Children and Youth Services Review
Children and Youth Services Review
A BS T R ACT
Despite the importance of self-care to social workers, in general, and those employed in child welfare contexts, specifically, few studies have explicitly examined this
area of inquiry. This research brief explores the personal and professional of social workers employed in child welfare (N = 623) in the United States (U.S.). Overall,
findings indicate that participants engage in minimal amounts of self-care. Analyses revealed significant differences in self-care by Race, Education Level, Licensing
Status, Marital Status, Supervision Status, Professional Organization Membership, and Financial Status, respectively. Findings indicate the need for more explicit attention
to education and training related to self-care, and more organizational supports for child welfare workers.
Despite the importance of self-care to child welfare workers, few studies have explicitly examined this area of inquiry (Bloomquist, Wood, Friedmeyer-Trainor, &
Kim, 2015; Grise-Owens, Miller, & Eaves, 2016; Lee & Miller, 2013; Miller, Donohue-Dioh, Niu, & Shalash, 2018; Newell, 2018). This research brief explores the
personal and professional of child welfare workers employed in child welfare (N = 623) in the United States (U.S.). After pithily examining relevant background
information, this brief will explicate findings from this study and discuss salient implications derived from the data.
1. Background Specifically, these authors reported that child welfare workers develop
issues such as poor sleep hygiene, diet, fatigue, and substance misuse as
1.1. Workplace challenges and consequences a result of problematic employment circumstances. Lee et al. (2017)
made similar assertions. Child welfare workers may also experience
The challenges facing the contemporary child welfare workforce are burnout that can get worse over time (Savicki & Cooley, 1994; Sprang,
complex and well-documented. Collectively, evidence suggest that child Craig, & Clark, 2011), emotional exhaustion and depersonalization
welfare workers experience inordinately high caseloads (Blome & Steib, (Lizano & Barak, 2015; Travis, Lizano, & Mor Barak, 2016), compassion
2014; Kim, Ji, & Kao, 2011), experience high-levels of posttraumatic fatigue and vicarious trauma (Tavormina & Clossey, 2015), and low
stress (Rhee, Ko, & Han, 2013; Salloum, Kondrat, Johnco, & Olson, perceptions of personal accomplishment (Kim et al., 2011), among
2015), and experience work-family/work-life conflict (Wu, Rusyidi, others. Indubitably, these consequences can negatively affect services
Claiborne, & Mccarthy, 2013), when compared to other social service proffered to children and families involved in child welfare systems.
providers. Additionally, Miller et al. (2016) suggested that child welfare
workers are disproportionately impacted by cumbersome bureaucratic 1.2. Self-care as a response
and uncertain political processes. Perhaps most alarming, child welfare
workers also experience inadequate supports in dealing with proble- Despite the paucity of research related to self-care, there is ample
matic employment circumstances (Lee, Pang, Lee, & Melby, 2017; evidence to suggest that adroitly engaging in self-care practices can
Lizano & Barak, 2015). assuage many of the previously discussed conditions (e.g., burnout,
There are a plethora of deleterious consequences associated with stress, vicarious trauma, etc.). In fact, Harrison and Westwood (2009)
these challenges. Griffiths, Royse, and Walker (2018) concluded that aptly suggested that self-care can be a protective factor against the
many of these consequences fall into four broad-based categories: un- consequences of problematic employment circumstances. Butler,
healthy habits, mental health, physical health, and work-life balance. Carello, and Maguin (2016) and Coleman, Martensen, Scott, and
⁎
Corresponding author.
E-mail address: [email protected] (J.J. Miller).
https://doi.org/10.1016/j.childyouth.2019.02.009
Received 1 August 2018; Received in revised form 4 February 2019; Accepted 5 February 2019
Available online 05 February 2019
0190-7409/ © 2019 Elsevier Ltd. All rights reserved.
J.J. Miller et al. Children and Youth Services Review 99 (2019) 240–245
24
1
Table 2.1
Group comparison results for child welfare workers' personal self-care scores (N = 623).
