Les enfants et la pauvreté
Transcription
Les enfants et la pauvreté
Actes du 5ième Congrès international sur l’enfant Montréal (Québec), Canada, 23-24-25 mai 2002 Les enfants et la pauvreté : l’impact des choix économiques, sociaux et politiques Proceedings of the 5th International Conference on the Child Montreal (Quebec), Canada, May 23-24-25, 2002 Children and Poverty: The Impact of Economic, Social and Political Choices © THEO DONE & ASSOCIATES LTD, 2004 Catalogage avant publication de Bibliothèque et Archives Canada Library and Archives Canada Cataloguing in Publication International Conference on the Child (5th : 2002 : Montréal, Québec) Actes du 5ième Congrès international sur l'enfant, Montréal, Québec, Canada, 23-24-25 mai 2002 : les enfants et la pauvreté : l'impact des choix économiques, sociaux et politiques / sous la direction de Dominic D'Abate, William Rowe = Proceedings of the 5th International Conference on the Child, Montreal, Quebec, Canada, May 23-24-25, 2002 : children and poverty : the impact of economic, social and political choices / edited by Dominic D'Abate, William Rowe. Text in English and French. Includes bibliographical references and index. ISBN 2-923344-02-2 1. Poor children--Congresses. 2. Poor children--Social conditions-21st century--Congresses. 3. Children with social disabilities--Congresses. 4. Poor children--Services for--Congresses. I. D'Abate, Dominic A., 1948II. Di Done, Riccardo, 1950- III. Rowe, William S., 1949- IV. Theo Done & Associates V. Title. VI. Title: Enfants et la pauvreté. VII. Title: Children and poverty. HQ767.82.I68 2002 362.7'086'942 C2004-906109-7E Dépôt légal - Bibliothèque nationale du Québec - 2004 Dépôt légal - Bibliothèque nationale du Canada - 2004 Legal Deposit - Bibliothèque nationale du Québec - 2004 Legal Deposit – National Library of Canada - 2004 © Theo Done & Associates Ltd, 2004 2175, Mountain Street, suite 200 Montreal, Quebec, Canada H3G 1Z8 Tous droits réservés. 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TABLE DES MATIÈRES / TABLE OF CONTENTS Un mot des coprésidents du 5e Congrès international sur l’enfant / A Word from the Co-Chairs of the 5th International Conference on the Child . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5 Un mot des coprésidents du comité scientifique / A Word from the Co-Chairs of the Scientific Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7 Liste du comité scientifique / List of the Scientific Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9 Liste du comité d’honneur / List of the Honour Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Message du lieutenant-gouverneur du Québec / Message of the Lieutenant-Governor of Quebec . . . . . . . . . . . . . . . . . . . . . . . .11 Message du Premier ministre du Canada / Message of the Prime Minister of Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Message du ministre délégué à la Santé, aux Services sociaux, à la Protection de la jeunesse et à la Prévention / Message of the Minister of Health, Social Services, Youth Protection and Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Déclaration de Montréal sur les enfants et la pauvreté / The Montreal Declaration on Children and Poverty . . . . . . . . . . . . .17 Addendum à la Déclaration de Montréal sur les enfants et la pauvreté / Addendum to the Montreal Declaration on Children and Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Pauvreté infantile : l’impact des choix économiques, sociaux et politiques / Child Poverty: The Impact of Economic, Social and Political Choices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Section 1 : Le visage de la pauvreté / The Reality of Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Rasheed, Sadig (UNICEF) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Opening Address “A World Fit for Children” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Lebrun, Nicole (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 201 « Mondialisation de la pauvreté et éducation de base » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Ife, Jim (Australia) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 307 “Human Rights and Child Poverty” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Ferguson, Kirstin M. (U.S.A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 503 “Social Capital and Child Labor in the Mesosystem: In Search of Community-Based Social Indicators of Risk” . . . . . . . . . .49 Mayer, Micheline (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 203 « La pauvreté des enfants signalés aux services de protection de la jeunesse québécois » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Nolin, Pierre (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 304 « Les effets du milieu socio-économique sur le développement cognitif des enfants de 5 à 12 ans » . . . . . . . . . . . . . . . . . . . . . .97 Dufour, Sarah (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 107 « Le rôle des pères de milieux défavorisés dans la promotion de la santé mentale de leurs enfants » . . . . . . . . . . . . . . . . . . . . .104 “The Contribution of Fathers from Disadvantaged Neighbourhoods to Their Children’s Mental Health” . . . . . . . . . . . . . .113 Stergiou, Maria (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 102 “Parental Alienation Syndrome and its Impact on Child Poverty” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Section 2 : Les enfants et la pauvreté dans le monde / Children and Poverty Throughout the World . . . . .127 Baker, Maureen (New Zealand) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 405 “Child Poverty, Maternal Health and Social Benefits” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Biasoli-Alves, Zélia Maria Mendes et Bazon, Maria Rezende (Brazil) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 402 « Projets d’intervention auprès des familles exposées à des problèmes psychosociaux » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143 –2– Behera, Deepak Kumar (India) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 304 “The Impact of Drought on the Indigenous Children: Some Reflections from Kalahandi District of Orissa, India” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Audet, Steve, Papatie, Doris et Riendeau, Roch (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 305 « Les différents visages de la pauvreté à Kitcisakik » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164 Ramphal, Anand (South Africa) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 402 “The Effects of Poverty on the Psychological and Educational Development of Childen” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Richard, Diane (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 203 « Les revenus de bien-être social chez les familles canadiennes en 2001 » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Rudd, Jane (U.S.A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 104 “An Economic, Political and Gender Analysis of Trafficking of Women in Ukraine” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Section 3 : L’impact des choix économiques, sociaux et politiques / The Impact of Economic, Social and Political Choices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Brown, Garfield (South Africa) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 205 “Promoting Attitudinal Change in Children’s Rights, Poverty and the Changing Family” . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220 Browne, Gina and Byrne, Caroline (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 502 “When the Bough Breaks: Provider-Initiated Comprehensive Care is More Effective and Less Expensive for Sole-Support Parents on Social Assistance” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Fabowalé, Lola (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 401 “Poverty and Single-Parent Mothers: Do Taxes and Transfers Across Canada Make a Difference?” . . . . . . . . . . . . . . . . . . . . .250 Cywinski, Mercedes et Wanderley, Mariangela Belfiore (Brazil) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 101 « Évaluation du programme de revenu minimum “familles citoyennes” du conseil municipal de Santo André – PRMSA » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .274 Ramphal, Ritha (South Africa) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 402 “Children and Poverty in South Africa: A Call for Preventive Intervention” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287 Montgomery, Catherine and Mailloux Annie (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 504 “Developing Tools for the Future. The Role and Challenges of Pre-employability Projects in Multiethnic Neighbourhoods” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293 Varga-Toth, Judi (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 103 “Family and Schools Together Canada Programme Description” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .303 Irons, Jane. E. and Simpson, Phyllis (U.S.A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 202 “Project SMART – A Program Evaluation: A Health Education Program Focusing Upon Teenage Pregnancy and Substance Abuse Abstinence” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .311 Hétu, Jean-Pierre et Gasse, Manon (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 103 « Naître égaux-Grandir en santé ou Comment utiliser l’empowerment dans une perspective d’approche écologique? » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .316 Goyette, Martin, Dallaire, Nicole et Panet-Raymond, Jean (Canada) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Atelier / Workshop 302 « Les collaborations entre un Centre jeunesse et les organisations du milieu : vers une valeur ajoutée à l’intervention? » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .320 Berthoud, C. M. E.; Ferreira, M. F. C.; Lima, A. D. A.; Oliveira, A. L.; Silva, E. A. R. (Brazil) . . . . . . . . . .Atelier / Workshop 501 “Investigating and Intervening in Families: A Brazilian Project with a Low Income Community” . . . . . . . . . . . . . . . . . . . . . . .338 –3– UN MOT DES COPRÉSIDENTS DU 5e CONGRÈS INTERNATIONAL SUR L’ENFANT À titre de coprésidents du 5e Congrès international sur l’enfant, nous voudrions tout d’abord remercier toutes les personnes qui ont contribué de près ou de loin au succès de cet événement. Bien que de nombreuses organisations et institutions aient déjà organisé de tels événements sur le même thème dans le passé et en organiseront probablement d’autres dans le futur, nous croyons que le cumul des efforts est essentiel pour réussir à faire avancer la cause des enfants. Aucun groupe ou organisation ne dispose des ressources pour tout régler seul. Les gouvernements et les décideurs n’agiront que sous la pression continue et soutenue d’une opinion publique au fait des recommandations et solutions proposées pour contrer les problèmes les plus pressants qui confrontent les enfants, tels que la pauvreté – qui était le thème du 5e Congrès international sur l’enfant. Treize ans après que presque tous les 191 pays affiliés aux Nations Unies aient signé la Convention relative aux droits de l’enfant, la situation des enfants s’est en fait détériorée. Globalement, selon l’UNICEF, plus de 650 millions d’enfants vivent dans une pauvreté abjecte, dans des familles dont le revenu est inférieur à 1 $ par jour. Un enfant sur trois est victime de pauvreté dans les pays en RICCARDO DI DONE développement; un sur cinq dans les pays industrialisés. L’ensemble des participants au congrès provenant de pays en développement ont d’ailleurs été très surpris de découvrir que même au Canada, un pays riche reconnu mondialement pour sa qualité de vie, près d’un enfant sur cinq vit dans la pauvreté. Et nous ne parlons que de pauvreté économique. Un grand nombre d’enfants souffrent également de pauvreté émotionnelle, psychologique, sociale et spirituelle, particulièrement dans les pays hautement industrialisés. Il s’en suit que, lorsque l’on traite des problématiques liées à la pauvreté, on ne peut se limiter à la pauvreté économique. On doit également considérer la pauvreté politique, la culture de la pauvreté ainsi que la psychologie de la pauvreté. La pauvreté signifie non seulement manquer d’argent mais également manquer de pouvoir. Lorsqu’une personne vit dans une société au sein de laquelle la pauvreté et le manque de pouvoir génèrent des inégalités en termes d’accès et de participation à la protection et à la vie économique et sociale de cette société, force est d’admettre que cette personne est véritablement pauvre. De nombreux spécialistes – médecins, infirmiers, travailleurs sociaux, enseignants, conseillers juridiques – ainsi que des représentants de divers corps policiers, des chefs d’entreprise, des leaders syndicaux et des membres du clergé se sont réunis afin de trouver des solutions novatrices à cette situation inacceptable. Le Congrès a constitué un forum international nous permettant de colliger les plus récentes données sur la pauvreté dans toutes ses dimensions et de produire le présent recueil de textes. Les tenants et aboutissants de cet important rassemblement pour l’avenir de nos enfants sont contenus dans la Déclaration de Montréal sur les enfants et la pauvreté, accompagnée d’un Addendum RASHMI MAYUR qui présente des recommandations s’adressant spécifiquement aux gouvernements fédéral et provinciaux du Canada. Ces documents ont en tout, ou en partie, été acheminés, entre autres, au Secrétaire général des Nations Unies, aux 191 États Membres de l’ONU ainsi qu’au premier ministre du Canada afin de sensibiliser davantage les décideurs du monde entier sur l’urgence de poser des gestes concrets pour améliorer le sort des enfants. L’O.S.D.E. entend également organiser un Sommet sur les enfants, la pauvreté et la violence afin d’assurer que les recommandations mises de l’avant au terme des 4e et 5e Congrès international sur l’enfant donnent lieu à des mesures concrètes. Mettre fin à la pauvreté et la violence qui affligent les enfants est un défi énorme. Ensemble, cependant, nous pouvons et nous devons faire la différence. Pour l’amour de nos enfants! Riccardo Di Done Président fondateur, O.S.D.E. Coprésident, 5e Congrès international sur l’enfant Rashmi Mayur, Ph.D. Président, Global Futures Network Coprésident, 5e Congrès international sur l’enfant –4– A WORD FROM THE CO-CHAIRS OF THE 5TH INTERNATIONAL CONFERENCE ON THE CHILD As Co-Chairs of the 5th International Conference on the Child, we would like first and foremost to thank all individuals who participated and worked towards making this event a success. While it is true that many organizations and institutions have held similar events on the same theme in the past, we believe that it is the accumulated efforts of many which will succeed in furthering the cause of children. Not one organization or group can do it all alone. Government officials and decision makers will act only through the continued and sustained pressure from public opinion shaped by those who make sound recommendations and provide concrete solutions to topical problems facing children, such as poverty – which was the theme of the Conference. Thirteen years after almost all 191 U.N. affiliated countries signed the Convention on the Rights of the Child, the situation of children worldwide has actually worsened. Globally, according to the UNICEF, over 650 million children live in abject poverty – in families with income lower than $1 a day. One in three children is a victim of poverty in developing countries; one in five in industrialized societies. Conference participants from developing countries were surprised to discover that even in Canada, a wealthy nation RICCARDO DI DONE that is widely recognized as one of the best to live in, close to one in five children live in poverty. And we are only talking about economic poverty. A large number of children also suffer from emotional, psychological, social and spiritual poverty, especially in highly industrialized countries. Indeed, in dealing with issues of poverty, one must not only deal with economic poverty but also with political poverty as well as with the culture of poverty and the psychology of poverty. Poverty means not only lacking money, but also lacking power. When one lives in a society where poverty and lack of power bar you from equal protection, equal access and equal participation to the economic and social life of your society, then one is truly poor. Speakers from fields such as health and social services, medicine, nursing, social work, psychology, education, law as well as representatives from various police forces, corporate executives, union leaders and members of the clergy came together to find new solutions to this deplorable state of affairs. The Conference provided an international forum of exchange that enabled us to collect research data and produce the present compilation of insightful papers. From this Conference resulted the Montreal Declaration on Children and Poverty along with an Addendum presenting recommendations that are specifically addressed to the federal and provincial governments of Canada. These documents, in whole or in part, have been forwarded to the Secretary General of the United Nations, the UN’s 191 Member States as well as to the Prime Minister of Canada, among others, to increase awareness and encourage actions on behalf of children from decision makers worldwide. RASHMI MAYUR The O.P.C.R. will organize a Summit on Children, Poverty and Violence in order to ensure that concrete action follows the recommendations put forward at the conclusion of both the 4th and 5th International Conferences on the Child, so that within 5 years the world can be filled with renewed hope for our children. Putting an end to poverty and violence against children is a tremendous challenge, but we owe it to our children – and to ourselves – to make a difference! Riccardo Di Done President, O.P.C.R. Co-Chair, 5th International Conference on the Child Rashmi Mayur, Ph.D. President, Global Futures Network Co-Chair, 5th International Conference on the Child –5– UN MOT DES COPRÉSIDENTS DU COMITÉ SCIENTIFIQUE WILLIAM ROWE HERBERT MARX « Des pauvres, vous en aurez toujours autour de vous » – Voilà une vérité profonde qui, de l’avis de plusieurs, doit être acceptée comme une condition inéluctable de l’histoire passée et contemporaine. Ce congrès, qui a réuni de nombreux penseurs, scientifiques et sommités – théoriciens comme praticiens – dont la carrière est vouée à la réduction de la pauvreté, n’avait pas la prétention de mettre fin à la pauvreté. Il portait surtout sur les problématiques qui démontrent que le visage actuel de la pauvreté est celui d’un enfant. Tout au long du Congrès, les exposés, les statistiques de même que les études de cas réalisées partout dans le monde ont mis en lumière le caractère pernicieux et généralisé de la pauvreté infantile et de ses répercussions. Le Congrès nous a également permis de découvrir des programmes innovateurs, de nouvelles idées et des méthodes originales qui s’avèrent efficaces autant dans les pays développés que dans les pays en développement. En l’absence d’un vaccin socioéconomique, nous devons compter sur notre engagement, notre courage et notre créativité pour transformer les courants actuels et instaurer les conditions nécessaires pour que tous les enfants du monde disposent des meilleures chances possibles de succès dans la vie. La synergie et le discours qui ont vu le jour durant le Congrès constituent un pas important dans cette direction. Nous sommes profondément reconnaissants aux conférenciers, participants et commanditaires qui ont contribué au succès de cet événement et attendons avec impatience le jour où l’éradication de la pauvreté infantile deviendra la plus importante priorité sociale de l’humanité. William Rowe, D.S.W. Coprésident, Comité scientifique Directeur, École de service social Université de South Florida Honorable Herbert Marx Coprésident, Comité scientifique Juge à la Cour supérieure du Québec –6– A WORD FROM THE CO-CHAIRS OF THE SCIENTIFIC COMMITTEE WILLIAM ROWE HERBERT MARX “The poor will be with us always”-- a profundity that needs no reference and many would suggest must be accepted both in history and modernity. This conference that attracted many of the finest thinkers, scientists, and leaders – both practitioners and theorists – who have dedicated their careers to alleviating poverty did not presume to search for an end to poverty. Rather it focused on the myriad of issues that demonstrate that the present-day face of poverty is that of a child. Repeatedly the presentations, statistics, and case examples from every corner of the globe illustrated the pernicious and pervasive reality of child poverty and its far-reaching consequences. At the same time we heard about innovative programs, fresh ideas, and pioneering methods that are proving effective in both developed and developing countries. In the absence of a socioeconomic vaccine we must rely on our commitment, courage, and creativity to change the shape of the river and set the conditions to ensure that the children of the world are afforded the best possible chances of success in life. The synergy and discourse generated at this conference are an important step in that direction. We are deeply appreciative of the presenters, the participants, and the sponsors that contributed to the success of this effort and look forward to a future that recognizes the elimination of child poverty as the top social priority for human kind. William Rowe, D.S.W. Co-Chair, Scientific Committee Director, School of Social Work University of South Florida Honorable Herbert Marx Co-Chair, Scientific Committee Justice, Quebec Superior Court –7– COMITÉ SCIENTIFIQUE L’HONORABLE HERBERT MARX Me Hugues Létourneau, LL.M. Juge à la Cour supérieure du Québec Coprésident du comité scientifique Contentieux, Les Centres jeunesse de Montréal WILLIAM ROWE, D.S.W. Professeur agrégé, École de service social Université de Montréal Directeur de l’École de service social Université McGill Coprésident du comité scientifique Justin Lévesque, Ph.D. Edgar A. MacLeod, B.A. Peter Allik-Petersenn, B.A., LL.B. Vice-président, Association canadienne des chefs de police Chef de police, Cape Breton Regional Police Service Avocat et médiateur familial Directeur, O.S.D.E. Colombie-Britannique Me Tony Manglaviti, B.A., LL.L. Adrian Bercovici Directeur exécutif Fondation Générations Dorival C. Bruni, Ph.D. Professeur, Université de Rio de Janeiro Richard Cloutier, Ph.D. Professeur titulaire, École de psychologie Université Laval à Québec Katherine Covell, Ph.D. Professeure, Psychologie University College Cape Breton Directrice, Children’s Rights Centre Commissaire, Commission de l’immigration et statut de refugié Rashmi Mayur, Ph.D. Directeur, International Institute for Sustainable Future Président, People’s Global Assembly, Nations Unies Mumbai, Inde Aldo Morrone, B.A. Médiateur familial, Service de médiation à la famille des Centres jeunesse de Montréal Arthur Neumann, Ph.D. Psychologue clinicien Directeur, O.S.D.E. Alberta Godwin O. Ohiwerei, Ph.D. Dominic D’Abate, Ph.D. Directeur, Département de sociologie et anthropologie New Jersey City University Médiateur familial accrédité Directeur, Centre de médiation consensus Jean Panet-Raymond, LL.L., M.Sc. Riccardo Di Done Professeur titulaire, École de service social Université de Montréal Président fondateur, O.S.D.E. Président du 5e Congrès international Laurel Rothman, MSS Antonio Discepola, B.A., B.C.L. Juge, Cour municipale de Montréal Me Angela Ficca, B.A., LL.L., LL.M. Directrice du comité scientifique Avocate, O.S.D.E. Bernard Fortin, B.A., L.L., L. Péd. Coordonnatrice national, Campaign 2000 Directrice d’action sociale, Family Service Association of Toronto Joanne Roulston, MSS Directrice Conseil national du bien-être social François Ruegg, Ph.D. Responsable du comité organisateur Ethnologue, Chargé de cours et directeur de recherches à l’Institut d’ethnologie de l’Université de Fribourg (Suisse) Me Richard Goldman, B.A., B.C.L., LL.B. Katherine Scott, MES Directeur clinique juridique, Projet Genese Cadre supérieure de politiques Conseil canadien de développement social Donald Horne Directeur exécutif Services communautaires de Kahnawake Brian R. Howe, Ph.D. Me Philip Shaposnick, B.A., B.C.L. Avocat et médiateur familial Groupe Interlex du Canada Professeur, Sciences politiques University College Cape Breton Directeur, Children’s Rights Centre Père Joe Sullivan, B.Th. Carl Lacharité, Ph.D. St. John Brébeuf Professeur, Psychologie, Directeur du GREDEF Université du Québec à Trois-Rivières Cindy Wiggins, B.A. France Laurendeau La paroisse St. Aloysius Père John Walsh, B.Ph., S.S.L., S.T.L Recherchiste principale Congrès du travail