Child and Adolescent Social Work Journal, Vol. 21, No. 3, June 2004 ( 2004) Risk and Resilience Ecological Framework for Assessment and Goal Formulation Jacqueline Corcoran, Ph.D. and Ann Nichols-Casebolt, Ph.D. ABSTRACT: This paper describes the use of the risk and resilience ecological framework as an assessment and goal setting tool for social workers. A rationale for the framework is provided, along with identification of risk and protective factors across the micro, meso, and macro level systems. Goal formulation from identification of factors follow, with implications for social work interventions. KEY WORDS: Risk Factors; Protective Factors; Risk and Resilience. Social workers are faced with multiple challenges in their efforts to assess and intervene in increasingly complex situations. First, social work is unique to the helping professions in expecting practitioners to understand, assess, and ultimately intervene at a variety of system levels. While multi-system intervention is the expectation, given the complexity of human behavior and that factors at different system levels interact dynamically with each other, identifying appropriate interventions can often be confusing and overwhelming. In addition, most social workers specialize in a particular level of practice (i.e., the micro, mezzo, or macro system level), often without a true awareness and understanding of how to assess and intervene at another, perhaps potentially more significant, level of change. A second challenge is our professional commitment to focus on strengths rather than pathology. Social workers are expected to recognize and build on client strengths Jacqueline Corcoran and Ann Nichols-Casebolt are affiliated with Virginia Commonwealth University. Grateful acknowledgment to Gordon Casebolt for assistance with the preparation of this manuscript. 211 2004 Human Sciences Press, Inc. 212 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL as a source of intervention. However, an examination of models of intervention suggests that practice may more typically be driven by a pathology and problem focus. This is evident in some of the theories often employed in social work intervention, including the problemsolving model, the psychosocial model, and cognitive-behavioral theory. A third current challenge facing social work, as well as other mental health and social service providers, is the emphasis on evidence-based practice. The expectation is that assessment and intervention decisions should be tested and have some empirical support before being used with children and families in need. Gaps in our empirical knowledge base, as well as the range of potential interventions, makes this a daunting task for many practitioners. In order to assist social work practitioners in facing these challenges, this article will discuss and illustrate how a risk and resilience framework can provide a theoretical basis for social workers to conceptualize at multi-levels, and assist them in identifying and bolstering strengths, as well as reducing risk. The risk and resilience framework was developed in other disciplines (e.g., psychology and education) for the understanding of individual behavior. The framework considers the balance of risk (forces contributing to a problem condition) and protective (internal and external resources for the protection against risk) factors that interact to determine an individual’s ability to function adaptively despite stressful life events (Kirby & Fraser, 1997). Social work researchers, Fraser (1997) and colleagues, in particular, have expanded the framework, organizing risk and protective factors into micro, mezzo, and macro-level system levels and referring to it as the “risk and resilience ecological framework.” This framework fits well with social work’s emphasis on empowerment and the strengthsbased perspective. The strengths perspective underlies the concepts of “protective factors” and “resilience” in which people are not only able to survive and endure, but also triumph over difficult life circumstances. And, the ecological emphasis of the framework expands the focus beyond the individual to a recognition of systemic factors that can create problems as well as ameliorate them. The risk and resilience framework has also been empirically validated. That is, risk and protective factors have been identified through empirical study, initially in several groundbreaking longitudinal studies in which at-risk youth were followed over time to determine the factors that seemed to produce adaptation despite the adversity they faced (e.g., Rutter, Maugham, Mortimore, & Ouston, 1979; Rutter, 1987; Wallerstein & Lewis, 1998; Werner & Smith, 1982). (See Gar- JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 213 menzy, 1993, for a review). Other longitudinal and cross-sectional research (e.g., Bowen, Richman, Brewster, & Bowen, 1998; Carbonell, Reinherz, & Giaconia, 1998; Dubow, Edwards, & Ippolito, 1997; Grant, O’Koon, Davis et al., 2000; Nash & Bowen, 1999; Richters & Martinez, 1993; Resnick, Bearman, Blum et al., 1997; Runyan, Hunter, Scololar et al., 1998; Weist, Freedman, Paskewitz et al., 1995; Wyman, Cowen, Work et al., 1999) has followed, resulting in the accumulation of a substantial literature. To summarize, the risk and resilience ecological framework holds a number of advantages for social work education and practice. The framework offers a balanced view of systems in that it looks at both risk and strength, and recognizes the complexity of individuals and the systems in which they are nested. Risk and protective factors have been delineated at their various system levels, through empirical evidence over repeated studies. However, in order to be of utility for social work assessment and intervention, several gaps must be addressed. First, despite the amount of writing and research amassed on the risk and resilience framework, attention has focused primarily on the understanding of individual behavior rather than being used for goal formulation and intervention at the micro, mezzo, and macro levels. The risk and resilience framework has tended to remain conceptualized at a theoretical level rather than becoming a tool for practitioners to assess and intervene most effectively with children and their families (e.g., Hawley, 2000). In this paper we begin to fill these gaps by presenting empirically-identified risk and protective factors, organized at the micro, mezzo and macro levels. The objective of this paper is to illustrate the potential utility of the framework as a means for assisting clients to identify the multiple risks they face, and the strengths they bring to the issues facing them. Although it is beyond the scope of this paper to present intervention strategies at each of the levels, we begin the discussion of how assessment and goal formulation can proceed from this risk and resilience ecological framework across the three system levels. Risk and Resilience Theory/Framework Definitions Although resilience has been identified in different ways, resilience generally refers to the “absence of significant developmental delays or 214 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL serious learning and behavior problems and the mastery of developmental tasks that are appropriate for a given age and culture” in spite of the exposure to adversity (e.g., Werner, 2000, p. 116). Risk and protective factors resulting in resilience have been found in longitudinal studies following children facing such adversities as poverty (e.g., Werner & Smith, 1982) or the mental illness of a parent (e.g., Rutter et al., 1979). Some studies have examined the risk and protective factors that are correlated with the occurrence (or lack of occurrence) of specific problems, such as teenage pregnancy (Kalil & Kuntz, 1999), psychiatric disorders (Rutter et al., 1979), substance abuse (Johnson, Bryant, Collins, Noe, Strader, & Berbaum, 1998; Wallace, 1999), and adolescent depression (Carbonell, Reinherz, & Giaconia, 1998). Other studies examined disorders that present risk, such as learning disorders (Svetaz, Ireland, & Blum, 2000) or health