F p SE CI 95%
⁎⁎
Race (White vs. Non-White) 1, 609 0.254 1.499 0.002 0.491 [0.57, 2.50]
⁎⁎
Degrees (Masters vs. Others) 1, 609 0.262 0.870 0.001 0.376 [0.48, 1.96]
⁎⁎⁎
Marital status (Married vs. Not Married) 1, 609 0.308 3.157 < 0.001 0.354 [0.65, 2.04]
⁎⁎⁎
Financial status 3, 606 0.063 15.619 < 0.001 0.655 [−6.36, −2.94]
⁎
Professional organization membership 1, 609 0.216 7.084 0.036 0.388 [0.05, 1.58]
⁎⁎⁎
Current licensed in social work 1, 608 0.537 1.134 < 0.001 0.357 [1.66, 3.07]
⁎⁎⁎
Supervise other workers 1, 609 0.501 0.149 < 0.001 0.568 [2.40, 4.63]
⁎
p < 0.05.
⁎⁎
p < 0.01.
⁎⁎⁎
p < 0.001.
30s (M = 33.55; SD = 9.12). On average, participants participants with master's degrees (M = 21.45, SD = 4.39) scored
reported working 41.79 (SD = 9.41) hours per week and had been significantly higher
practicing in a child welfare context for 8.84 (SD = 8.23) years. than those who did not have master's degrees (M = 20.24, SD =
4.30).
Overall, this sample does appear to be somewhat similar to more
general child welfare po- pulations in terms of gender and race (e.g.,
Department for Professional Employees, 2010). However, the sample
does appear to be more edu- cated than general child welfare worker
populations.
F p SE CI 95%
⁎ ⁎⁎⁎
Degrees (Masters vs. Others) 1, 617 0.360 15.27 < 0.001 0.317 [0.63, 1.88]
⁎⁎ ⁎⁎⁎
Marital status (Married vs. Not Married) 1, 617 0.333 0.494 < 0.001 0.326 [0.71, 1.99]
⁎⁎⁎
Financial status 3, 618 0.117 24.323 < 0.001 0.792 [−8.52, −4.38]
⁎⁎⁎
Current licensed in social work 1, 616 0.389 11.220 < 0.001 0.312 [0.85, 2.08]
⁎⁎⁎
Supervise other workers 1, 617 0.532 2.704 < 0.001 0.507 [2.35, 4.35]
⁎
p < 0.05.
⁎⁎
p < 0.01.
⁎⁎⁎
p < 0.001.
money to make ends meet” (M = 20.47, SD = 4.37), and “I have
wellness initiatives. Miller et al. (2016) offered a mixed-method de-
enough money, with a little left over” (M = 21.57, SD = 4.25). velopment framework for such an effort. As well, organizations can
Likewise, sig- nificantly lower mean professional self-care scores were institute the use of self-care plans and accountability groups as a way to
also found for foster a culture of self-care (Grise-Owens et al., 2016). Adherence to
those who indicated: “I cannot make ends meet” (M = 17.00, SD =
3.88) self-care plans could be integrated into employee evaluations as a way
than those who noted “I always have money left over” (M = to efficiently monitor self-care.
23.45, SD = 4.68), “I have just enough money to make ends meet” (M Second, analyses revealed that self-care was significantly correlated
= 21.12, SD = 3.71), and “I have enough money, with a little left over” with several variables. For example, the more years of practice ex-
(M = 21.77, SD = 3.66). perience in child welfare, the more the participants engaged in self-
care. These findings suggest that more experienced workers may be
better positioned to engage in self-care. Future research should con-
5. Discussion and implications tinue to examine the relationship between professional experience and
self-care.