du Canada Directrice, Service de la recherche Fédération des travailleurs et travailleuses du Québec –8– SCIENTIFIC COMMITTEE HONORABLE HERBERT MARX Me Hugues Létourneau, LL.M. Justice Quebec Superior Court Co-Chair of the Scientific Committee Legal Department, Youth Centers of Montreal Justin Lévesque, Ph.D. Professor, School of Social Work University of Montreal WILLIAM ROWE, D.S.W. Director, School of Social Work McGill University Co-Chair of the Scientific Committee Edgar A. MacLeod, B.A. Vice-President, Canadian Association of Chiefs of Police Chief of Police, Cape Breton Regional Police Service Peter Allik-Petersenn, B.A., LL.B. Lawyer and Family Mediator Director, O.P.C.R. British Columbia Me Tony Manglaviti, B.A., LL.L. Commissioner, Immigration and Refugee Board Adrian Bercovici Rashmi Mayur, Ph.D. Executive Director Generations Foundation Director, International Institute for Sustainable Future President, People’s Global Assembly, United Nations Mumbai, India Dorival C. Bruni, Ph.D. Professor, University of Rio de Janeiro Aldo Morrone, B.A. Richard Cloutier, Ph.D. Family Mediator, Family Mediation Service of Youth Centers of Montreal Professor, Psychology Université Laval à Québec Arthur Neumann, Ph.D. Katherine Covell, Ph.D. Clinical Psychologist Director, O.P.C.R. Alberta Professor, Psychology University College Cape Breton Director, Children’s Rights Centre Godwin O. Ohiwerei, Ph.D. Chairman, Department of Sociology and Anthropology New Jersey City University Dominic D’Abate, Ph.D. Accredited Family Mediator Director, Consensus Mediation Center Jean Panet-Raymond, LL.L., M.Sc. Professor, School of Social Work University of Montreal Riccardo Di Done Founding President, O.P.C.R. President of the 5th international conference Laurel Rothman, M.S.W. National Coordinator, Campaign 2000 Director of Social Action, Family Service Association of Toronto Antonio Discepola, B.A., B.C.L. Judge, Municipal Court in Montreal Me Angela Ficca, B.A., LL.L., LL.M. Joanne Roulston, M.S.W. Director National Council of Welfare Lawyer, O.P.C.R. Bernard Fortin, B.A., L.L., L. Péd. François Ruegg, Ph.D. Responsible for the organizing committee Anthropologist, Lecturer and Director of Research, Institute of Ethnology of the University of Fribourg (Switzerland) Me Richard Goldman, B.A., B.C.L., LL.B. Legal Clinic Supervisor, Project Genesis Donald Horne Katherine Scott, MES Senior Policy Associate Canadian Council on Social Development Executive Director Kahnawake Community Services Brian R. Howe, Ph.D. Me Philip Shaposnick, B.A., B.C.L. Lawyer and Family Mediator Interlex Group of Canada Professor, Political Science University College Cape Breton Director, Children’s Rights Centre Father Joe Sullivan, B.Th. Carl Lacharité, Ph.D. St. Aloysius Parish Professor, Psychology and Director of GREDEF Université du Québec à Trois-Rivières Father John Walsh, B.Ph., S.S.L., S.T.L. St. John Brébeuf France Laurendeau Cindy Wiggins, B.A. Director, Research Department Fédération des travailleurs et travailleuses du Québec Senior Researcher Canadian Labor Congress –9– COMITÉ D’HONNEUR HONOUR COMMITTEE JOHN MOULD, M.S.W., R.S.W. JOHN MOULD, M.S.W., R.S.W. Children’s Advocate, Directeur du nord de l’Alberta Services sociaux pour la famille – Alberta Président, Association canadienne des travailleurs sociaux Co-président du comité d’honneur Children’s Advocate, Northern Alberta Director Alberta Family Social Services President, The Canadian Association of Social Workers Co-Chair of the Honour Committee LIZ O’ NEILL LIZ O’NEILL Directrice exécutive, Grandes soeurs et grands frères Co-présidente du comité d’honneur Executive Director, Big Sisters and Big Brothers Society Co-Chair of the Honour Committee Harata H. Baucke Harata H. Baucke Présidente, Aotearoa Nouvelle Zélande Association des travailleurs sociaux President, Aotearoa New Zealand Association of Social Workers Frank Carbone Frank Carbone Président, Rosmar Litho Inc. President, Rosmar Litho Inc. André-H. Dandavino, M.D. André-H. Dandavino, M.D. Président, Association des médecins de langue française du Canada President, Association des médecins de langue française du Canada Linda Kislowicz Linda Kislowicz Directrice exécutive, Services d’aide à la famille juive Executive Director, Jewish Family Services Le très honorable Antonio Lamer The Right Honorable Antonio Lamer Ancien Juge en Chef de la Cour Suprême du Canada Conseiller spécial, Stikeman, Elliott Former Chief Justice of the Supreme Court of Canada Special Advisor, Stikeman, Elliott Louise Landry Louise Landry Présidente, Ordre des conseillers et conseillères d’orientation et des psychoéducateurs et psychoéducatrices du Québec President, Ordre des conseillers et conseillères d’orientation et des psychoéducateurs et psychoéducatrices du Québec Jack W. Lee, C.M., F.I.B.A. Jack W. Lee, C.M., F.I.B.A. Membre, Ordre du Canada Member, Order of Canada Henri Massé Henri Massé Président, Fédération des travailleurs et travailleuses du Québec (FTQ) President, Fédération des travailleurs et travailleuses du Québec (FTQ) Pat Minicucci Pat Minicucci Premier vice-président, Clientèle privée et PME Région du Québec, Banque Scotia Senior Vice-President, Retail and SME Banking Quebec Region, Scotia Bank Eugenia Repetur-Moreno, M.S.W. (Equiv) Eugenia Repetur Moreno, M.S.W.(Equiv) Executive Director, Canadian Association Directrice exécutive, Association canadienne des travailleurs sociaux of Social Workers Brian O’Neill Brian F. O’Neill Consultant, Ligue Nationale de Hockey Consultant, National Hockey League Monique Côté Petit Monique Côté Petit Présidente, directrice générale Association des puéricultrices de la province de Québec President, Executive Director Association des puéricultrices de la Province de Québec Alison Palin Alison Palin Directrice générale, Hilton Montréal Aéroport Hôtel Director General, Hilton Montreal Airport Hotel John Ruggieri John Ruggieri Associé, Di Caprio Ruggieri Inc. Membre du conseil d’administration, Fonds d’indemnisation du Bureau des services financiers Principal, Di Caprio Ruggieri Inc. Member of the Board of Directors, Indemnity fund of Bureau des services financiers Michèle Thibodeau-DeGuire Michèle Thibodeau-DeGuire Présidente et directrice générale, Centraide du Grand Montréal President and Executive Director, Centraide of Greater Montreal Peter B. Yeomans Peter B. Yeomans Maire de la ville de Dorval Mayor of City of Dorval – 10 – CABINET DU LIEUTENANT-GOUVERNEUR QUÉBEC Un enfant représente la force promise de nos lendemains. Il est le symbole de l’espérance et du renouveau. Si l’enfant a des droits, notre société a des devoirs, comme celui de rendre accessible ses rêves en s’ouvrant aux « autrement » qu’il devra mettre au point pour y arriver. Bien qu’imprégnée de modernité, elle doit également maintenir une image visible et accessible de continuité au cœur de l’apprentissage de l’enfant. Les grands-parents offrent une voie par excellence pour transmettre ces valeurs du passé. Il serait souhaitable que notre société puisse veiller au développement de l’enfant en suscitant autant sa réflexion que sa réaction. La valorisation du court délai de réaction rend le degré de tolérance faible devant la mise en situation. Un comportement issu d’une prise de conscience demande du temps. Ce temps, il nous appartient de le privilégier dans cette voie. Aider l’enfant à ressentir et à mesurer ses motivations dans leur juste proportion afin que, graduellement, il développe l’acuité de son jugement. Oui, les devoirs sont de taille pour nous, les adultes. Mais la volonté qui nous anime fournira l’énergie nécessaire pour faire avancer la jeune vie qui, irrémédiablement, a besoin de nous. La jeunesse attend que nous lui passions le flambeau de notre idéal. Elle attend notre respect et notre sens de la dignité. Elle a soif de notre goût de vivre, prête, elle aussi, à participer à un monde meilleur. Lise Thibault Lieutenant-gouverneur du Québec – 11 – CABINET DU LIEUTENANT-GOUVERNEUR QUÉBEC A child represents the promised strength of our tomorrows. He is the symbol of hope and revival. If the child has rights, our society has duties, such as making the child’s dreams accessible by opening up “other ways” that he will need to work on in order to achieve his dreams. Although very modern, our society must also maintain a visible and accessible model of continuity at the heart of the learning process of the child. The grandparents offer an excellent way to transmit those values from the past. Hopefully, our society will learn to arouse the child’s thinking power as much as his reaction. Unfortunately, having increased the standing of the quick reaction time has brought a low level of tolerance in life situations. A change of behaviour born from a conscious decision requires time… time that we must privilege in that way. Helping the child to feel and to measure his motives, in their just proportions, will help him develop the acuteness of his judgement. Yes, as adults, we have a tremendous responsibility. But the willingness aroused within will give us the necessary energy to push forward the young life who urgently needs our help. Youth is expecting that we hand on the flame of our ideal to them. Youth expects from us our respect and our sense of dignity. Youth is thirsty for our joie de vivre, and ready to participate also in building a better world. Lise Thibault Lieutenant-governor of Quebec – 12 – C’est avec plaisir que j’adresse mes cordiales salutations à tous ceux et celles qui assistent au 5e Congrès International sur l’Enfant, sous les auspices de l’Organisation pour la Sauvegarde des Droits des Enfants. Je tiens également à souhaiter la bienvenue aux visiteurs de l’étranger. Le thème de ce congrès, « Les enfants et la pauvreté : l’impact des choix économiques, sociaux et politiques », illustre bien l’importance de centrer notre action collective sur la famille. Il vous permettra d’échanger des idées et de partager des expériences sur la façon de mener une lutte efficace contre la pauvreté infantile à l’heure de la mondialisation. Vous pouvez être très fiers de votre engagement durable envers la promotion de programmes sociaux et communautaires novateurs à l’échelle du globe. Je vous souhaite une rencontre fructueuse et vous offre mes meilleurs vœux de succès face aux défis des années à venir. Jean Chrétien Premier ministre du Canada OTTAWA 2002 – 13 – I am very pleased to welcome everyone taking part in the Fifth International Conference on the Child, being held under the auspices of the Organization for the Protection of Children’s Rights. I would also like to welcome those delegates who are visiting from abroad. The theme of the conference, “Children and Poverty: The Impact of Economic, Social and Political Choices,” reminds us how important it is for us, as a society, to focus our efforts on the family. This meeting will prove an excellent opportunity for you to exchange ideas and share experiences concerning how best to combat child poverty in this age of globalization. You can be very proud of your enduring commitment to promoting innovative social and community programs worldwide. Please accept my best wishes for a most productive session of deliberations, as well as every success in addressing the challenges of the future. Jean Chrétien Prime Minister of Canada OTTAWA 2002 – 14 – MESSAGE DU MINISTRE DÉLÉGUÉ À LA SANTÉ, AUX SERVICES SOCIAUX, À LA PROTECTION DE LA JEUNESSE ET À LA PRÉVENTION C’est avec plaisir que je souhaite la bienvenue aux participantes et participants du 5e Congrès international de l’Organisation pour la sauvegarde des droits des enfants. Dans tous les pays du monde, la pauvreté est un déterminant majeur de la santé et du bien-être. Les mauvaises conditions économiques et sociales se traduisent partout par un accroissement des problèmes de santé physique et mentale et un plus grand nombre de décès. Les enfants sont malheureusement les premières victimes de cette situation. Un enfant né dans une famille pauvre a un risque plus élevé d’être prématuré ou de poids insuffisant ; il a une probabilité plus grande d’avoir un retard de croissance intra-utérine. Leurs difficultés sont telles qu’elles compromettent souvent leur développement et entravent leur capacité de prendre leur place dans la société. Puisse ce congrès raffermir les liens de collaboration entre tous ceux et celles qui, à travers le monde, se préoccupent de la santé et du mieux-être des enfants. Roger Bertrand – 15 – MESSAGE OF THE MINISTER FOR HEALTH, SOCIAL SERVICES, YOUTH PROTECTION AND PREVENTION It is my pleasure to welcome all participants to the 5th International Conference of the Organization for the Protection of Children’s Rights. Poverty is a deciding factor with respect to health and well-being in all countries of the world,. Poor economic and social conditions lead everywhere to an increase in physical and mental health problems as well as to a larger number of deaths. Children are unfortunately the first victims of such circumstances. A child from a poor family has a higher risk of being born premature or with a dangerously low body weight; he has a statistically higher chance of stunted intra-uterine growth. The difficulties for these children are such that they often compromise their development at later stages of life and hinder their capacity to take their rightful place in society. May this conference strengthen the collaborative ties between all those who, throughout the world, have at heart the health and well-being of children. Roger Bertrand – 16 – 5e CONGRÈS INTERNATIONAL SUR L’ENFANT DÉCLARATION DE MONTRÉAL SUR LES ENFANTS ET LA PAUVRETÉ PRÉAMBULE Alors que le monde se prépare pour le deuxième Sommet planète Terre, toutes les nations reconnaissent deux impératifs étroitement liés confrontant l’humanité dans le présent siècle: les enfants et la pauvreté. 1,3 milliards de personnes vivent dans la pauvreté aujourd’hui, comparativement à 245 millions en 1945 (Banque Mondiale, 2002). Plus de 650 millions d’enfants vivent dans des conditions de pauvreté extrême, subsistant avec moins de un dollar par jour (UNICEF), sans compter le grand nombre d’enfants qui souffrent de pauvreté émotionnelle, psychologique, sociale et spirituelle. En 1989, les nations du monde ratifiaient la Convention des Nations Unies relative aux droits de l’enfant lors d’un Sommet à New York. Pourtant la pauvreté ne cesse de croître, tant au sein des pays en développement que des pays développés. L’incapacité des gouvernements et de la communauté internationale à rencontrer les besoins les plus élémentaires des enfants, particulièrement ceux de sexe féminin, qui sont les plus sévèrement touchés par la pauvreté, est une tragédie d’une ampleur sans précédent. Remédier à cette situation reste un défi énorme. L’Organisation pour la Sauvegarde des Droits des Enfants (O.S.D.E.), un organisme communautaire qui se préoccupe fortement des enjeux reliés aux enfants et à la pauvreté, a organisé un congrès international sur Les enfants et la pauvreté : l’impact des choix économiques, sociaux et politiques à Montréal du 23 mai au 25 mai 2002. De nombreux experts, professionnels et représentants des milieux communautaires, universitaires, gouvernementaux, corporatifs et religieux de plusieurs pays développés et en développement ont pris part au congrès. Des intervenants dévoués ont analysé la situation actuelle en regard des enfants et la pauvreté et oeuvrent présentement à la préparation d’un plan d’action destiné à redresser la situation de plus en plus critique des enfants. Nous exhortons l’ensemble de la communauté internationale à adopter la présente déclaration comme ligne directrice pour assumer leur responsabilité d’améliorer le sort des enfants afin que, d’ici 10 ans, le monde soit à nouveau porteur d’espoir pour nos enfants. ÉTAT DE LA SITUATION Attendu que la situation des enfants vivant dans la pauvreté met sérieusement en péril l’avenir de la planète, Attendu que la situation des enfants a continué de se détériorer malgré la Convention des Nations Unies relative aux droits de l’enfant, Attendu que des efforts particuliers sont nécessaires et que des ressources additionnelles doivent être affectées à la prévention et à la réduction de la pauvreté, Attendu que l’avenir des enfants est inextricablement lié aux conditions de vie de leurs parents, Attendu que les enfants vivant dans des conditions particulièrement difficiles et les enfants ayant des besoins particuliers doivent faire partie intégrante de tous les programmes visant à prévenir et éradiquer la pauvreté, Attendu qu’un grand nombre de problèmes sociaux majeurs affectant la société ne peuvent être résolus sans avoir amélioré au préalable la situation critique des enfants, Attendu que la responsabilité de transmettre les valeurs éthiques et morales nécessaires au développement harmonieux des enfants et de la société en général incombe aux adultes et à leurs institutions, Attendu que le Sommet des Nations Unies pour le développement social de Copenhague en 1995 prônait une approche globale et holistique du développement des enfants, Attendu que dans un contexte de globalisation croissante, la coopération internationale est une condition sine qua non pour résoudre les problèmes des enfants dans le monde entier, NOUS DÉCLARONS QUE : Tel qu’il en a été décidé au Sommet du Millénaire des Nations Unies de septembre 2000 à New York, les enfants et la pauvreté doivent être considérés comme une priorité par les Nations Unies et la communauté mondiale. – 17 – Les gouvernements, les sociétés commerciales et les agences internationales du monde entier doivent œuvrer ensemble afin d’assurer que soit atteint l’objectif global de 450 milliards $ US, requis pour pallier les besoins élémentaires les plus pressants et éradiquer la pauvreté. Les pays développés doivent respecter leurs engagements en consacrant 0.7% de leur PIB à l’aide au développement. Parmi les actions à entreprendre pour mettre fin à la souffrance des enfants, la priorité doit être accordée aux suivantes : ■ Éliminer la faim et la pauvreté en assurant un approvisionnement alimentaire quotidien adéquat. La malnutrition affecte au moins 40 % des enfants des pays en développement; ■ Organiser et assurer la conservation ainsi que la distribution d’eau potable en quantités suffisantes, permettant de prévenir un grand nombre de maladies attribuables à la contamination de l’eau – une cause majeure de mortalité infantile; ■ Établir des centres d’enseignement gratuits dispensant une éducation de base et procurant des opportunités d’apprentissage aux 100 millions d’enfants qui n’ont pas accès à une quelconque forme d’éducation actuellement; ■ Assurer l’accès gratuit aux services médicaux de base pour tous les enfants et les familles, en ciblant particulièrement ceux dont le revenu s’élève à moins de un dollar par jour. Nonobstant l’obligation : ■ Des nations du monde de bannir l’enrôlement d’enfants au sein d’armées ainsi que l’utilisation des enfants à des fins militaires. Les 350 000 enfants présentement employés comme soldats doivent retourner à la vie civile; ■ Des gouvernements de réaffecter les 2 milliards $ US dépensés en armes et matériel de guerre quotidiennement vers des programmes visant à éradiquer la pauvreté; ■ Des sociétés de constituer un cadre propice à l’émancipation des femmes – un élément clé dans l’éradication de la pauvreté. Les sociétés ont le devoir de : ■ Déclarer inacceptable la pauvreté dans les pays développés, dans lesquels au moins 20 % des enfants sont victimes de la pauvreté, et procurer à tous les enfants le soutien matériel, social, psychologique et affectif dont ils ont besoin pour se développer normalement; ■ Reconnaître que la pauvreté affective, psychologique, sociale et spirituelle des enfants doit être traitée aussi sérieusement que la pauvreté matérielle, étant donné le nombre croissant d’enfants privés d’amour et d’attention, afin de prévenir l’apparition d’une société désagrégée. Nous, les délégués du congrès, stipulons que : ■ Les organisations non-gouvernementales partout dans le monde doivent être soutenues dans leurs initiatives contre la pauvreté; ■ Les besoins des enfants doivent être considérés par toutes les instances décisionnelles nationales et internationales; ■ Une attention particulière doit être accordée à la protection des droits des enfants face à la pression exercée par la mondialisation et la privatisation; ■ Les états du monde entier doivent reconnaître que la mise en place de programmes sociaux axés sur la protection et le développement des enfants fait partie intégrante de leur responsabilité. Par conséquent : La présente Déclaration de Montréal considère que les stratégies et programmes implantés depuis 1989 à l’échelle mondiale n’ont pas réussi à redresser la situation critique des enfants et que la mission la plus pressante de la société dans son ensemble est de travailler à réduire la pauvreté. Nous recommandons vivement aux gouvernements et aux organisations internationales de pourvoir un cadre pour l’avènement d’une société basée sur la justice, l’équité, l’émancipation et le développement durable. La Déclaration de Montréal a été approuvée par des délégués provenant des cinq régions du monde au 5e Congrès international sur l’enfant le 25 mai 2002. Riccardo Di Done Rashmi Mayur Coprésident, 5e Congrès International sur l’Enfant Président, O.S.D.E. Coprésident, 5e Congrès International sur l’Enfant Conseiller aux Nations Unies – 18 – 5th INTERNATIONAL CONFERENCE ON THE CHILD DECLARATION ON CHILDREN AND POVERTY PREAMBLE As the world prepares for the second Earth Summit, all nations recognize two inter-related critical issues facing humanity in this century: Children and Poverty. 