problems (Patterson & Blum, 1996; Zimmerman, Smith, Gruber-Baldini et al., 1999) and reported on the risk and protective factors that improved outcomes for these conditions. Although different variables have been evaluated, depending on the study, consensus has been reached about a number of risk and protective factors operating for different problems, and these are described below. Identified Risk and Protective Factors The following section discusses the risk and protective factors that have been identified from empirical studies with thousands of at-risk children and families. We have conducted an extensive research review and relied on the reviews of others, but recognize that we have not captured all studies in this literature. However, every attempt has been made to report main findings that have emerged. While risk and resilience factors do interact with each other (discussed further in the following section on systemic effects), these have been grouped by micro, mezzo and macro levels. The reader will also note that at times, risk and protective factors are the converse of each other. For instance, difficult temperament is a risk factor and easy temperament is a protective factor at the individual micro level. Indeed, researchers have found risk and protective factors to be negatively correlated with each other (−.42) [Jessor, Van Den Bos, Vanderryn, Costa, & Turbin, 1997], suggesting the relationship between risk and resiliency. JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 215 Micro Level The micro level comprises both individual factors of the child and environmental characteristics of the family, although we recognize the intertwining of influences in that families transmit both genetic material and an environmental context to children (Wachs, 2000). Individual Factors. Temperament is defined as “an early and persistent pattern of personality characteristics, including activity level, intensity or degree of energy in a response, persistence or attention span, demandingness of others, quality of mood (irritability or quickness to anger or display emotion), adaptability or capacity to adjust to change, and rhythmicity or the regularity of sleep-waking periods, eating, and elimination” (Barkley, 2000, p. 84). Easy temperament and an engaging, sociable, and affectionate personality have been identified as a protective factor for infants and toddlers (Epps & Jackson, 2000), whereas a child with an irritable temperament and who has difficulty being soothed, is at risk for poor caregiving (Moffitt, 1993). Good health is a protective factor; conversely, children with chronic physical disorders are at moderate risk for adjustment problems (Lavigne & Faier-Routman, 1992), which may persist into adulthood, particularly for males (Pless, Power, & Peckham, 1993). In addition, the parents of children with disabilities have double the risk of depression as parents with non-disabled children (Singer & Yovanoff, 1996, as cited in Patterson & Blum, 1996). Intelligence (IQ) is a protective factor, producing higher school performance despite life stress and more effective problem-solving in peer social situations (Wachs, 2000). Conversely, low IQ is a central risk factor for anti-social behavior, over and above socioeconomic status and race. Wachs (2000) cites evidence that the average juvenile offender has an IQ an average of one-half standard deviation lower than youth without a criminal history. Moreover, youth with IQ one standard deviation lower than normal are at triple the risk for the development of conduct disorders. Children with positive self-concepts and a self-perception characterized by an internal sense of control, and a belief that they can influence their environment and show effective coping strategies, are better equipped to face life stressors (Wachs, 2000). Family Factors. Many studies have shown the central importance of family factors in promoting resilience. Family factors identified 216 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL have been safety in the home (Richters & Martinez, 1993), stability in the home (Richters & Martinez, 1993), monitoring and structure (Li, Stanton, & Feigelman, 2000; Steinberg, 2000), attachment (Erickson, Egeland, & Pianta, 1989), and parental involvement in schooling (visiting the school, providing enrichment experiences, and supervising homework) [Shumow et al., 1999], and the presence of these factors exceeds the effects of neighborhood risk (Shumow et al., 1999) and low socioeconomic status (Wyman et al., 1999). For school-age and adolescent children, authoritative parenting, defined as warmth and involvement, but also firmness and consistency in developing rules and limits that are developmentally appropriate, has been associated with positive outcomes (Steinberg, 2000). More specifically, a father’s involvement, support, and connection with the child further encourage positive child outcomes (Biller & Trotter, 1994; Coltrane & Parke, 1998; McLanahan & Teitler, 1998). Conversely, factors compromising parents’ abilities, such as parental substance abuse (Hawkins, Catalono, & Miller, 1992; Phares, 1997), are associated with substantial risk. Chronic marital discord and family violence are associated with maternal mental health in terms of increased risk of depression and posttraumatic stress disorder (Golding, 1999), aversive parenting practices (Krishnakumar & Buehler, 2000), and poor outcomes for children in terms of traumatic symptoms and internalizing and externalizing problems (e.g., Herrenkohl, Herrenkohl, Rupert, Egolf, & Lutz, 1995; McCloskey, Southwick, Fernandez-Esquer, & Locke, 1995; Wolfe, Jaffe, Wilson, & Zak, 1985). Household composition refers to both the size of the family and the number of parents in the home. Larger family size is a risk factor as precious family resources are then spread among many children (Werner, 2000). Living in a single-parent family has also been identified as a risk factor. While in dual-parent families, two adults can provide financial security, guidance, and emotional support (Young, Jensen, Olsen, & Cundick, 1991), single parents are more likely to work full-time and therefore, are not as available for supervision, monitoring, or time spent with the child (Newcomer & Udry, 1985). Mezzo Level The mezzo level includes those factors in the immediate social environment including neighborhood context, church, school and other community resources available to families. The influence of each of JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 217 these factors is discussed below; however, it is important to point out (and evident in the discussion) that these aspects of the community context intersect and interact with one another (e.g., schools are part of the neighborhood), and other levels (e.g., individuals and families make up neighborhoods). Neighborhood. Although individual and family characteristics are major contributors to child and young adult outcomes, numerous studies conclude the importance of neighborhood (Ellen, 2000; Levanthal & Brooks-Gunn, 2000). Studies that have examined the effect of neighborhood characteristics on individual and family outcomes found that neighborhoods with high levels of economic disadvantage and social disorganization had poorer educational outcomes, and higher rates of child abuse, crime and delinquency. An extensive review of the literature on neighborhood effects (Levanthal & Brooks-Gunn, 2000) found evidence that living in a disadvantaged neighborhood had negative effects on various measures of educational functioning, with effects becoming stronger as children age. Further, neighborhood context has been identified as a factor in whether individuals are at risk of engaging in such potentially harmful behaviors as the use of alcohol and drugs. Individuals in primarily minority neighborhoods have greater exposure to alcohol, drugs and tobacco. For example, reports on studies of billboard content have found that alcohol and tobacco advertisements are more prevalent in African-American and Hispanic-populated areas than in other communities (Wallace, 1999). In addition, African-American