 2.5 times more likely to abuse alcohol. Children who have been sexually abused are 3.8 times 21 more likely develop drug addictions. Nearly two-thirds of the people in treatment for drug abuse reported being abused as children. With these statistics, it’s easy to see how strained these aged-out youth are. When aging out of the system these children aren’t given much to start their life off. As stated earlier by Reilly (2004) academic achievement is extremely low which makes it difficult to achieve any goals, immediate or future. Thus, these youth can become delinquent in order to achieve their monetary or materialistic goals by any means necessary. For children who were in a positive situation, such as a loving foster home or group home, being asked to leave due to being too old can produce anomic feelings. As Reilly explained, once aged out these youth experience many hardships, such as victimization, homeless, poverty, etc. With most of these hardships comes a negative stimulus from others. Due to their poverty status there is no way to escape these negative stimuli. This leads to deviance—drug use, gang affiliations, etc. — as a coping and survival mechanism. Ideas For Change There is a serious need for change in our current group home system. This is evidenced by the numbers of youth who age out and are unsuccessful, ending up incarcerated, homeless, and/or repeating the cycle of abuse and neglect. Hayner and Ash explained that, “If the prisoner learns on the inside, that to fit in with the institutional routine, he must walk close to the walls, this will not help him on the outside. In fact, it might mark him as peculiar” (1940: 577). In other words, if group homes don’t teach the children how to act in society, they won’t fit in and ultimately won’t succeed. In order to 22 offer new ideas for group home supervisors in developing their own unique successful programs, research on previous programs is beneficial. Cook-Cottone and Beck (2007) proposed and successfully implemented a program that used an actual life-story book. This book is a compilation of a foster child’s past life experience, memories, personal stories, pictures, and other personal documents. The children can use the life-story book as a tool to assist them in understanding themselves cognitively and what their personal role is in society. Fyhr (2001) proposed two hypothetical residential institutions, the artificial family and the professional. The artificial family institution was based on the idea that healthy environments had a therapeutic effect on the residents. These types of residential institutions had structure and routines that were comparable to a typical nuclear family dynamic. Staff members were considered healthy adults who were capable of dealing with psychological development of residents. The professional institution had trained staff capable of producing institutional structure intended to support and protect residents. These structures were in place to keep routines that would prevent regressive behavior. The appropriate program depended on the severity of the child’s developmental and behavioral issues: children with few behavioral issues would more than likely flourish with a program like that of the artificial family but children with extreme behavioral problems and/or psychological issues would probably do better in the professional institution that promotes structure and protection for the residents. Leathers (2006) discussed how foster parents’ involvement with the child is a key factor in the child’s behavioral issues. The more emotionally involved a foster parent is 23 the fewer behavioral issues a child has. This emotional involvement may be used with staff in a group home. Staff members can play a key a role in redirecting a child from negative behavior to more positive endeavors. Therefore, if staff members can get emotionally involved with the children of the group home, this might lead to less risky behavior. Chalmers and Townsend (1990) presented another possible solution, the training of group home residents in social perspective taking. According to Chalmers and Townsend, social perspective taking is the ability to manage one’s viewpoints when making opinions of others. When she implemented this program with maladjusted girls, she found that proper training in perspective taking could increase the understanding of intrapersonal situations and reduce maladaptive behavior. This training was responsible for the increase in social cognitive behaviors along with empathy and the acceptance of differences. This notion accompanied by the ideas of previously mentioned researchers, will enable this researcher to develop a thorough and well-developed program that will hopefully positively change the lives of group home residents. 24 Chapter 3 METHODOLOGY Group home life is complex. Residents not only are missing out on having a “normal” life but they are thrown into a world that inhibits their development. The integrative propositional life span framework is extremely useful when explaining how the stages foster youth go through can affect their overall development. Using different theories to explain different stages of a child’s life can explain how each stage leads to lifelong developmental challenges. With the many issues foster youth face it’s easy to see how some type of deviancy and/or poverty is likely. From early maltreatment, to negative peer influences and general strain, these youth are in for a long, hard life that more than likely consist of some type of deviance (Akers and Sellers 2009). This study will contribute to the existing research by tapping into true accounts of life in a group home. The researcher will explore possible ways to meet the needs of group home residents and benefit currently running institutions. Developing a better-informed program that accurately meets the children’s needs could also give them a step up in society and hopefully better prepare them for life after foster care. Location Participants for this study were recruited from a group home in Sacramento County. This group home will be known as Hope’s Place for the remainder of the paper in order to maintain confidentiality. Only one group home was chosen for this research for several reasons. First, due to budgetary cuts within the state, in particular county programs for foster youth, many group homes in the Sacramento area have closed. 25 Second, out of the few that are open the researcher was unable to use current employment because it is considered a conflict of interest. Third, group homes are extremely difficult to penetrate due to confidentiality. In order to gain access to Hope’s Place, the researcher had to be recommended by an associate of the director. This meant the researcher had to create a working relationship with the associate in order to be trusted and referred to the director of Hope’s Place. Thus, because of my ties in the community this is a purposive sample. A purposive sample will acknowledge the researchers prior experience and special understanding of this group (Berg 2007). A presentation was given to the board of directors at Hope’s Place in order to gain their consent to study their clients. The presentation included the overall objectives of the study, detailed analysis on how the data will be collected, and the contributions the findings will have for Hope’s Place. Hope’s Place supplied the researcher with each child’s social worker and parental contact information, including phone numbers, physical addresses, and email addresses. Hope’s Place is a level 12 facility, which means they offer 24-hour care, mental health services and social work activities. At a level 12 facility there is a ratio of four residents for every one staff. Level 12s are considered hands-on facilities, which means that if children are harming themselves or someone else staff are required to restrain them in order to maintain safety. Hope’s Place residents are ethnically diverse and a majority of them come from Sacramento and surrounding counties. Hope’s Place has several individual homes, but this researcher will be studying two homes that each house a maximum of six female residents ages 12-18 years. The homes are spread throughout the 26 Sacramento area. Hope’s Place has a school on the property of each individual home, ranging from one-room converted garages to separate buildings in the backyard that resembles “in-law quarters.” A teacher comes to the house each day and the residents go to the classroom and begin their daily instruction. The school was the location for all interviews. The overall home looks very similar to an average multi-family home. There are three bedrooms housing up to two residents each as well as two bathrooms. a family room, a dining room, and a kitchen. The home has colorful posters on the walls meant to remind residents of their individual and house goals. Previous experience working in a group home environment gave the researcher a better understanding of the children involved along with the structure of the programs at Hope’s Place. Hope’s Place’s program is designed to meet the emotional, psychological, psychiatric, and educational needs of its residents. Hope’s Place uses a point system that emphasizes behavioral modification. The colors purple, red, orange, yellow, blue, and green are used to represent a resident’s current level of behavior, her responsibilities, and her privileges. Residents can earn points for showing positive and appropriate behavior. Hope’s Place is a positively-based program whereby good behavior is rewarded by points and negative behavior is penalized. Residents can earn a maximum of 40 points per day, and each level advancement is a different point value. As an example, to be on blue level a resident must maintain a weekly point value of 238 points (average of 34 points per day). If points are not met per day and/or week, the level is dropped. The higher the level, the more freedom and incentives a resident gets. 27 Participants Each resident participant had permission from their social worker and/or legal guardian in order to participate in the interview and focus group. All residents’ social workers were contacted prior to the resident being asked to participate. After their social worker signed the consent form, the legal guardians were then contacted and asked for approval if parental rights were still in place (See Appendix A). If both parties accepted the terms of participation the child was then contacted. All resident participants were between 12-18 years old and have been a resident at Hope’s Place for over two weeks. The first two weeks of placement are considered a “welcome phase”. During this phase residents are watched especially closely for out-ofnorm behaviors and aren’t allowed to leave the grounds for outings or special events. Each resident participant was asked to sign an assent form stating that their participation was completely voluntary and that they were allowed to withdraw from the study at any time (See Appendix A.). All residents had the same opportunity to participate, but only those getting the necessary approval were allowed to do so. Prior authorization was needed from social workers and parents (if applicable) before any form of contact was made with the resident. Once approval was given from necessary parties, the assent form was then given to the resident for her approval. Even if a child was 18 years of age, they still had to have consent forms from the social worker, because they are still considered wards of the state if they reside in foster care and/or a group home. Staff participants were chosen by house managers based on staff scheduling and availability. The only requirement for staff participants was that they had at least six 28 months of employment at the facility. Staff members who were interviewed were required to sign a consent form (See Appendix A.). Data Collection Developing a Relationship. While the researcher did not take any field notes during this step, it’s important to note that the director of Hope’s Place asked me to come to the group home for two days prior to the start of resident interviews. Field notes were not taken because the purpose of this research is to find what the interrelationships are like between residents, staff and the environment from the perspective of the residents. The director felt that the residents would open up more and answer questions more honestly if some degree of rapport had been developed. The researcher visited each house for one to two days (pending house availability) and participated with girls during their daily activities. The staff introduced me as a student who is working on a project to make group homes better using information gathered from residents. Interviews. The interview section for residents occurred first while the interviews of staff took place after all resident interviews and focus groups had concluded. The interviews for both residents and staff were semi-structured, meaning that the same questions were asked to each child and staff with the researcher being allowed to ask clarifying questions and ask for further elaboration on a particular response (Berg 2007). The questions asked to residents in the interviews centered on the residents’ experiences with other residents (i.e. trusting each other, feeling peer pressure, getting into arguments, and following rules), experiences with staff, and feelings about the environment (See Appendix B.). Questions in the focus group centered on group activities and social 29 interactions between residents. (See Appendix C.) The questions asked to staff focused on staffs’ perception of residents’ interrelationships, their experiences as a staff, and their feelings about the overall program and environment. (See Appendix D) Conducting interviews gave the researcher an opportunity to focus on one subject at a time and give undivided attention to each participant. Each interview lasted less than one hour. Prior to each individual interview the nature, purpose and goals of the study were explained to the interviewee. Resident participants were given a snack and a beverage during the interview. Staff participants were given a $5 gift card to a local coffee shop after the interview. Each interview was recorded using an audio recorder. The recordings were transcribed and destroyed as soon as possible. Each resident was given a pseudonym in order to maintain confidentiality. All interviews took place on Hope Place’s property in a private classroom within the residents’ living quarters. This created a safe environment and allowed the participants to feel comfortable. Questions weren’t intended to bring up anything that would cause emotional or psychological distress; however, the researcher offered to contact the resident’s therapist on grounds if the child felt they needed to, however, no resident asked for a therapist. All children at Hope’s Place have the same therapist on grounds, who was made aware of the project. The researcher took field notes during and after the interview to indicate any special characteristics or non-verbal nuances. Focus Group. There was one focus group in each house consisting of all residents who were involved in the interviews and who consented to participate. Staff members were not involved in a focus group due to difficulty with scheduling and ability to get all 30 staff together at same time. The goal of the focus group was to see how the residents interacted with their peers and see what additional topics arose. Previous research puts a large emphasis on peer interaction as a key component in the development of a child’s self and identity. Gramkowski et al. (2009), Dupere, Lacourse, Willms, Leventhal, and Tremblay (2008), Kools (1997), and Jahnukainen and Jarvinen (2005) all discuss how peer interaction is related to a child’s sense of self and identity and in turn the child’s expressive behaviors. The focus group was also conducted in a classroom on Hope’s Place’s property and was audio-recorded. Food and beverages were also given during the focus group. Each focus group lasted less than an hour. The researcher acted as the group facilitator, posed the questions and allowed for open discussion. (See Appendix C.) Children were again asked if they wanted to contact their therapist after the focus group, but no resident did. The researcher took field notes during and after the focus group to explain any special characteristics or non-verbal nuances. Data. The purpose of the interviews and focus group was to find out what informal structures the residents had created, the social order within the group home, and their perceptions of their interactions. The researcher examined how group home residents interact with each other, with staff members, and with their environment. Research was done prior to data collection to gain a better understanding about group home culture and the developmental process of children in group homes. Since there is little research in this field, a grounded theory approach was used for this data analysis. The grounded theory approach is done once coding is complete by generating concepts 31 through a series of steps (Berg 2007). Through open-coding the researcher searched for common themes and/or topics. Focusing mainly on the type of factors discussed in the interview and how these factors were discussed among peers in the focus group. Once open-coding is complete, the researcher systematically found key categories within the themes and/or topics. The last step was to describe the categories in terms of properties and dimensions. While the researcher was unable to take into account the individualized histories of each child, the focus is on the current living conditions, structures and social orders associated with her. 32 Chapter 4 RESULTS In order to find answers to the three main research questions, questions posed to residents and staff members were geared to find opinions and perceptions on the informal social structure, interrelationships, and program structure of group homes. Residents’ and staffs’ perceptions of the contextual features of group home life, personal accounts, and experiences led to the identification of one broad theme—life in the group home versus reality. Staff and residents made it very clear that life in the group home is different than “real life” and this difference is problematic for a number of reasons. Life In The Group Home Is Not Like “Real Life” The program: According to staff and residents, group home life is nothing like “real life.” The differences between the group home and reality leave residents confused and ultimately not ready to enter the real world when they are of age to leave. Group homes have a strict program and structure in place, unlike reality. Thus, group homes with program alone, are already at a disadvantage for not being like “real life.” Residents and staff were asked several questions about the program in place at the group home. “Program” can be defined as staffing, the level system used for rewarding positive behavior, and the implementation of consequences, rules, and expectations of residents. Both staff and residents were asked how the program and structure of the group home was affecting residents’ lives. Staff Bill stated, “I don’t think they [the residents] can really grasp the full concept of…the connection of program to real life, of what we’re 33 actually trying to teach them through what we do, and how it connects to being out there (in the “real world”). The residents gave more details on how their lives were different from what they felt the “real world” was like. Resident Danielle said, “There’s a lot of restrictions, and a lot less freedom [as compared to my home].” Resident Kelsey added, “It seems like there’s a bunch of people just always by you, always asking you questions and … we’re always here.” The main concern within the residents was the lack of privacy and the inability to have alone time within the group home’s program. Resident Colleen explains in more depth, “You can’t [escape] supervision unless … you’re taking a shower. That’s the only time you’re not being seen.” Supervision can be defined as being watched by a staff member. The only time residents are allowed to be out of supervision is when they are in the bathroom, but they still have to ask to enter bathroom and they only get an allotted amount of time. In the focus group one of the residents stated, “I feel like it’s … not human, like you’re [being] brainwashed. When I [visit] home I’ll, like, ask my parents, ‘Can I pass?,’ and they’ll [respond], ‘What are you talking about?’” All residents agreed and nodded their heads and a couple said in unison, “I’ve done that too.” To pass means that the residents have to ask permission to pass into a room. An example request might be: “May I pass into the kitchen?” This allows staff to know where residents are all the time. A resident must ask to pass any time they enter a room, move to another room, or go in the hallway. Asking to pass is not “real life” but it becomes a part of them and ultimately comes out when the residents are in “real life.” 34 A second reason why group homes have difficulty making it more “real life” is that they can’t efficiently run without a system in place. At Hope’s Place they use the level system. In a level system, positive behavior is rewarded and negative behavior is penalized by deducting points and, ultimately, levels. Both staff and residents were asked about their opinions on the level system. There were some concerns across the board. Staff Bill stated that, if he could change anything, he would make it, “entirely more educational and entirely more therapeutic.” Staff Robert believes that the level system should, “Give them [the residents] a little more responsibility to trust [the residents] a little more. It’s just letting them learn [and] figure it out at the same time.” Staff Robert and Staff Bill explained how the program needs to prepare residents better through education, therapy, and responsibility for real life. Anglin proposes that it is within the realm of possibility that group homes can at least approximate real life: While a group home is not a “normal” or “natural” living environment for children in general, it is within the ability of a group home setting to offer young people “transitional” and “approximating” experiences that will act as a bridges back into full participation in “normal” and “natural” family and community life (2002:124). Residents of Hope’s Place, however, did not feel the level system, as currently structured, was close enough to “normal life” to be beneficial to them in the way Anglin envisions. Resident Cathy stated, “I just felt like I was doing my hardest and doing everything I can, but still didn’t get the privileges that everybody else got.” Resident Colleen explains more specifically: 35 We have to earn at least 32 points a day. But when we do something wrong they take two points, not just one, it’s two points. I feel like there is not enough points in the day. We don’t need that much pressure, especially because we’re trying to deal with stuff in therapy. Say you, like have a really, really bad morning, [and] you lose, like, all your [possible] points. So that whole day is basically screwed. Because all you can earn at most is 30 [points]. Resident Colleen further explains that, when earning the highest level, there should be more “opportunity to go out with our friends and stuff. It’s frickin’ like jail. Maybe we could do something outside of the group, like maybe go to a program where we interact with other kids, or other kids from group homes.” Resident Colleen was very spirited when discussing this. She was quite concerned with her lack of freedom and the feeling of never being good enough to make points. Resident Colleen confirmed that she felt very institutionalized. Overall, resident and staff respondents seemed to like the general idea of the level program that is in place. They would implement small changes to make the program more efficient and more “real life.” In the focus group, resident respondents agreed on a number of things that they would like to see changed. The strongest point residents mentioned was that if they have a bad morning, their entire day was a waste because of the high number of points lost and their subsequent inability to make their level. They stated that they want to have incentives to get back on track for the rest of the day if they have a bad morning, such as earning bonus points for doing something special. They also 36 mentioned having the day broken up. This way there would be an incentive to stay on track for the remainder of the day if they had a bad morning. Resident Colleen was extremely animated on the topic of program. She went as far as to discuss her ideal program and how she would like it to be more “real life.” Resident Colleen explains that she would like to see a “program where we interact with other kids … [and] people outside of the group home.” Resident Colleen’s ideal program would compare to what Ryan et al. (2008) explained about developing “healthy” peer relations. Surrounding a resident with healthy peers allows her to feel like a healthy person. Resident Colleen continues, “Kids don’t … usually, like, have to worry about all these rules. It’s like frickin’ jail … [but without] TV.” All residents had concerns about the lack of “real life” the group home offered. Staff felt that the program offered “real life” instruction but that the residents had a difficult time making the connection. The concern is that group homes are not “real life,” but more importantly, group homes are not preparing the residents for “real life.” Resident Colleen felt like the group home resembles prison more than “real life.” The pecking order: The similarities between jail and the group home noted by the residents are evident yet again when comparing the social order established by the residents in the group home of the prisoners found in Bottoms (1999) work. Just like in prison there is social order in a group homes. Social order can be defined as the fictional hierarchy in place created by the residents. Residents tend to construct a social “pecking order” in group homes. Certain residents have characteristics that place them as the leader of the house. Staff Donna explains, “Typically a house does find a boss. Rarely you get a 37 positive boss. For some reason the bosses typically tends to be a little toxic.” She continues, “Either it’s [that] they’re the more visibly, like physically bigger person. Or they’ve been there the longest, or they’re the oldest.” Staff Robert agrees and adds, “Sometimes it’s just being flat out rude to people and other girls might fear that, feel some kind of fear, and then just follow that person.” Staff Bill expounds, “It’s whoever is throwing the biggest hissy fit and has the biggest attitude.” Violence or the threat of violence can be a key element in maintaining one’s power within the pecking order of the group home. It’s also a powerful tool when a resident feels her position has been usurped by a peer and she wishes to reassert her dominance. This is identical to Bottoms’ (1999) findings regarding the use of violence by prisoners to establish dominance over other prisoners.. When asked about the existence of a boss in the group home, four out of six residents were quick to say they were the “boss.” The other two were timid to disclose whom they felt was the boss for fear of retaliation from them. Resident Colleen however gave a detailed description of a boss and what makes a good one in her opinion, “I would say [the boss] probably me. They’re going to want to… get physical, and you don’t just… start saying stuff, and then expect…to have staff come rescue you before it gets violent. You’re supposed to be ready. If you’re going to say that, then be ready to act then.” Resident Colleen was explaining how a boss is someone who will talk negatively but can back it up physically if needed. She was comparing herself to a fellow housemate who believed she was the boss too. Resident Colleen explained that she was more of a boss because she backs up her words with action if need be and won’t hide behind a staff 38 member for safety. Every group home has a “boss” that will keep her title in spite of the physical aggression needed to maintain it. The pecking order can create unhealthy interactions between residents. As Kools (1997) explains, peer interaction for foster youth can create stigmatized self-identity, which leads to low self-confidence and lack of future orientation. If a resident learns within the group home that they must obey the “boss,” she will be confused when she enters the “real world.” Upon entering the “real world,” residents will be unable to develop healthy relationships, will have difficulty standing up to bullies, and will succumb to individuals with power. This low selfconfidence and confusion upon entering the “real world” can lead to future victimization (Courtney et al. 2001). Similar to how social order is created among the residents is how peer influences affect residents. A resident’s social placement in the fictional hierarchy can give her more power to pressure and influence her peers. When questioned about peer pressure residents were quick to say peers don’t pressure them. But when probing questions were asked, residents would admit to succumbing to the pressure from their peers to go “off program.” (Off program means that a resident breaks a rule that results in being dropped to the lowest level. In other words, she is not following the program.) Residents stated that often the older or more physically intimidating girls have the most say in what goes on in the house. Resident Colleen summed up her opinion of peer influence as follows: “Believe it or not, when you’re here, and you live with [other residents] 24/7, [and] you do everything with them, it affects [you]. … You start getting their behaviors on top of the things that you’re trying to work on.” This comes back to “real life” versus group 39 home life. In real life there are breaks from peers, there are times of privacy, but this is not the case in a group home. Twenty-four hours a day, seven days a week these residents are surrounded by their peers. The group home is in most regards a “total institution.” Bottoms explains, “Prisons are, in common with other organizations such as boarding schools, mental hospitals, barracks, monasteries, and total institutions. That is to say, in such institutions people (residents) regularly sleep, eat, work, and play on the same premises in a process that might be described as ‘batch living’” (1999:207). Such “batch living” can be particularly detrimental when co-residents are troubled or exhibit negative behaviors. Staff Donna said, “A big part of it is like these girls have extremely low self-esteem, so peer pressure is very easily done. You can have some great one-on-one clients who are great by themselves, and work really great one-on-one with staff, but if they get around that certain peer, suddenly they are a terror.” Staff Robert stated, “They all come from different walks of life, different backgrounds. I’ve seen a girl that hasn’t really been diverse with nationalities, so coming here, you know, everybody’s, you know, mixed, so the way she had to talk and act changed.” Peer influence seems to have a negative impact on residents in group home life. Resident Colleen insightfully shared that she believes assimilating to the group home culture has a negative effect on the individual. This insight is reinforced by Bottoms (1999) who found that in order to fit in and ultimately survive, prisoners must assimilate to the prison culture. Group home residents do the same thing—assimilate in order to get through. The group home removes their “real life” 40 understanding and “real life” behaviors and replaces them with the culture of the group home. After interviewing residents, it became clear that residents are well aware of the impact their peers and staff have on them, but there is little they can do about it. Akers and Sellers (2009) explained that social learning theory shows how people learn through their interactions with others. When a resident is constantly surrounded by peers with various negative behaviors, the resident may take on some of these behaviors to fit in. In particular to be accepted by the “boss,” the resident must assimilate to the group home culture. This is problematic because when the resident is ready to enter the “real world” she will have to abandon her learned group home identity and try to assimilate back into “normal” society. If this transition does not happen quickly and efficiently it will leave the resident ill-equipped to survive in society. This could be why the majority of former group home residents end up incarcerated (ChildHelp.org 2010). Emotional Attachment Is A Part Of “Real Life” Residents’ needs: Emotional attachments to others provide important social supports in “real life.” In “real life” most children get this emotional attachment from a parent. Akers and Sellers (2009) define attachment as the affection towards others, the admiration towards them, and the fact that a person identifies with them. A group home resident is stripped from her family and the emotional attachment the family gives her. Residents instead are placed in a facility where they are surrounded by staff and other residents and therefore attempt to form emotional attachments to them. Bottoms (1999) investigated the social interrelationships between inmates, guards, and the environment 41 and how it affected the individual inmate. In Bottoms’ analysis he explained that these interrelationships within prison play an integral part in a prisoner’s social development and, after being released, how they function in the outside world. Bottoms’ description of these interrelationships closely mirrored to the interrelationships in a group home which both residents and staff characterized as different from those in “real life.” The key issues that appear to reduce opportunities for healthy, emotional attachments are: 1) that many peers are more likely to form unhealthy attachments due to past traumas or emotional and psychological difficulties, and 2) that staff members are in a professional position that requires a certain amount of emotional distance from residents. Staff specifically cited the difficulty of striving for a “family atmosphere” while also maintaining appropriate boundaries. When discussing this issue, three out of four staff stated that residents have struggled with boundaries and they have had to remind residents that they are staff and not family. Staff Donna says, “Every once in a while [residents will] kind of like bring up that I’m a sister or something like that, and I definitely take steps to … squash that style of thinking.” Staff Carol stated that since she is a mom, she has a mothering nature about her and thus the residents see her as a mother figure. However, she does not allow them to call her “Mom.” It seems that this “squashing” of family thinking at Hope’s Place is contrary to Anglin’s (2002) proposal that the ideal group home would have a “family feel.” This is problematic because residents are not only missing out on having a normal family but they are being deprived of any feelings that a family would offer them. 42 Residents are well aware of this important element missing from their lives. Residents stated that they wanted to be closer with staff but they would get in trouble for having poor boundaries. Resident Colleen explains that group home life is difficult not just because of all the rules, but because the residents are missing out on a crucial part of ‘real life’. Resident Colleen stated, You want to hug them [the staff], or sometimes you just want to say, hey, you know, I like you [as a friend]. You have to see them like staff. Where do you get your, like that, caring feeling when you need it?... I have a family, but I can’t imagine [where] other people [get it]. Like, there’s one girl, she doesn’t have any family, so where does she get her, you know, care from? Resident Colleen’s explanation was showing how there is no one there to give the love “normal” children get from their families. She was quite concerned about where this “love” is supposed to come from because it’s not coming from staff due to the boundary issues. Leathers (2006) explained emotional involvement and how a resident needs to have emotionally involved caregivers in order to develop good behavior and coping skills. Leathers (2006) explained that the more emotionally involved caregivers are the fewer behavioral issues a child has. So, when a resident has no caregiver who is emotionally involved the child is missing out on an essential tool for coping with extreme behaviors. Three out of six residents stated that there was no relationship with the staff except for a resident to staff coexistence. The other three residents stated their 43 relationships with staff were similar to a friendship. Mention was made in the focus group that since the residents don’t live with their families, they want to be able to get closer with staff. However, they get in trouble if they do. So, residents are not only missing out on a family, or the feeling of family, but are receiving negative feedback for trying to fill the family void with staff. Residents discussed that since they can’t get close with staff, they often find solace with other residents. Residents used the term “sisters” for their best friends in the group home and this term was considered one of high regard. According to the residents, there is a sense of responsibility between “sisters” and they protect each other in times of trouble. The term “friend” was used when residents were discussing a person with whom they had fun and felt a sense of trust. The term “acquaintance” was used for girls who could not be trusted or with whom the resident often argued. “Acquaintance” was essentially a euphemism for someone who is disliked, yet still worthy of certain respect. The creation of sister-like bonds in the group home is yet another point of departure from a “real life” family. This is problematic because group homes are not permanent placements. If a “sister” leaves, it can bring up issues of abandonment for the resident who is staying. When talking with the residents, there was a sense that group home residents wanted a “family feel” to their home. They wanted to be closer with staff and often wanted other residents to be considered siblings. Residents attempted to construct a family to replace the one they lacked, however the structural constraints of the group home setting make this particularly difficult. . 44 Not only are residents stripped of “family” experiences, but, according to the residents, they are also stripped of a childhood. In the focus group, the girls said the staff members treat them like adults, even though they are kids. One of the residents in the focus group stated, “We’re on our way to [adulthood], but we’re not adults. Even adults don’t have to deal with this, and this is a lot. I mean, we’re still kids.” All residents in the focus group nodded in acceptance of this statement. An emphasis in the focus group was being a kid and wanting to experience being a kid. This again is challenging for the residents who feel like they are required to be adults even though they have been deprived a family (or family environment) and coping skills to move into such a role. The staff dilemma: Anglin (2002) related that the ideal group home would not have emotional baggage brought in by staff. Staff should and need to keep their personal lives out and be able to maintain a healthy environment for residents. When asked whom the residents trusted more, staff or peers, the majority of the residents stated they trusted their peers more. This is perplexing, because residents are well aware that their peers reside in a group home for emotional and psychological issues. It would seem logical to have more trust in staff than in a peer with severe instability. Resident Kelsey stated, “The staff, they’ll write it in the communication log and then they’ll go to Franklin (the house manager) and then Franklin will make a huge deal.” The communication log is a tool used by staff to communicate between one another because they all work different shifts and are unable to verbally communicate face to face. After each shift, staff will write any important information in the communication log for incoming staff. Resident Mia said, “Well, you don’t trust nobody in here.” Resident Cathy added, “I’ll tell my 45 therapist something. …She tells all the staff, and it’s supposed to be confidential. And then eventually one of my peers from [another] house will say something to me and I’ll find out that way. I don’t like that.” The girls seemed extremely frustrated with the lack of confidentiality between residents and staff. Not only is there a lack of confidentiality but of professionalism as well. The focus group also brought up the girls’ perceptions that staff members seem to enjoy gossiping and talking about the residents. Thus, the residents don’t feel like they can trust the staff with anything. One of the residents stated in the focus group, “[The staff are] just trying to be nosey. They just like the drama. … They don’t talk about it [professionally], they laugh. … They make it like a joke. You want to tell one staff something, but then every other staff knows about it [from the] communication log.” The question of professionalism seemed to bring up several issues with residents. In addition to not being able to trust the staff, residents explained that there is also a huge issue with favoritism. Resident respondents reported that staff members treat each resident differently. Resident Colleen explains, “They just need to try to, you know, to level it out, balance it out, because it’s just not fair when you’re getting in trouble for something that another person doesn’t get in trouble for.” Staff didn’t believe they treated residents differently or with favoritism. They mentioned that assorted other staff treat resident different but none took the blame themselves. Staff Donna explained, “[Sometimes] if you don’t have consistency amongst the staff, meaning, like they all remain professional, it’s very easy for that cool staff to gain a lot of sway of [with] the girls, and it [creates divides]. Staff Bill reported that the number one reason residents 46 argue among themselves is because of little annoyance like, “You always get staff’s attention. Their views are that they want as much from staff as they can get, whereas all the other girls are getting in the way of it.” Staff seemed to think it was the residents’ perception of what they believe to be favoritism but it wasn’t actually favoritism. An example of this is when a staff might be giving a resident who is acting out attention to try to calm them down. Another resident might view this as favoritism but its just diffusing a situation. All staff interviewed believed they were not showing favoritism. There is difficulty finding dedicated and capable employees because of the hardships within the job. When I questioned staff about their job experiences, almost every staff complained about the physically and mentally exhausting, 14-hour weekend shift. Dealing with children with extreme behavioral issues is challenging enough to begin with but doing it for 14 straight hours is grueling. There are two different shifts a staff can choose to work, the “Front Half” or the “Back Half”. If a staff member is working “Front Half” they start their workweek with the14-hour shift. If a staff member is working a “Back Half” they end their workweek with the 14-hour shift. So, sometimes staff members have already worked 26 hours the three nights prior, or they are starting with the 14-hour day leaving them tired for the rest of their workweek. Tables 1 and 2 show an example of the scheduling for such shift. 47 Table 1 Possible “Front Half” Work Schedule for Group Home Staff Member Sunday Monday Tuesday Wednesday Thursday Friday Saturday 8am-10pm 2pm-11pm 2pm-11pm 2pm-10pm 14 hours 9 hours 9 hours OFF OFF OFF 8 hours Table 2 Possible “Back Half” Work Schedule for Group Home Staff Member Sunday Monday Tuesday Wednesday Thursday OFF OFF OFF Friday Saturday 2pm-10pm 2pm-11pm 2pm-11pm 8am-10pm 8 hours 9 hours 9 hours 14 hours Staff Robert agrees, “The Saturdays kill you, the 14-hour shifts.” Staff Carol contributes, “Definitely [better] pay and benefits would be nice.” Pay for a residential counselor is $8.75 -$10.75 per hour depending on education and experience. Staff Bill described the challenges of the job, noting that staff must have, Compassion, understanding, open-mindedness, willingness to learn. [You must be] able to hold your ground, stick to program and do your job regardless of tears, crying, whining, [or] complaining. You’ll get personally attacked here, physically attacked even, and if you don’t hold your ground that’s what makes a weak staff, and it makes the job harder, and the girls don’t respect you. 48 Staff discussed the other major issues as when one staff is over lenient and gives in too much, and how it creates challenges for the staff enforcing the rules because they are being undermined by their co-worker. This creates instability and confusion for the residents who can do something with one staff but not another. Staff Carol added that another challenge is “never taking anything personal. Always realizing that just because [residents] say something really horrible to you doesn’t mean they hate you. Actually, it can mean the opposite sometimes.” This idea was stated by all of the staff. When staff members take things personally it can be extremely draining emotionally for them. According to Miles and Stephenson (2002) residential institutions are generally run by caring adults committed to children, which ultimately creates a family environment. This is where the problem is for many staff. They care about the children and are invested in them to an extent that it is easy to take their misbehavior personally. Resident Colleen said, “Over here it just seems like [the staff are] just doing their job, even though they say we’re not doing our job.” She was attempting to explain how she feels the staff members are just there for their paychecks and not because they want to make a difference in the residents’ lives. Resident Colleen ended her statement with, “I mean, you can totally feel it.” Anglin (2002) states that it is crucial for staff to not show or feel that this is “just a job.” If this feeling becomes apparent to the child it can have life-long implications and affect the child’s development and experiences. Anglin also explains that a staff’s behavior is a moral and ethical issue. When Resident Colleen stated she felt like staff didn’t care, she was probably feeling the effects of the job on staff. Since staff work long hours for low wages, these frustrations can leak over when dealing 49 with residents. Again, herein lies the problem for staff: it’s challenging to be invested and keep good boundaries, yet not take anything personally. This is compounded by the long work hours and unfair compensation. These things are very contradictory. To be invested, one has to care. But care too much and there are boundary issues. A staff has to care and invest but they can’t take residents’ actions personally. If staff take every action done by residents personally, they will be disappointed a majority of the time. Staff members are required to work a 14-hour day in an exhausting environment and make very little money doing it. Group homes are setting their staff up for burnout and failure. In the focus group, residents seemed saddened by the staff’s unprofessional behavior. Heads were dropped during discussion, voice tones changed to be more dramatic, and a look of worry came across their faces. Staffs’ unprofessionalism is a problem for several reasons. First, the lack of professionalism by staff can remind residents of their previous maltreatment. If staff members are gossiping about a resident’s personal issues, this might remind the resident of past trauma like when a parent was teasing them or making fun of them. Secondly, if a staff is unprofessional it can make residents lose trust and respect for people of authority. Lastly, the poor behavior of staff can ultimately destroy what could have been a healthy environment for a resident. Residents want to be emotionally attached to someone, especially if they are taken away from their family. In the group home, residents connect with unhealthy peers due to the fictional hierarchy in place and the total inclusion of peers in their life. Residents then try to attach to staff, but are reprimanded for having poor boundaries and are embarrassed 50 by the unprofessionalism of staff. It seems that residents are being set up to fail because they are not being allowed to experience “real life” emotions. 51 Chapter 5 DISCUSSION The present study examined residents’ experiences within the confines of a residential institution. Residents and staff members were interviewed at a local group home. The sample is representative of youth and staff who have lived and/or worked in a group home. However, their perceptions and opinions might not reflect those who have lived and/or worked in different institutions and it is beyond the scope of this study to go to other facilities. Further research should be done to investigate life in the group home. There is very little research on this topic from a qualitative standpoint. Many studies make conclusions based on the numbers without talking to the residents living day in and day out in the group home to get their perspectives. The goal of this study was to answer three major questions from the standpoint of the residents: 1) what are the informal structures and social order within group homes and how do residents develop them? 2) What are the interrelationships between residents, staff and the environment from the perspective of the resident, and how do these interrelationships affect the residents’ development and their socialization process? And 3) Using previous research along with what the results of this study, is it possible to create a program that is successful, and what would it entail? Previous research on residential institutions shows that residents have numerous challenges to face. The findings of this study would agree. When there is a lack of structure or break in structure, residents either create their own or act out in order to fix it. As an example, when staff members don’t uphold the same expectations from resident to 52 resident, there is a backlash from residents. When a resident feels she isn’t receiving the same privileges as a peer, she gets into arguments with that peer and/or the staff in order to attempt to fix the situation. When structure fails, residents will attempt to fix the structure in any way they can, often leading to negative behaviors. These unhealthy relationships affect the residents in more ways than one. The goal of the group home is to create a family-feel. But the “family” in place at the group home is full of individuals with extreme behavioral and emotional issues. It’s almost impossible to create a healthy family with unhealthy individuals. Not only do these residents have challenges with their peer relationships, they must also deal with staff members who are unable to be emotionally involved due to expectations of professional boundaries. Anglin (2002) explains that this can have devastating results on a child’s development. A child needs to feel that the staff are invested and truly care. According to the residents at Hope’s Place, it feels that some of the staff members are just there for the paycheck. This study should not be interpreted to mean that group homes are all bad or the sole problem in the foster care system. Group homes serve a vital role in foster care and offer a relatively safe place to live during chaotic times. They offer services that these children would not be getting in an unsafe family environment or on the streets. Group homes offer medical support that can help control medication for conditions such as depression, post-traumatic stress disorder, anxiety, anger, etc. Group homes also offer therapy, which allows the children to work through their issues and move beyond their maltreatment. Group homes give connection with outside programs like Wrap Services/Therapeutic Behavioral Specialist that help children transition to lower levels of 53 care or even reunification if possible. And lastly, group homes create groups that educate the residents and teach them skills they might otherwise not have learned. Keeping this in mind, there is clearly room for improvement in the group home setting to best meet residents’ needs. From the responses of both residents and staff, some possible changes to the program at Hope’s Place emerge. Focusing on staff first, I believe hiring staff who are seeking work experience of this type in order to advance in their careers to social workers, facilitators, child advocates, etc. would be ideal. Staff would be required to have a degree in the field of sociology, psychology, social work, or other related social science field. Such a structure would also create a motivation for staff to work efficiently since they will need to keep their job for experience and would hope to receive strong recommendations for future advancement. This would also result in staff being invested in their job, which is what the residents requested. A second recommendation would be providing specific trainings and meetings for the people working with the residents. There should be weekly trainings for residential staff to educate them on the population and program goals. In addition, the entire team together should be assembled at least once a month for a professional discussion of residents’ individual needs, current issues, and future goals. Therapists, education liaisons, residential staff, and parents would ideally be involved so that everyone is on the same page. These meetings would allow the people who are continuously working with the resident to thoroughly know what the individual resident’s needs and goals are. These meetings would also allow for open discussion with team members. Residents felt that staff members were gossiping about them unprofessionally. Hopefully these open 54 discussion team meetings would limit outside gossiping among staff. Staff surround the resident a majority of the day so they should all be aware of what the child is working on in therapy, in school, and at the group home. This is important because the staff need to know what the goals of the therapist are so that the goals are being executed throughout the day and not just during the hour or two of weekly therapy sessions. This will make the resident accountable throughout the day and not just when a certain staff or team member is present. As for program, the level system seemed to be most desired by the residents interviewed. This consists of the child gaining points for appropriate behavior and meeting her daily goals. Each level requires a certain number of points, and the higher the level, the more incentives given and freedom earned. If a child acts out negatively by cursing excessively, assault residents, leaving the premises without permission, etc., they lose points and may drop a level. According to the residents, they felt the level system was clear and concise, which allowed them to know what they needed to do in order to move up levels. However, it was stated that they would like to have the day broken up into sections so that their whole day isn’t a waste if they have a bad morning. So, a new system might be to divide the day into three parts: morning, school, and evening. Residents need to achieve at least two out of three parts in order to not drop a level. If they achieve two out of three they can’t move up but they don’t drop a level for not making total points. The residents stated that they felt very institutionalized and that they wanted more of a “real life.” While it is difficult to make an institution feel less “institutional,” an 55 improvement to the program might be to allow time on the weekend for the residents to feel like a “normal child.” Residents might be allowed to go to a friend’s house, go out on a date, etc. pending the resident’s level status. Residents would perhaps also feel more empowered if community meetings were held with all residents in order to allow them to speak openly with one another and express concerns with house issues or with other residents. Community meetings could also allow residents to come up with activities they would like to do individually or as a group. Through community meetings, residents will learn to speak appropriately and to speak up about issues they feel require attention. Allowing residents to work together to come up with “real life” activities will ideally help them feel more normal and teach them to work together despite differences. This research had a very small sample size. Having ten respondents can’t give a representation of the overall population. Doing a larger scale study would be extremely useful for group homes as well as giving more validity to the findings. Indeed, using only one group home limits the study because another group home likely has different strengths and weaknesses. Group homes and foster care are interrelated so a study interviewing residents who have stepped down to a lower level of care (i.e. moving from a group home to a foster home) might also be helpful to better understand group home life and how youth are able to “make it work” or not after leaving. 56 APPENDIX A Consent Forms Assent Form For Residents You are being asked to participate in research, which will be done by Brittany Auernig, graduate student in Sociology at California State University, Sacramento. The study, Making it Work: A Qualitative Exploration of Life in a Group Home, is focused on your experiences living in the group home. The study will involve as many of the residents as agree to participate (approximately 8-10). If you agree to participate, you will be interviewed one-on-one and also participate in a focus group with your group home peers. In both the interview and the focus group, questions will be geared towards your relationships with other residents, with staff, and with the group home environment. You do not have to participate if you don’t want to. You can also choose to participate in one, but not the other. The interviews are anticipated to last from 45 minutes to an hour each, and the focus group may last from 1 to 2 hours. Some of the questions could make you feel sad or angry because they might bring up issues from past experiences or current issues you might be dealing with. You are free, however, to not answer any questions you do not wish to answer, stop the interview or leave the focus group at any time. If you experience any feelings of uneasiness (sad, stressed, mad, etc…) during the study, and want help at that time or any time after completing the research, you will be allowed to call your own personal therapist. Anything you say to me during this time will not be considered in anyway related to your 57 program. However since I am a mandated reporter, if you bring up any past or current abuse, I am still obligated by law to report it for your safety. This research will hopefully assist me in understanding how the residential program might better fit your needs. While you may not benefit personally from this research, the hope is to make you a part of the positive change within group home structure and life. The information you provide may help group home staff to better understand how the residents really feel about group home life along with what their true expectations are. In any written notes or transcripts, participants will be identified by a fake name that only the researcher will know. All research records, including these assent forms; will be stored in a locked file cabinet in the researcher’s home. No individuals will be identified in any of the reports or publications that may result from this study. Your responses from the interviews will not be included in your records at the group home. Events that are unique and might be identifiable to people involved will not be reported in detail, or details may be altered to protect individual identity. Each participant will be given a snack and beverage at both the interview and focus group. However, no other compensation will be offered. If you have any questions about this research please feel free to ask at anytime. If you have questions at a later time, you may contact Brittany Auernig by e-mail at XXXX@XXXX.com, or my faculty sponsor, Dr. Ellen Berg, at XXXX@XXXX.edu. Your participation in this research is entirely voluntary. You may decide at anytime to not participate or stop participation in this study without any consequences. 58 Your social worker (and/or parent) has already been asked if you can do this research, however if you don’t want to, no one will be upset with you. Your signature below indicates that you have read and understood this form and agree to participate in the research. ________________________________ Signature of Participant ____________________ Date _________________________________ Please print your name here I agree to have the interview audio taped. ________________________________________ Signature I do NOT agree to have the interview audio taped. ________________________________________ Signature I agree to have the focus group audio taped. ________________________________________ Signature I do NOT agree to have the focus group audio taped. ________________________________________ Signature If permission is not granted to be audiotaped the researcher will hand write notes on responses. 59 Consent Form for Social Worker You are being asked permission to have (name of resident) participate in a research study that will be conducted by Brittany Auernig, graduate student in Sociology at California State University, Sacramento. The study, titled, Making it Work: A Qualitative Exploration of Life in a Group Home, is part of my work toward a Masters Degree in Sociology. The study is focused on the residents’ experiences living in the group home. The study will involve as many of the residents as consent to participate (approximately 8-10 participants). If you agree to let (name of resident) participate, they will be interviewed one-on-one and also participate in a focus group with their group home peers. Questions will be geared towards the resident’s relationship with other residents, with staff, and the group home environment. They do not have to participate if they don’t want to. The interviews are anticipated to last from 45 minutes to an hour each, and the focus group may last from 1 to 2 hours. If you give your consent, I will fully explain the purpose of the research to (name of resident) beforehand, and ask for their consent. They will be given a consent letter similar to this one, and I will fully explain the letter before they actually decide to participate themselves. I will let them know that some of the questions could make them feel sad or angry because it might bring up issues from past experiences or current underlying problems. They are free; however, to decline to answer any questions they do not wish to answer, stop the interview or leave the focus group at any time. A copy of the interview and focus group questions are enclosed for your review. If they experience any 60 psychological uneasiness during the study, and want help at that time or any time after completing the research, they will be allowed to call their own personal therapist. I am still a mandated reporter, so if the child brings up any past or current abuse, I am still obligated by law to report it. This research will hopefully assist the researcher in creating a program that will better fit the residents’ needs. While they may not benefit personally from this research, the hope is to make them a part of the positive change within group home structure and life. The information they provide may help group home staff to better understand how the residents really feel about group home life along with what their true expectations are. In any written notes or transcripts, participants will be identified by a pseudonym that only the researcher and participant will know. All research records, including these consent forms; will be stored in a locked file cabinet in the researcher’s home. The participants’ responses from the interviews will not be included in their records at the group home. No individuals will be identified in any of the reports or publications that may result from this study. Each participant will be given a snack and beverage at both the interview and focus group. However, no other compensation will be offered. If you have questions about this research, you may contact Brittany Auernig by email at XXXX@XXXX.com or you can contact my faculty sponsor, Dr. Ellen Berg, at XXXX@XXXX.com. 61 Your signature below indicates that you have read and understand this consent form and agree to allow (name of resident) to participate in the research (pending their consent to participate as well). ________________________________ Signature of Social Worker ____________________ Date __________________________________ Please print name I agree to have the resident’s interview audio taped. ________________________________________ Signature I do NOT agree to have the resident’s interview audio taped. ________________________________________ Signature I agree to have the resident’s focus group audio taped. ________________________________________ Signature I do NOT agree to have the resident’s focus group audio taped. ________________________________________ Signature If permission is not granted to be audiotaped the researcher will hand write responses. 62 Consent Form for Parent You are being asked permission to have (name of child) participate in a research study that will be conducted by Brittany Auernig, graduate student in Sociology at California State University, Sacramento. The study, titled, Making it Work: A Qualitative Exploration of Life in a Group Home, is part of my work toward a Masters Degree in Sociology. The study is focused on the residents’ experiences living in the group home. The study will involve as many of the residents as consent to participate (approximately 8-10 participants). If you agree to let (name of child) participate, they will be interviewed one- on-one and also participate in a focus group with their group home peers. Questions will be geared towards the resident’s relationship with other residents, with staff, and the group home environment. They do not have to participate if they don’t want to. The interviews are anticipated to last from 45 minutes to an hour each, and the focus group may last from 1 to 2 hours. If you give your consent, I will fully explain the purpose of the research to (name of child) beforehand, and ask for their assent. They will be given a consent letter similar to this one, and I will fully explain the letter before they actually decide to participate themselves. I will let them know that some of the questions could make them feel sad or angry because it might bring up issues from past experiences or current underlying problems. They are free, however, to decline to answer any questions they do not wish to answer, stop the interview or leave the focus group at any time. A copy of the interview and focus group questions are enclosed for your review. If they experience any 63 psychological uneasiness during the study, and want help at that time or any time after completing the research, they will be allowed to call their own personal therapist. I am still a mandated reporter, so if the child brings up any past or current abuse, I am still obligated by law to report it. This research will hopefully assist the researcher in creating a program that will better fit the residents’ needs. While they may not benefit personally from this research, the hope is to make them a part of the positive change within group home structure and life. The information they provide may help group home staff to better understand how the residents really feel about group home life along with what their true expectations are. In any written notes or transcripts, participants will be identified by a pseudonym that only the researcher and participant will know. All research records, including these consent forms; will be stored in a locked file cabinet in the researcher’s home. The participants’ responses from the interviews will not be included in their records at the group home. No individuals will be identified in any of the reports or publications that may result from this study. Each participant will be given a snack and beverage at both the interview and focus group. However, no other compensation will be offered. If you have questions about this research, you may contact Brittany Auernig by email at XXXX@XXXX.com, or my faculty sponsor Dr. Ellen Berg at XXXX@XXXX.com. 64 Your signature below indicates that you have read and understand this consent form and agree to allow (name of child) to participate in the research (pending their consent to participate and social worker’s consent to participate as well). ________________________________ Signature of Parent/Guardian ____________________ Date __________________________________ Please print name I agree to have my child’s interview audio taped. ________________________________________ Signature I do NOT agree to have my child’s interview audio taped. ________________________________________ Signature I agree to have my child’s focus group audio taped. ________________________________________ Signature I do NOT agree to have my child’s focus group audio taped. ________________________________________ Signature If permission is not granted to be audiotaped the researcher will hand write responses. 65 Consent Form for Staff You are being asked to participate in research, which will be done by Brittany Auernig, graduate student in Sociology at California State University, Sacramento. The study, Making it Work: A Qualitative Exploration of Life in a Group Home, is focused on the residents’ experiences living in the group home. If you agree to participate, you will be interviewed one-on-one. In the interview, questions will be geared towards your perception of the relationships between residents, your relationship with the residents, and your opinion about the program and building. You do not have to participate if you don’t want to. You can also choose to participate in one, but not the other. The interview is anticipated to last from 45 minutes to an hour. I don’t foresee any feelings of uneasiness (sad, stressed, mad, etc…) during the study, however, you are free to not answer any questions you do not wish to answer, or stop the interview at any time. Everything you say will be kept completely confidential, and your participation will in no way impact your job. This research will hopefully assist me in understanding how the residential program currently works and whether there are possible ways to better fit the residents’ needs. While you may not benefit personally from this research, the hope is to make you a part of the positive change within group home structure and life. In any written notes or transcripts, participants will be identified by a fake name that only the researcher will know. All research records, including this consent form; will be stored in a locked file cabinet in the researcher’s home. No individuals will be identified in any of the reports or publications that may result from this study. Your 66 responses from the interviews will not be included in your employee file at the group home. Events that are unique and might be identifiable to people involved will not be reported in detail, or details may be altered to protect individual identity. Each participant will be given a $5 gift card to a local coffee shop. If you have any questions about this research please feel free to ask at anytime. If you have questions at a later time, you may contact Brittany Auernig by e-mail at XXXX@XXXX.com, or my faculty sponsor, Dr. Ellen Berg, at XXXX@XXXX.com. Your participation in this research is entirely voluntary. You may decide at anytime to not participate or stop participation in this study without any consequences. Your signature below indicates that you have read and understood this form and agree to participate in the research. ________________________________ Signature of Participant ____________________ Date _________________________________ Please print your name here I agree to have the interview audio taped. ________________________________________ Signature I do NOT agree to have the interview audio taped. ________________________________________ Signature If permission is not granted to be audiotaped the researcher will hand write notes on responses. 67 APPENDIX B Resident Interview Questions Relationships With Other Residents 1) How well do you get along with your housemates? 2) How would you describe your relationship with them? 3) How often do you get into physical fights and who are they normally with? 4) What things do you normally fight about? 5) In what ways do you trust your housemates? 6) Are there ways that you don’t trust your housemates? 7) What things do you argue about and why? 8) What happens if your housemates don’t do what you ask? 9) Under what circumstances do you take matters into your own hands rather than tell a staff or supervisor? 10) Have you ever felt pressured by peers to do things you wouldn’t normally do? 11) Who would you say is the boss of the cottage and why? 12) Who do you go to for advice and why? (Staff or other residents) Relationships With Staff 1) What are your relationships like with the staff? 2) What qualities and characteristics do you think a good staff has? 3) What kinds of things do you like doing with staff at the group home? 4) Describe what type of things staff do to make you mad? 5) When and what do staff do to calm you down? 68 6) Who do you trust more, the staff or the other residents? Why? Overall program and physical space 1) How is this living situation different from other places you’ve lived? 2) What do you think about the program that’s in place here? 3) What do you think about the rules of the group home? What would you change and why? 4) What does this building remind you of? 5) What would you change about the building? 6) What would you change about your current living conditions? 7) Would you rather play outside on grounds or off grounds? 69 APPENDIX C Focus Group Questions 1) What are your favorite things to do together? 2) What happens if you or a housemate breaks a rule, like going AWOL? 3) What kind of things do you talk about with your peers? 4) Are there rules/consequences that you have created on your own or were already in place when you got here? If so, what are they and how did you become aware of them? 70 APPENDIX D Staff Interview Questions Perceived Relationships Between Residents 1) How would you say the residents get along with each other? 2) How would you describe their relationships with one another? 3) What things do you think residents argue about most and why? 4) What happens if your housemates don’t do what you ask? 5) Do you think residents feel pressured by peers to do things they wouldn’t normally do? 6) Do you think there is one resident who would be considered the boss of the cottage and why do you think they are? 7) Who do you think residents go to for advice and why? (Staff or other residents) Relationships With Staff 1) What are your relationships like with the residents? 2) How do you think they perceive your relationship? 3) What qualities and characteristics do you think a good staff has? 4) What activities do you do with the kids? 5) Do you know what certain things make kids mad? Do you ever purposefully “blow them out” and for what reason? 6) When and what do you do to calm residents down? 7) Who would you say the residents trust more, the staff or the other residents? Why? Overall Program and Physical Space 1) Have you worked at other group homes? How does this one compare? 71 2) What do you think about the program that’s in place here? 3) What do you think about the rules of the group home? What would you change and why? 4) What does this building remind you of? 5) What would you change about the building? 6) What would you change about your current working conditions? 7) How often do you go off grounds with residents? What activities do you normally do with them? 8) How do you think the residents understand the program? Do you think they no what their individual goals are and the time frame in achieving them? 72 APPENDIX E Human Subjects Approval Protocol Number 09-10-114 Request for Review by the Sacramento State Committee for the Protection of Human Subjects (Revised 09/2009) Submit 11 copies of this form and any attachments to the Office of Research Administration, Hornet Bookstore, Suite 3400, mail code 6111. Please type your responses or use a word processor. Handwritten forms will be returned without review. Project Title: ______Making it Work: A look into group home life_____________ Funding Agency (if any): ______________________________________________ Name(s) and affiliation(s) of Researchers: ____Brittany Auernig_______________ Mailing address (or Department and campus mail code): _XXXX., Sacramento CA XXXXX___ ___916-XXX-XXXX __XXXX@XXXX.com____ ____May 1, 2010________ Telephone and e-mail address for researcher Anticipated starting date ______Dr. Ellen Berg__ Name of faculty sponsor (for student research) 1. __XXXX@XXXX.com_ E-mail address of sponsor Who will participate in this research as subjects (e.g., how many people, from what source, using what criteria for inclusion or exclusion)? How will you recruit their participation (e.g., what inducements, if any, will be offered)? How will you avoid any conflict of interest as a researcher? Participants for this study will be female residents ages 12-18 from a residential institution (group home) in Sacramento, CA. This residential institution has two separate homes that can each hold a maximum of 6 residents, however there are typically 4-5 girls in each home. The average stay is 6 months, but can be up to several years. The researcher wants residents to be aware of the customs and the norms of the group home 73 before interviewing them, so any of the 8-10 residents living there longer than two weeks are eligible for participation, if the resident, county social worker, and/or parent/guardian give consent. The researcher will obtain consent from the county social worker and parent (if required) first (process described in question #2 below). The researcher will be introduced to the residents by the director or lead staff during a normal and typical cottage meeting. The director has requested that prior to the interviews the researcher comes for two days for a couple of hours after school to “hangout” with the girls. The director feels that the girls need to get to know the researcher so that they will feel more comfortable answering questions. The researcher will introduce herself and explain that the researcher will be conducting a project about life in a group home. Researcher at this point will express that this is voluntary and there will not be any ramifications whatsoever on their program if they choose not to participate. The researcher will also state that there is no benefit or punishment of any kind for participation. In the next few weeks following the cottage meeting, the researcher will meet with each youth (for whom consent was obtained from social worker/parent) individually and privately to set up a time to do the interview. The interview will be done in a classroom at the school were all the residents attend. The researcher will again explain the purpose, procedures, and importance of confidentiality. Snacks and drinks will be offered during both interviews and the focus group, but there is no other compensation for this project. The researcher does not anticipate any conflict of interest, because the researcher does not work at this particular group home. The researcher will explain to participants that all aspects of the research will be conducted on the researcher’s personal time, and that she is not to be considered a staff. However, since the researcher is a mandated reporter, if the youth does bring up any past or current abuse, the researcher is still obligated by law to report it for the youths’ safety. 2. How will informed consent be obtained from the subjects? Attach a copy of the consent form you will use. If a signed written consent will not be obtained, explain what you will do instead and why. Approval has already been given to the researcher by the Program Director at the group home. A draft of the letter of approval is attached as Appendix D. The signed letter can be obtained and submitted to the HSC once conditional approval is given of its contents. To obtain permission for each individual resident to participate, the researcher will fax the consent form to the residents’ county social worker and have them fax signed form back. Each youth’s social worker and parent(s) have different legal rights, so the researcher will first consult with the youth’s county social worker to determine who has authority to approve participation. In cases where parents retain rights, or even partial rights, the researcher will arrange to meet with each youth’s parent(s) and verbally explain project and have them sign the consent form. Parents typically visit their daughters, so a face-to-face meeting to explain the consent form will be possible. It will be stressed to parents that their child’s participation is entirely voluntary. All consent forms for parents and social workers will have the interview/focus group questions 74 attached to them. If all required parties agree, the researcher will talk to the residents as a group, and explain the project. The researcher will sit down privately before the actual interview with the resident and go over the consent form and answer any questions they might have. Researcher will stress that participation is voluntary, which means residents can stop at any time during either the interview or focus group. [Copies of all consent forms are attached as Appendix C]. 3. How will the subjects’ rights to privacy and safety be protected? Pseudonyms will be given to each participant to keep their identity unknown, for use on any written records or transcripts. The researcher will keep all research materials locked in a filing cabinet in researcher’s home. Audio tapes will be immediately destroyed upon transcription, and kept no longer than 1 year. Researcher has been trained in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which provides federal protections for personal health. Researcher will use the standards of HIPAA for all information shared by the participants to ensure privacy. With the participants themselves, the researcher will stress that confidentiality be kept to avoid any harm or embarrassment. Especially in the focus group, the researcher will emphasize the importance of confidentiality, and will remind the girls that they aren’t supposed to talk about what is discussed in the focus group with anyone. The focus group questions have been developed to focus on more general topics, and the questions where participants might refer to specific incidents involving other residents are confined to the individual interviews (See appendices A and B for interview and focus group questions).. If any resident experiences any emotional discomfort, the residents’ personal therapist is on grounds and will be made aware of this research study and can talk with the child if needed. Researcher will only use material gained from this research for academic purposes. Individual-level data will not be shared with anyone under any circumstances. No identifying information will be included in the final report. 4. Summarize the study’s purpose, design, and procedures. This research is being done as an essential part to the researcher’s master thesis. Using Anthony Bottoms’ work on prison culture as a framework, this case study will analyze group home culture. The research will focus on the informal structures within group homes and the relationships between resident and resident, resident to staff and resident to environment. The researcher will use one-on-one interviews and one focus group. Interviews will be done individually in a private classroom on grounds at the group home. Interviews can last up to two hours but will average about 45 minutes. The focus group will also be done in a private classroom and will consist of all participants who consent to participate. The focus group is projected to last anywhere from 1-2 hours. The researcher will lead the discussion with questions for both interviews and the focus group. Interviews, both individual and focus group, will be recorded on an audio recorder and transcribed as soon as possible then destroyed (this will occur within one year’s time at the longest). Qualitative analysis of transcripts will be conducted. 75 5. Describe the content of any tests, questionnaires, interviews, etc. in the research. Attach copies of the questions. What risk of discomfort or harm, if any, is involved in their use? The questions asked in the interviews center on the residents’ experiences with other residents (trusting each other, feeling peer pressure, arguments, and following rules), experiences with staff, and feelings about the environment (please see Appendix A for a complete list of interview questions). The questions in the focus group will primarily focus on the day-to-day topics of conversation, rules that the residents have developed on their own and how they become aware of pre-existing norms and rules (See Appendix B). In assessing risk of harm or discomfort, it is important to take into account that the topics specifically selected for the focus group are typical of the normal conversations in a group home environment. The residents even discuss far more personal and sensitive issues on a daily basis. The researcher realizes however, that the interview or focus group environment is out of the ordinary, and the audio recorder may cause a minimal level of discomfort and may put an added level of stress on the participants. Since the researcher has been working with this type of population for over a year, researcher has a good understanding of the group homes’ normal behaviors and behaviors when residents are in distress. Although it is not anticipated that any serious discomfort will occur, the researcher will remind the participants that if they do feel at all distressed, they are able to discontinue participation and can meet with the on-site therapist if needed. 6. Describe any physical procedures in the research. What risk of discomfort or harm, if any, is involved in their use? There are no physical procedures in this research. 7. Describe any equipment or instruments and any drugs or pharmaceuticals that will be used in the research. What risk of discomfort or harm, if any, is involved in their use? (The committee will seek review and recommendation from a qualified oncampus medical professional for the use of any drugs or pharmaceuticals.) No equipment, drugs, or pharmaceuticals will be used in this research. 8. Taking all aspects of this research into consideration, do you consider the study to be “exempt,” “no risk,” “minimal risk,” or “at risk?” Explain why. This research is assessed to be “at risk” because the youth are minors (ages 12-18). Also, as stated in the CSUS policy handbook, under Social and Economic Harm, “some invasions of privacy or breaches of confidentiality could result in embarrassment or harm to a participant’s reputation within his or her business or social group, a loss of 76 employment, or criminal prosecution.” There is a slight chance that a participant might divulge something in the focus group that would harm her reputation, however, again the topics to be discussed are quite typical for the group home environment. The remote possibility that youth might divulge their own victimization, either child abuse, or other criminal act done to them, also warrants the “at risk” determination. Since the researcher is a mandated reporter, she has the obligation (by law) to report any child abuse. This is made clear in the consent form and will be stressed prior to the interviews and focus group. It is understood that “for protocols approved as “at risk”, the researcher is required to file a quarterly report with the committee that describes the recruiting of subjects, progress on the research, interactions with the sponsor, and any adverse occurrences or changes in approved procedures. In addition, the committee reserves the right to monitor “at risk” research as it deems appropriate.” ________________________________ Signature of Researcher ____________________ Date ________________________________ Signature of Faculty Sponsor (for student research) ____________________ Date Signature of your department or division chair confirms that he or she has had an opportunity to see your human subjects application. ________________________________ Signature of Department/Division Chair ____________________ Date Questions about the application procedures for human subjects approval may be directed to the Office of Research Administration, (916) 278-7565, or to any member of the committee. Questions about how to minimize risks should be directed to a committee member. Applicants are encouraged to contact a committee member whose professional field most closely corresponds to that of the researcher. See www.csus.edu/research/humansubjects/ for a list of committee members and the current year’s due dates for submitting an application. 77 REFERENCES Ackerman, John and Mary Dozier. 2005. “The Influence of Foster Parent Investment on Children’s Representations of Self and Attachment Figures.” Applied Developmental Psychology. 26: 507-520 Adams, Mike, Craig Robertson, Phyllis Gray-Ray, and Melvin Ray. 2003. “Labeling and Delinquency.” Adolescence. 38(149):171-187 Administration of Children and Families. “Adoption and Foster Care Analysis and Reporting System (AFCARS) FY 2008 data”. (October 1, 2007 through September 30, 2008) Retrieved May 18, 2010, from (http://www.acf.hhs.gov/programs/cb/stats_research/afcars/tar/report16.htm) Akers, Ronald and Christine Sellers. 2009. Criminological Theories: Introduction, Evaluation, and Application, 5th Edition. New York, NY: Oxford University Press Anglin, James. 2002. “Developing A Sense of Normality: The Primary Goal for Residents.” Child and Youth Services. 24(1/2): 123-131 Baker, Amy and Patricio Caldron. 2004. “The Role of Group Homes in the Child Welfare Continuum of Care.” Residential Treatment For Children and Youth. 21(4): 39-58 Beidy, Thomas. 1977. “The Aggressive Characteristics of Abused and Neglected Children.” Journal of Clinical Psychology. 33(4): 1140-1145 Berg, Bruce. 2007. Qualitative Research Methods for the Social Sciences, 6th Edition. Boston, MA: Allyn and Bacon Bottoms, Anthony. 1999. “Interpersonal Violence and Social Order in Prisons.” Crime and Justice. 26:205-281 California Department Of Social Services. 2007. “Child Protective Services”. Retrieved August 16, 2010, from http://www.cdss.ca.gov/cdssweb/PG93.htm California Department Of Social Services. 2009. “Foster Care Rates Bureau and Overview of the Group Home Rate Classification Levels”. Retrieved January 21, 2011, from http://www.dss.cahwnet.gov/cfsweb/Res/pdf/overviewClassificationLvls.pdf Chalmers, Jennifer and Michael Townsend. 1990 “The Effect of Training in Social Perspective Taking on Socially Maladjusted Girls.” Child Development. 61:178190. ChildHelp.org. 2010. “National Child Abuse Statistic”. Retrieved November 3, 2010 from http://www.childhelp.org/pages/statistics 78 Cook-Cottone, Catherine and Meredith Beck. 2007. "A Model for Life-Story Work: Facilitating the Construction of Personal Narrative for Foster Children.” Child and Adolescent Mental Health. 12(4):193-195 Courtney, Mark, Irving Piliavin, Andrew Grogan-Kaylor, and Ande Nesmith. 2001. “Foster Youth Transitions to Adulthood: A Longitudinal View of Youth Leaving Care.” Child Welfare League Of America. 80(6):685-718 Cullerton-Sen, Crystal, Adam Cassidy, Dianna Murray-Close, Dante Chicchetti and Nicki Crick. 2008. “Childhood Maltreatment and the Development of Relational and Physical Aggression: The Importance of a Gender-Informed Approach.” Child Development. 79(6):1736-1751 Dupere, Veronique, Eric Lacourse, J. Douglas Willms, Tama Leventhal and Richard Tremblay. 2008. “Neighborhood Poverty and Early Transition to Sexual Activity in Young Adolescence: A Developmental Ecological Approach.” Child Development. 79(5):1463-1476 Fyhr, Gurli. 2001. “Residential Institutions Requesting Supervision: A Theoretical Analysis of an Empirically Studied Problem.” Child and Family Social Work. 6:59-66 Garbedian, Peter. 1963. “Social Roles and Processes of Socialization in the Prison Culture.” Social Problems. 11(2):139-152 Gramowski, Bridget, Susan Kools, Steven Paul, Cherrie Boyer, Erica Monasterio and Nancy Robbins. 2009. “Health Risk Behaviors of Youth in Foster Care.” Journal of Child and Adolescent Psychiatric Nursing. 22(2):77-85 Hayner, Norman, and Ellis Ash. 1940. “The Prison As a Community.” American Sociological Review. 5(4):577-583 Jahnukainen, Markku and Tero Jarvinen. 2005. “Risk Factors and Survival Routes: Social Exclusion as a Life-Historical Phenomenon.” Disability and Society. 20(6):669682 Jensen, Gary and Dorothy Jones. 1976. “Perspectives on Inmate Culture: A Study of Women in Prison.” Social Forces. 54(3):590-603 Kools, Susan. 1997. “Adolescent Identity Development in Foster Care.” Family Relations. 46(3):263-271 79 Leathers, Sonya. 2006. “Placement Disruption and Negative Placement Outcomes Among Adolescents in Long-term Foster Care: The Role of Behavior Problems.” Child Abuse and Neglect. 30:307-324 Lutfey, Karen and Jeylan Mortimer. 2003. Pp. 183-202 in Handbook of Social Psychology, edited by J. DeLainater. New York: Kluwer Academic/Plenuim Publishers. Miles, Glenn and Paul Stephenson. 2002. “Children in Residential Care and Alternative.” Tearfund. Retrieved November 11, 2011, from http://tilz.tearfund.org/webdocs/Tilz/Topics/CareENG_full%20doc(1).pdf National Survey of Child and Adolescent Well-Being. 2010. “Adolescents Involved with Child Welfare: A Transition to Adulthood”. Retrieved November 2, 2010, from http://www.acf.hhs.gov/programs/opre/abuse_neglect/nscaw/reports/adolescents_i nvolved/adolescents_involved.pdf Office of Research Administration. 2009. Policies and Procedures of the Committee for the Protection of Human Subjects California State University, Sacramento. Retrieved November 15, 2009 from http://www.csus.edu/research/humansubjects/HumSubMan.pdf Reilly, Thom. 2003. “Transition From Care: Status and Outcomes of Youth Who Age Out Of Foster Care.” Child Welfare. 82:727-746 Ryan, Joseph, Jane Marshall, Denise Herz, and Pedro Hernandez. 2008. “Juvenile Delinquency in Child Welfare: Investigating Group Home Effects.” Children and Youth Services Review. doi; 10.1016/j.childyouth.2008.02.004 Sandstrom, Kent L., Daniel Martin, and Gary Alan Fine. 2010. Pp. 111-144 in Symbols, Selves, and Social Reality. New York. Oxford University Press. Stryker, Sheldon and Kevin Vryan. 2003. “The Symbolic Interactionist Frame.” Handbook of Social Psychology. 3-28 Trickett, Penelope. 1993. “Maladaptive Development of School-Aged, Physically Abused Children: Relationships With the Child-Rearing Context.” Journal of Family Psychology. 7(1):134-147 Van der Kolk, Bessel. 2005. “Developmental Trauma Disorder.” Psychiatric Annals. 35(5):401-408 80 Zima, Bonnie, Regina Bussings, Stephanny Freeman, Xiaowei Yang, Thomas Belin, and Steven Forness. 2000. “Behavior Problems, Academic Skill Delays and School Failure Among School-Aged Children in Foster Care: Their Relationship to Placement Characteristics.” Journal of Child and Family Studies. 9(1):87-103