The purpose of this brief is to document an exploration into the In addition, the number of hours an individual worked per week was
personal and professional self-care practices of child welfare workers. In related to self-care. In summary, the self-care practices tended to de-
so doing, this brief addresses limitations in the current literature. To cline the more hours one worked. This finding may affirm traditional
date, few studies have explicitly examined this topic among this prac- conceptions of self-care whereby it is viewed as secondary to employ-
titioner group. The following paragraphs briefly discuss the findings ment responsibilities (Grise-Owens et al., 2016). This finding intimates
posited above, and salient implications derived from those findings. the need for child welfare workers to be more intentional about in-
First, data from the current study indicate that child welfare tegrating self-care into their daily lives.
workers only engage in modest amounts of self-care. As previously Self-care was also significantly related to participants' self-reported
discussed, the mean personal, professional, and total self-care scores health status. In essence, the healthier an individual reported them-
were 21.06 (SD = 4.40), 21.47 (SD = 4.08), and 42.43 (SD = selves to be, the more likely they were to engage in self-care. Of course,
7.63), respectively. The mean item ratings for each SCPS item was 2.35. this finding presents what may be a quintessential causality dilemma.
Based on the likert scale anchors, this mean item rating indicates that People who are healthier may be able to engage in more of the tradi-
parti- cipants only engage in self-care “sometimes.” tional self-care practices (e.g., exercising, etc.). Or, those who engage in
Given the afore-referenced challenges facing individuals employed self-care practices may view themselves as healthier. No matter, given
in child welfare, these findings are disconcerting. However, these the impact of job stresses on the health conditions of child welfare
findings are not surprising. A host of authors have avowed that par- workers (e.g., Griffiths et al., 2018), future studies should continue to
taking in self-care practices can be difficult (Cox & Steiner, 2013; Grise- investigate linkages between health and self-care among child welfare
Owens et al., 2016; Kanter & Sherman, 2017). Moreover, studies that workers.
have examined the self-care practices of health care workers (e.g., Lastly, analyses revealed several group differences in relation to
Miller, Lianekhammy, Pope, Lee, & Grise-Owens, 2017) and social self-care practices. For example, child welfare workers currently
workers in higher education (e.g., Miller, Poklembova, Grise-Owens, & holding a social work license reported engaging in higher levels of self-
Bowman, 2018) have reached similar conclusions. As well, in a study care than did those without a license. Licensing regulatory require-
that investigated the self-care practices of MSW practitioners, ments often entail ongoing professional development, such as con-
Bloomquist et al. (2015) postulated that social workers in their sample tinuing education (Miller, Deck, Grise-Owens, & Borders, 2015). And,
engaged in self-care practices on a “limited basis” (p. 292). These stu- several authors have suggested that professional development is a form
dies, as well as findings from the current study, suggest that there is of self-care. Thus, individuals holding a license may view this ongoing
room for improvement in self-care practice engagement for social development as a form of self-care. A similar dynamic (e.g., ongoing
workers, in general, and those working in child welfare contexts, spe- professional development) may also contribute to understanding group
cifically. differences by educational level. These findings suggest that individuals
The promise of improving self-care practices among child welfare should seek out ongoing professional development and child welfare
workers may be actualized in several ways. For instance, whilst seldom organizations/agencies, should look to support employees in engaging
addressed in curricula, social work educational programs can do more in ongoing professional development. This may include trainings or
to improve self-care competency among students matriculating into supported initiatives for ongoing education (e.g., stipend programs,
professional practice (e.g., Grise-Owens, Miller, Escobar-Ratliff, & etc.), among others.
George, 2017). Including self-care in educational and training en- Data also suggest that supportive personal and social networks may
deavors will not only give students the skills to engage in self-care, but impact self-care. For instance, those who were married and individuals
will convey importance associated with self-care. who reported being part of a professional member organization (e.g.,
In addition, child welfare agencies/organizations should do more to NASW) reported higher self-care practices, respectively. Several authors
support practitioners in engaging in self-care. These actions could in-
clude developing and implementing broad-based organizational
have asserted that significant relationships can offer support, profes- The self-care imperative. Professional Psychology: Research and Practice, 38, 603–612.
sional and otherwise, which can promote self-care (Dorociak, Rupert, Blome, W. W., & Steib, S. D. (2014). The organizational structure of child welfare: Staff
Bryant, & Zahniser, 2017). These data affirm those notions and suggest are working hard. but it is hardly working. Children and Youth Services Review, 44,
181–188.
that child welfare employers foster participation in supportive net- Bloomquist, K., Wood, L., Friedmeyer-Trainor, K., & Kim, H. W. (2015). Self-care and
works. professional quality of life: Predictive factors among MSW practitioners. Advances in
Social Work, 16(2), 292–311.