and Hispanic children are more likely to report having been exposed to drug selling, and perceive that drugs are easy to obtain in their community (Wallace, 1999). Moreover, neighborhood poverty is significantly associated with alcohol-related problems among African-American men (JonesWebb, Snowden, Herd, Short & Hannan, 1997), and in antisocial behavior and drug use for youth (Dubow et al., 1997). Criminal violence in neighborhoods is also associated with high rates of unemployment and underemployment (Crutchfield & Pitchford, 1997), and exposure to violence can exact a price on children’s mental health. A study of adolescents in Los Angeles County found that the more threatening the neighborhood, the more likely adolescents were to report symptoms of depression, anxiety, oppositional defiant disorder, and conduct disorder (Aneshensel & Sucoff, 1996). Another study using data from a national survey of youth found that neighborhoods with more social and physical problems were a predic- 218 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL tor of depressive symptoms of youth (Eamon, 2002). And, a nationwide study of 2-year-old twins concluded “that children in deprived neighborhoods were at increased risk for emotional and behavioral problems over and above any genetic liability” (Caspi, Taylor, Moffitt & Plomin, 2000, p. 338). Neighborhoods can however, represent a source of protective factors, especially for children. While neighborhood peers may have negative influences on such behaviors as drug and alcohol use, and criminal activity, some studies have found that adult neighbors who offer structure and monitoring can be an important source of support for children experiencing risks in their families (Werner & Smith, 1982). Studies have also shown that middle-class and affluent neighborhoods have generally positive effects on educational attainment and persistence in school for adolescents, and high SES neighbors contribute to better cognitive outcomes for young children. Some recent studies have also found that the more a neighborhood exhibited informal social controls, the lower its levels of violence and adolescent problem behavior (for a review of these studies, see Levanthal & Brooks-Gunn, 2000). Social Support Networks. Social supports can buffer the effects of negative life events including teen parenthood (Brooks-Gunn & Furstenberg, 1986), divorce (Wolchik, Ruehlman, Braver & Sandler, 1989), health problems (Hurdle, 2001), and violence (Berman, Kurtines, Silverman & Serafini, 1996). Perceived availability of social support has also been shown to contribute to positive outcomes in programs targeted at reducing welfare dependency (Sansone, 1998). For younger children in poverty, the presence of alternative caregivers and supportive persons, such as grandparents, older siblings, child-care providers, or nursery school teachers, is an important resiliency mechanism (e.g., Werner & Smith, 1982). Adolescents, too, seem to benefit from available support. Among adolescents, those who feel close to parents, teachers, or classmates had better emotional health and were less likely to engage in risky behaviors such as substance use, violence, and early sexual activity (Resnick et al., 1997). Negative social relationships, on the other hand, can pose risks to mental health (for a review of these studies see Lincoln, 2000). More formal support systems enacted by community members may also enhance protection for children. Research has shown that engaging in out-of-school activities and availability of community supports has positive outcomes for children in terms of educational attainment JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 219 and health status. Empirically-validated programs, such as Big Brothers/Big Sisters (e.g., Thompson & Kelly-Vance, 2001), and Head Start (e.g., Currie & Thomas, 1995), and other youth organizations present substantial protective factors (Werner, 2000). Conversely, the lack of needed formal supports such as health care services can be a risk factor for families. For example, one study found an association between late entry into prenatal care and residence in a distressed neighborhood with a shortage of office-based primary care physicians (Perloff & Jaffee, 1999). Low income neighborhoods also have fewer community programs in which children can participate, limiting the range of positive role models and supports available to them (Furstenberg, Cook, Eccles, Elder & Sameroff, 1999). Church/Religious Involvement. A particular type of social network identified with positive health and mental health, as well as buffering the effects of neighborhood risks, involves church or religious participation (Taylor, Ellison, Chatters, Levin & Lincoln, 2000). A study of Hispanic, White, and African-American high school students determined that church attendance was significantly related to healthenhancing behaviors (e.g., healthy diet, exercise, etc.) [Jessor, Turbin & Costa, 1998]. Religious attendance and religiosity have also been significantly associated with a decreased likelihood of drug use among adolescents (Albrecht, Amey & Miller, 1996; Miller, Davies, & Greenwald, 2000), reduced criminal involvement (Johnson, Jang, Larson & Li, 2001), and lower levels of depressive symptomatology (Wright, Frost & Wisecarver, 1993). In addition for African-American youth, religious involvement may buffer the impact of neighborhood risk on criminal offending (Johnson, Jang, Li & Larson, 2000). Research further indicates the positive relationship between religious involvement and adult health outcomes and coping with stress (McCullough, Larson, Hoyt & Koenig, 2000). School Environment. The importance of children’s perception of being safe at school and having supportive teachers, those who convey caring and regard for their students with high expectations for children’s scholastic ability, is confirmed in most studies of at-risk children (Baker, 1999; Bowen et al., 1998; Garmezy, 1993). The protective effect of school relationships may persist well beyond elementary school, with early child-teacher relationships predicting long-term school outcomes (Hamre & Pianta, 2001). A national longitudinal study also found that perceived school connectedness is important to 220 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL adolescents, providing a protective factor against numerous health risk behaviors (Resnick et al., 1997). Schools can also be a risk factor for children. Durlak’s (1998) review of 1200 outcome studies found that in poor quality schools, characterized by such attributes as a nondemanding curriculum, ineffective leadership, and generally poor relationships among school personnel and with parents, students are more likely to drop out, have higher rates of teen pregnancy and higher rates of behavior problems. In addition, negative teacher reactions, expectations, and responses to atrisk students have been linked to poorer academic achievement (Montague & Rinaldi, 2001; Babad, 1993). Macro Level Although the literature has not generally applied the terminology of “risk and protective factors” at the macro level, ample evidence exists that within the broad societal level, factors contribute to both individual problem situations and those that provide protection against risk. At the macro level poverty, discrimination, and segregation are risks that impact individual level functioning, whereas protection against these risks is provided through the availability of social and income supports, tax policies, and legal sanctions. While there may be some disagreement as to the definition of what constitutes a “naturally occurring” protective factor at this level, we have chosen to follow the example of others who categorize social policies, and access to resources and opportunities as community or environmental protective factors (e.g., Durlak, 1998; Smokowski, 1998). Income and Employment. Numerous studies have substantiated the relationship between poverty and individual behavior and outcomes. For example, in several studies, poverty was significantly related to poorer cognitive outcomes for children (Brooks-Gunn, Duncan & Aber, 1997; Duncan, Brooks-Gunn & Klebanov, 1994; Shumow, Vandell & Posner, 1999), and in others it was evident that those who have spent at least part of their adolescence in a family below poverty are less like to graduate from school than those who never lived in a poor family (Teachman, Paasch, Day & Carver, 1997). Poverty is also correlated with increased risk for child abuse and neglect (Garbarino, 1992); family violence (Gelles & Strauss, 1988); substance abuse (Wallace, 1999); and substandard housing with its related risks of exposure to lead and other hazards resulting in poor health outcomes (McLoyd, JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 221 1998; Yinger, 2000). Chronic poverty is also correlated with stress and increased risk for mental health problems, particularly among African-American children (Grant et al., 2000). A review of studies provides evidence that unemployment has a detrimental effect on psychological well-being (see Murphy & Athanasou, 1999). In addition, high unemployment and the lack of employment opportunities contribute to fighting and drug use among adolescents (Bellair & Roscigno, 2000). On the protective side, social policies and a strong economy both have positive effects on the income and employment of individuals. For example, Social Security payments to the elderly have a significant effect on reducing the percentage of individuals who are poor, and Medicare covers many of their major health care costs. For the working poor, economic supports include such programs as the Earned Income Tax Credit (EITC) and food stamps which help them meet household expenses (for a review of income support policies see Scholz and Levine, 2000). The prosperity of the recent years demonstrates that economic growth can increase both employment prospects and wages of low-income workers (Freeman, 2000), and increases in the minimum wage benefit women (Bernstein, Hartmann & Schmitt, 2000) and other low-wage workers (Addison & Blackburn, 1999). Strong child support policies have also been shown to improve the income of single-mother families (Garfinkel, Heintz & Huang, 2001). Discrimination. According to national survey data, perceived discrimination has a strong association with measures of stress and mental health (Kessler, Mickelson & Williams, 1999). Community-based surveys echo these findings with data indicating that experiences of unfair treatment are significantly associated with psychological distress and life satisfaction (Schultz et al., 2000), and experiencing discrimination is directly related to depression (Finch, Kolody & Vega, 2000). As protective factors, when institutions adhere to the anti-discrimination laws in place in this country, employment and occupational outcomes for individuals are improved (Holzer & Neumark, 2000). Ample evidence indicates discrimination is experienced by women in the labor market, health care, housing, and social services (for a review see Ladrine & Klonoff, 1997). However, only recently has research examined health and mental health correlates of discrimination for women. Findings from one study found that “sexist discrimination contributes to physical and psychiatric symptoms among women, whether those women subjectively appraise sexist acts as 222 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL stressful or dismiss them as inconsequential” (Ladrine & Klonoff, 1997, p. 117). Many of the studies of risk and resilience have centered on minority samples, African-Americans in particular, because of the overrepresentation of minorities in low SES stratas and communities (e.g., Bowen et al., 1998; Bradley, Whiteside, Mundfrom, Casey, Kelleher, & Pope, 1994; Dubow et al., 1997; Grant et al., 2000; Lie et al., 2000; Richters et al., 1993; Weist et al., 1995; Wyman et al., 1999). Belonging to a minority group compounds the effects of poverty. Not only are minorities more likely to be poor (Institute for Research on Poverty, 2001), but their ability to escape poverty is hampered by discrimination in the labor market (Stoll, et al., 1999; Tomaskovic-Devey and Roscigno, 1996), and housing (Galster, 1991; Massey & Lundy, 2001; Ondrich, Ross & Yinger, 2000). In addition, minority children, particularly African-Americans, are less likely to receive the same education as their non-minority counterparts. They are more likely to be identified for placement in special education classrooms (Coutinho & Oswald, 2000), and to have lower teacher expectations for academic achievement (Roscigno, 1998). Segregation. Several studies find that it is not just poverty that increases the risks of negative outcomes for ethnic/racial minority groups, but also the segregation of those families within communities. Strong and consistent evidence indicates that outcomes for AfricanAmericans are “substantially worse (both in absolute terms and relative to whites) in racially segregated cities than they are in integrated cities. As segregation increases, blacks have lower high school graduation rates, are more likely to be idle (neither in school or working), earn less income, and are more likely to become single mothers. A one standard deviation reduction in segregation eliminates approximately one-third of the difference between blacks and whites in most outcomes” (Cutler & Gaeser, 1997, p. 828). In another study, it was estimated that for black teens “compared with living in a racially mixed neighborhood, living in a highly segregated neighborhood is associated with a 50 percent increase in the rate of premarital first birth, regardless of neighborhood socioeconomic status” (Sucoff & Upchurch, 1998, p. 571). Educational achievement is also influenced by the school segregation. There is a significant reduction in math and reading scores for students who attend black segregated schools, and a significant increase in those same scores for children in white segregated schools. JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 223 These results hold even after controlling for family differences and per-pupil expenditures within the school (Roscigno, 1998). Residential segregation of minority populations into central cities contributes to poverty because of relocation of jobs from the minority neighborhoods to primarily white suburbs. This “spatial mismatch” has resulted in “the creation of an oversupply of low-skilled workers relative to the number of jobs for which they are qualified in the central city” (Stoll, Holzer & Ihlanfeldt, 1999, p. 2). Studies have shown that access to jobs explains a significant proportion of the gap between the employment of white and minority youth (Yinger, 2000). Macro-level factors, however, don’t occur in isolation from risk and protective factors at the other levels. For example, employment may open opportunities for interacting with others and expanding social support networks, which in turn may help the family provide a safe and secure home. As noted earlier, the nature of ecological systems is that the factors within each system have interactional influences on each other. Mechanisms Underlying Risk and Resilience In a risk and resilience conceptualization, these interactional effects may play themselves out in a couple of different ways. Namely, the presence of a certain risk or protective factor may increase the likelihood of other risk and protective factors. Wachs (2000) provides the example of how an aversive parenting style with poor monitoring increases the risk of children socializing with deviant peers. If parents are overwhelmed by many environmental stressors, such as unemployment, lack of transportation and medical care, living in an unsafe neighborhood, their ability to provide consistent warmth and nurturance may be compromised. This phenomenon also operates for protective factors. For example, adolescents whose parents provide emotional support and structure the environment with consistent rules and monitoring, tend to group with peers who share similar family backgrounds (Steinberg, 2000). Supportive parenting will, in turn, impact the characteristics of the child in that, through receiving it, children learn