1.3 billion people live in poverty today, up from 240 million in 1945 (World Bank, 2002). Over 650 million children live in extreme poverty, barely existing on $1.00 a day (UNICEF), not including the large number of children who suffer from emotional, psychological, social and spiritual poverty. In 1989, the countries of the world signed the U.N. Convention on the Rights of the Child at a Summit in New York. Yet poverty in both developing and developed countries continues to grow. The failure of governments and the international community to meet the most basic needs of children, especially female children, who are the most adversely affected by poverty, is a global tragedy. It remains a tremendous challenge. The Organization for the Protection of Children’s Rights (O.P.C.R), a grass-roots organization that is deeply concerned with the issues related to children and poverty, organized an international conference on Children and Poverty: The Impact of Economic, Social and Political Choices in Montreal from May 23 to May 25, 2002. A large number of experts, grass-roots and community workers, corporate, religious and government representatives from developed and developing countries attended the conference. Committed people have analyzed the state of affairs related to children and poverty and are preparing a plan of action in order to alleviate the worsening situation of children. We call on the international community at every level to take this declaration as a guideline as they undertake the responsibility of improving the plight of children so that within 10 years the world can be filled with renewed hope for our children. THE STATE OF AFFAIRS Whereas the most serious concern for the planet’s future is children living in poverty, Whereas the plight of children has continued to worsen despite the UN Convention on the Rights of the Child, Whereas special efforts are needed and more resources must be allocated towards reducing and preventing poverty, Whereas the future of children is inextricably linked to their parents’ living conditions, Whereas children living in exceptionally difficult conditions and children with special needs must be included in all programming or the prevention and eradication of poverty, Whereas a large number of critical issues facing society cannot be resolved without first improving the plight of children, Whereas the responsibility for imparting ethical and moral values conducive to the harmonious development of children and society as a whole befalls to adults and their institutions, Whereas the U.N. Social Summit in Copenhagen in 1995 called for a comprehensive and holistic approach to children’s development, Whereas the world is becoming more globalized, international cooperation is a sine qua non condition for addressing the problems of children worldwide, WE DECLARE THAT: As was decided at the U.N. Millennium Summit of September 2000 in New York, Children and Poverty must be considered a priority by the United Nations and the world community. Governments of the world, corporations and international agencies must work together to ensure that the global target of 450 billion USD required to address the most pressing basic needs and eradicate poverty is met. Industrialized nations must respect their commitment to devote 0.7% of GDP to development assistance. Among the issues to be undertaken for eradicating the victimization of children, the following must be given priority: ■ To eliminate hunger and poverty by ensuring an adequate daily food intake. Malnutrition affects at least 40% of children in the developing world; ■ To set up and provide for the conservation and distribution of adequate quantities of potable water, thereby preventing a large number of illnesses due to contaminated water, which is a major cause of child mortality; – 19 – ■ To establish free educational centres providing basic education and learning opportunities for the 100 million children who now have no access to educational facilities; ■ To provide free access to health care for all children and families, specifically targeting the poor who earn less than one dollar a day. Notwithstanding the duty of: ■ All nations of the world to declare a ban on the induction of children into armies and on the use of children on the battlefield. The 350,000 children who are currently child soldiers must be freed from conscription; ■ Governments to reallocate the two billion USD spent daily on arms and armaments towards programs aimed at eradicating poverty; ■ Societies to create conditions for the empowerment of women, which is key to eradicating poverty. Societies are bound: ■ To declare the non-acceptance of poverty in industrialized societies, where at least 20% of the children are victims of poverty, and provide all of them with the material, social, psychological and emotional framework required for their normal growth; ■ To recognize that the emotional, psychological, social and spiritual poverty of children should be addressed as seriously as material poverty, since increasing numbers of children are deprived of such basic needs as love and care, to pre-empt the creation of a fractured society. We, the delegates at the conference, propose that: ■ Non-governmental organizations around the world must be supported in their actions against poverty; ■ Children’s needs must be addressed within the framework of all international and national decision-making; ■ Special attention must be given to the protection of children’s rights that are under threat due to globalization and privatization; ■ The governments of the world must recognize that social programs for the protection and the development of children are an integral part of their responsibility. Therefore: The present Montreal Declaration considers that world strategies and programs have failed to redress the worsening situation of children since 1989 and that the most pressing concern of society as a whole must be to work towards alleviating poverty. We urge governments and international organizations to provide a framework for the development of a society based on equity, justice, empowerment and sustainability. The Montreal Declaration was approved by delegates representing all five regions of the world at the Montreal 5th International Conference on the Child on May 25, 2002. Riccardo Di Done Rashmi Mayur Co-Chair, 5th International Conference on the Child President, O.P.C.R. Co-Chair, 5th International Conference on the Child Special Advisor to the United Nations – 20 – 5e CONGRÈS INTERNATIONAL SUR L’ENFANT ADDENDUM À LA DÉCLARATION DE MONTRÉAL SUR LES ENFANTS ET LA PAUVRETÉ Recommandations aux gouvernements fédéral et provinciaux du Canada PRÉAMBULE De nombreux indicateurs démontrent clairement que la proportion d’enfants vivant dans la pauvreté s’est accrue au Canada, bien que le Parlement ait adopté à l’unanimité en 1989 une résolution visant à éradiquer la pauvreté infantile pour l’an 2000. Au cours des dix dernières années, nous avons assisté à l’effritement graduel des programmes et services sociaux au Canada. Le maintien des services sociaux de base et l’instauration de politiques sociales centrées sur la famille requièrent du financement. La mise en place de stratégies et de programmes pour éliminer la pauvreté infantile accroîtra la prospérité de tous les canadiens. Nous déclarons que les gouvernements fédéral et provinciaux du Canada doivent : 1. Prendre toutes les mesures nécessaires pour implanter et maintenir des services sociaux conformes aux engagements découlant de l’adhésion à la Convention relative aux Droits de l’Enfant des Nations Unies et en assurer l’application; 2. Concevoir et mettre en application des normes sociales établissant des seuils minimum en matière d’éducation, de santé, de protection de l’enfance, de logement et de revenu; 3. Assurer l’arrimage de tous les budgets et subventions fédéraux et provinciaux affectés à des programmes sociaux avec les normes fédérales et provinciales, la Convention relative aux Droits de l’Enfant des Nations Unies et autres chartes internationales; 4. Implanter des programmes d’éducation universels dès la petite enfance et majorer de 14 % annuellement le nombre de places dans les garderies, afin de soutenir le droit de tout enfant à avoir accès aux soins et à l’éducation dans le cadre d’un programme de prévention de la pauvreté; 5. Assurer la participation accrue des femmes dans toutes les instances décisionnelles nationales et provinciales afin de normaliser les politiques sociales; 6. Assurer le renforcement et la participation directe des citoyens à l’évaluation de l’Entente-cadre pour l’union sociale entre le gouvernement fédéral, les provinces et les territoires; 7. Assurer que les services sociaux de base ne soient pas érodés par des baisses d’impôt à tous les paliers de gouvernement; 8. Axer la législation et les politiques d’assistance publique sur des mesures concrètes permettant aux parents de pouvoir subvenir aux besoins essentiels de leurs enfants – une approche qui réduirait de manière substantielle la pauvreté infantile. – 21 – 5th INTERNATIONAL CONFERENCE ON THE CHILD ADDENDUM TO THE MONTREAL DECLARATION ON CHILDREN AND POVERTY Recommendations for the Federal and Provincial Governments of Canada PREAMBLE Strong empirical evidence demonstrates that child poverty rates have grown since 1989 in Canada when Parliament unanimously passed a resolution to eradicate child poverty by the year 2000. Over the past 10 years there has been a steady erosion and dismantling of the social programs and services in Canada. Financing is needed to establish family centred policies and sustain basic social services. Strategies and programs to eliminate child poverty will improve the prosperity of Canadians as a whole. We declare that the federal and provincial governments of Canada must: 1. Take all steps necessary to implement and maintain social services which reflect the commitments of the UN Convention on the Rights of the Child and ensure compliance; 2. Create and enforce social development and welfare standards for minimum levels of education, health, childcare, housing and income; 3. Ensure that all federal and provincial funding and budgets for social programs are tied to Canadian federal and provincial standards, the UN Convention on the Rights of the Child and other international standards; 4. Set up publicly funded universal programs for early childhood education from age one and increase the number of childcare spaces by 14% each year to support the rights of the child to early childhood care and development as a program for poverty prevention; 5. Ensure that more women participate in national and provincial decision making bodies in order to mainstream social programming; 6. Ensure that there is a strengthening and direct citizen input into the evaluation of the Social Union Framework Agreement between Federal Government and provinces and territories; 7. Insure that basic public social services including education, health and social services are not undermined by tax cuts at all levels of government; 8. Focus public policy initiatives and legislation on concrete measures to ensure that parents can provide for the basic needs of their children, an approach which would substantially reduce child poverty. – 22 – Les enfants et la pauvreté : l’impact des choix économiques, sociaux et politiques Le choix de ce thème pour le 5e Congrès international sur l’enfant découle du fait indéniable que la pauvreté est un fléau omniprésent et dévastateur dont les principales victimes sont les enfants. Bien que certaines initiatives aient été mises de l’avant pour aborder ce problème d’envergure internationale (Sommet mondial pour les enfants, Convention relative aux droits de l’enfant), les efforts pour éradiquer la souffrance des enfants ont, pour la plupart, donné des résultats mitigés. Globalement, plus d’un demi-milliard d’enfants continuent de vivre dans la pauvreté et d’être victimes de malnutrition, de maladie, d’analphabétisme, d’exploitation et d’abus. Pire encore, des millions d’enfants meurent à chaque année en raison de notre échec collectif à engendrer les changements nécessaires en matière de politiques sociales et d’actions concertées pour résoudre adéquatement ces problèmes. Plusieurs instances gouvernementales, organisations sans but lucratif, organismes de charité et individus ont effectivement relevé le défi d’améliorer les conditions de vie des enfants partout dans le monde, mais avec plus ou moins de succès et d’efficacité. Les conférenciers présents au congrès ont donc été invités à procéder à une analyse approfondie de l’impact que peuvent avoir certains choix économiques, sociaux et politiques sur la pauvreté et la situation des enfants. Le présent recueil de textes regroupe les réflexions et interventions de nombreux chercheurs et experts réputés dans le domaine. Nos conférenciers de marque ainsi que les nombreux hommes et femmes ayant présenté leurs idées, observations et résultats de recherche ont transmis aux participants du Congrès une quantité importante d’informations que nous jugeons essentiel de partager avec vous. Étant donné la grande quantité et la qualité des exposés soumis, nous avons opté de regrouper les textes retenus en trois sections distinctes : 1. Le visage de la pauvreté 2. Les enfants et la pauvreté dans le monde 3. L’impact des choix économiques, sociaux et politiques Nous espérons que le contenu de ces présentations se révèlera non seulement intéressant pour le lecteur mais contribuera également à stimuler davantage de réflexions, de recherches et d’actions susceptibles de mener à un véritable changement pour le bénéfice et l’amour de nos enfants. – 23 – Child Poverty: The Impact of Economic, Social and Political Choices The 5th International Conference on the Child chose to focus on the theme of Children and Poverty because of the inescapable fact that poverty is the most devastating and pervasive human condition that victimizes, above all, children. Despite noble attempts to tackle this pernicious international problem (World Summit for Children, Convention on the Rights of the Child), efforts to eradicate much of the suffering endured by children have, for the most part, proved elusive. Over half a billion children, worldwide, continue to live in impoverished conditions, subject to malnourishment, diseases, illiteracy, exploitation and abuse. Worst of all, millions of children die each year as a result of our collective failure to adequately address these issues and bring about the needed policy changes and concerted action. Undeniably, the challenge to improve the living conditions of the world’s children has, indeed, been assumed by a variety of government bodies, NGOs, charitable institutions and individuals with varying degrees of success and effectiveness (or lack of them). Consequently, presenters at the Conference were asked to examine those economic, social and political choices that can impact tremendously on the question of poverty and the plight of children. The present collection of papers in this publication represents the reflections and actions of some of the world’s foremost thinkers and experts on the subject. Our distinguished keynote speakers and the many men and women who presented their thinking, observations and fieldwork provided conference participants with a wealth of information which we take the opportunity to share with you. Given both the vast quantity and quality of material submitted, we felt it opportune to create three sections into which papers were grouped: 1. The Reality of Poverty 2. Children and Poverty Throughout the World 3. The Impact of Economic, Social and Political Choices We hope that the content of these presentations will not only prove interesting to the reader but also stimulate further thinking, research and action that will bring about real change for the love of our children. – 24 – SECTION 1 LE VISAGE DE LA PAUVRETÉ Selon Sadig Rasheed, directeur à l’UNICEF, la pauvreté infantile est une réalité tout aussi prédominante et pernicieuse aujourd’hui qu’elle l’était 13 ans auparavant lors de l’adoption de la Convention relative aux droits de l’enfant. Bien que certains progrès aient été réalisés – plus d’enfants sont nourris et éduqués –, il n’en demeure pas moins qu’aujourd’hui, encore 12 millions d’enfants meurent à chaque année de maladies qui pourraient être évitées tandis que des centaines de millions sont sous-alimentés ou ne fréquentent pas l’école. Le Dr Rasheed, dans son allocution, fait ressortir l’importance de pouvoir compter sur un soutien financier accru de la part des pays développés ainsi que sur un engagement ferme à tout mettre en œuvre pour bâtir « Un monde digne des enfants. » Nicole Lebrun met en lumière le lien entre pauvreté infantile et éducation afin de démontrer l’importance d’une bonne éducation de base comme partie intégrante de toute initiative visant à éliminer la pauvreté. Jim Ife et Louise Morley examinent la relation entre la reconnaissance des droits des enfants et la pauvreté infantile en émettant l’hypothèse que la vision de l’enfance et des droits des enfants telle que véhiculée par les gouvernements, les institutions et le public peut, dans les faits, contribuer à perpétuer la pauvreté infantile. Des suggestions sont offertes sur la manière dont les professionnels peuvent adopter et mettre en pratique une approche fondée sur les droits des enfants. Dans son exposé, Kristin M. Ferguson met l’accent sur la situation lamentable des enfants de la rue/travailleurs juvéniles qui, en général, proviennent de familles et de communautés démunies dont la capacité d’influer sur la migration des enfants vers la rue est fort limitée. Sa thèse est que le capital social – de concert avec les facteurs qui y sont associés, tels que la participation à la société civile et les réseaux sociaux – fonctionne comme un pont entre le microsystème (l’individuel) et le macrosystème (le structurel). Son texte représente une tentative de faire la synthèse de l’ensemble de la littérature portant sur les enfants de la rue et la notion de capital social. La présentation de Micheline Mayer traite de la pauvreté infantile en tant que facteur utilisé dans le signalement d’enfants à risque auprès des services de protection de la jeunesse. La conclusion de son analyse est que la pauvreté joue un rôle majeur comme facteur de risque de mauvais traitements, notamment l’abus et la négligence, pour les enfants. Plusieurs textes analysent le phénomène de la pauvreté en rapport avec le développement de l’enfant, le niveau d’implication des parents et l’environnement familial. Pierre Nolin décrit les effets du milieu socio-économique sur le développement cognitif des enfants. Son étude démontre qu’il n’y a pas de corrélation significative entre la pauvreté et le rendement des enfants à diverses épreuves neuropsychologiques, à l’exception des fonctions se rapportant à l’impulsivité/désinhibition. Sarah Dufour, dans son texte, examine le rôle des pères de milieux défavorisés dans la promotion de la santé mentale de leurs enfants et conclut qu’il n’existe pas une seule, mais plusieurs sous-cultures de la paternité en milieu urbain défavorisé. Un lien intéressant entre la pauvreté et le SAP (Syndrome d’Aliénation Parentale) est établi par Maria Stergiou, qui soutient qu’une étude formelle du phénomène est nécessaire en raison du fait que plusieurs enfants aliènent leur lien avec l’un des parents (le père généralement) et, ce faisant, se retrouvent souvent à perdre le soutien financier auquel ils ont droit. – 26 – THE REALITY OF POVERTY According to Sadig Rasheed, a director of UNICEF, child poverty is as pervasive and pernicious a reality as it was 13 years ago when the UN adopted the Convention on the Rights of the Child. While some progress has been made to feed and educate more children, it remains that, today, 12 million children still die each year from preventable diseases and hundreds of millions are malnourished and out of school. Dr. Rasheed, in his address, stresses the need for more financial support on the part of developed countries as well as a firm commitment for sustained action in creating a “World Fit for Children”. Nicole Lebrun brings to light the connection between child poverty and education, arguing their needs to be a basic level of education as part of any attempt to eliminate poverty. Jim Ife and Louise Morley explore the idea of children’s rights and child poverty and suggest that the ideas of childhood and the ideas of children’s rights as perpetuated by governments, institutions and people can, indeed, perpetuate child poverty. Suggestions are made as to how professionals can take a rights-based perspective and practice. In her paper, Kristin M. Ferguson emphasizes the plight of urban street-working children who, generally, come from impoverished families and communities that do little to precipitate or prevent such child street migration. She contends that social capital— together with its related factors, such as civic participation and social networks and relationships— function as a bridge between the microsystem (the individual) and the macrosystem (the structural). Her work attempts to synthesize the existing literature with regards to street children and the notion of social capital. Micheline Mayer’s paper looks at child poverty as a factor used in signalling children at risk with child protection agencies. She concludes that poverty plays a major role in putting children at risk of being abused and neglected. Several of the papers presented describe the phenomenon of poverty with regards to children’s functioning and development, parental involvement and the family context. Pierre Nolin describes the effects of socio-economic conditions on the cognitive development of children. In his research, it was concluded that there is no significant correlation between poverty and children’s score on certain tests. The only link was made with impulsivity. Sarah Dufour, in her paper, examined the role of fathers from underprivileged areas in promoting the mental health of their children and concluded that there is not one but several sub cultures. An interesting link between PAS (Parental Alienation Syndrome) and poverty was made by Maria Stergiou who maintains that a formal study on the subject is needed as many children become alienated from a parent (usually the father) and, in the process, often lose the financial support to which they are entitled. – 27 – OPENING ADDRESS A WORLD FIT FOR CHILDREN B Y : S ADIG R ASHEED , P H . D . DIRECTOR , P ROGRAMME DIVISION UNICEF It is a delight to be here with you at this conference, addressing a topic that can hardly be more timely or apt. Twelve years ago, at the World Summit for Children, the world leaders vowed to give every child a better future. Since then, and 13 years after the adoption of the Convention on the Rights of the Child (CRC), that commitment has yet to be delivered on—and we are simply failing our children. It is not deniable that some progress has been made. Children and their cause are more visible today; millions of young lives have been saved; more children than ever are in schools; more children are actively involved in decisions affecting their lives; and important treaties have been embraced to protect children. But the failings are more glaring. A brighter future for all has proved elusive, and overall gains have fallen short by far of national obligations and international commitments. Six hundred million children in developing countries are living in the most dehumanizing, grinding poverty imaginable—condemned to a vicious circle of poverty, deprivation, abuse, exploitation and hopelessness. ◆ 12 million children still die every year from perfectly preventable diseases; ◆ 170 million are malnourished; ◆ Over 120 million—two-thirds of them girls—are not in school; ◆ 246 million child labourers, toil in hazardous jobs that put their physical, mental and moral wellbeing at great risk and jeopardy; ◆ More than half of the world’s children still have no access to safe water and sanitation; ◆ 300,000 are fighting in wars, thousands have died and millions were maimed. For all the millions of young lives that have been saved and the opportunities that have been created, we have failed to reach most of the key survival and development goals that were set at the World Summit for Children. Simply put: a world that condemns half of its children to failure is not a world fit for children—and for this to happen in a $30 trillion plus global economy is neither acceptable nor morally justifiable. Poverty is a denial of human rights. Human development cannot be accelerated and the vicious circle of poverty cannot be broken without appropriately investing in children. The cry: “Poverty reduction must start with children” cannot be uttered more often or loudly. – 28 – A reliable indicator of a country’s level of development is the way it treats its most vulnerable members—and child development indicators are the best proxy for human development. Children are humanity’s future, and that future remains in our hands as never before. Poor children usually grow up to raise poor children of their own—and reducing child poverty, therefore, is indispensable to beginning to reduce poverty. No effort to reduce poverty can succeed without first ensuring the well-being of children and the realization of their rights. The economic and social benefits of investing in children have been extensively documented—and we have the knowledge, the means and the strategies to give children the best possible start in life and quality basic education, and help navigate the complex passage from adolescence to adulthood. Giving children access to an integrated package of basic social services of good quality is one of the most efficient and effective steps in combating poverty; and allowing children to grow to their full potential free of dysentery, malnutrition, illiteracy and deprivation. Education—and girls education in particular—is a cornerstone of such investment, and for poverty reduction. Evidence abound that educated girls grow up to make decisions that reduce poverty in their own lives and the lives of their children. Giving a girl a head start will contribute to long-term economic growth and poverty reduction. If children are the exit door from poverty, girls’ education is the key to that door. So, why the dismal record, why so many goals of the World Summit for Children have gone unfulfilled, in the face of this shared conviction? The answer is that there is a growing gap between official rhetoric and policy practice; and we have grossly under invested in children. At the 1995 World Summit for Social Development, the industrialized and developing countries forged a compact to allocate 20 percent of the national budget and 20 percent of the donor aid to basic social services to ensure universal coverage of basic social services of good quality. However, developing countries are currently devoting only about 12 percent of their national budgets for that purpose, while developed countries earmark only 11 percent of their Official Development Assistance (ODA). The effects of these under-investments on children are magnified by the overall decline in ODA flows; the crushing burden of external debt; gender-based violence and discrimination; armed conflicts; environmental degradation; natural disasters; and the devastating spread of HIV/AIDS. The UN Millennium Summit has affirmed both the moral imperative and affordability of the eradication of the worst manifestations of poverty by endorsing the International Development Targets on child poverty, education and health—including the goal of halving the proportion of people living in abject poverty by 2015. The stark reality, however, remains that most developing countries will fall