Friday, March 11, 2005
Childhood bereavement services
Rolls Liz, Payne Sheila
Childhood bereavement services: issues in UK service provision
Mortality 2004 v9 no 4 p300-28
This article eloquently presents the broad key findings from a research project on UK childhood bereavement services, based on 8 different organisational case studies. They include a variety of management and administrative structures a)free standing services b)services attached to a host organisation such as a hospice or a child care service c)partnership services which arise from a partnership of a number of statutory agencies. This variety of services is detailed as well as the “level” of each service – from support through to psychotherapeutic work.
Research, audit and service evaluation is described though this area of activity is often an ideal rather than a reality.
The numbers of such services, albeit with varied aims and methods of delivery has increased in the UK in the last ten years and it is clear that they vary greatly. However, this article presents a broad idea of their scope and some discussion on the challenges for future evaluation.
Childhood bereavement services: issues in UK service provision
Mortality 2004 v9 no 4 p300-28
This article eloquently presents the broad key findings from a research project on UK childhood bereavement services, based on 8 different organisational case studies. They include a variety of management and administrative structures a)free standing services b)services attached to a host organisation such as a hospice or a child care service c)partnership services which arise from a partnership of a number of statutory agencies. This variety of services is detailed as well as the “level” of each service – from support through to psychotherapeutic work.
Research, audit and service evaluation is described though this area of activity is often an ideal rather than a reality.
The numbers of such services, albeit with varied aims and methods of delivery has increased in the UK in the last ten years and it is clear that they vary greatly. However, this article presents a broad idea of their scope and some discussion on the challenges for future evaluation.
Friday, March 04, 2005
AIDS and the stress of multiple bereavement
Hunt Jennifer
Sole survivor: a case study to evaluate the dual-process model of grief in multiple loss
Illness Crisis and Loss 2004 v12 o4 p284-298
In Zimbabwe, deaths due to AIDS are common and the traditional grief models do not account for the ability of families to survive consecutive and concurrent deaths to which a degree of stigma is attached. This is a case study of one woman who lost many of her family due to AIDS but the death of her mother after these deaths was a catalyst for seeking some outside help. The author identifies where the dual process model was useful in this case study – and where it was not.
Counselling was seen to be helpful in terms of having someone external to the family to assist this lady to piece together the story of her lost family and the particular losses associated with each person who died - and to identify her previous resilience in coping with many deaths. The author considers the grief was not pathological but the lady ran out of energy. The oscillation described in the dual process model was not possible because it requires energy and this lady’s reserves were heavily depleted, due to all her other losses.
The case study provides many opportunities for discussion of models in practice , pathological grief and identification of useful counselling strategies.
Sole survivor: a case study to evaluate the dual-process model of grief in multiple loss
Illness Crisis and Loss 2004 v12 o4 p284-298
In Zimbabwe, deaths due to AIDS are common and the traditional grief models do not account for the ability of families to survive consecutive and concurrent deaths to which a degree of stigma is attached. This is a case study of one woman who lost many of her family due to AIDS but the death of her mother after these deaths was a catalyst for seeking some outside help. The author identifies where the dual process model was useful in this case study – and where it was not.
Counselling was seen to be helpful in terms of having someone external to the family to assist this lady to piece together the story of her lost family and the particular losses associated with each person who died - and to identify her previous resilience in coping with many deaths. The author considers the grief was not pathological but the lady ran out of energy. The oscillation described in the dual process model was not possible because it requires energy and this lady’s reserves were heavily depleted, due to all her other losses.
The case study provides many opportunities for discussion of models in practice , pathological grief and identification of useful counselling strategies.