to regulate their emotional process and develop cognitive and social competence (Wachs, 2000). The systemic influences also play themselves out with certain individual characteristics. If a child has resilient qualities, such as social 224 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL skills, effective coping strategies, intelligence, and self-esteem, they are more likely to attract quality caregiving. Another example involves attachment patterns formed with early caregivers in infancy. The attachment pattern persists into other relationships, for example, with pre-school teachers (Wachs, 2000). While the exact nature of how risk and protective factors work together are unknown, different mechanisms are hypothesized. Two main models proposed are the additive (also called the compensatory) model and the interactive (also called the immunity) model. In an additive model, protective factors exert an opposite positive effect counterbalancing the negative influence of risk (Pollard, Hawkins, & Arthur, 1999; Werner, 2000). In an interactive model, protective factors enact a buffering function against risk. Although the exact mechanisms are not specified, information has accumulated about the number of risk factors that will begin to overwhelm a system and result in negative outcomes (e.g., Fraser, Richman, and Galinsky, 1999; Kalil & Kunz, 1999). The cumulative results of different studies seem to indicate that that four or more risk factors represent a threat to adaptation (Epps & Jackson, 2000; Garmezy, 1993; Kalil & Kunz, 1999; Runyan et al., 1998; Rutter et al., 1979). The next section will discuss how risk factors can be ameliorated and protective factors can be bolstered through goal-setting and intervention planning. Implications of the Resiliency Framework for Assessment and Goal Formulation Taking into account risk and protective factors and their interplay within and among systems, several guidelines are suggested for assisting clients to assess the issues they face by examining risks and protective factors available to them, and setting goals across system levels. Table 1 highlights some of the identified risk and protective factors (columns 1 and 2), and provides some potential intervention goals suggested by the factors (column 3) within each system level. Although specific interventions need to be guided by empirical evidence about what works for whom and in what setting, intervention goals can be set by examining the risks and protective factors available in a given situation at the different system levels. Therefore, the micro, mezzo and macro levels each need to be considered with the client as potential points of intervention. For example, goals to reduce the risk of child abuse for a family (a micro level risk factor) might Micro: Phenotypic: Individual • Difficult temperament (Epps et & family al., 2000) level • Disability of child (Patterson & Blum, 1996) • Low intelligence (Wachs, 2000) Environmental: • Unstable or Unsafe home (Richters & Martinez, 1993) • Early parental disruption (Rutter et al., 1979; Wallerstein & Lewis, 1998) • Inconsistent parental discipline (Wachs, 2000) • Parental substance abuse (Hawkins, Catalano, & Miller, 1992; Phares, 1997) • Family violence (Herrenkohl et al., 1995; McCloskey et al., 1995) Risk Factors Protective Factors Phenotypic: • Easy temperament (Wyman et al., 1999) • Intelligence (Wachs, 2000) • Self-efficacy (Wachs, 2000) • Self-esteem (Wachs, 2000) • Good health (Werner, 2000) Environmental: • Safety in home (Richters & Martinez, 1993) • Stability in home (Richters & Martinez, 1993) • Monitoring and structure in family (Steinberg, 2000) • Secure attachment (Erickson, Egeland, & Pianta, 1989) • Authoritative parenting (Steinberg, 2000) • Parental school involvement (Shumow et al., 1999; Steinberg, 2000) Assessment Micro Level: • Build parent capacities (attachment and bonding, supervision and monitoring, authoritative parenting) • Increase parental involvement in school • Involvement of children in support groups, church, etc. • Strengthen marital/partner relationship • Increase child’s self-esteem & efficacy Mezzo Level: • Assure access to physical & mental health services • Develop school programs for special needs children • Assure availability of pre-school programs • Develop programs for fathers Goals Goals for Intervention Risk and Protective Factors Across Systems Levels TABLE 1 JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 225 Neighborhood context: • Economically disadvantaged neighborhood (Dubow, 1997; Levanthal & Brooks-Gunn, 2000; Shumow et al., 1999) • High levels of substance availability (Wallace, 1999; JonesWebb et al., 1997) Mezzo: Im• Substandard housing (Yinger, mediate 2000) Social En- • Violence (Aneshensel & Sucoff, vironment 1996; Crutchfield & Pitchford, (neighbor1997) hood, Social Support: school, & • Limited health care resources church) (Perloff & Jaffee, 1999) Misc: • Multiple risk factors present (Wachs, 2000) Risk Factors • Assure availability of safe houses for women & children • Develop family violence prevention & treatment programs Macro Level: Advocate for • Adequate health care for families • Appropriate child welfare policies • Adequate educational funding for special needs children Micro Level: • Move to more affluent neighborhood • Build family support network • Engage family in community support organizations Mezzo Level: • Increase community policing in poor neighborhoods • Improve physical environment of neighborhood by decreasing lead levels, improving lighting, etc. • Increase availability of physical & mental health services and community support organizations • Sound caregiving system (Wyman et al., 1999) • HS graduation (Werner, 2000) • Nurturing, supportive parent (Steinberg, 2000) • Father’s cnnection with child (Biller & Trotter, 1994; Coltrane & Parke, 1998; McLanahan & Teitler, 1998) Neighborhood context: • Affluent neighbors (Levanthal & Brooks-Gunn, 2000) • Supportive neighbors (Shumow, 1999) Social Support: • Social support networks (Berman, 1996; Brooks-Gunn & Furstenberg, 1986; Hurdle, 2000; Wolchik, 1989; Sansone, 1998) • Alternative caregivers and supportive persons (Resnick et al., 1997; Werner & Smith, 1982) • Community organizations (Currie & Thomas, 1995; Thompson & Kelly-Vance, 2001; Werner, 2000) Goals Goals for Intervention Protective Factors Assessment TABLE 1 (Continued) 226 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL Macro: Broad Socioeconomic Level • Few community social support organizations (Furstenberg et al., 1999) • Negative social relationships (Lincoln, 2000) School factors: • Poor quality schools (Durlak, 1998) • Tracking of minority students (Coutinho & Oswald, 2000) • Negative teacher attitudes (Babad, 1993; Montague & Rinaldi, 2001) Income: • Poverty (Duncan et al., 1994; Garbarino, 1992; Gelles & Strauss, 1988; Grant et al., 2000; McLoyd, 1998; Teachman, et al., 1997; Wallace, 1999) • Unemployment (Bellair & Roscigno, 2000; Murphy & Athanasou, 1999) Church/religious factors: • Churches & religious involvement (Albrecht et al., 1996; Jessor et al., 1998; Johnson et al., 2000; Miller et al., 2000; Taylor et al., 2000; Wright et al., 1993) School factors: • Safe school & supportive teachers (Baker, 1999; Bowen et al., 1998; Garmezy, 1993; Wachs, 2000) • Positive relationships w/teachers (Hamre & Pianta, 2001) Income: • Availability of economic supports including: minimum wage laws (Bernstein et al., 2000; Addison & Blackburn, 1999); income support programs (Scholz & Levine, 2000); tax policies such as EITC (Scholz & Levine, 2000); child support policies (Garfinkel et al., 2001) • Organize community (including schools and churches) to address crime, provide social activities, etc. • Improve safety of school • Provide teacher training Macro Level: Advocate for: • Increased funding for social services • Increased funding for schools • Policies to mandate teacher training Micro Level: • Encourage self-advocacy in obtaining benefits • Encourage application for EITC • Encourage pursuing child support Mezzo Level: • Community economic development JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 