Significant differences were detected by financial status whereby
Bradley, N., Whisenhunt, J., Adamson, N., & Kress, V. (2013). Creative approaches for
those who were more financially stable engaged in more self-care.
promoting counselor self-care. Journal of Creativity in Mental Health, 8(4), 456–469.
Miller et al. (2017) reached a similar conclusion among a state-wide Bressi, S., & Vaden, K. (2017). Reconsidering self care. Clinical Social Work Journal, 45(1),
sample of social service workers employed in healthcare settings. This 33–38.
Butler, L. D., Carello, J., & Maguin, E. (2016). Trauma, stress, and self-care in clinical
finding may be associated with traditional conceptions of self-care that
training: Predictors of burnout, decline in health status, secondary traumatic stress
overly focus on physical activities that may cost money (e.g., gym symptoms, and compassion satisfaction. Psychological Trauma Theory Research
memberships, yoga, etc.). Or, it may be that individuals who are more Practice and Policy, 9(4), 416–424.
financially stable may have more time to engage in self-care practices. Coleman, C., Martensen, C., Scott, R., & Indelicato, N. A. (2016). Unpacking self-care: The
connection between mindfulness, self-compassion, and self-care for counselors.
Whilst this view of self-care as an ancillary activity that occurs separate Counseling & Wellness: A Professional Counseling Journal, 5, 1–8.
from work is problematic, it may shed light on how child welfare Cox, K., & Steiner, S. (2013). Self-care in social work: A guide for practitioners, supervisors,
workers view self-care. and administrators. Washington, DC: NASW Press.
Dattilio, F. (2015). The self-care of psychologists and mental health professionals: A re-
Interestingly, analyses revealed group differences in self-care by view and practitioner guide. Australian Psychologist, 50(6), 393–399.
race. Participants who identified as White/Caucasian reported engaging Dombo, E., & Gray, C. (2013). Engaging spirituality in addressing vicarious trauma in
in significantly higher personal self-care practices than those from other clinical social workers: A self-care model. Social Work and Christianity, 40(1), 89–104.
Dorociak, K. E., Rupert, P. A., Bryant, F. B., & Zahniser, E. T. (2017). Development of the
race/ethnic groups. Given the challenges and circumstances that may professional self-care scale. Journal of Counseling Psychology, 64(3), 325–334.
disproportionately impact marginalized populations, this finding is Griffiths, A., Royse, D., & Walker, R. (2018). Stress among child protective service
somewhat troubling. Whilst this issue has not been explicitly addressed workers: Self-reported health consequences. Children and Youth Services Review, 90,
in the existing literature, additional research related to the relationship 46–53.
Grise-Owens, E., Miller, J., & Eaves, M. (2016). The A-to-Z self-care handbook for social
between race and self-care should certainly be explored. workers and other helping professionals. Harrisburg, PA: The New Social Worker Press.
In addition, this study can inform future self-care inquiry. Notably, Grise-Owens, E., Miller, J. J., Escobar-Ratliff, L., & George, N. (2017). Teaching note—
researchers should continue to examine self-care practices among child Teaching self-care and wellness as a professional practice skill: A curricular
case example. Journal of Social Work Education, 54(1), 180–186. https://doi.org/10.
welfare workers. This includes the impact that case dynamics (e.g., case 1080/10437797.2017.1308778.
load, case weight, resource support, etc.) may have on self-care prac- Harrison, R., & Westwood, M. (2009). Preventing vicarious traumatization of mental
tices. As well, future research may investigate the role that familial health therapists: Identifying protective practices. Psychotherapy: Theory, Research,
Practice, Training, 46(2), 203–219.
dynamics (e.g., parenting, etc.) may have on self-care.