short of the 2015 targets unless there is a significant increase in external assistance and a major infusion of debt relief and cancellation. A firm commitment on the part of all is urgently needed: ◆ Developing countries need to allocate more resources to basic social services; cut down on defence expenditure and redirect it to basic social services; improve policies; make governance more – 29 – responsive to use resources more effectively and efficiently. Children must be put at the heart of the budget allocation process; ◆ Developed countries need an additional $50 billion a year in external resources until 2015 to meet these requirements. Industrialized countries need to increase ODA substantially; augment debt forgiveness well beyond current HIPC initiative; and introduce favourable trade systems (this could generate $500 billion by 2015). An additional $50 billion represents an increase that is no more than 1/5 of 1% of the combined GNP of the industrialized countries. Even with this increase, total ODA would still amount to 0.42% of the combined GNP of these countries—a far cry from the 0.7% global target, which remains necessary to provide capacity building, infrastructure and other vital aspects of development. While this is not unattainable, it would require unprecedented and sustained action. Encouraging as they are, the pledges made at Monterrey fall much short of this additional investment. For the first time ever, the UN General Assembly met from May 8 to 10 this year in a Special Session entirely devoted to discussing children issues. Over 60 heads of state and government; representatives from 170 countries; NGOs; representatives of the private sector; parliamentarians; religious leaders; representatives of UN agencies; educators; the media; and children assessed the progress made for children since the World Summit and adopted a strong-oriented action document in which they pledged to create a “World Fit for Children”. UNICEF—the Secretariat of the Special Session on Children—has joined global partners to mobilize a “Global Movement for Children” to ensure that the momentum of the summit is kept on and ensure that leaders at all levels, not only government leaders, but persons representing every part of civil society, from NGOs, religious groups, peoples’ movements, academia, media, families and the children themselves, deliver on the promise for children. Coming on the heel of the Special Session, your conference will further reinforce the overarching message that leaders everywhere (including yourselves) must deliver on their commitments to invest in children and realize their rights as a matter of urgency and top priority; and that poverty reduction must start in earnest with children. The Organization for the Protection of Children’s Rights (O.P.C.R.) deserves commendation for organizing this conference and for galvanizing your leadership to combat child poverty and put children first. The task of ensuring that all children fully enjoy their rights appears daunting, but with your dedication, commitment and mobilizing power, dear friends, we can make that happen! I wish your conference and deliberations every success. – 30 – ATELIER / WORKSHOP 201 MONDIALISATION DE LA PAUVRETÉ ET ÉDUCATION DE BASE P A R : N ICOLE L EBRUN , P H . D . PROFESSEUR , D ÉPARTEMENT DES SCIENCES U N I V E R S I T É DU Q U É B E C À M O N T R É A L MONTRÉAL , Q UÉBEC , C ANADA DE L ’ É D U C A T I O N La pauvreté est devenue un phénomène mondial parmi les plus marquants de cette dernière décennie. Ses effets sont désastreux et les premières victimes sont, sans contredit, les enfants. La pauvreté atteint des proportions inimaginables dans certaines parties du monde et, pour la contrer, elle interpelle un vouloir politique, économique et social concerté. Parmi l’ensemble des interrogations qu’elle soulève, l’une mérite d’être davantage explorée : c’est la place que doit occuper l’éducation de base ainsi que les orientations qu’elle doit poursuivre dans un environnement où sévissent des conditions de misère humaine extrême. Aussi, cet exposé désire apporter des éléments de réflexion sur les liens entre la pauvreté et l’éducation de base ainsi que sur les considérations d’ordre socio-économique, politique et institutionnel que cette dernière pose avec beaucoup d’acuité dans les pays en voie de développement. L’étude de ces différents paramètres devra être prise en cause dans la lutte contre la pauvreté des enfants pour que celle-ci dépasse le seuil du simple constat et devienne un objectif et une priorité suprêmes. On verra enfin quelles sont les conditions et les exigences d’une éducation de base pour tous dans un contexte d’élimination de la pauvreté et de développements que l’on souhaite équitables, durables et de qualité. La pauvreté : un phénomène mondial Comme le souligne Goldsmith (2001), même après 50 ans d’explosion et de développement, la pauvreté n’a pas encore disparu. En effet, plusieurs observateurs constatent que le développement économique, l’échange et le commerce international ne semblent pas avoir enrayé les méfaits de la pauvreté. Au contraire, les richesses sont de plus en plus concentrées et mal distribuées; les inégalités, au lieu de s’amenuiser, s’accroissent; la prospérité des peuples est davantage compromise. Les chiffres qui suivent parlent d’eux-mêmes : ◆ en Indonésie, la pauvreté a augmenté de 50 % depuis 1997; ◆ en Corée du Sud, elle a doublé au cours de la même période; ◆ en Russie, elle s’est élevée de 21,9 % à 32,7 % entre 1996 et 1998 seulement; ◆ la même évolution peut être relevée dans l’Amérique du Sud comme dans les Caraïbes, etc. (Goldsmith & Bureau international du travail, 2001). La pauvreté est également constatée dans les pays industrialisés. Ainsi, on souligne que, tant aux États-Unis que dans les pays de l’Union Européenne, près de 15 % de la population vivent au-dessous du seuil de pauvreté. Les premières victimes sont certes les enfants puisque, au cours de l’an 2000, en Angleterre par exemple, le nombre d’enfants vivant dans un état de pauvreté a triplé depuis 1968, passant de 1,4 millions à 4,4 millions. (Goldsmith, 2001). Au Canada, même si l’on rapportait en – 31 – 1998 le taux de pauvreté le plus bas enregistré depuis 1992, soit 19,2 %, il demeure, selon le Conseil national du bien-être social (2001), que près de un enfant sur cinq vivait dans la pauvreté. Parallèlement à ce premier constat, l’aide officielle au développement a connu, selon la Conférence mondiale sur l’éducation pour tous (Jomtien, Thaïlande, 1990), une diminution drastique au milieu de la dernière décennie. Ce qui fait dire à certains observateurs que la pauvreté s’est mondialisée, progressant en cela au même rythme que la prospérité. On peut chercher longtemps des raisons qui viennent expliquer cette déplorable situation mais, comme le soulignent Latouche (2001) et Polanyi (2001), la société dans laquelle nous vivons est de plus en plus enchâssée dans des relations économiques, la mondialisation étant une extension géographique inéluctable d’une économie désenchâssée du social. Notion et rapports à la pauvreté La pauvreté est également, sans nul doute, un problème complexe, multidimensionnel et en liens étroits avec d’autres maux aussi dévastateurs. Complexe, puisque tant les causes et les effets que le niveau de pauvreté sont délicats et difficiles à établir (Gresle et al. 1990). Multidimensionnel, puisque la pauvreté est tributaire de différents aspects du contexte, du milieu et de la société en général. Elle recouvre des dimensions d’ordre économique, social, culturel, politique, etc., si larges et si intrinsèquement liées que l’on s’interroge à savoir si la pauvreté est la cause ou la conséquence de l’autre et vice versa. Grande détresse matérielle, absence de standard de vie, niveau de pauvreté, etc., autant d’éléments sujets à des manipulations d’ordre économique, politique ou social. La pauvreté peut ainsi être considérée à plusieurs niveaux. Le danger est directement lié à la perception du fait qu’être pauvre, ce n’est pas seulement manquer des choses les plus nécessaires à la vie. C’est aussi, de manière immédiate, n’avoir aucune part aux biens, services, droits et activités dont la possession définit l’appartenance au corps civique. (Goldsmith, 2001, p. 20) Toutefois, l’extrême pauvreté, celle qui touche les plus démunis et ceux qui vivent dans des conditions parfois inhumaines, est particulièrement concentrée en Afrique, dans les groupes de pays situés au sud du désert du Sahara. En effet, près de la moitié des 673 millions d’habitants de l’Afrique subsaharienne subsistent avec moins d’un dollar par jour (Paradis, 2002). Sur les 50 pays les plus pauvres du monde, classés selon l’indicateur du développement humain (IDH) du PNUD, 33 sont situés en Afrique subsaharienne. (…) le continent est la première victime du creusement des inégalités dans le monde. (Rekacewicz, 2000, p. 2) Encore là, les données sont très révélatrices des conditions de vie dans lesquelles vivent plus particulièrement les enfants, souvent touchés par la malnutrition, les maladies, l’illettrisme, le taux élevé de mortalité infantile, les problèmes sanitaires, la faible espérance de vie, etc. – 32 – Malnutrition des enfants Dans ce monde d’abondance, de haute technologie et de progrès, près de 800 millions de personnes souffrent de la faim dans le monde (ONU, 2002). La sous-alimentation ne s’estompera pas de sitôt puisqu’elle est toujours en croissance en Afrique; environ 10 millions par an et 435 millions d’Africains d’ici 2010 (Natsios, 2001). Assurer la sécurité alimentaire et améliorer le développement humain et économique sont devenus des tâches majeures pour ces pays. Comme le rapporte Paradis (2002), les Africains ne peuvent satisfaire leurs besoins fondamentaux parce qu’ils n’ont pas accès à l’eau, à des installations sanitaires et à l’éducation de base. Victimes et orphelins du sida Parmi les maladies épidémiques qui affectent la population africaine, le sida est devenu une des principales cause de décès; en 1996, 14 millions de personnes en Afrique vivaient avec le VIH ou le sida (PNUE, 1999). Il y aurait actuellement plus de 12,1 millions d’orphelins du sida en Afrique. Il semble exister un rapport étroit entre la pauvreté et la mort causée par le sida. Comme le souligne l’Organisation mondiale de la santé (OMS), la pauvreté exerce son influence sur tous les stades de la vie humaine. Elle conspire avec les maladies les plus meurtrières et les plus douloureuses pour rendre misérable l’existence de tous ceux qui en souffrent. Contrairement aux pays riches et industrialisés, le sida tue systématiquement tous ceux qu’il frappe en Afrique, les médicaments étant peu ou pas accessibles du tout, en raison soit de leur coût, soit de leur manque de disponibilité sur le marché. Travail et exploitation des enfants Pour subvenir aux besoins familiaux ou encore pour apporter de l’aide, les enfants sont de plus en plus confrontés à travailler dès leur jeune âge. Dans le monde, on estime à quelque 250 millions le nombre d’enfants astreints au travail dans les pays en voie de développement (culture commerciale de cacao, café, caoutchouc, coton, etc.); un enfant sur huit, soit 179 millions d’enfants effectuent un travail dangereux (esclavage, servitude, prostitution, enfants-soldats, pornographie, etc.); au Brésil, plus de 556 000 enfants, surtout des filles, travaillent comme domestiques (OIT, 2002). Guerres et participation à des conflits armés Les conflits armés sont omniprésents dans certaines partie du monde, entraînant dans leur sillage son lot de souffrances et de détresse humaine. Rien qu’en Afrique, on rapporte plus de 120 000 garçons et filles de moins de 18 ans qui participent à des conflits armés, et certains de ces enfants n’ont pas plus de 7 ou 8 ans. Cela, c’est sans compter tous les déplacements qui en découlent, déplacements tant à l’intérieur qu’à l’extérieur du pays d’origine, demandes d’asiles dans d’autres pays, camps de réfugiés ou réfugiés de retour au pays. Une grande pauvreté caractérise tous ces milieux de vie et l’aide internationale ne suffit plus. Niveau de scolarisation La pauvreté a des incidences sur le niveau de scolarisation et de fréquentation de l’école et vice versa. Plus de 113 millions d’enfants sont exclus de l’école dans le monde, dont 2/3 de filles; la moitié de tous les enfants africains ne vont qu’à l’école primaire; plus de 850 millions d’adultes analphabètes de par le monde. À cet égard, nous partageons l’avis de Bruckner (2002), à savoir qu’un système – 33 – d’éducation riche et performant demeure une des activités humaines fondamentales qui doit échapper à l’économie de marché. Éducation de base pour tous : une priorité et un défi Force est de constater que non seulement l’éducation est souvent le dernier domaine où l’on investit après les secteurs de l’énergie, du transport et de l’agriculture (George & Sabelli, 1994), mais que le projet d’éducation de base continue de ne représenter qu’une part insignifiante de l’aide au développement de chaque pays (UNESCO, 2002). Pourtant l’UNESCO réaffirmait récemment que non seulement l’accès à l’éducation de base est un droit fondamental humain, mais elle brise le cycle de la pauvreté et constitue une des clés du développement économique et social. Aussi, l‘éducation de base mis de l’avant par la Conférence mondiale de Jomtien (Thaïlande, 1990) désirait répondre aux besoins éducatifs fondamentaux de l’être humain à la fois en contenus éducatifs et en outils d’apprentissage essentiels, permettant ainsi à tout apprenant de développer toutes ses facultés. Malgré ces objectifs qui faisaient de l’éducation de base une des grandes priorités du développement, il semble qu’un net recul ait été constaté et plus particulièrement, c’est l’Afrique subsaharienne qui enregistre le ralentissement le plus marqué, puisque l’aide y a fondu d’environ un tiers. Et pourtant, comme le rapporte les données suivantes, la situation est urgente : ◆ en Afrique sub-saharienne, 4 enfants sur 10 restent exclus de l’école primaire; ◆ moins des 3/4 des élèves atteignent la cinquième année du cycle primaire. Pourtant, les études démontrent que six années d’éducation primaire sont nécessaires pour acquérir un savoir durable en lecture et en calcul; ◆ seuls 19 % en moyenne des jeunes sont inscrits dans le secondaire (moins de 10 % pour cinq autres pays dont la Guinée, le Burkina Faso, Tchad, Mozambieu et Niger) (Actualités, 2002). À ce rythme, on peut facilement imaginer que l’enseignement supérieur reste très marginal. Malgré le renouvellement des engagements à l’égard de l’ÉPT d’ici 2015 (enseignement primaire obligatoire, amélioration de la qualité de l’éducation, promotion de l’acquisition des compétences, etc.) pris lors du Forum mondial sur l’éducation (Dakar, Sénégal, 2000), il semble toujours que sur 155 pays en voie de développement : ◆ 36 ont atteint l’objectif d’une éducation primaire universelle; ◆ 31 vont probablement atteindre cet objectif, au vu des taux actuels de progrès; ◆ 88, c’est-à-dire plus de la moitié, risquent de ne pas atteindre les cinq années d’ici 2015, sauf si des progrès rapides sont enregistrés (UNESCO, 2002). Assurer l’éducation de base pour tous demeure ainsi un enjeu et un défi de taille qui doivent tenir compte d’un ensemble de considérations d’ordre politique, économique, social et scolaire. Des considérations de différents ordres L’accessibilité à l’éducation, le niveau d’estime de soi, le degré de motivation, etc., sont généralement reconnus comme des conditions de scolarisation importantes. Toutefois, tout un ensemble de – 34 – facteurs concourent à l’atteinte ou pas de ces conditions. Aussi, la figure suivante illustre bien l’ensemble des diverses considérations qui ont des incidences sur le niveau de scolarisation des individus. Dans les pays industrialisés et scolarisés, on sait depuis longtemps que les considérations reliées à l’environnement pédagogique ont des répercussions importantes sur le niveau de scolarisation. Le contexte scolaire, la relation pédagogique, la pénurie de matériel ou du matériel inadéquat, les échecs répétitifs, etc., constituent autant de facteurs qui influencent grandement la qualité de l’enseignement. (…) si les filles manquent de nourriture ou d’argent pour les frais scolaires, elles peuvent être amenées à se prostituer pour de l’argent ou de la nourriture, entraînant dans son cycle des risques de sida et de grossesses. (George et Sabelli, p. 79) De la même façon, des considérations d’ordre politique et institutionnel aussi globales que l’exercice d’une démocratie participative, le non-respect des droits et des libertés, la corruption et le détournement des fonds, etc., que des facteurs ciblés comme l’absence ou le niveau de fiabilité de données ou d’informations ou encore le statut de la femme ou les politiques familiales, sont autant de considérations qui ont une forte influence sur le niveau de scolarisation. – 35 – De tous les obstacles à surmonter pour parvenir à l’éducation pour tous, instaurer la parité entre garçons et filles à l’école est un des plus redoutables. Le chemin qui mène à l’éducation est généralement semé d’embûches plus nombreuses pour les filles que pour les garçons. Les filles qui sont issues de familles ou de minorités ethniques pauvres ou qui vivent à la campagne ou dans des zones de conflit sont souvent doublement désavantagées. Or, éduquer les filles est le meilleur moyen de promouvoir la croissance économique et le bien-être social. (UNESCO, 2002) Finalement, des considérations d’ordre socio-économique et socioculturel ne sont pas à négliger. La perception ou les représentations que se font le milieu familial et social de l’importance de l’école, les coûts directs reliés à la scolarisation tels l’achat de matériel scolaire, sont d’autres facteurs non moins importants. Même si l’école est gratuite, les coûts connexes des uniformes, des livres, des transports et des frais d’examen font qu’il est difficile de continuer d’y envoyer les enfants. (Satterthwaite, 2001, p. 40) Universaliser l’accès à l’école, favoriser la réussite scolaire et assurer un enseignement de qualité demeurent les grands défis de l’heure. Comme le souligne Khor (2001, p. 278), « nous devons imaginer des politiques écologiquement saines et socialement équitables, propres à satisfaire nos besoins essentiels – nourriture, eau, santé, éducation et information – et nous battre pour les faire adopter ». Une question de synergie entre les différents impératifs Aussi, la réussite des projets reliés à l’éducation de base dépend en grande partie de la capacité à traiter des problèmes interdépendants. Mis à part l’investissement de fonds et d’aide internationale dans les projets reliés à l’éducation, il faut obligatoirement une synergie entre les politiques et les stratégies mises de l’avant et les conditions d’accessibilité de l’éducation de base et de réussite des élèves. Comme le souligne Latouche (2001, p. 260), les espoirs de recomposition du tissu social ne peuvent provenir que de la réinsertion de l’économique dans le social, dans un enracinement local. Chacun des pays africains doit développer ses propres stratégies pour assurer et maintenir une éducation de base pour tous et contribuer ainsi à lutter contre la pauvreté. Cependant, ils ont en commun des éléments fondamentaux sur lesquels doivent s’appuyer tout changement et tout développement, à savoir : ◆ une contextualisation des changements apportés en adaptant ou en élaborant entre autres des programmes et du matériel pédagogiques; ◆ une action partagée et concertée pour l’élaboration de projets nationaux et/ou locaux qui améliorent les conditions de scolarisation; ◆ une considération des besoins des différents acteurs, tant au niveau des intervenants en éducation qu’au niveau des élèves considérés; ◆ un développement et un soutien de la profession enseignante (formation initiale et continue); – 36 – ◆ une prise en compte de la recherche en éducation et de données significatives pour les pays d’Afrique; ◆ accès à l’information, à l’instrumentation didactique et aux nouvelles technologies. Dans certains pays, le manque de données sur les résultats scolaires ou sur les mesures pouvant être concrètement appliquées nuit aux efforts de planification. L’arrivée des nouvelles technologies rend possible l’accès à l’information et aux données mais représentent des défis de taille pour assurer, accroître et soutenir un mode de développement qui soit économiquement, socialement écologiquement et politiquement viable à long terme. Concertation, adaptation et amélioration sont trois mots clés si l’on désire effectuer des développements que l’on souhaite équitables, durables et de qualité. L’ensemble de ces développements nécessitera des changements majeurs dans bon nombre de politiques, de programmes et de projets institutionnels tant à l’externe qu’à l’interne pour assurer ainsi une éducation de base pour tous. Les pays devront appliquer les réformes qui conviennent, notamment allonger la durée de l’année scolaire et en assouplir le déroulement, mettre en place des modalités de recrutement et de gestion des enseignants qui répondent mieux aux besoins des populations locales, développer le recours aux langues vernaculaires, investir davantage dans les manuels scolaires et support pédagogiques et dernier point, qui n’est pas le moins important, supprimer les droits de scolarité. (UNESCO, 2002) Références bibliographiques Actualités 2002. L’éducation reste inaccessible pour des millions d’africains. Paris : UNESCO. Conseil national du bien-être social 2001. Rapport du Conseil National du Bien-être Social. Profil de la pauvreté infantile, 1998. Canada : Ministre des Travaux publics et services gouvernementaux Canada : George, S., Sabelli, F. 1994. Crédits sans frontières. Paris : Éditions de la Découverte. Goldsmith, T. 2001. Mondialisation de la pauvreté. L’Écologiste, 2(1), p 19-23. Gresle, F., Panoff, M., Perrin, M., Tripier, P. 1990. Dictionnaire des sciences humaines. Paris : Nathan. Khor, M. 2001. « La mondialisation, fléau du Tiers Monde. » In G. E. Goldsmith & J. Mander (dir.). Le procès de la mondialisation. 263-278. Paris : Fayard. Latouche, S. 2001. « La mondialisation démystifiée ». In G. E. Goldsmith & J. Mander (dir.). Le procès de la mondialisation. 