227 Goals • Community anti-discrimination policies • Community strategies for integration Macro Level: Advocate for: • Stronger child support policies • More progressive tax policies • Stronger anti-discrimination laws Protective Factors • Strong economy (Freeman, 2000) Discimination: • Anti-discrimination laws (Holzer & Neumark, 2000) Segregation: • Racially integrated city (Cutler & Glaeser, 1997) Discrimination: • Effects on mental health (Finch et al., 2000; Kessler et al., 1999; Schultz et al., 2000) • Racial discrimination (Galster, 1991; Massey & Lundy, 2001; Ondrich et al., 2000; Roscigno, 1998; Steinberg, 2000; Stoll, et al., 1999; Tomaskovic-Devey & Roscigno, 1996) • Differential application of laws (Wallace, 1999) • Gender discrimination (Ladrine & Klonoff, 1997) Segregation: • Residential segregation (Cutler & Glaeser, 1997; Galster, 1991; Stoll et al., 1999; Sucoff & Upchurch, 1998; Yinger, 2000) Goals for Intervention Risk Factors Assessment TABLE 1 (Continued) 228 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 229 include working with families to identify and address needed parenting skills (micro level intervention), community support resources (mezzo level intervention), and policies that reduce poverty (macro level intervention). As another example, goals to address housing discrimination faced by a client (a macro level risk factor) might include assisting the client to assertively discuss the situation with a local authority (micro level intervention), organize the community to protest the discrimination (mezzo level intervention), and file a class action law suit (macro level intervention). As can be seen in Table 1, goal formulation for micro risk and protective factors include identifying interventions that reduce the risks and build on the strengths of families and children through enhancing their skills, their access to programs and services, and the availability of adequate and appropriate resources and policies. Goal setting for the mezzo risk and protective factors include micro-level interventions that focus on changing the situation of the family (e.g., helping them move out of a high-risk neighborhood), mezzo-level strategies that focus on changing the social environment in which the family interacts, and macro-level strategies that address inequalities within the social environment. The macro risk and protective factors suggest intervention goals that encourage individuals to advocate on their own behalf, for communities to address economic and social inadequacies and inequities, and for macro systems to develop policies that improve income and reduce discrimination and segregation. The resilience framework provides direction for strategies that can be considered for both the prevention of risks as well as the reduction or amelioration of the effects of risk factors once they have occurred. Adequate prenatal care can prevent birth related risks associated with low birth weight and premature birth, and improving the safety of a neighborhood may help prevent mental health problems among children. Once the risk has been experienced, supports can be put in place to help reduce the negative impact. For example, programs that focus on enhancing fathers’ involvement in single-mother families may reduce the risks associated with this family structure, and the provision of employment and income supports can alleviate the problems associated with poverty. While social work practitioners may not be experts in implementing interventions in all system levels, they must be knowledgeable about the potential range of micro, mezzo and macro factors that affect the functioning of individuals and families. And, more importantly, they must be committed to assuring that their assessment and goal setting 230 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL with the client system consider each of these levels as a potential target for intervention. Conclusion This paper illustrates that the risk and resilience ecological model can be used as a framework for assessment and intervention planning. It organizes potential strengths to bolster the individual and the environment, and pinpoints the risks to ameliorate from the different system level influences that social workers can potentially enact. Although this framework holds great promise, there are still considerable gaps in our knowledge regarding strategies for enhancing protective factors and reducing risks. Research has identified the “naturally occurring” risk and protective factors that contribute to resiliency, but there is a continuing need for empirically validating interventions that build on the strengths of client systems, and result in positive outcomes for families and children. Empirical evidence has shown that the most effective interventions target risk and protective factors across system levels (Durlak, 1998; Smokowski, 1998). Social Work, with its strengths-based perspective that recognizes the person in the environment, is in a unique position to contribute to the knowledge in this area. Our work across system levels and within the range of organizations provides an opportunity for implementing and evaluating a range of strategies. References Addison, J. T. & Blackburn, M. L. (1999). Minimum wages and poverty. Industrial and Labor Relations Review, 52(3), 393–409. Albrecht, S. L., Amey, C. & Miller, M. K. (1996). Patterns of substance abuse among rural black adolescents. Journal of Drug Issues, 26(4), 751–782. Aneshensel, C. S. & Sucoff, C. A. (1996). The neighborhood context of adolescent mental health. The Journal of Health and Social Behavior, 37(4), 293–310. Babad, E. (1993). Teachers’ differential behavior. Educational Psychology Review, 5, 347–376. Baker, J. A. (1999). Teacher-student interaction in urban at-risk classrooms: Differential behavior, relationship quality, and student satisfaction with school. The Elementary School Journal, 100(1), 57–70. Barkley, R. A. (2000). Taking charge of ADHD, revised edition. New York: Guilford Press. Bellair, P. B. & Roscigno, V. J. (2000). Local labor market opportunity and adolescent delinquency. Social Forces, 78, 1509–1533. JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 231 Berman, S. L., Kurtines, W. M., Silverman, W. K. & Serafini, L. T. (1996). The impact of exposure to crime and violence on urban youth. American Journal of Orthopsychiatry, 66(3), 329–336. Bernstein, J., Hartmann, H. & Schmitt, J. (2000). How minimum wage increase would impact on women. Hispanic Times Magazine, 21(2), 12–17. Biller, H. B. & Trotter, R. J. (1994). The father factor. New York: Simon and Schuster. Bowen, G., Richman, J., Brewster, A. & Bowen, N. (1998). Sense of school coherence, perceptions of danger at school, and teacher support among youth at risk of school failure. Child and Adolescent Social Work Journal, 15, 273–286. Bradley, R., Whiteside, L., Mundfrom, D., Casey, Kelleher, K. & Pope, S. (1994). Early indications of resilience and their relation to experiences in the home environments of low birthweight, premature children living in poverty. Child Development, 65, 346–360. Brooks-Gunn, G. J., Duncan, & L. J. Aber (Eds.). 