Kanter, B., & Sherman, A. (2017). The happy, healthy nonprofit: Strategies for impact without
burnout. Hoboken, NJ: Wiley.
6. Limitations Kim, H., Ji, J., & Kao, D. (2011). Burnout and physical health among social workers: A
three year longitudinal study. National Association of Social Workers, 56(3), 258–268.
Lee, J. J., Bride, B. E., & Miller, S. E. (2016, January). Development and initial validation of
Findings related to this brief should be examined within the context the Self-Care Practices Scale (SCPS). (Presented (poster) Society for Social Work
of several limitations. For instance, this study was exploratory and Research 19th Annual Conference, Washington, D.C).
Lee, J. J., & Miller, S. E. (2013). A self-care framework for social workers: Building a
examined the self-care practices of self-identified child welfare workers. strong foundation for practice. Families in Society: The Journal of Contemporary Social
Whilst the sample is an appropriate size for this type of effort, addi- Services, 94(2), 96–103.
tional participants may have yielded alternative perspectives, and as Lee, K., Pang, Y. C., Lee, J. L., & Melby, J. N. (2017). A Study of adverse childhood
such, affected the data. In some instances, the researchers employed experiences, coping strategies, work stress, and self-care in the child welfare pro-
fession. Human Service Organizations: Management, Leadership & Governance, 41(4),
non-parametric analyses due to unequal group sizes. These limitations, 389–402.
as well as others, make it necessary to interpret findings included in this Lizano, E., & Barak, M. (2015). Job burnout and affective wellbeing: A longitudinal study
brief carefully and critically. of burnout and job satisfaction among public child welfare workers. Children and
Youth Services Review, 55, 18–28.
Miller, J., Deck, S., Grise-Owens, E., & Borders, K. (2015). Exploring graduate students'
7. Conclusion perceptions about social work licensing. Social Work Education, 34(8), 1–19.
Miller, J., Donohue-Dioh, J., Niu, C., & Shalash, N. (2018). Exploring the self-care
practices of child welfare workers: A research brief. Children and Youth Services
This brief examined the self-care practices of child welfare workers
Review, 84, 137–142.
from across the U.S. Findings suggest that self-care is an area of needed Miller, J., Grise-Owens, E., Addison, D., Marshall, M., Trabue, D., & Escobar-Ratliff, L.
improvement for participants in this study, and perhaps more generally. (2016). Planning and organizational wellness initiative at a multi-state social service
Assuredly, the challenges beleaguering the child welfare workforce will agency. Evaluation and Program Planning, 56, 1–10. https://doi.org/10.1016/j.
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persist. Thus, it is imperative that researchers, practitioners, and policy Miller, J., Lianekhammy, J., Pope, N., Lee, J., & Grise-Owens, E. (2017). Self-care among
makers continue to examine ways to assuage the consequences of de- healthcare social workers: An exploratory study. Social Work in Health Care, 56,
leterious employment challenges. Self-care is one such strategy. 865–883. https://doi.org/10.1080/00981389.2017.1371100.
Miller, J., Poklembova, Z., Grise-Owens, E., & Bowman, A. (2018). Exploring the self-care
practices of social workers in Slovakia: How do they fare? International Social Work.
Conflict of interest https://doi.org/10.1177/0020872818773150.
Newell, A. (2018). How to get back your life. Australia: Angela Newell.
Rhee, Y., Ko, Y., & Han, I. (2013). Posttraumatic growth and related factors of child
The authors on this paper report NO conflicts of interest. protective service workers. Annals of Occupational and Environmental Medicine, 25(1),
1–10.
Salloum, A., Kondrat, D., Johnco, C., & Olson, K. (2015). The role of self-care on com-
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