7-27, Paris : Fayard, Natsios, A. 2001. « La prospérité d’un pays dépend des investissements consacrés à la population ». Perspectives économiques, 6(3), p. 10-18 Odaga, A., Heneveld, W. 1995. Girls and schools in Sub-Sahara Africa. Washington : Banque internationale pour la reconstruction et le développement. Paradis, D. 2002. « Pourquoi l’Afrique? ». La Presse, Montréal, juin, cahier A, 15. Perreault, D. (s.d). La scolarisation des filles en Afrique de l’Ouest. Montréal : UQÀM. Polanyi, K. 1983. La grande transformation aux origines politiques et économiques de notre temps. Paris : Gallimard. Programme des Nations Unies pour l’environnement (2000). L’avenir de l’environnement mondial 2000. Bruxelles : De Boeck. Rekacewicz, P. 2000. « La pauvreté dans le monde ». Le Monde diplomatique, mai 2000. – 37 – Satterthwaite, D. 2001. « Les facettes de la pauvreté, dans les zones rurales et dans les villes ». Perspectives économiques, 6(3), p. 10-18 UNESCO 2002. Dossier d’information sur l’éducation pour tous. Les plans d’action nationaux. Paris : UNESCO UNESCO 2002. Bulletin d’information sur les activités de l’Éducation pour tous dans le monde. no. 41. Paris : UNESCO UNESCO 2002. Dossier d’information sur l’éducation pour tous. Le coût de l’Éducation pour tous. Paris : UNESCO UNESCO 2002. L’éducation pour tous : un objectif à notre portée. Paris. UNESCO 2002. La semaine de l’Éducation pour tous. Paris : www.unesco.org – 38 – ATELIER / WORKSHOP 307 HUMAN RIGHTS AND CHILD POVERTY B Y : J IM I FE , P H . D . P R O F E S S O R A N D H E A D , S C H O O L OF S O C I A L W O R K & S O C I A L P O L I C Y C U R T I N U N I V E R S I T Y OF T E C H N O L O G Y PERTH , W ESTERN AUSTRALIA , A USTRALIA The aim of this paper is to explore the idea of children’s rights and child poverty within a broader framework of human rights. It suggests that one of the reasons for the continuing marginalisation of children’s rights is the way we have constructed the idea of human rights and a corresponding human rights discourse. Our ideas of rights are inextricably connected with our ideas of citizenship. It is from our definitions of citizenship—what it means to be a citizen—that our definitions of rights emerge. This is one of the reasons why the idea of human rights can be so problematic. We are used to thinking of rights as consequences of citizenship, and we understand citizenship primarily in relation to the nation state; the rights of a Canadian citizen, an Australian citizen, and so on. It is by belonging to a particular nation state that we are ascribed our rights, and it is through the mechanisms of the nation state that those rights are protected or realised. However the idea of human rights is that we have rights not on the basis of our national citizenship, but simply on the basis of our being human; wherever we were born and whatever our national citizenship, we inherit the same basic set of human rights. There are two dimensions in which this idea of human rights extends the traditional citizenship construct. One is the idea of existential rights, arising simply (but profoundly) from our common humanity, and the other is the notion of global citizenship, seeking to extend the idea of citizenship beyond the boundaries of the nation state. The idea of existential rights requires the human rights discourse to address fundamental questions about our humanity. Human rights become a more-or-less codified expression of that humanity, beyond national or cultural boundaries. By focussing on our rights as humans, instead of our rights as Canadians, Americans, Chinese, Australians, Indians, or whoever, we are seeing rights as being generated from our humanness, rather than from aspects of our national identities. It is a more profound and philosophical understanding of rights that raises the debate about rights above the arena of national political discourse. The other dimension on which human rights extend the idea of ‘rights’ beyond the nation state is the idea of global citizenship. Human rights become particularly important in the era of globalisation. As the nation state loses its autonomy in the face of global capitalism, and as national borders become less relevant as boundaries of commerce, trade, policy or the movement of people, it becomes necessary to look at notions of global citizenship, from which we derive a set of rights based not on the nation state, but on our belonging to the global commons. This is one of the greatest challenges of globalisation, and it is also why many of the critics of globalisation use the idea of human rights as one of their principal arguments. By showing how economic globalisation denies people human rights they are not arguing against a global perspective; rather they are using one – 39 – global discourse, namely human rights, to challenge another, namely globalisation. In this sense, what we are seeing at the global level is nothing new. It is the conflict between an exclusively economic and profit-driven view, and a view that says people and their welfare come first so that the economy should serve the needs of people rather than people serving the needs of the economy. This conflict has pervaded public policy debate at the national level for some time, and what we now see if its reinvention at the global level. The question of how we construct human rights in a globalised world, in such a way that still respects and values cultural and other diversity, has become a major arena for debate. Elsewhere Ife has argued how conventional constructions of human rights have been too narrow in scope, which has led to the diluting of the power of human rights, and also to the criticism of human rights as being a western construct, serving the needs of western capitalism. It is true that the human rights discourse of the last two centuries has been dominated by western voices, but this is true of many discourses, and does not invalidate the idea of human rights. Indeed, such a criticism is itself racist and culture-bound, in that it ignores the fact that ideas of human rights have been important in all major religious and cultural traditions, though those ideas have been expressed and constructed in different ways. The task now is not to condemn human rights as a western idea, but rather to deconstruct the western domination of mainstream human rights discourse and to articulate alternative more inclusive versions of the idea of human rights and global citizenship, in ways that respect not only the individualist liberal traditions of western societies, but also the more collectivist and organic traditions of others. The confining of rights to national citizenship suggests one of the reasons why refugees, asylum seekers, illegal immigrants and migrant workers represent such a ‘problem’ in many countries at the present time. They are non-citizens of the state in which they find themselves, so their rights are not as well understood or protected. If global citizenship, or human rights, were more strongly recognised, defined and protected, the treatment of refugees would be very different. It is their noncitizen status that poses the problem, and there is an imperative to develop a stronger human rights regime if we are ever to come to terms adequately, at a global level, with the ‘refugee problem’. Similar arguments can be applied to children’s rights. Commonly, children do not have full citizenship rights, because they are defined, at least implicitly, as non-citizens. Many countries claim to have ‘universal suffrage’, yet they do not allow their children to vote. Children are not allowed to own property, operate businesses, and so on. Of course there are reasons for this withholding of rights, but the fact remains that by doing so we define children as less than full citizens, and this then encourages us to believe that our normal expectations of citizens’ rights don’t really apply to children. The lesser citizenship status implies fewer rights. This even applies at the global level of human rights; a number of the rights stated in the Universal Declaration would be readily dismissed with the phrase ‘of course that doesn’t really apply to children’. But if human rights don’t apply to children, this implies that children somehow aren’t fully human. If children are human, and if human rights belong to all human beings, then this suggests that the construction of human rights needs to be undertaken in a rather different way, to include children as fully human beings with the full range of consequent rights. – 40 – Another way in which we have denied children’s rights through the way human rights are constructed is by the dominance of civil and political rights in the understanding of ‘human rights’ in the mainstream media and popular discourse. There are several reasons for this, including the influence of western individual liberalism in human rights discourse, a reluctance by governments to admit that economic, social and cultural rights are ‘human rights’ thereby requiring expensive government action, and the dominance of legal definitions of human rights with the implication that human rights should be confined to rights that can be guaranteed through legal mechanisms. The fact remains that for most people ‘human rights’ means civil and political rights, or first generation rights. When the media label a country as having a ‘poor human rights record’ they do not generally mean a country with inadequate health or education systems, rather they mean a country lacking freedom of speech, fair trials, protection from intimidation and torture, and so on. When we think of the abuse of children’s rights, however, we often mean the abuse of their economic social and cultural rights. It is true that some children’s civil and political rights are violated, for example when children are locked up, tortured, or forced to take up arms. But the violation of second generation rights, or economic social and cultural rights, is, in simple numerical terms, much more significant. This includes the children whose right to education is being denied, whose right to adequate food, shelter and clothing is denied, those with inadequate health care, and, perhaps most significantly, it includes child poverty. Poverty is a human rights abuse; it violates rights stated in the Universal Declaration and the Covenant on Economic Social and Cultural Rights, and is at the heart of many of the other denials of human rights, in such fields as health, housing and education. The dominance of civil and political rights in the public discourse therefore marginalizes children’s claims to human rights. Another reason for the marginalisation of children’s rights is the dominance of the public sphere as the context for human rights protection. The traditional western understandings of human rights have been human rights in the public domain: the right to free speech, to freedom of assembly, to join a trade union, to vote, and so on. However children’s rights are often violated in the private or domestic sphere; this is particularly the case with child abuse, but in addition it must be emphasised that child poverty, poor health care, and so on are largely personal private experiences, not ‘out there’ in the public domain. A similar argument has been at the heart of the feminist critique of human rights; that traditional understandings of human rights, in the public sphere, are typically the rights of men, while the human rights abuse of women (e.g. rape, domestic violence) takes place in the domestic sphere. Hence traditional constructions of human rights have favoured the protection of the human rights of men, and devalued the protection of women’s rights. The same can be said of children; traditional western human rights discourse has constructed human rights and human rights protection largely in the public world of the adult, rather than the private world of the child. The argument thus far suggests that one of the causes of the marginalizing of children’s rights lies in the way that human rights have been constructed. But there is a more fundamental way that the construction of human rights denies the rights of children, and that is in the very process of that construction itself. Human rights are not objective and value-free, and cannot be measured, discovered or empirically verified. Rather, rights must be understood as discursively constructed, as being in a state of definition and redefinition. Human rights are what we claim, for ourselves or for – 41 – others, arising from our understanding of our common humanity. In this sense they are bound by context, by time, place and culture. How we see human rights now is not quite the same as we did at the time of the Universal Declaration, and is different again from how we will see them in another fifty years. Similarly, the way human rights are constructed in one culture will be different from how they are constructed in another culture. They are, in that sense, relative. But in another sense they are universal, in that human rights are about what we would claim should apply to all human beings, not just our own nation, tribe of community. Thus, for example, a Chinese construction of human rights is not just about the rights of the Chinese; rather it is about how the Chinese view the rights of all human beings. It is a discourse about universals, even though the ways those universals are constructed will vary. The attempts to reach a universal understanding of human rights, the most significant perhaps being the Universal Declaration, are attempts to dialogue and reach a consensus about what those rights might be. The common criticism of such attempts to define human rights has been that the discourse has been dominated by western voices. This has been the case, for example, with critiques of the Universal Declaration, in that it was largely western governments and politicians that were involved in its drafting and its adoption on behalf of the peoples of the world. This problem, however, is now being addressed, and non-western voices are increasingly being heard in the debates about human rights. Writers from Africa, Asia, Latin America and from Indigenous Peoples are all now forcing those of us in the west to rethink our understandings of human rights, and to construct them in a more inclusive and less Euro-centric way. However the debate about human rights remains a debate among the privileged. It is dominated by lawyers, politicians, academics, journalists, senior bureaucrats, and a few activists from groups such as Amnesty International and Human Rights Watch. But while it is no longer exclusively western voices who frame the human rights debate, it is still almost exclusively the voices of the powerful. Those whose human rights are violated, the poor, those lacking formal education, and indeed the overwhelming majority of humanity have no say in deciding what should constitute human rights; there has been a lack of a power analysis, or an understanding of how structural factors such as class, gender and economic power impact on the construction and realisation of human rights. The human rights discourse remains a discourse of the powerful about the powerless, and as such is itself a form of human rights abuse, denying people the right to be part of something as fundamental as the definition of their human rights. And of course children are almost totally removed from the process. Statements of human rights are drawn up by adults, and so statements of children’s rights are statements of rights defined by adults, to be effectively imposed on children. In the case of child poverty we are, in a sense, talking about a double disadvantage because rights are defined firstly by adults, and secondly by adults who are far removed from the personal experience of that poverty; in other words, the rights of poor children are defined by rich adults. Given the discursive nature of human rights, the critical question becomes who controls the discourse, and children’s voices are effectively marginalised in that process. If we are serious about doing something about children’s rights, we need to do something about the way human rights themselves are constructed. An important imperative is to move the debate away from rights as defined, guaranteed and protected by the nation state, to a stronger human rights discourse, where human rights are defined, guaranteed and protected at a global level. This began with the Universal Declaration and the – 42 – establishment of UN treaties and human rights bodies, and also spawned the strong growth of NGOs such as Amnesty International. However with the exception of the European Union in recent years there has been little extension of the recognition of international human rights, and some countries, such as the United States and Australia, seem to be in retreat in this regard. At a time of globalisation, when global economic forces are increasingly shaping the lives of everyone, it is imperative that human rights also be seen as crossing national boundaries and applying to all. It must be borne in mind that many of the children who suffer from poverty and other human rights abuses are among those with no apparent national citizenship rights—children in refugee camps and detention centres, the children of migrant workers, and so on. To grant such ‘stateless’ people clear and unambiguous rights to an adequate income, health, housing, education and so on would be a major initiative towards relieving child poverty and recognising children’s rights. So the more general campaign for human rights should be of vital concern for those committed to the rights of children. Indeed, human rights belong together, and it is short-sighted to campaign for the rights of only one oppressed group—whether children, women, workers, refugees, Indigenous People, people with disabilities, or whoever—and to ignore the others. Children’s rights will inevitably improve with the success of more generalised human rights campaigns. And children’s human rights, in a globalised world, will only be guaranteed if there are strong global safeguards. There is a need to incorporate a more holistic view of human rights, which no longer privileges civil and political rights and which includes as well economic social and cultural rights, and also the socalled ‘third generation’ collective rights such as environmental rights and the right to benefit from economic development. These rights should not displace civil and political rights, but rather should sit alongside them so that human rights are understood more broadly in their application. One of the factors most contributing to the dominance of civil and political rights within human rights discourse is the dominance of the law and the legal profession. Civil and political rights are more readily guaranteed through legal mechanisms, courts, litigation and legal covenants than are other human rights, and in a society dominated by lawyers and legal paradigms it is understandable that such views of human rights should dominate. Economic social and cultural rights, however, are more readily guaranteed through state or non-state programs of health, housing, social security and so on, where other professions play the more dominant role as ‘human rights workers’. Although legal practitioners are, of course, vitally important in human rights work, the dominance of the law as the dominant human rights profession has effectively narrowed the focus of human rights, often away from the areas of most concern to children and children’s rights. A broadening of the disciplinary base to human rights practice is therefore an important priority in reconstructing a more inclusive and child-friendly form of human rights. So to begin thinking about the idea of rights in a broader sense we must start with what is fundamental to the idea of human rights. Earlier we mentioned the idea of human rights resting on the basis of a common humanity—that within all cultural traditions, however differently expressed, lies an underlying principle of respect for human beings. This concept of existential rights—rights which are universal, not because the law proclaims them, but because they assume basic attributes common to all humanity, regardless of cultural difference—is important for the project of broadening the disciplinary base of human rights. It is important because it allows us to focus on the commonality of all human beings, as opposed to our differences. This is not to say that difference is – 43 – unimportant, on the contrary, it is only through looking at commonality that our differences can be respected. And this is not just to talk about difference between cultures; it is also to talk about difference between men and women, and between adults and children. Only through our experience of being human can we overcome the injustices attached to these differences—so it is our humanity that must first be instrumental in constructing human rights. From this idea of a basic humanity we can then construct a concept of human rights that begins with our experience of being human and moves towards a dialogical process of construction. By respecting difference through what is common to us all we are able to create a space so that marginalised voices can be heard. Until children can be included in the discursive process of human rights definition, they will continue in their status as non-citizens and will not achieve their rights. But it is not a simple matter of saying ‘children must be able to define their rights’. Often they cannot, and often they are simply not in a position to be able to do so effectively. In order to understand how such a child-based construction of rights can be achieved, it is important to look at the construction of human rights in more detail. Conflicting claims of rights can be problematic, but the conflict can itself point to solutions. For example, we might claim that it is the right of every child to be born into a peaceful world with no poverty, and that this right should become the basis of policy. This right might be seen as conflicting with the right of adults, living in poverty, to have children. To accept one of these claims as overriding the other would be either to condemn children to live in poverty so that their parent’s rights can be satisfied, or to condemn parents to a childless life so that child poverty can be eliminated. But a system that truly respects human rights will respect both these apparently conflicting rights, and will therefore seek to ensure that they do not conflict by working towards a world where no parents will be in poverty. From the basic conflict arises an imperative for more fundamental change. The basic principle is one where the human environment is of primary consideration, both at the social and ecological level—that human rights are not only about that which we protect from violation, but they are that which we realise through social and environmental policy. A further expansion of human rights has been achieved by the Green Movement in its emphasis on the importance of intergenerational rights, namely that we have a moral obligation to protect the rights of future generations. This, together with the extension of human rights obligations to cover past violations (e.g. compensation for Holocaust victims and for the forced removal of Indigenous children from their families) represents an important, and recent, temporal extension of the idea of human rights. The framework that we propose for discussing children’s rights is broad, suggesting that child poverty requires analysis of structural issues at all levels, coupled with an understanding, through our own humanity, of the human experience at these levels. Part of this analysis of child rights concerns two sets of constructions, namely the construction of rights, and the construction of the child, or of childhood. Both are contested, and it is important that both contestations be included in the framing of children’s rights. The rights of children cannot be understood in isolation from other human rights; rather they belong within the overall understanding of the rights of all people, of whatever age. But also the rights of children cannot be understood separately from the broader construction of childhood; as has been well demonstrated, the idea of the child and of childhood is not static, but changes significantly in different historical periods and across different cultures. The – 44 – intersection of these two contested areas, human rights and childhood, is what makes the idea of children’s rights particularly fraught. Those wishing to articulate, and to defend, the rights of children therefore need to do so within these two contexts, recognising that both the idea of ‘rights’, and the idea of ‘children’ are not objective realities, but are culturally and socially determined, are contested, and change over time. Bold claims of ‘the rights of the child’ that are not grounded in a careful analysis of both the contested nature of rights and the contested nature of childhood, are likely to be of little value. If we are concerned about children’s rights, then, we must be concerned with more than just simple claims of rights; we must also look at how those fit with the broader discursive practices around the idea of childhood and the idea of rights. It is unrealistic to expect that children alone will be in a position to define their rights effectively. Simply for one group to claim it has certain rights is not sufficient for that claim to be substantiated; human rights require a broader consensus, within the community, that the claimed right should be exercised, respected and protected. But it is equally untenable to suggest that only adults should define the rights of children; such a claim would be to disenfranchise children and would deny those very rights that we may wish to define. The definition of the rights of children must involve both adults and children, in interaction, and so require collective rather than individual definition. This, indeed, is true of all human rights, and especially the rights of those of disadvantaged or vulnerable groups: the rights of Indigenous People, the rights of women, the rights of people with disabilities, and so on: in each case, the definition of those rights involves both the articulation of their rights by the group concerned and also the engagement of the wider society. The rights of Indigenous People, for example, are obviously a matter for Indigenous People themselves to define and articulate, but they are also a matter for the non-Indigenous population, who will be called on to respect those rights and to help them to be realised. The same is true of children’s rights; they require the participation both of children and adults in the discursive framing of the rights and of how they are to be implemented. We have laboured this point because it is critically important, and too often ignored in debates about human rights. It is not simply a matter of asking children to define their rights, or of having adults define those rights on behalf of children. It is necessary that both sets of voices be heard, and allowed to dialogue, and so no progress can be made in regard to children’s rights until there are discursive spaces that enable this to occur. For this reason, we need to pay attention to the places where such interaction between children and adults takes place, typically in the family, in the education system, in the work place (in some cultures in particular) and, for a smaller number of children, in the context of child welfare, child development, child protection or juvenile justice agencies. Because human rights require not only one person to claim them but others to respect them, it is misleading to understand them as attaching to individuals, in the traditional western sense. It is important to hear the so-called ‘Asian critique’ of human rights as being a critique of the exclusively individualistic idea of rights, which, if rights are indeed discursively constructed, makes little sense. From the discursive approach argued above, human rights are essentially collective: they can only be defined in a collective context, and they can only be realised collectively. This means that children’s rights are a matter for us all, not only for children, and if we are to understand child rights we need to think not just of the individual child whose rights may be validated, but of the way in which – 45 – children and non-children interact, communicate and seek together to make sense of the world—and not just the world of childhood. Human rights are advanced by dialogue and by collective action, not by individuals pursuing individual claims. And this dialogue must be understood in structural terms; it does not take place in a vacuum, but is influenced by class, race, gender, and culture, which can privilege one voice over another, and perpetuate power imbalance. The structural dimension of age, naturally, is most important in talking about children’s rights, but factors such as class, race and gender are also important, and the definition of human rights must take place in an environment that recognises these structural issues, and does not seek to ignore or deny their influence. Otherwise it will be the perceived rights of the privileged that are most clearly stated and defended, rather than the rights of the most disadvantaged. The main point of the above argument is that human rights cannot be understood in isolation from their context; indeed, it is the social, political, cultural and institutional context that actually determines human rights, and the way those rights can be realised. This is also true for the human rights of children. It suggests that concentrating on statements of child rights, affirmations, conventions and legislation is only a relatively small part of the story, and if we allow our concerns for rights to be circumscribed within those boundaries our understandings and our practice will be limited. Rather, the implication is that the rights of children must be thought about as being defined in all areas of practice and of discourse. What, then, does this mean for child poverty? It means that we must take a broader, more systemic perspective than simply saying that children have a right not to live in poverty, though this is clearly important. It means that, alongside the contested constructions of ‘rights’ and of ‘children’ we have to examine a third contested construction, namely ‘poverty’. Constructions and definitions of poverty vary according to culture, history, societal norms, and the standpoint and ideology of the definer. There is insufficient space in this paper to detail the controversies around poverty definition and measurement, but the idea of poverty is as slippery, and as contested, as that of human rights and that of childhood. It is important to understand how these three contested constructions, human rights, childhood and poverty interact, if we are to be able to say and do something significant about child poverty. Poverty is a denial of fundamental human rights, and the continued existence of mass poverty amounts to human rights abuse on a large scale. Children in poverty are doubly disadvantaged: not only do they suffer the effects of poverty itself, but because of their marginal citizenship status they also do not have access to the discourses of power (that perpetuate poverty), and hence become passive victims without the chance to be active participants. To address adequately the problem of child poverty, then, requires a multi-faceted approach. While it is essential to commit resources to addressing child poverty through adequate income distribution and social security, this will not be sufficient to resolve the problem of child poverty. We also need to attend seriously to the issue of children’s citizenship rights, how they are defined, who defines them, how they are realised, and how they are protected. This requires an active concern with the discursive spaces in which the ideas of ‘childhood’ and ‘human rights’ are constructed. It is not simply a matter of writing and promulgating charters of rights, though such statements are important. It is also a matter of practice: the way we go about interacting with and about children, what happens in schools, in – 46 – families, in Churches, Mosques, Synagogues and Temples, in government agencies and NGOs. It is also about the media and popular culture, with the dominant portrayal of children as helpless victims, rather than as active participants with citizenship rights and obligations. In all these activities, the ideas of childhood and the ideas of children’s rights are constantly being shaped and reshaped, and it is this construction that leads governments, people and institutions to behave the way they do, and to perpetuate child poverty. There is no simple answer as to how the issue of child poverty might be addressed, given this perspective of the discursive construction of rights. Rather a number of avenues suggest themselves, and the approach is significantly broader than the more traditional advocacy of charters of rights and provision of resources, though these of course remain important. One avenue is to emphasise rights-based practice across all the professions concerned with children: teaching, social work, health professions, recreation, police, the law, and so on. The extent to which these professional discourses are based on a human rights approach will vary, and the task of introducing or strengthening a rights perspective in all these professions is a major priority. Another is to problematise the construction of childhood. In academic circles it is well accepted that childhood, as we now understand it, is a relatively recent construction, and that in different cultures and at different times, children and childhood have been understood and treated very differently. However this view is not commonly shared within the general population, where the construction of childhood is taken as a given, as non-problematic, and as ‘natural’. Childhood is not a natural state: it is highly conditioned by culture, and if this were more generally understood within the population it would enable fundamental questions about children and citizenship to be asked, in ways that do not currently occur in the wider community. In this regard there is a particular challenge in terms of dealing with the media: it is the voices of the media, and of the wider realm of popular culture, that help to define childhood as non-problematic, and to define the child as passive object rather than as active subject. Challenging media stereotypes is never easy, but at least some practitioners are in positions where they can attempt this ambitious project. Another obvious direction for practice is to encourage the genuine involvement of children themselves in decisions that affect them, and in the definition and understanding of their rights. This is part of the wider agenda of viewing children as active subjects rather than passive objects. This can happen in different ways and in different locations, and is an important component of rights-based practice, one of the tenets of which is that people have a right to a say in defining and realising their rights. Further, a society that respects human rights is an active, participatory society, where people are not only defining but are also exercising their rights, and hence practice that is based on human rights must involve the encouragement of broad participation in decision-making and in action. This is inherent in a community development approach to practice, emphasising collective understanding and collective action. Community development principles can be included in practice across a wide variety of fields, and community development is an important component of the rights-based approach to practice. Our argument in this paper has been that children’s rights must be understood within the broader and contested field of human rights, and that children’s rights will be enhanced by engagement with the wider human rights debates. Human rights themselves are contested, and the perspective we – 47 – have taken is to understand them as discursively and organically constructed rather than as ‘natural’, existing as things-in-themselves, to be protected by law alone. This emphasises the role of all people, including children, as active subject agents in the defining, realising and protection of rights, rather than passive objects who have rights defined for them and imposed upon them by an elite. The construction of childhood, and of the child, has been important in determining the marginal citizenship status of children, and this has negatively impacted on children’s rights. Child poverty, which is a fundamental denial of children’s rights, must therefore be understood from this perspective, and must be the subject of a much broader range of practices than are often associated with discussions of ‘the rights of the child’. Such a project involves further developing a rights-based practice by broadening the human rights discourse across different disciplinary areas at the same time as adopting a strong community development perspective. This is a major challenge, but perhaps a greater challenge is to move away from the idea of rights belonging to individuals or particular groups, and to see them as being created by all humanity, whatever culture, race, gender, age or ability. The act of seeking happiness by avoiding suffering must not be seen as the privilege of a few individuals, but as an existential right of all human beings, and viewing human rights in such a way implies an understanding that the act of seeking such happiness must not be done at the expense of another human being. Constructed in this way, child rights become human rights, which must not only be legislated, but also be created, affirmed and realised through every dimension of human existence—from the deeply personal to the highly political. – 48 – ATELIER / WORKSHOP 503 SOCIAL CAPITAL AND CHILD LABOR IN THE MESOSYSTEM: IN SEARCH OF COMMUNITY-BASED SOCIAL INDICATORS OF RISK B Y : K RISTIN M. F ERGUSON , M . S . W . SOCIAL WORK DEPARTMENT U N I V E R S I T Y OF T E X A S AT A R L I N G T O N SOCIAL WORK FACULTY T HE A U T O N O M O U S U N I V E R S I T Y OF N U E V O L E O N D U A L D E G R E E D O C T O R A L P R O G R A M IN C O M P A R A T I V E S O C I A L W E L F A R E P O L I C Y ANNANDALE , V IRGINIA , U.S.A. AND SOCIAL WORK Abstract One of the most pressing global challenges in social development is the increasing prevalence of urban street-working children. Existing empirical precedents suggest that child street workers are more likely to come from impoverished families. Nevertheless, the relationship between family financial capital and child labor is not entirely direct, as not all poor families use their children as complementary sources of household income. Previous research on street children has tended to focus on individual and familial risk factors, overlooking the role of the community in precipitating or preventing child street migration. Thus, this paper seeks to synthesize the existing literature related to both street children and the notion of social capital as a means to establish an empirical foundation for future research to explore the possible relationship between the two concepts. Social Capital and Child Labor in the Mesosystem: In Search of Community-Based Social Indicators of Risk One of the most pertinent global challenges in social development is the increasing prevalence of urban street-working children. A review of the theoretical literature suggests that the families of origin of street-working children may possess certain qualities that either contribute to the migration of children to the streets as child laborers, or indeed, prevent it. Empirical precedents also reveal that child workers are more likely to come from impoverished families, who lack access to the basic social supports and public services to provide for the well-being of their children. However, the relationship between economically disadvantaged families and street migration is not as direct as one may believe, as not all impoverished families use their children as a primary or secondary source of family income. Subsequent to synthesizing past research, which suggests that most streetworking children tend to come from economically disadvantaged families residing within impoverished communities, it remains unclear why some impoverished families use their children as street-working child laborers, while other families—from the same community and similar socioeconomic conditions—choose not to. Systematic review of the research also reveals a lack of empirically based mesolevel factors related to the phenomenon of street-working children. This area of investigation merits further attention, since traditional focal points in research with this population have been the intrapersonal and – 49 – familial risk factors, as well as the structural push factors, such as poverty. However, little continues to be known about the interfamilial and family-community relationships and how these may facilitate or inhibit the movement of children into the streets. In response to the gaps identified in the literature, this paper presents the synthesized findings from the street children and social capital literature and seeks to provide the empirical framework for future studies to explore the phenomenon of street children within a unique context: in the children’s communities of origin. Several critical, unanswered questions are posed as well to instigate further reflection and research regarding the possible relationship between the movement of children into the streets, as child laborers, and the intra- and extra-familial interactions and relationships within their communities of origin. Empirical Review: The Street Children Phenomenon Empirical precedents relating to the street children phenomenon present a myriad of structural, familial and intrapersonal risk factors that propel children to the streets, either to live or work, or both. The literature overwhelmingly suggests that street migration is a process in which a variety of push-pull factors interact to expel children from families and communities to the streets (Arriagada, 1995; Connolly, 1990; Copping, 1998; De la Barra, 1998; Kefyalew, 1998; Lane, 1998; Martínez & Silva, 1998; Ordoñez, 1998; Peralta, 1995; Raffaelli, 1996; Veale, 1998). However, there is considerable disagreement and conflicting empirical evidence regarding which factors, or precise combination of factors, are responsible for the movement of children into the streets as child laborers. Description of Literature Review Method Utilized To determine the scope of empirical literature related to the street children, I adopted the systematic review method (SR) and focused on three areas: the incidence with which the concept “street child” appeared in the empirical literature, the method which was utilized in examining the phenomenon and the quality of empirical research that explored the relevant variables related to the street children phenomenon (Larson, Pastro, Lyons, & Anthony, 1992). Consistent with the procedures of a comprehensive SR, I utilized five strategies to locate all existing peer-reviewed studies related to street children within the following disciplines: social work, sociology, psychology, cultural anthropology, public health, nursing and the medical field. First, I searched a variety of bibliographic databases from 1979 to the present, including FirstSearch, OVID, Social Work Abstracts, Sociological Abstracts and Wilson from 1979 to the present. The year 1979 was chosen as the lower limit since the majority of empirical studies regarding street children have been performed subsequent to the United Nations International Year of the Child in 1979, when this international organism brought street children to the global development agenda (Ennew & Milne, n.d.). Second, I conducted manual searches of all peer-reviewed literature pertaining to street children over the past decade (1990 to present) in both dissertations and relevant journals, including: International Social Work, Child Abuse and Neglect, Children and Youth Services Review, Journal of Sociology and Social Welfare and Journal of Child and Family Studies. In this case, the year 1990 was selected as the cutoff point, since it marks the year in which the United Nations’ Convention on the Rights of the Child entered into force within the international realm. This landmark also stimulated global research on the street children – 50 – phenomenon (UNICEF, 1990). Third, I adopted the snowball technique to locate additional studies and dissertations cited in the bibliographies from pertinent journal articles. Fourth, I reviewed other related studies of several eminent researchers who have established themselves over the last two decades within the area of street children. Finally, I consulted a series of annotated bibliographies produced by international street children organizations such as UNICEF, Street Kids International, the Street Children Initiative of the Word Bank, and Covenant House International. In order to discern between pertinent and non-pertinent empirical literature related to my phenomenon of interest, I established four selection criteria for including studies in my literature review group: 1) the study examined micro, meso and/or macro factors contributing to the streetworking child phenomenon; 2) the study utilized qualitative, quantitative and/or mixed methods used to study the street children phenomenon; 3) the study reported on risk factors and/or protective factors that distinguish street-working populations from street-living populations; and 4) the study presented findings relevant to social welfare policy for street-working and street-living populations. The SR and related selection criteria used to review existing empirical literature on the street children phenomenon produced 15 pertinent studies. Subsequent to creating my cohort of relevant studies, I then tabulated all works to facilitate comparisons and contrasts among studies. To evaluate the quality of empirical research within my selected cohort, I categorized all studies according to the following criteria: year of study, region, purpose, definition of population, research and sample methods utilized, sample size, response rate, mode of administration of instrument(s), existence of a comparison group, statistical analysis adopted, and eco-systemic level within which the street children phenomenon was studied. (See Table 1 for more detailed information on all the studies included in the street-children phenomenon review cohort.) Synthesis of Methodological Approaches All of the studies reviewed were performed within the timeframe specified by the initial search, that is, subsequent to the United Nations International Year of the Child in 1979. With reference to the regional breakdown of the studies, one was from three countries in Africa (Canagarajah & SkytNielsen, 1999), one from Great Britain (Morrow, 1996), one from the United States (Thompson, Safyer, & Pollio, 2001) and one—a cross-cultural comparative analysis of universal predictors of child labor—from Kenya, Belize, Samoa and Nepal (Munroe, Munroe, & Shimmin, 1984). The remaining eleven studies (Connolly, 1990; DIF, 1992, 1999; DIF, UANL, & UNICEF, 1997; Ortíz, 1999; Ortíz Nahón, 2000; Peralta, 1992, 1995; Trussell, 1999; Tyler, Tyler, Echeverry, & Zea, 1991; Wittig, 1994) were from different Latin American countries, including: Mexico, Colombia, Guatemala and Honduras. In the absence of community-based risk factors within the empirical literature about the Latin American region, I chose not to limit my search to the Latin American region but amplified it to include studies from the international realm. Eight of the fifteen studies reviewed sought to understand the causality of child labor and identify the structural, familial and intrapersonal determinants of children’s work (Canagarajah & SkytNielsen, 1999; DIF, 1992; DIF, UANL, & UNICEF, 1997; Munroe, Munroe, & Shimmin, 1984; Ortíz, 1999; Ortíz Nahón, 2000; Trussell, 1999; Wittig, 1994). One study (DIF, UANL, & UNICEF, 1997) – 51 – aimed to systemize these predictive factors into practical profiles, both of high-risk children, who manifest symptoms of street behavior, as well as of the families at-risk of expelling their children to the streets. On the other hand, Wittig (1994) adopted a more theoretical perspective and proposed testing dual theoretical frameworks to assess whether cultural or structural determinants provided a more thorough explanation of the migration of children to the streets as child laborers. Five of the studies from the cohort aimed to provide descriptive quantitative and qualitative accounts of the street children phenomenon, ranging from their precise numbers and types of labor, to their general characteristics and support networks within the street environment (Connolly, 1990; DIF, 1999; Morrow, 1996; Peralta, 1992, 1995). Finally, two studies (Thompson, Safyer, & Pollio, 2001; Tyler et al., 1991) sought to reframe the negative connotation of “risk factors” into “protective factors” and thus assess which behaviors contributed to such outcomes as family reunification and street survival. All of the studies, with the exception of the United States-based study carried out by Thompson and colleagues (2001), adopted the universally known typology proposed by UNICEF, which categorizes street children along a continuum according to their degree of involvement in and acculturation to street life (high-risk—street-working—street-living). These ten studies all classified “street-working children” as those children involved in both formal and informal economic activities, yet who maintain ties to their families of origin and generally sleep at home. On the other hand, “streetliving” children were those children who have abandoned their homes and adopted an alternative street lifestyle. Within this cohort of studies, Peralta (1992, 1995) further divided “street-working children” into independent street workers and family street workers, claiming that the two subgroups differ substantially in types of labor performed, level of risk or harm in the streets, and precipitating factors contributing to their status. A point of varying contrast among these studies relates to the operationalization of chronological age of “street-working children.” According to Munroe and colleagues (1984) child laborers are children ages 3 to 9; as per Canagarajah and Skyt-Nielsen (1999), child laborers constitute the population of children, ages 7 to 14; and as defined by DIF (1992, 1995), DIF, UANL, and UNICEF (1997), Tyler and colleagues (Tyler et al., 1991) and Wittig (1994), child laborers are any child or youth under the age of 18. In contrast with these ten studies, the Thompson, Safyer, and Pollio study (2001), elaborated a parallel typology consistent with the nature of the street children phenomenon in the United States. For the purposes of their study, “runaway youths” included three groups: runaway-homeless youths, throwaway youths and independent youths. The most widely utilized research design among the cohort of studies consisted of a qualitative, descriptive analysis in which researchers applied a variety of data-gathering techniques. For instance, Connolly (1990) utilized participant observation, informal interviewing of street children and daily journal entries in Colombia and Guatemala. In Mexico, DIF (1992) used direct observation and interviews with key informants in at-risk neighborhoods. Morrow (1996) examined writing samples from school-aged children and performed follow-up, semi-structured interviews with subjects in Great Britain. Munroe and colleagues (1984) carried out spot-observations of sample children across four countries. Ortíz (1999) and Trussell (1999) spent numerous years in the streets of Mexico City and Juarez City, respectively, performing extensive ethnographic studies of the lives and testimonies – 52 – of Mexican street children. Finally, Peralta (1992, 1995) performed extended field observations and flexibly structured interviews with street children in several Mexican cities. Conversely, three studies adopted a quantitative survey design, complemented with differing degrees of qualitative data including: direct and/or participant observation, log records by persons related to study subjects, and semi-structured interviewing of key informants (DIF, UANL, & UNICEF, 1997; Ortíz Nahón, 2000; Wittig, 1994). In two studies, secondary data analysis was used to examine five existing empirical studies from three countries in Africa (Canagarajah & Skyt-Nielsen, 1999) as well as thousands of case records from the United States’ national, automated information system of comprehensive data on the homeless and runaway children—the Runaway Homeless Youth Management Information System (RHYMIS) (Thompson, Safer, & Pollio, 2001). All but four studies utilized a comparison group to contrast differences among street children’s gender, ages, cities, countries, and degrees of acculturation to the street lifestyle (Canagarajah & Skyt-Nielsen, 1999; Connolly, 1990; DIF, 1992; Morrow, 1996; Munroe, Munroe, & Shimmin, 1984; Peralta, 1992, 1995; Thompson, Safyer, & Pollio, 2001; Trussell, 1999; Tyler et al., 1991; Wittig, 1994). Aside from the two studies that used secondary data analysis, non-probability, purposive sampling constituted the most common sample method among the studies (Connolly, 1990; DIF, 1992, 1999; Monroe, 1996; Munroe, Munroe, & Shimmin, 1984; Ortíz, 1999; Peralta, 1992, 1995; Trussell, 1999; Tyler et al., 1991; Wittig, 1994). DIF, UANL, & UNICEF (1997) utilized a combination of probability and non-probability sampling. Target intersections, where subjects would be interviewed, were clustered and then randomly sampled. Subjects were then chosen based on convenience sampling. Ortíz Nahón (2000) used random sampling from the total population of street children in Oaxaca City, as defined by an Oaxacan NGO working with street children throughout the city. Sample sizes across all empirical (non-secondary data analysis) studies were varied, ranging from small: 15 (Trussell, 1999) and 38 (Ortíz Nahón, 2000) to extremely large: 1244 (Wittig, 1994). The average sample size across remaining empirical studies was roughly 150 subjects: 139 (DIF, UANL, & UNICEF, 1997); 192 (Munroe, Munroe, & Shimmin, 1984); 103 (Peralta, 1992); 195 (Peralta, 1995); and 94 (Tyler et al., 1991). With the exception of the study performed by Tyler and colleagues (Tyler et al., 1991), all other researchers failed to report response rates. Descriptive statistics and frequencies were used to analyze the majority of the studies (Canagarajah & Skyt-Nielsen, 1999; DIF, 1992, 1999; DIF, UANL, & UNICEF, 1997; Munroe, Munroe, & Shimmin, 1984; Ortíz Nahón, 2000; Peralta, 1992, 1995). Morrow (1996) utilized content analysis of the student essays to explore the typology of children’s labor, while Connolly (1990), Ortíz (1999) and Trussell (1999) constructed case histories of the street children who participated in the studies. Multivariate analyses—including logistic regression, ANOVA and Chi-Square tests—were used in three studies (Thompson, Safyer, & Pollio, 2001; Tyler et al., 1991; Wittig, 1994). Eleven of the fifteen total studies adopted a microsystemic approach in examining the street children phenomenon, assessing both intrapersonal and familial risk factors contributing to street migration (Connolly, 1990; DIF, 1999; DIF, UANL, & UNICEF, 1997; Morrow, 1996; Ortíz, 1999; Ortíz Nahón, 2000; Peralta, 1992, 1995; Thompson, Safyer, & Pollio, 2001; Trussell, 1999; Tyler et al., 1991). One study, performed by DIF (1992) in Mexico, explored the relationship between the surrounding community context and the phenomenon of street-working children within the – 53 – mesosystem. Finally, three studies (Canagarajah & Skyt-Nielsen, 1999; Munroe, Munroe, & Shimmin, 1984; Wittig, 1994) assessed the street children phenomenon at the macrosystemic level, researching the influence of country-level variables, such as Gross National Product, percent urban, teacher-student ratio and child school enrollment rates; cultural variables, such as parental perceptions of “childhood” and “child labor” and presence of punitive or permissive child labor laws; and structural variables, such as percent of impoverished families in a given community, number of barriers to access public education, and unemployment and underemployment rates within families. Methodological Limitations of Previous Research Aside from the multiple similarities among studies, as well as the methodological strengths within the cohort of studies highlighted in the previous section, there were also several limitations. First of all, departing from the assumption that methodologically sound studies are embedded within empirically supported theoretical frameworks, it is of concern that ten of the fifteen studies were performed in the absence of an explanatory theoretical model. In these studies, researchers applied qualitative, descriptive methods isolated from a supporting theoretical framework. Thus, data acquired from the arbitrary selection of data-collection techniques and presented as unconnected case histories of street children are questionable, since theory was neither the driving force in the selection of methods, nor the guiding framework by which results were analyzed and interpreted. Only five studies (Canagarajah & Skyt-Nielsen, 1999; Munroe, Munroe, & Shimmin, 1984; Ortíz Nahón, 2000; Tyler et al., 1991; Wittig, 1994) elected the research methods, data-gathering techniques and statistical analyses to interpret the data in tandem with existing theoretical knowledge. Multiple studies presented problems with threats to the internal validity. For instance, many studies incorporated comparison groups of other street children populations, albeit in the absence of clarification regarding the equivalency among the groups (Canagarajah & Skyt-Nielsen, 1999; Connolly, 1990; DIF, 1992; Morrow, 1996; Munroe, Munroe, & Shimmin, 1984; Peralta, 1992, 1995; Thompson, Safyer, & Pollio, 2001; Trussell, 1999; Tyler et al., 1991; Wittig, 1994). Not one study utilized a non-street-living and/or working (normative) control group, to which the street populations studied could be adequately compared. Also compromising the internal validity of the studies was the absence, in every case, of triangulation to cross-check both instruments and results. It may be difficult, as well, to generalize the findings from the studies in this cohort to the general population of street children due to several threats to the external validity of the studies. Only two of the fifteen total studies used probabilistic, random sampling (DIF, UANL, & UNICEF, 1997; Ortíz Nahón, 2000). All other studies employed non-probabilistic, purposive sampling techniques or recruited subjects from single, non-representative shelters, programs or street-based work sites. Second, the presence of several threats to the internal validity of the studies constitutes another problem with the generalizability of the cohort studies. In the absence of methodologically rigorous research designs, which apply multiple methods to compare and contrast results, it is difficult to claim full external validity of the studies. As discussed above, there is considerable harmony among studies in the operational definitions used to distinguish between street-living and street-working children (Canagarajah & Skyt-Nielsen, 1999; – 54 – Connolly, 1990; DIF, 1992, 1999; DIF, UANL, & UNICEF, 1997; Morrow, 1996; Munroe, Munroe, & Shimmin, 1984; Ortíz, 1999; Ortíz Nahón, 2000; Peralta, 1992, 1995; Trussell, 1999; Tyler et al., 1991; Wittig, 1994). Nevertheless, there is considerable disagreement among researchers regarding the ages, specific economic activities, and inclusion or exclusion of the female gender within the street children population. The poorly conceptualized distinction among groups of street-working children—often in the absence of existing theory—leads to considerable disparities in results as well as hinders valid comparisons among studies regarding the specific findings. In addition, the rigid categorization of children in “either/or” categories ignores the existing assumption that many street children oscillate between categories or progress from one category to the next throughout the course of their lifetimes (Lusk, 1989). A one-time snap-shot of the street children population can be misleading, as it categorizes the children according to their economic activity in that particular instance. It also provides a one-dimensional view of the population of street children—as child laborers—and ignores the holistic nature of the lives of these children, many of whom are embedded in support systems comprised of peers, family, community and institutions. Finally, as mentioned in the preceding section, the studies largely concentrate on individual and family microfactors contributing to the migration of children to the streets as child laborers (Connolly, 1990; DIF, 1999; DIF, UANL, & UNICEF, 1997; Morrow, 1996; Ortíz, 1999; Ortíz Nahón, 2000; Peralta, 1992, 1995; Thompson, Safyer, & Pollio, 2001; Trussell, 1999; Tyler et al., 1991). However, the use of purely descriptive methods and data analyses renders the results as individualized case histories, divorced from existing theoretical explanations. With reference to mesofactors, the existing literature across all countries lacks systematic evidence regarding the community-level precipitating factors that contribute to the migration of children toward the street as child laborers. One exploratory study carried out by DIF (1992) aimed to identify the situational factors present within communities with high concentrations of street-working children. Yet in the absence of a supporting theoretical framework, random selection of communities, and methodologically valid data-collection instruments, the results from this community diagnostical assessment remain mere descriptive anecdotes by arbitrarily selected community members. Finally, three studies sought to identify the existing structural and cultural macro risk factors related to the street children phenomenon (Canagarajah & Skyt-Nielsen, 1999; Munroe, Munroe, & Shimmin, 1984; Wittig, 1994). Nevertheless, in the absence of normative control groups, random sampling, and mixed methods to cross-check the findings, it is difficult to draw comprehensive and generalizable conclusions regarding the impact of macrolevel variables on the lives of the street children population. Each of these limitations discussed above poses a threat to both the methodological rigor of the individual studies and the generalizability of the findings to the general population of street children. Nevertheless, the multiple commonalities among studies presented in the preceding section facilitates some rudimentary comparisons among studies, which in turn, increases the general level of understanding regarding both the determinants of children’s work and the characteristics of the distinct street children populations. I will now turn to an extensive review of the common variables across cohort studies utilized to assess the movement of children into the streets as child laborers. – 55 – Synthesis of Empirical Findings For the purposes of this review, the findings are categorized within three main sections: 1) intrapersonal and intrafamilial micro risk factors; 2) community meso risk factors; and 3) structural and cultural macro risk factors. Intrapersonal and Intrafamilial Micro Risk Factors The systematic research review offers a basic foundation of the individual and familial precipitating factors–or microfactors–associated with the movement of children into the streets, as child workers. Across every study in the microsystemic cohort, all authors cited academic failure and/or school dropout as a hallmark factor contributing to street migration (Connolly, 1990; DIF, 1999; DIF, UANL, & UNICEF, 1997; Morrow, 1996; Ortíz, 1999; Ortíz Nahón, 2000; Peralta, 1992, 1995; Thompson, Safyer, & Pollio, 2001; Trussell, 1999; Tyler et al., 1991). Once children have broken formal ties with the educational system, the street environment often becomes the prime source of socialization and education in their lives. Two authors, Peralta (1992, 1995) and Trussell (1999) observed an educational difference between the street-living and street-working population in that street-working populations were more likely to have abandoned the formal educational system, while street-living populations were more prone to never have formally incorporated in it. According to the tripartite typology of homeless youth in the United States, Thompson and colleagues (Thompson, Safyer, & Pollio, 2001) found that of the three groups of homeless youth (runawayhomeless, throwaway and independent), the throwaway population—who shares considerable characteristics with the street-living population in Latin America—was significantly more likely than the other two groups to have dropped out of school. More than half of the studies (Tyler et al., 1991; DIF, UANL, UNICEF, 1997; Ortíz, 1999; Peralta, 1992, 1995; Thompson, Safyer, & Pollio, 2001; Wittig, 1994) found drug and alcohol use to be another microfactor related to street migration. However, studies by DIF (1999), Peralta (1992, 1995) and by Trussell (1999) found drug abuse to be extremely low in the street-working populations, while prevalent among children who had moved into the streets full time. Gang involvement and delinquent behavior were found to be intrapersonal factors that contributed to children’s movement into the streets as well (Connolly, 1990; DIF, UANL, UNICEF, 1997; Ortíz, 1999; Thompson, Safyer, & Pollio, 2001; Trussell, 1999). Nevertheless, due to the lack of normative control groups and random sampling of subjects, the lines of causality between gang involvement and street migration are not clear. It is unknown whether the children took to the streets as a result of gang and delinquent activity, or rather, once in the street environment, migrated toward the social support that street gangs traditionally offer to isolated youth. Originating from a family experiencing economic hardship was the most common intrafamilial factor associated with street migration, cited by all authors except Thompson and colleagues (Thompson, Safyer, & Pollio, 2001), who did not include socio-economic status of the family as a study variable. Findings regarding the oft-cited, related factor of broken families or single-parent homes as a predictor of street migration, however, are not so clear. Existent in the street children literature is the profile of at-risk families. Supported by her fieldwork in the Latin American region as well as her use of secondary data from UNICEF and other international organizations, Arriagada – 56 – (1995) developed a practical typology of families who are at risk of propelling one or more of their children into the streets, as child laborers. The profile of an expulsive family includes the following characteristics: mono-parental family type with female head of house, low parental educational levels, residing in a neighborhood categorized as “impoverished” or “in extreme poverty,” having three or more children under the age of 15 years, and having at least one child in the streets, either working, living, or both. Within the cohort of microsystemic studies, Connolly (1990), Ortíz (1999), Peralta (1992, 1995), Trussell (1999), Tyler and colleagues (Tyler et al., 1991) found that the majority of their subjects originated from unconventional and/or one-parent families. In contrast, DIF, UANL, and UNICEF (1997) and Ortíz Nahón (2000) found that almost all children surveyed—97% and 84%, respectively— originated from structured, two-parent families. The remaining three studies (DIF, 1999; Morrow, 1996; Thompson, Safyer, & Pollio, 2001) failed to include family type as a relevant variable of study. Neglect and abuse were two other pertinent intrafamilial variables across the studies in this cohort. Connolly (1990), Ortíz (1999), Peralta (1992, 1995), Thompson, Safyer, and Pollio (2001), Trussell (1999), and Tyler and colleagues (Tyler et al., 1991) found that the majority of street children interviewed came from families that were characterized by hostility, neglect, abuse and lack of affection. This suggests that many children may leave home in an effort to improve their immediate situation. Community Meso Risk Factors The findings from the systematic review method lead to few comprehensive and generalizable conclusions about the influence of meso risk factors on the migration of children to the streets as child laborers, as only one study proposed to explore community-level variables. In 1992, DIF performed an unprecedented empirical study, which aimed to operationalize and systematize the structural factors characteristic of expulsive zones in northern Mexico. DIF initiated the study in two expulsive zones in the state of Nuevo León, with the goal of executing a longitudinal research project to include other communities, as well as to track progress of the communities previously surveyed. However, due to the lack of human and financial resources to sustain and replicate the study on an annual basis, the external validity of the research project remains questionable, as it would be difficult to generalize the results from two communities to the population of expulsive communities at large. In spite of the low external validity of this particular diagnostical community study, the data gathered within the two expulsive zones in the greater metropolitan area of Monterrey, Nuevo León, reveal that these communities, indeed, are analogous–in terms of social organization and structural composition–to the marginal communities researched and typified by Lewis (1965, 1968), Wilson (1987) and Sampson (1992, 1999). For instance, some of the characteristics that the expulsive zones from northern Mexico share with the communities cited in the theoretical literature include: low socio-economic status, precarious housing conditions, insufficient public services, high unemployment and low quality of life. In both communities in the DIF study, there was a high concentration of families in the lower and marginal socio-economic statuses. Housing conditions were also found to be marginal, with an overwhelming absence of legal property titles, and a high – 57 – rate of overcrowding within dwelling units. Both communities also lacked adequate public services and transportation systems as well as urban social infrastructure and local institutions. Contamination was high in the two communities as well. Residents in each community could be categorized in one of three labor categories: unemployed, underemployed or precariously employed. Likewise, DIF found that both communities had high levels of child laborers. Finally, residents in both communities responded in a similar, negative manner to questions relating to neighborhood quality of life (DIF, 1992). Structural and Cultural Macro Risk Factors The relationship between the migration of children and youth to the streets and the related structural and cultural macrofactors was addressed by three of the authors in the review cohort (Canagarajah & Skyt-Nielsen, 1999; Munroe, Munroe, & Shimmin, 1984; Wittig, 1994). Two of the three studies found that children who reside in impoverished communities are more likely to work than those who live in communities pertaining to higher socio-economic statuses (Canagarajah & Skyt-Nielsen, 1999; Wittig, 1994), while the remaining study by Munroe, Munroe, and Shimmin (1984) did not address structural poverty as a variable. This finding is consistent with other empirical precedents, which suggest a strong relationship between the poverty levels within a country and/or region and the street children phenomenon. Due to globalization, Third World indebtedness, and national economic crises, many developing countries have been left with few other alternatives than to restructure their national economies, which has triggered a marked increase in the poverty indices within many sectors of the population (De la Barra, 1998; Wittig, 1994). In a study regarding the effects of a country’s external debt on the well-being of child and youth populations within the Latin American region, Bradshaw and colleagues (1993) found that the economic indebtedness of many countries generated both a direct and indirect negative impact on the levels of nutrition, well-being and survival of children and youth. Additionally, according to empirical research from the International Labour Organization (ILO) and UNICEF, it is common for child and youth workers in Latin America to contribute between 20 and 25% of their families’ total household income. The incomes derived from child labor in many countries within the region often times maintain the families above the poverty line (ILO, 1998; UNICEF, 1997). The three studies pertaining to the macrolevel cohort also address cultural explanations of children’s work. Munroe, Munroe, and Shimmin (1984) found that in cultures where two parent working families are the normative familial structure, mothers tended to adopt a more laissez-faire style of socialization in their child-rearing practices and depended less on their children as complementary sources of household income. Similarly, both the Canagarajah and Skyt-Nielsen (1999) and the Wittig (1994) studies found that other cultural factors—education level of the parents and religious practices—were related to the use of children as child laborers. Parents who were both more educated and practicing Protestants were found to use their children less in the labor market, favoring formal education as a full-time activity for their children. Yet in cultures where “child labor” was accepted as a culturally normative activity pertaining to childhood, children tended to work more (Canagarajah & Skyt-Nielsen, 1999; Munroe, Munroe, & Shimmin, 1984; Wittig, 1994). – 58 – Discussion of Systematic Review Method and the Street Children Phenomenon The systematic review of findings related to the street children phenomenon facilitates the detection of a series of trends that are apparent across studies as well as geographical regions. First of all, there exists a highly uneven distribution of child workers in impoverished countries, impoverished communities and impoverished families. This finding, evident across multiple studies, has sparked both numerous speculation and debate among researchers within the field. According to Connolly (1990), the phenomenon can be best understood within the context of marginalization theory: “As long as governments fail to respond to human need while ignoring the socio-economic causes of marginality, more children will be forced to roam the streets” [to satisfy their basic personal and family needs] (1990, p. 147). Similarly, Janowsky (1991) proposes that uncontrolled urban growth, a lack of governmental planning, the presence of legal obstacles, and oppressive bureaucracies have created a structural system in which the poor find themselves obligated to exercise their creativity in looking for new means to satisfy their basic human needs. One of these survival strategies includes the utilization of one or more of their children as the principal source of household economic income. In spite of the existing theoretical explanations, the lines of causality between child labor and poverty remain unclear and several questions continue unanswered: 1) Are poor households more likely to reside in communities and/or geographical regions with sluggish economies, or do these regions have sluggish economies precisely because there is a high concentration of poor families with limited human and financial capital residing there? And 2) Are children poor because they work (and thus, sacrifice basic education and other vocational opportunities so as to later, formally incorporate into the labor market) or do they work precisely because they are poor? Because many studies fail to control for the effects of financial capital (income) and human capital (education) within families and communities, it is difficult to draw comprehensive conclusions as to which factors play a primary role in contributing to the migration of children to the streets to work, and which factors have merely been confounded by income and education variables. Second, across all cohort studies, formal socialization institutions such as family and school appear to play a preventative role in hindering street-working children from progressing along the street children continuum to become street-living children. The findings reveal that street-working and street-living populations differ significantly in their relationships to both institutions; the former group maintaining ties to both the family nucleus and the educational system. Nevertheless, it remains unclear in the existing literature how these institutions mitigate the effects of risk factors on children and prevent socially marginalized street-working children from evolving into socially excluded street-living children. Related questions that remain unanswered include: 1) Do these two institutions of socialization have an effect on inhibiting the high-risk (non-street-involved) group of children from progressing along the continuum to become street-working and/or street-living children? and 2) Do the families of origin of non-street working (normative) and street-working children differ in ways that contribute to the movement of children to the streets, or, once in the streets, perpetuate their existence there? Finally, it is evident that neither of the two existing theoretical frameworks used to explain the street children phenomenon—cultural and structural models—is alone capable of fully explaining the – 59 – movement of children to the streets. Findings across the review cohort appear to be divided along cultural-structural lines in which some factors are best accounted for by cultural explanations, while others are best understood by structural explanations. Determinants such as poverty and inadequate access to social supports and basic public services are most consistent with structural explanations of child labor. Educational levels of the parents, child labor policies within a country and social norms relating to the degree of acceptability of children’s work may best be understood by cultural explanations. Nonetheless, the absence of a comprehensive theoretical framework to explain the phenomenon of street children creates space for new and alternative theoretical models to contribute to—and build upon—existing knowledge. The crucial unanswered questions here include: 1) What alternative theoretical frameworks—or combination of theories—could better explain the phenomenon of street children? and 2) Are community-level indicators of risk largely omitted from the empirical literature on street children precisely due to the absence of an adequate meso-level theoretical framework to facilitate the assessment, analysis and interpretation of such factors? Implications for Future Research Child workers are more likely to come from impoverished families, who lack access to the basic social supports and public services to provide for the well-being of their children (Connolly, 1990; DIF, UANL, & UNICEF, 1997; Ortiz Nahón, 2000; Peralta, 1992, 1995; Wittig, 1994). However, the relationship between families living in poverty and the movement of children into the streets, as child laborers, is not entirely direct, as not all poor children work. It thus remains unclear how and why some impoverished families use their children as street-working child laborers, while other families—from the same community and similar socio-economic conditions—choose not to. Review of the literature has also revealed a lack of community-based social indicators of risk related to the street children phenomenon. This area of investigation deserves further scrutiny, as traditional points of departure in research with this population have been the intrapersonal and familial risk factors, as well as the structural push factors, such as poverty. It remains unclear how different interfamilial and family-community relationships may either precipitate or prevent the movement of children into the streets, as child street workers. Social workers are aware of the influential role of the community in shaping as well as in hindering the intra- and interpersonal well-being of its members. The ways in which individuals interact with others and with their communities at large through social networks and relationships can have important effects, both on a micro level—through increasing one’s sense of contentment and belonging—as well as on a macro level—through strengthening and developing communities (Morrow, 1999). The World Bank highlights the active, participatory role of the community in global poverty reduction and social development initiatives, emphasizing the fundamental importance of social relationships: The characteristics of social relationships—within and among groups and organizations—influence the content, goals, and implementation of development programs. The quality of people’s social relationships influences their sense of well-being. And social relationships and networks are resources – 60 – that help people pursue their livelihood and solve development problems (2000, p. 11-12). In an effort to further explore and understand the social relationships among community members, sociologists, anthropologists, and lately, social workers have aimed to develop a working definition of the concept of social capital. Their definition has its origins in Putnam’s (1993) reconceptualization of the term to represent a principal asset of communities, rather than a characteristic inherent to individuals, as Coleman (1988) had originally defined the term. According to Putnam (1995), social capital encompasses the features of social organization such as networks of cooperation, community norms regarding local institutions and social infrastructure, and civic engagement that facilitate coordination and cooperation for mutual benefit. In the following section, a synthesis of the research on social capital is presented as an alternative theoretical framework through which the street children phenomenon can be explored. Empirical Review: Social Capital Review of the literature reveals a lack of empirical precedents that explore the effects of social capital on the migration of children into the streets, as street workers. An ample body of literature across multiple disciplines does exist, however, suggesting the influence of social capital on the general well-being of children and adolescents. Multiple studies offer evidence that social capital is a strong predictor of children’s development and general well-being (Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Garbarino & Sherman, 1980; Johnson, 1999; Morrow, 2000; Putnam, 2000; Sampson, Morenoff, & Earls, 1999; Stevenson, 1998; Swanson Ernst, 2001; Teachman, Paasch, & Carver, 1996; Teachman, Paasch, & Carver, 1997). In a comprehensive analysis of the effects of social capital on children’s welfare, including over fifty years of data, Putnam (2000) found that community-based social capital, after poverty, is the most reliable determinant of such outcomes as youth idleness and delinquency, dropping out of high school, low-weight babies and teen pregnancy. Nevertheless, in the absence of direct empirical support to speculate the effects of social capital on the migration of children into the streets, as child laborers, this section will review and synthesize the existing empirical data concerning social capital and children’s general well-being. This information, in turn, may provide new insight into the reasons behind why some families use their children as a complementary form of household income—often sacrificing the formal academic preparation offered by educational institutions, while other families—from the same community environment and similar socio-economic conditions—chose to pursue more normative standards of children’s development (e.g., formal schooling, recreational play, formal labor-market insertion, etc.). In the previous section on the empirical precedents of the street children phenomenon, three trends emerged from the systematic review of the first literature. First, street-working children are disproportionately concentrated within impoverished families and communities. Second, formal agents of socialization, such as family and the school system, appear to play a preventive role in hindering that street-working children evolve into street-living children, although the processes are unclear. Finally, to date both cultural models and structural models constitute the two predominant explanatory frameworks used to understand the migration of children into the streets as child streetworkers. Nonetheless, without a mesolevel theoretical framework to examine family-community – 61 – relations, it remains unclear in what capacity the interactions and relationships that occur in the mesosystem may be contributing to the movement of children into the streets as well. By exploring first the effects of social capital on children’s general well-being within the empirical literature, this section aims to place the street children phenomenon within the context of social capital theory as an explanatory framework. I propose this theory as a means to better understand the mesolevel interactions between families and the mediating structures of the surrounding community, and their possible influence on the movement of children into the street as child laborers. Description of the Literature Review Method Utilized As utilized to review the empirical literature concerning street children, I continue to use the systematic review method (SR) as my guiding framework to evaluate and synthesize the existing research related to social capital (Larson et al., 1992). For the concept of social capital however, I have modified both my strategies to locate all relevant, peer-reviewed studies regarding social capital, as well as my selection criteria to include or discard a particular study for the purposes of this research project. The methodology used to locate empirical studies across multiple disciplines related to child welfare—social work, sociology, psychology, public health, social welfare policy and the medical field—consists of five basic steps. First, I maintained constant the databases used in the literature search for empirical studies related to street children. The selected databases include: FirstSearch, OVID, Social Work Abstracts, Sociological Abstracts and Wilson. I chose to search these bibliographic databases from 1980 to the present, as the majority of the social capital literature has been developed over the past two decades (Bourdieu, 1985; Coleman, 1988, 1990; Putnam, 1993, 1995, 2000). Second, I manually searched both dissertations and academic journals related to social capital over the past decade (1990 to the present). Selected journals include both political and economic literary sources, as well as psychological and sociological sources: American Journal of Political Science, American Behavioral Scientist, Journal of Applied Behavioral Science, The American Prospect, Political Science and Politics, Journal of Community Practice, Child Development, Critical Public Health, American Sociological Review and Sociologia Ruralis. Third, I utilized the snowball technique with this concept, as well, to identify additional studies and references cited in the bibliographies from the articles I had previously selected. Fourth, I identified three key pioneer theorists and empirical researchers in the area of social capital, whose names resurfaced in close to all studies, namely, sociologist Pierre Bourdieu, sociologist James Coleman and Harvard Professor of Public Policy, Robert Putnam. During this phase, I conducted extensive literary searches on each of these three authors for their additional works. Finally, I consulted several annotated bibliographies and working paper series related to social capital compiled and produced by the Social Capital Initiative under the auspices of the World Bank, available online at: http://www.worldbank.org. The methodology I adopted to discern between relevant and non-relevant empirical literature concerning social capital consisted of four selection criteria. I included the study in my review cohort if: 1) it examined either family social capital and/or community social capital and their effects on individual and/or collective well-being; 2) it utilized quantitative, qualitative and/or triangulation of – 62 – research methods to assess levels of social capital; 3) it identified indicators of social capital at the family and or community levels; and 4) it produced findings relevant to social welfare policy regarding the influence of social capital in determining positive outcomes for child welfare. The SR I used to examine empirical literature on social capital produced 22 pertinent, peer-reviewed studies that complied with these criteria. Subsequent to locating the selected studies, I tabulated all works to facilitate comparisons and contrasts among studies. I maintained the same evaluation criteria that I had utilized to assess the quality of empirical research related to the street-children phenomenon, with the exception of one minor alteration. For the systematic review of the social capital literature, I replaced the eco-systemic level within which the street children phenomenon was studied for the context within which social capital was measured (family level, community level, or both). Aside from this modification, all other criteria were the same: year of study, region, purpose, definition of population, research sample methods utilized, mode of administration of instrument(s), sample size, response rate, existence of a comparison group, and finally, the statistical analysis adopted. (See Table 2 for more detailed information on all of the studies included in the social capital review cohort.) Synthesis of Methodological Approaches All of the studies, with the exception of three, were conducted within the original timeframe established for the literature searches. The first exception constitutes a two-decade secondary data analysis of pooled General Social Surveys from 1972 until 1994. I included this study in the selected research for review, given its longitudinal nature and exhaustive examination of individual influences and how they shape and form community social capital. Second, the study by Coleman and Hoffer (1987), performed in 1969, was also included in the review. Given that it constitutes an eminent precedent within the social capital literature and a contribution to the operationalization of family social capital, I opted for considering it in the review cohort. Finally, the study by Maccoby, Johnson and Church (1958) exploring the effects of community social capital on juvenile delinquency was included in the review as well. Although the study was performed in 1954, it is an empirical work that many contemporary social capital studies cite as a reference. I speculate that many subsequent works, which investigate the effects of social integration and cohesion on youth deviance, have built upon the theoretical propositions and operationalizations of social capital from this initial study. Regarding the regional location of the studies in the review cohort, 17 were performed in the United States (Boisjoly, Duncan, & Hofferth, 1995; Brehm & Rahn, 1997; Butler Flora & Flora, 2000; Coleman & Hoffer, 1987; Falk & Kilpatrick, 2000; Furstenberg & Hughes, 1995; Garbarino & Sherman, 1980; Johnson, 1999; Maccoby et al., 1958; Portney & Berry, 1997; Putnam, 2000; Runyan, Hunter, Socolar, Amaya-Jackson, English, Landsverk, Dubowitz, Browne, Bangdiwala, & Mathew, 1998; Sampson et al., 1999; Stevenson, 1998; Swanson Ernst, 2001; Teachman et al., 1996, 1997). Additionally, two studies were conducted in India (Krishna & Uphoff, 1999; Pantoja, 1999), one in the mountainous region of Peru (Diaz, Drumm, Ramirez, & Oidjarv, 2000), one in Great Britain (Morrow, 2000) and one in Australia (Onyx & Bullen, 2000). Although the majority of the empirical precedents regarding social capital have originated in the United States, I chose not to limit the – 63 – review studies exclusively to this region. Given that the present study will be conducted in Monterrey, Mexico, it is important that the social capital indicators be relevant to the Mexican culture and society. Many of the international studies on social capital have modified existing U.S. indicators to reflect the actual realities of the countries under study. By assessing the differences between U.S.-based social capital indicators, and those developed abroad, I was able to gain insight into how my empirical predecessors have developed new—and modified existing—social capital indicators to reflect the political, economic, cultural and social contexts of their countries under study. One of the twenty-two studies explored the effects of family social capital on different educational outcomes in children (Coleman & Hoffer, 1987). In contrast, fourteen of the twenty-two cohort studies sought to examine how the concept of community social capital is related to diverse outcomes in both individual and collective well-being (Boisjoly et al., 1995; Brehm & Rahn, 1997; Butler et al., 2000; Diaz et al., 2000; Falk & Kilpatrick, 2000; Garbarino & Sherman, 1980; Krishna & Uphoff, 1999; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Portney & Berry, 1997; Putnam, 2000; Swanson Ernst, 2001). Lastly, seven studies included analyses of both family and community social capital in an effort to better understand the characteristics, dimensions and effects that each plays on individual and collective well-being (Furstenberg & Hughes, 1995; Johnson, 1999; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998; Teachman et al., 1996, 1997). With reference to the conceptualization of social capital, Coleman and Hoffer (1987) were unique in distinguishing internal family social capital from other forms of social capital. To them, family social capital constituted the relationships between parents and their children. The notion of relationships was operationalized by quantifying the amount of time and effort that parents spent with their children per week. In the eight studies that explored both family and community social capital, the notion of parent-child relationships appears to be the common definition for family social capital. Furstenberg and Hughes (1995), Johnson (1999), and Teachman and colleagues (1996) all define family social capital as the intra-familial relationships and interactions between children and their parents. In contrast, Sampson and colleagues (1999) and Stevenson (1998) conceptualized family social capital in terms of children’s and parents’ extra-familial relationships and interactions with the surrounding community. The remaining three studies that explored both dimensions of social capital defined family social capital in terms of the positive social and economic returns on parents’ investments in their children. For instance, Boisjoly and colleagues (1995) and Runyan and colleagues (1998) used family social capital to connote the tangible and abstract benefits (money, time, support and advice) that children receive from their parents, while Teachman and colleagues (1997) described family social capital as the filter through which parents’ financial and human capital is transmitted to, and used by, their children. Conversely, community social capital was defined by the majority of the studies assessing this collective dimension of capital as the interactions between individuals and their communities through social relationships and support networks (Brehm & Rahn, 1997; Falk & Kilpatrick, 2000; Furstenberg & Hughes, 1995; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Putnam, 2000; Swanson Ernst, 2001; Teachman et al., 1996). There was ample disparity in the – 64 – conceptualization of the term among the remaining studies examining community social capital. Two studies defined the concept as the community assets and tangible benefits accrued from collective engagement (Krishna & Uphoff, 1999; Runyan et al., 1998); two referred to the term as the active participation of residents in the collective well-being and development of the community (Diaz et al., 2000; Portney & Berry, 1997); one study conceptualized community social capital as the social infrastructure available in a given community (Butler et al., 1995); one study used community social capital to connote the quality of life in neighborhoods (Johnson, 1999); and finally, one study referred to this dimension of capital as the degree of neighborhood risk (Garbarino & Sherman, 1980). Performing secondary data analysis as the preferred research design, eight of the twenty-two total studies utilized existing findings from surveys including the General Social Survey (GSS), the Panel Study of Income Dynamics (PSID), Census surveys, Roper Social and Political Trends Surveys and the National Educational Longitudinal Survey (NELS) to assess the effects of social capital on individual and collective outcomes (Boisjoly et al., 1995; Brehm & Rahn, 1997; Furstenberg & Hughes, 1995; Putnam, 2000; Runyan et al., 1998; Swanson Ernst, 2001; Teachman et al., 1996, 1997). Seven studies adopted the quantitative research design with several different modes of survey administration. Six of these studies used a cross-sectional survey design with experimental and control groups and administered surveys in-person via interviews (Coleman & Hoffer, 1987; Diaz et al., 2000; Maccoby, 1958; Portney & Berry, 1997; Sampson et al., 1999; Stevenson, 1998). In the remaining quantitative study, Butler and colleagues (2000) sent surveys to study participants via mail. Conversely, three studies employed qualitative methods, using distinct data-gathering techniques. Falk and Kilpatrick (2000) performed a whole-community case study using an array of ethnographic techniques, while Johnson (1999) conducted qualitative interviews and small group discussions with high-school youths. Morrow (2000), on the other hand, organized structured activities (written essays of neighborhoods, photographs taken by children, and group discussions) to assess the levels of social capital present in children’s neighborhoods. Finally, four studies combined quantitative and qualitative designs in a triangulation of research methods. Garbarino and Sherman (1980) used both quantitative surveys with families and semistructured interviews with key informants to assess levels of neighborhood risk. Krishna and Uphoff (1999) administered quantitative surveys to families as well as conducted focus groups at the village level and performed direct observation. Onyx and Bullen (2000) administered surveys to randomly selected participants in communities, community centers and public spaces, as well as organized exploratory discussion groups among academics and community practitioners. Lastly, Pantoja (1999) administered household surveys and conducted focus groups, stakeholder workshops and unstructured interviews with community key informants. The majority of the studies adopting the secondary data analysis research method utilized a fullpopulation sampling method. Brehm and Rahn (1997) included all respondents located in the GSS Cumulative File during the period from 1972 to 1994. Furstenberg and Hughes (1995) included all surveys from a twenty-year longitudinal study of young African American mothers and their children in Baltimore. The original sample of pregnant teens used for this study was a purposive, – 65 – hospital-based sample, yet the principal researchers affirm that the sample closely resembled the total population of African American women in Baltimore at that time. Swanson Ernst (2001) also employed a full-population sampling method, selecting all 159 census tracks within the county under study. Finally in both of Teachman and colleagues’ (1996, 1997) studies, researchers used the total population of eighth grade students in 1988 to establish the baseline sample from which two subsequent biannual follow-up measures would be taken. In the remaining three studies using secondary data analysis as the preferred research design, Boisjoly and colleagues (1995) employed a nonprobability sampling method consisting of all PSID families with children present in the year 1980, while Runyan and colleagues (1998) included all children sharing common characteristics of unfavorable environmental factors that put them at risk of child abuse. Researchers had previously defined the specific environmental risk factors for the purposes of their study. Finally, Putnam (2000) amassed a century of demographic and market data from diverse, standardized national surveys and as a sampling technique, triangulated among as many independent sources as possible. With respect to the seven studies adopting quantitative research designs, four used a randomly selected sample of either families or communities, depending on the study’s unit of analysis (Butler et al., 2000; