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Child adoption in england and finland community policy essay

This essay tries to illuminate the differences and similarities in issues related to kid adoption in England and Finland while offering an examination in to the contexts in which social workers and associated professionals have to function. While both England and Finland are claims within europe (EU), they demonstrate unique and differing methods to the adoption of kids. In Finland along with other countries in Scandinavia, child adoption and the permanent transfer of parental privileges is much less of a central a concern, or worry than currently thus in England where child adoption is presented prominently across a range of professional, political and famous discourses. In conditions of social do the job practice the involvement of kids and families, coupled with certain elements of the adoption method have been dealt with in a distinctly numerous way between the two countries. This could be viewed where in Finland adult adoptees had been allowed to gain access to records relating to their adoption or their birth father and mother far sooner than their English counterparts where this is not permissible until much later earlier through the Children Act 1975 (Triseliotis, 1973, p. 1).

According to Lowe (2000) in the late-nineteenth century attempts were designed to introduce adoption, but it had not been until 1927, after the Adoption of Kids Act 1926, that child adoption started to be legally recognised in England. Since that time many factors including; information, legislation and case laws have all had an impact, this has led to refined policy and improvements in social do the job practice. Recently media interest has illustrated social employees’ alleged shortcomings in relation to child adoption processes.

In modern times, adoption policy has been influenced by several socio-cultural and political elements. During the Conservative government of the 1990s politicians and policy makers made attempts ineffectively to restructure what had been viewed as unsatisfactory adoption methods (look at PIU, 2000, p. 31). These solutions were impaired because public workers were driven by ‘political correctness’ (Hopton, 1997). The white paper Adoption: The Future was posted In November 1993, representing a ‘prevalent sense’ method of adoption (Department of Wellness, 1993). In 1996, the DoH released a Draft Expenses with an emphasis positioned on child adoption as an alternative to single parenthood during the consultation period. The Expenses didn’t progress any further due to the General Election in May 1997. With a change in government, the then simply Primary Minister’s (Tony Blair) Review of Adoption was released in 2000 (PIU, 2000). Followed by a White colored Paper, Adoption: A FRESH Approach (Department of Overall health, 2000), which was accompanied by the publication of the Adoption and Children Costs in 2001. The Expenses failed to materialise due to the General Election in the future in the same season. It was however re-released in October 2001 and the Adoption and Children Take action received royal assent in November 2002.

The first Adoption of Children Act in Finland was in 1925, a year sooner than the English equivalent. The present Finnish Adoption Act is due to 1985 followed by yet another Adoption ruling in 1997 which dealt especially with adoption counselling and inter-country adoptions. Particular to Finnish adoption system may be the role of Save the kids formerly created in 1945 following the merging of two earlier organisations (Homes for Homeless Kids which were practicing adoption since 1922 and Save Finland’s Children, which was set up after the Second World War in an attempt to help orphaned children). This organisation is now part of the International Save the Children. Save the Children has had an influential situation as a supplier of adoption services in Finland. Furthermore to civic welfare bodies, Save the kids is still the only private kid welfare organisation in Finland licensed to provide adoption counselling (Pylkkanen 1995)

In Finland, adoptions possess dramatically changed over the last 30 years, in 1970, 243 Finnish children were adopted through ‘Conserve the Children’. Over the last few years this has decreased to less than fifty. Partly as abortion started to be more freely available following the Abortion Act of 1970; the quantity of unplanned kids born to young sole mothers fell. (Garrett, 2003 p.21). England also has seen a decrease in adoptions, (PIU, 2000, p.10) This may be related to the rise in usage of the contraceptive tablet and the acceptance of single moms. According to Lowe (2000) The greatest decline is according of babies (children under the age of 12 a few months) put up for adoption; in 1968, 12,641 infants were adopted (51% of all adoptions), but only 195 infants were adopted in 1998 (only 4% of all adoptions) According to Bennett (2009)" Only 4,637 kids were adopted in 2007, the cheapest number since 1999."

In both says, adoption is far more likely to involve children in public areas care-or ‘looked after’ children (In England under the Children Work 1989) who are aged, are child protection concerns, or contain disabilities (DoH, 1998). This is in part because of the fact that there are incredibly few ‘healthy’ babies ‘available’ for adoption. In England there happen to be approximately 60,000 kids ‘looked after’. (Division for Children, Colleges and Families (DCSF), 2007). 62% of these children were taken off, on a compulsory basis, from their family. Roughly 1% of all kids under 18 years are in foster care, with about 48% in family foster care, 40% happen to be in ‘children’s’ homes’, and the rest of the 12% in new types of family professional care and attention (Kalland & Sinkkonen, 2001). In July of this year these statistics were even worse according to options obtained by Bennett (2009) who claimed that this figure was now nearly three quarters of most adoptions, she agrees with the reasoning behind removing children form their families stating "The increase in alcohol and drug abuse among parents can be a growing element in care proceedings, with parents often being given several probabilities to break their habit before kids are removed."

It may well be argued that many of those children in long-term placements should and most likely could possibly be adopted, but this is not the overriding perspective of Finnish society, certainly the dominant check out is that of spouse and children preservation. Many contributors share the opinion that children’s needs are achieved when every effort was created to keep the family along. If foster care is necessary, it should continually be of limited period (Garrett, 2003). These opinions echo FOX HARDING CHECK WHICH PERSPECTIVE AND MENTION

Many of the Finnish kids in long-term foster attention could have been adopted if they lived in England. Evidently, foster care allows for kids to keep some contact with their birth family. Regrettably, this is not always advantageous for the kid because of the severe difficulties including both mental and behavioural of some parents (Quinton et al., 1997). The placement faces the chance of breakdown where in fact the birth parents have sufficiently dealt or recovered from their problems, and need to be a complete spouse and children with the go back of their child. This may be successful, but can also be short-lived leading to endless short-term placements. This could have an adverse impact destroying the child’s capability to form any meaningful accessories in adulthood. Adoption would provide child an chance to form a stable relationship but this might cut the connections with the birth friends and family. In Finland adoption against the can of the natural father and mother is far from the norm. Due to this fact, there are very few ‘contested’ adoptions. In line with the Finnish Adoption Work, the consent of both biological father and mother is necessary before the adoption may take place. It ought to be noted that there how to write a quote in an essay are two exceptions to this; firstly, adoption can be granted if it is thought that the adoption is certainly in the very best interests of the kid and the refusal of consent of the father and mother is not suitably justified, second of all, the parents cannot logically communicate their will because of illness

or disability, or if their whereabouts are unfamiliar. And also the mother’s consent is only accepted after she has recovered from the birth (no earlier than eight weeks). In Finland the feelings and wishes of the kid are taken into account, this is based on the age and level of maturity. If the kid is 12 or aged, their opinions should be considered.

In recent years England has progressed a amount of openness in the adoption method (DoH, 1999, Ch. 5). This is due to typically in England, the adoption of children resulted in the ‘cutting off’ of the relationship with the birth mother and birth family members. The developments in this area have been provoked through specialists whose judgment that ‘openness’ is important for the mental health insurance and ‘identity requirements of adoptees’ (Kirton, 2000, p. 108). The power for English adoptees and their spouse and children to gain access to records is relatively recent, in fact as recent as 1973 Scotland and Finland had been "the only countries under western culture where an followed person could obtain facts from official records that may help them trace their primary father and mother" Triseliotis (1973, p. 1). The move from high degrees of secrecy can be attributed to adoptees who wanted to find birth family members (Campbell et al., 1991), birth mothers as well campaigned for larger degrees of openness in adoption in England (Logan, 1996). These actions coupled with the ‘Natural Parents Support Group’, an organisation of birth moms, who lobbied the UK parliament for a open public inquiry in to the injustices which happened through the mass adoption in the 1950s and 1960s (Rickford, 2000, Fink, 2000). THE KIDS Act 1975 gave adopted people over the age of 18 years the right to apply for usage of their primary birth certificates. The latest ‘openness’ has enabled in some instances, ‘contact arrangements’ between the child and birth family following the adoption has taken place (Lowe, 2000, p. 326-329). The Adoption Action 1976 amended by the kids Act 1989, managed to get compulsory for the Registrar Basic to create an ‘Adoption Contact Register’ in an attempt to allow adopted people to contact their birth father and mother and other birth relatives. It the opinion of Hughes & Logan (1995) these measures are in part because of the increasing awareness of the value of post-adoption providers. The view in Finland even so has been far more open indeed; Save the kids has mediated between your adopted kid and biological parents because the 1960s. It should be mentioned that large proportions of adopted people in Finland still usually do not wish to seek contact with their original families, generally the ones that felt disappointment about being used inn the first example (Garrett 2003). This all means that while the recent get toward adoption being even more ‘open’ is obviously important, it must be recognised that ‘openness’ is not simple or straightforward.

Kalland et al. (2001) demonstrates mortality costs in Finland for both sexes on the ‘child welfare registry’ are excessively compared with the general population. Another Finnish study showed aggressive behaviour, delinquency and focus problems were associated with kids and adolescents in children’s homes and that children may also be at risk of sexual misuse in these homes with the individual accountable for the act often as an more mature adolescent (Hukkanen et al., 1999). What’s important though is, none of the negative instances could be entirely attributed to low quality or damaging care and attention that kids get whilst in public areas care. Numerous children arrive in these institutions already suffering from been highly traumatised in some instances due to parental addictions. In short, it is not simply the ‘looked-after’ experience which causes poor outcomes.

Whereas on the other hand concerns about the ‘poor outcomes’ of children who are ‘looked after’ (Parker et al., 1991) in England such as for example; ineffective health provision available for ‘looked after’ kids (Butler & Payne, 1997), poor degrees of educational accomplishment (Aldgate et al., 1993, Fletcher-Campbell, 1998), the bullying that takes place in ‘care’ configurations, the high pregnancy rates amongst teenagers in ‘care’ in 2007 there were 360 mothers aged 12 and over who were ‘looked after’, an increase of 15 per cent from the previous year, (Corlyn & McGuire, 1998, DCSF, 2007), the disappointingly lot of moves from ‘care and attention’ environment to ‘care’ environment (Sone, 1997), and the lack of preparation for all those ‘leaving treatment’, and poor after-care and attention support (Biehal et al. , 1995) has led to the English adoption program making wholesale reform

In July 2000 the then Primary Minister, Tony Blair published the governments ‘Review of Adoption’ which contained over 80 recommendations. Four of these recommendations focused on plans to; develop and apply a "National Adoption Sign-up", drawing up of innovative "National Standards" for local authorities to follow, the establishing of an "Adoption and Permanency Taskforce" to market best practice and task poor functionality, and conducting a "quick scrutiny" of the ‘backlog’ of children that were waiting to be followed (PIU, 2000, p.4).This is followed in December 2000, with the White colored Paper, ‘Adoption-A New Methodology’. The purpose of establishing a National Adoption Register and an Adoption and Permanency Taskforce were again lay out. A national focus on was to be placed with the purpose of increasing the number of ‘looked after’ kids adopted. Other functions highlighted in the consultation paper integrated within the program were to introduce new National Criteria for councils and adoption organizations. To enforce these standards, powers were set up ’emergency inspections’ and ‘specialized measures’ to deal with problematic service providers. Other strategies included, timescales for kids enabling a ‘sound method’ for their permanent future, this would be made within six months of their getting to be consistently ‘looked after. When your choice was produced that adoption was to take place, a ‘new family’ ought to be found within a further six months. So that they can aid adoptive parents latest plans to aid them were briefly set out. Other significant steps included: a new legislative option, called ‘special guardianship’, this would give a sense of balance for the kid, but flunk of legal separation from their birth father and mother.

Unlike England there is no National Adoption Register and there happen to be no plans to build up and put into practice one in Finland, a National Register on the other hand, could possibly help in advancing exploration and practice in a Finnish framework. Moreover an Adoption and Permanency Taskforce comparable to that of England will be welcomed by various in Finland.

Finland’s parliament nevertheless, have this season voted to give persons in same-sex couples who are registered within an official partnership the legal right to look at the naturally-born child of their partner.(Finnsson, 2009) No more plans to increase adoptions of ‘looked after’ children are planned. That is, most likely, because as suggested earlier of the dominant situation Fox Harding again which places an focus on family preservation products and services. There are extremely few Finnish holding out to be used. There are however in contrast, a huge selection of couples waiting to look at a child. There’s been some conversation in the media about the intense frustration of these couples. It may take four or five years to have a child adopted. It has raised the idea of an adoption industry which is normally fed by the kid protection system, "Regrettably, in many cases, the emphasis has transformed from the desire to provide a needy child with a home to that of featuring a needy mother or father with a kid. As a result, a complete industry has grown, creating huge amount of money of revenues each year, seeking babies for adoption and charging possible parents enormous service fees to approach paperwork."(Pragnell, 2008) Additionally it is his look at that the passions of the child are now the cause of "atrocities committed against kids and father and mother by well-meaning and well-intentioned employees of express and related agencies but whose acts are resulting in immense suffering for children."

Maternal Nutrition During Pregnancy

Maternal Nutrition During Pregnancy

Reflection on maternal nutrition during pregnancy and guidance given to a client

The goal of this assignment is to reflect on my learning experience and the time spent with a midwife in an antenatal clinic advising pregnant women on a nutritional diet for a wholesome pregnancy. As well, the reflection helped me recognise a poor aspect of my experience, and focus on the positive the main event. For this essay I will use Gibbs’ (1988) kind of reflective cycle. The style contains six phases essential to complete one routine of reflection associated with description of a meeting; my emotions and deep thoughts, analysis and evaluation of the case, study of the whole situation and overview of my experience.

