Biomedical subjects

John Poertner

Publications and source records attributed to John Poertner.

4 recordsLinked to original sources

PubMed2006

Inter-rater reliability of the Illinois Structured Decision Support Protocol.

OBJECTIVE: The purpose of this study was to determine the level of inter-rater reliability of the Illinois Structured Decision Support Protocol by examining the level of Child Protective Services (CPS) caseworkers' agreement regarding state interventions. The Protocol was designed to guide CPS workers to consistent decisions related to the level of state intervention in child maltreatment cases. METHOD: Forty-one workers recruited from three CPS field offices in Illinois participated in this study by assessing three cases using the Illinois Structured Decision Support Protocol. The three cases were developed based on actual cases investigated by the agency. The kappa statistic was used to calculate the level of workers' agreement. RESULTS: The result showed a weak reliability (kappa=.29). Further analysis showed that workers identified a wide range of risk factors and differing levels of intervention for each identified risk factor even among the workers who made the same final decisions. CONCLUSIONS: Decision support protocols are developed to provide systematic structures for workers' decision-making. However, this study suggested that workers demonstrated a low level of agreement on such a protocol. Several suggestions for developing more reliable computerized protocols include: more specified inquiries with criteria to assess the range of risk for a factor, consideration of interactions among risk factors, assessment of family strengths, and having the final decision made by a computerized program.

Case Management↗

PubMed2002

Reducing conflict between child welfare communities.

Conflict is inherent in child welfare practice. This article describes a collaborative project between a public child welfare agency and a school of social work (the UFOCWL) to strengthen and improve the connections between the agency and the larger community. The collaboration focused on identifying and recognizing the diverse roles and responsibilities between the various players in the child welfare system. This paper discusses the areas in which the UFOCWL addressed the conflicts between the child welfare service delivery system and the legal, domestic violence, and substance abuse communities. By facilitating understanding of the unique concerns and contributions each child welfare player brings to the table, inherent conflicts can be reduced and managed, ultimately improving the results for vulnerable children.

Child↗

PubMedDate not supplied

Judges', caseworkers', and substance abuse counselors' indicators of family reunification with substance-affected parents.

The decision to reunify children with their substance-affected parent is highly complex and requires a tremendous amount of work and change on the part of the affected parent. This exploratory study identified indicators for safe reunification of children placed in foster care due to parental substance abuse. Judges who hear juvenile cases, private agency child welfare caseworkers, and substance abuse counselors from a large midwestern state were surveyed using an instrument composed of a preliminary list of indicators identified through focus groups with these professional groups. Responses from 196 professionals who rated the importance of each item and subsequent factor analysis resulted in identification of 97 indicators. These indicators were grouped into the categories of motivation, recovery, competency, and reliability; social support; parenting skills; and legal issues. Implications of the findings for practice are discussed.

Child↗

PubMedDate not supplied

The child health and illness profile-adolescent edition: assessing well-being in group homes or institutions.

The Child Health and Illness Profile-Adolescent Edition (CHIP-AE), a new standardized instrument, was administered to 63 adolescents living in group homes or institutions. Youth reported high levels of satisfaction with their physical health, resilience and problem-solving skills, and academic achievement. Youth reported low levels of self-esteem, emotional comfort and psychosocial stability, family involvement, and work performance. They also took more risks, had more threats to achievement, and had poorer peer influences than other youth. This study demonstrates the potential usefulness of the CHIP-AE as a tool for assessing the health and well-being of youth living in group homes and institutions. Suggestions for future use of the CHIP-AE are discussed.

Adolescent↗