1997. Neighborhood Poverty. (Vol. 1): New York: Russell Sage Foundation. Brooks-Gunn, J., & Furstenberg, F. F., Jr. (1986). The children of adolescent mothers: Physical, academic, and psychological outcomes. Developmental Review, 6, 224– 251. Carbonell, D. M., Reinherz, H. Z. & Giaconia, R. M. (1998). Risk and resilience in late adolescence. Child and Adolescent Social Work Journal, 15(4), 251–273. Caspi, A., Taylor, A., Moffitt, T. E., & Plomin, R. (2000). Neighborhood deprivation affects children’s mental health: Environmental risks identified in genetic design. Psychological Science, 11(4), 338–342. Coltran, S. & Parke, R. D. (1998). Reinventing fatherhood: Toward an historical understanding of continuity and change in men’s family lives. Philadelphia: National Center on Fathers and Families. Coutinho, M. J. & Oswald, D. P. (2000). Disproportionate representation in special education: A synthesis and recommendations. Journal of Child and Family Studies, 9(2), 135–157. Crutchfield, R. D. & Pitchford, S. R. (1997). Work and crime: The effects of labor market stratification. Social Forces, 76, 93–118. Currie, J. & Thomas, D. (1995). Does Head Start make a difference? American Economic Review, 85(3), 341–365. Cutler, D. & Gaeser, E. (1997). “Are Ghettos Good or Bad?” Quarterly Journal of Economics, 112(3), 835–67. Dubow, E. F., Edwards, S. & Ippolito, M. F. (1997). Life stressors, neighborhood disadvantage, and resources: A focus on inner-city children’s adjustment. Journal of Clinical Child Psychology, 26(2), 130–144. Duncan, G., Brooks-Gunn, J. & Klebanov, P. (1994). Economic deprivation and early childhood development. Child Development, 65, 296–318. Durlak, J. A. (1998). Common risk and protective factors in successful prevention programs. American Journal of Orthopsychiatry, 68(4), 512–520. Eamon, M. K. (2002). Influences and mediators of the effect of poverty on young adolescent depressive symptoms. Journal of Youth and Adolescence, 31(3), 231–243. Ellen, I. G. (2000). Sharing America’s neighborhoods: The prospects for stable racial integration. Cambridge, MA: Harvard University Press. Epps, S., & Jackson, B. (2000). Empowered families, successful children. Washington, DC: APA. Erickson, M. F., Egeland, B., & Pianta, R. (1989). The effects of maltreatment on the development of young children. In D. Cicchetti & V. Carlson (Eds.), Child Maltreatment: Theory and Research on the Causes and Consequences of Child Abuse and Neglect (pp. 647–684). Cambridge: Cambridge University Press:. Finch, B. K., Kolody, B., & Vega, W. A. (2000). Perceived discrimination and depression among Mexican-origin adults in California. The Journal of Health and Social Behavior, 41(3), 295–314. 232 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL Fraser, M. (Ed.). (1997). Risk and resilience in childhood: An ecological perspective. Washington, DC: NASW. Fraser, M., Richman, J. & Galinsky, M. (1999). Risk, protection, and resilience: Toward a conceptual framework of social work practice. Social Work Research, 23, 131–143. Freeman, R. (2000). “The rising tide lifts . . .”? Focus, 21(2), 27–31. Madison, WI: University of Wisconsin-Madison, Institute for Research on Poverty. Furstenberg, F. F., Cook, P. D., Eccles, J., Elder, G. H., & Sameroff, A. (1999). Managing to make it: Urban families and adolescent success. Chicago: University of Chicago Press. Galster, G. (1991). Housing Discrimination and Urban Poverty of African-Americans. Journal of Housing Research, 2(2), 87–122. Garbarino, J. (1992). The meaning of poverty in the world of children. American Behavioural Scientist, 35, 220–237. Garfinkel, I., Heintze, T. & Huang, C. (2001). The effects of child support enforcement on women’s incomes. Poverty Research News, 5(3), 5–7. Garmezy, N. (1993). Children in poverty: Resilience despite risk. Psychiatry, 56, 127– 136. Gelles, R. & Strauss, M. (1988). Intimate Violence: The causes and consequences of abuse in the American family. New York: Simon & Schuster, Inc. Golding, J. M. (1999). Intimate partner violence as a risk factor for mental disorders: A meta-analysis. Journal of Family Violence, 14(2), 99–132. Grant, K. E., O’Koon, J. H., Davis, T. H., Roache, N. A., Poindexter, L. M., Armstrong, M. L., et al. (2000). Protective factors affecting low-income urban African American youth exposed to stress. Journal of Early Adolescence, 388–417. Hamre, B. K. & Pianta, R. C. (2001). Early teacher-child relationships and the trajectory of children’s school outcomes through eighth grade. Child Development, 72(2), 625–638. Hawkins, J. D., Catalano, R. F. & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64–105. Hawley, D. R. (2000). Clinical implications of family resilience. American Journal of Family Therapy. 101–116. Herrenkohl, E. C., Herrenkohl, R. C., Rupert, L. J., Egolf, B. P. & Lutz, J. G. (1995). Risk factors for behavioral dysfunction: The relative impact of maltreatment, SES, physical health problems, cognitive ability, and quality of parent-child interaction. Child Abuse and Neglect, 19, 191–203. Holzer, H. J. & Neumark, D. (2000). What does affirmative action do? Industrial and Labor Relations Review, 53(2), 240–272. Hurdle, D. E. (2001). Social support: A critical factor in women’s health and health promotion. Health and Social Work, 26(2), 72–79. Institute for Research on Poverty. (2001). Who is Poor? Madison, WI: University of Wisconsin. Available: www.ssc.wisc.edu/irp/ Jessor, R., Turbin, M. S., & Costa, F. M. (1998). Protective factors in adolescent health behavior. Journal of Personality and Social Psychology, 75, 788–800. Jessor, R., Van Den Bos, J., Vanderryn, J., Costa, F. M. & Turbin, M. S. (1997). Protective factors in adolescent problem behavior: Moderator effects and developmental change. In G. A. Marlatt & G. R. Van Den Bos (Eds.), Addictive Behaviors: Readings on etiology, prevention, and treatment (pp. 239–264). Washington, DC: American Psychological Association. Johnson, B. R., Jang, S. J., Larson, D. & Li, S. D. (2001). Does adolescent religious commitment matter? A reexamination of the effects of religiosity on delinquency. Journal of Research in Crime and Delinquency, 38(1), 22–43. Johnson, B. R., Jang, S. J., Li, S. D. & Larson, D. (2000). The “invisible institution“ and black youth crime: The church as an agency of local and social control. Journal of Youth and Adolescence, 29(4), 479–498. JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 233 Johnson, K., Bryant, D. D., Collins, D. A., Noe, T. D., Strader, T. N. & Berbaum, M. (1998). Preventing and reducing alcohol and other drug use among high-risk youths by increasing family resilience. Social Work, 43(4), 297–308. Jones-Webb, R., Snowden, L., Herd, D., Short, B. & Hannan, P. (1997). Alcohol-related problems among Black, Hispanic and White men: The contribution of neighborhood poverty. Journal of Studies on Alcohol, 58, 539–545. Kalil, A., & Kuntz, J. (1999). First births among unmarried adolescent girls: Risk and protective factors. Social Work Research, 23, 197–208. Kessler, R. C., Mickelson, K. D. & Williams, D. R. (1999). The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. Journal of Health and Social Behavior, 40(3), 208–231. Kirby, L. & Fraser, M. (1997). Risk and resilience in childhood. In M. Fraser (Ed.), Risk and resilience in childhood: An ecological perspective (pp. 10–33). Washington, DC: NASW. Krishnakumar, A., & Buehler, C. (2000). Interparental conflict and parenting behaviors: A meta-analytic review. Family Relations, 49, 25–44. Landrine, H. & Klonoff, E. A. (1997). Discrimination against women: Prevalence, consequences, remedies. Thousand Oaks: Sage Publications. Lavigne, J. & Faier-Routman, J. (1992). Psychological adjustment to pediatric physical disorders: A meta-analytic review. Journal of Pediatric Psychology, 17, 133–157. Levanthal, T. & Brooks-Gunn, J. (2000). The neighborhoods they live in: The effects of neighborhood residence on child and adolescent outcomes. Psychological Bulletin, 126(2), 309–337. Li, X., Stanton, B. & Feigelman, S. (2000). Impact of perceived parental monitoring on adolescent risk behavior over 4 years. Journal of Adolescent Health, 27, 49–56. Lincoln, K. D. (2000). Social support, negative social interactions, and psychological well-being. Social Service Review, 74(2), 231–252. Massey, D. S. & Lundy, G. (2001). Use of Black English and racial discrimination in urban housing markets. Urban Affairs Review, 36, 452–469. McCloskey, L. A., Southwick, K., Fernandez-Esquer, M. E. & Locke, C. (1995). The psychological effects of political and domestic violence on Central American and Mexican immigrant mothers and children. Journal of Community Psychology, 23, 95–116. McCullough, M. E., Larson, D. B., Hoyt, W. T. & Koenig, H. G. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 19(3), 211–223. McLanahan, S., & Teitler, S. (1998). The consequences of father absence. In Parenting and child development in nontraditional families, edited by M. E. Lamb. Mahwah, NJ: Lawrence Erlbaum. McLoyd, V. C. (1998). Socioeconomic Disadvantage and child development. American Psychologist (2), 185–204. Miller, L., Davies, M. & Greenwald, S. (2000). Religiosity and substance use and abuse among adolescents in the National Comorbidity Survey. Journal of the American Academy of Child and Adolescent Psychiatry, 39(9), 1190–1197. Moffitt, T. E. (1993). Adolescence-limited and Life-course-Persistent Antisocial Behavior: A Developmental Taxonomy. Psychological Review, 100, 674–701. Montague, M. & Rinaldi, C. (2001). Classroom dynamics and children at risk: A followup. Learning Disability Quarterly, 24, 75–83. Murphy, G. C. & Athanasou, J. A. (1999). The effect of unemployment on mental health. Journal of Occupational and Organizational Psychology, 72(1), 83–99. Nash, J., & Bowen, G. (1999). Perceived crime and informal social control in the neighborhood as a context for adolescent behavior: A risk and resilience perspective. Social Work Research, 23, 171–186. Newcomer, S., & Udry, J. (1985). Parent-child communication and adolescent sexual behavior. Family Planning Perspectives, 17, 169–174. 234 CHILD AND ADOLESCENT SOCIAL WORK JOURNAL Ondrich, J., Ross, S. L. & Yinger, J. (2000). How common is housing discrimination? Improving on traditional measures. Journal of Urban Economics, 47, 470–501. Patterson, J. & Blum, R. W. (1996). Risk and resilience among children and youth with disabilities. Arch Pediator Adolescence Medical, 150, 692–698. Perloff, J. D. & Jaffee, K. D. (1999). Late entry into prenatal care: The neighborhood context. Social Work, 44(2), 116–128. Phares, V. (1997). Psychological adjustment, maladjustment, father-child relationships. In The role of the father in child development, 3rd edition, edited by M. E. Lamb, pp. 261–283. New York: John Wiley and Sons. Pless, I., Power, C., & Peckham, C. (1993). Long-term psychosocial sequelae of chronic physical disorders in childhood. Pediatrics, 91, 1131–1136. Pollard, J., Hawkins, D., & Arthur, M. (1999). Risk and protection: Are both necessary to understand diverse behavioral outcomes in adolescence? Social Work Research, 23, 145–158. Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., et al. (1997). Protecting adolescents from harm: Findings from the national longitudinal study on adolescent health. JAMA, the Journal of the American Medical Association, 278(10), 823–893. Richters, J. E. & Martinez, P. E. (1993). Violent communities, family choices, and children’s chances: Analgorithm for improving the odds. Development and Psychopathology, 5, 609–627. Roscigno, V. J. (1998). Race and the reproduction of educational disadvantage. Social Forces, 76(3), 1033–1061. Runyan, D. K., Hunter, W. M., Scololar, R. R., Amaya-Jackson, L., English, D., Landsverk, J., Dubowitz, H., Browne, D., Bangdiwala, S. I., & Mathew, R. M. (1998). Children who prosper in unfavorable environments: The relationship to social capital. Pediatrics, 101(1), 12–19. Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57, 316–331. Rutter, M. Maugham, N., Mortimore, P., & Ouston, J. (1979). Fifteen thousand hours. Cambridge, MA: Harvard University Press. Sansone, F. A. (1998). Social support’s contribution to reduced welfare dependency: Program outcomes of long term welfare recipients. Journal of Sociology and Social Welfare, 25(4), 105–126. Scholz, J. K. & Levine, K. (2000). The evolution of income support policy in recent decades. Focus, 21(2), 9–15. Madison, WI: University of Wisconsin-Madison, Institute for Research on Poverty. Schultz, A., Williams, D., Israel, B., Becker, A., Parker, E., James, S. A., & Jackson, J. (2000). Unfair treatment, neighborhood effects, and mental health in the Detroit metropolitan area. The Journal of Health and Social Behavior, 41(3), 314–333. Shumow, L., Vandell, D. L. & Posner, J. (1999). Risk and resilience in the urban neighborhood: predictors of academic performance among low-income elementary school children. Merrill-Palmer Quarterly, 45(2), 309–332. Smokowski, P. R. (1998). Prevention and intervention strategies for promoting resilience in disadvantaged children. Social Service Review, 72, 337–364. Steinberg, L. (April 1, 2000). We know some things: Parent-adolescent relations in retrospect and prospect. Presidential Address, The Society for Research on Adolescence, Chicago, IL. http://astro.temple.edu/⬃lds/sra.htm Stoll, M. A., Holzer, H. J. & Ihlanfeldt, K. R. (1999). Within cities and suburbs: Racial residential concentration and spatial distribution of employment opportunities across submetropolitan areas. (Institute for Research on Poverty Discussion Paper no. 1189-99). Madison, WI: University of Wisconsin. Sucoff, C. A. & Upchurch, D. M. (1998). Neighborhood context and the risk of childbearing among metropolitan-area black adolescents. American Sociological Review, 63, 571–586. JACQUELINE CORCORAN AND ANN NICHOLS-CASEBOLT 235 Svetaz, M., Ireland, M. & Blum, R. (2000). Adolescents with learning disabilities: Risk and protective factors associated with emotional well-being: Findings from the National Longitudinal Study of Adolescent Health. Journal of Adolescent Health, 27, 340–348. Taylor, R. J., Ellison, C. G., Chatters, L. M., & Lincoln, K. D. (2000). Mental health services in faith communities: The role of clergy in black churches. Social Work, 45, 73–87. Teachman, J. D., Paasch, K. M., Day, R. D., & Carver, K. P. (1997). Poverty during adolescence and subsequent educational attainment. In G. Duncan and J. BrooksGunn (Ed.) (pp. 382–418). Consequences of growing up poor. New York: Russell Sage Foundation. Tomaskovic-Devey, D. & Roscigno, V. J. (1996). Racial economic subordination and white gain in the U.S. South. American Sociological Review, 61, 565–589. Thompson, L. A., & Kelly-Vance, L. (2001). The impact of mentoring on academic achievement of at-risk youth. Children and Youth Services Review, 23(3), 227–243. Wachs, T. (2000). Necessary but not sufficient. Washington, DC: APA. Wallace, J. M. (1999). The social ecology of addiction: Race, risk, and resilience. Pediatrics, 103(5), pp. 1–11. Wallerstein, J. S. & Lewis, J. (1998). The long-term impact of divorce on children: A first report from a 25-year study. Family and Conciliation Courts Review, 36(3), 368–383. Weist, M. D., Freedman, A. H., Paskewitz, D. A., Proescher, E. J. & Flaherty, L. T. (1995). Urban youth under stress: empirical identification of protective factors. Journal of Youth and Adolescence, 24, 705–717. Werner, E. (2000). Protective factors and individual resilience. In J. Shonoff & S. Meisels (Eds.), Handbook of early childhood intervention, 2nd ed. (pp. 115–133). Cambridge: Cambridge University Press:. Werner, E. & Smith, R. (1982). Vulnerable but invincible: A longitudinal study of resilient children and youth. New York: McGraw Hill. Wolchik, S. A., Ruehlman, L. S., Braver, S. L., & Sandler, I. N. (1989). Social support of children of divorce: Direct and stress buffering effects. American Journal of Community Psychology, 17, 485–502. Wolfe, D. A., Jaffe, P., Wilson, S., & Zak, L. (1985). Children of battered women: The relation of child behavior to family violence and maternal stress. Journal of Consulting and Clinical Psychology, 53, 657–664. Wright, L. S., Frost, C. J., & Wisecarver, S. J. (1993). Church attendance, meaningfulness of religion, and depressive symptomatology among adolescents. Journal of Youth and Adolescence, 22(5), 559–569. Wyman, P. A., Cowen, E. L., Work, W. C., Hoyt-Myers, L., Magnus, K. B. & Fagen, D. B. (1999). Caregiving and developmental factors differentiating young at-risk urban children showing resilient versus stress-affected outcomes: A replication and extension. Child Development, 70(3), 645–659. Yinger, J. (2000). Housing Discrimination and residential segregation as causes of poverty. Focus, 21(2), 51–55. Madison, WI: University of Wisconsin-Madison, Institute for Research on Poverty. Young, E. W., Jensen, L. C., Olsen, J. A., & Cundick, B. P. (1991). The effects of family structure on the sexual behavior of adolescents. Adolescence, 26, 977–986. Zimmerman, S. I., Smith, H. D., Gruber-Baldini, A., Fox, K. M., Hebel, J. R., Kenzora, J., et al. (1999). Social Work Research, 23(3), 187–196.
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