My second clinical positioning was within an antenatal clinic in a medical center. On your day I worked with a authorized midwife providing nutritional information to pregnant women. In line with the Nursing and Midwifery Council (2015), so that you can protect the chosen female and her partner’s anonymity, I’ll refer to them using the pseudonyms Anne and Tom.

Anne arrived on time for her appointment with the midwife. She was a twenty-two year old lady, primigravida, nine weeks and something day pregnant. As well, Anne had a human body mass index (BMI) of 23, and her pregnancy was unplanned, but she was excited to go over her nutritional needs with us. After welcoming Anne and presenting ourselves, I acquired a verbal consent from your client to participate and discuss nutritional problems during her pregnancy.

The midwife knew me well as we had worked together almost weekly. I had some encounter managing and documenting maternal observation, but she was mindful that I had hardly ever presented nutritional information directly to a woman. Initially, the midwife suggested me to get familiar with a healthcare facility policy and procedural guidance about food and nourishment during pregnancy. A day before Anne case study template’s appointment, the midwife and I discussed the main topic of high nutritional requirements and the correct diet plan to be maintained throughout the pregnancy.

I commenced my interview with Anne by interacting in an agreeable and professional manner as a way to establish a positive attitude to her potential maternity care. After that Anne was asked some standard questions with regards to her food preferences and allergies. At all times I was closely reinforced and supervised by the midwife, and as the discussion progressed I felt well informed in featuring Anne with the required details for a healthy diet plan. I explained a healthy eating is vital throughout pregnancy and a number of various kinds of food is recommended to help the mothers stay fit and very well. In addition, I indicated that plenty of fruit and veggies of different colours will provide your body with essential vitamins, minerals and fibre, which can only help the digestive system and prevent constipation. Anne remarked that she sensed nausea in the mornings and that she could only tolerate certain food. She added that meals did not taste exactly like before. As well, she indicated that her tummy acquired upset and her appetite considerably diminished following the smell of certain foods.

Next, the midwife received involved in the dialogue and reassured Anne that morning hours sickness in the first days was completely usual, but so long as it was not severe would resolve by 16 to 20 weeks of pregnancy. Moreover, the midwife recommended that getting up slowly from bed in the morning may decrease the symptoms. As well, Anne was encouraged to drink a good amount of clear fluids and eat something dry, such as a toast or crackers for breakfast. I added that consuming frequently small snack foods and avoiding heavy meals can improve food intake considerably. Furthermore, Anne was motivated to drink around two litres of water a day. It had been essential for her body to work perfectly and to prevent dehydration. Alternatively, soft fizzy drinks contain high quantity of carbohydrates and could cause overweight.

Particular focus was paid to foods containing substantial levels of sugar, salt and fats. The National Health Service (NHS) (2009) states an increased volume of saturated fat can cause overweight and heart disease. Furthermore, the midwife experienced all the information regarding protein meals, dairy food and carbohydrates. In addition, Anne was informed about some foods and beverages which were unsafe in pregnancy, as they may harm or trigger extreme malformation of the fetus. For instance, daily intake of caffeine should be limited by 200mg. There will be concerns that high amounts of it can cause miscarriage or delivery of a child with low birth pounds. Alcohol intake is completely forbidden, because of the fact that it can affect the foetus’s development. Risk of Salmonela virus can be avoided by cooking all meat and eggs thoroughly. Another harmful bacteria to pregnant women is Listeriosis, found in delicate cheeses, unpasteurised milk, shellfish and undercooked meat (NHS, 2009). On the other hand, listeria can be destroyed by preparing food all kind of meat, eggs and prepared meals extensively (National Institute for Health insurance and Care Excellence [NICE], 2014).

I briefly informed Anne about some of the important minerals and vitamins she needed throughout pregnancy. For instance, folic acid, supplement D, iron, supplement C and calcium. For example, the daily recommended dose of folic acid in the first trimester of pregnancy is 400mcg (NICE, 2014). The midwife added that recurrent consumption of folic acid can diminish the risk of having an infant with health issues such as spina bifida. Furthermore, a nutrition brochure was offered to Anne and she was suggested to read it. Finally, Anne was encouraged to take daily supplementations due to the high level of vitamins and minerals expected in pregnancy. Anne valued the nutrition-related details, but at the same time she appeared overwhelmed with info.

Initially, I was somewhat anxious and hesitant to speak before a client and also to provide Anne with data based information on diet in pregnancy. Nevertheless, as the client became comfy and appeared willing to understand the value of healthy eating while pregnant, I experienced confident communicating with her. In addition, it was necessary that I was reinforced by my mentor and encouraged to go outside of my safe place. The midwife and I felt united throughout our planning for the interview with the client and we built good cooperative skills. Sloper (2004) identified that cooperative working is effective for the clients, as it increases their fulfillment of care and attention provided and builds rely upon staff members.

Nevertheless, I experienced that Anne was overloaded with facts. It might have been more beneficial to present a reduced amount of educational materials over countless meetings, rather than the majority of it in one session. Even so, Anne was happy with the info presented, as we tried to give attention to her individual necessities. Some studies show an antenatal education heightens women’s understanding and helps them choose a selection of healthy meals through the pregnancy (Feilitzen, Radestad, Hildinsson & Häggström-Nordin, 2009). However, among the main problems was that great deal of information was given very quickly. Lavender, Moffat and Rixon (2000), reported that some nutrition information may be given to women in their preconception consultation with an over-all practitioner.

On a few occasions make use of medical jargon was observed. England and Morgan (2012) assert that make use of medical language in medical sector can produce misinterpretation and confusion in clients which may have a poor influence on their care.

Both my mentor and I acquired prepared well for the session, applying evidence-based information. We’d planned the conversation and kept your client engaged with the demonstration materials. Furthermore, I was guided by my mentor to discover relevant sources of dietary info and present them to Anne in a straightforward way. Following the interview I felt convenient speaking before a customer and I realised that it is completely normal to feel nervous. On a few occasions, my mentor used hypersensitive humour to decrease the amount of stress and also to stimulate discussion. Moreover, creating a good relationship with my mentor helped me to extend my understanding of what I need to achieve through my scientific placement. Likewise, I had opportunity to combine my theoretical knowledge with working experience and think about my clinical involvement.

It was vital understanding Anne, and I reserve my judgement to be able to recognise her current condition of nausea and vomiting. Valuing Anne as an individual and understanding her current state will improve her belief in medical researchers. Studies show that average nausea and vomiting during pregnancy don’t need medical treatment (Tiran, 2014). Nevertheless, ladies suffering from this should not be dismissed, but monitored and backed by health care professionals. Specifically, an educated midwife can advise the ladies on the application of complementary treatments. The Royal University of Midwives (2014) declare that all midwives must have basic knowledge of the advantages and hazards of complementary therapies. However, if the midwife provides little if any understanding of natural treatments, it can lead the customers to seek advice from unreliable options, like the internet. Therefore, it may be equally dangerous for these females, as facts provided via internet can sometimes be unsafe or inaccurate. The ladies must be mentally backed by midwives, as hyperemesis can lead to serious conditions and women of all ages isolation (Dean, 2014). Effective communication between a customer and a medical practitioner, along with good nutritional arranging, can significantly reduce the symptoms of hyperemesis.

Midwives often advise women that are pregnant to take multivitamin products. The best option is to provide minerals and vitamins through a varied diet plan, such as consuming plenty of fruits and vegetables (NICE, 2014), as this will certainly reduce the need for purchasing expensive supplementations. On the other hand, use of over-the-counter vitamins by pregnant women could falsely improve the sense of protection (Coutts, 2000). Moreover, synthetic supplements tend to be not distinguished by the human body and so are excreted in urine or placed up as unwanted fat (Nolan, 1998). Additionally, pregnant women ought to be extra cautious with products containing vitamin A good, as high levels could possibly be harmful for the fetus (Blincoe, 2008).

The most crucial challenge for me in a clinical environment was the capability to listen efficiently to my mentor as a way to support and advise a healthy pregnant women about the proper nutritional writing assignment choices. Furthermore, it was important to educate our clients about a balanced diet as a way to maximize the probability for growth of a wholesome infant. Women with practical eating habits and normal BMI will provide the fetus with the perfect environment (Seaman, 1997). Additionally, poor maternal nourishment could affect the development and development of the normal fetus.

Reflecting on that working day and analysing the ending up in Anne helped me know how I can improve presentation of info in the future. I’ve reviewed the program with my mentor and realise that I could facilitate discussion, instead of just provide details. My mentor openly shared her working experience with me which made me realise that I could work with posters to visualise the dietary information. For example, next time I could play a brief video linked to the advantages of healthy taking to prompt further more debate. Also, I need to increase my basic dietary knowledge so as to support women better within their dietary needs.

Overall, the involvement in a scientific placement helped me become logical and creative in my own future career. Moreover, many information presentation approaches were discussed with my mentor to help me improve my assistance user display in a clinical setting. The great things about learning by doing raised my knowledge of establishing a nutritious diet plan in pregnant women so as to deliver a healthy infant. From others’ experience and my own mistakes I learnt how to improve down the road.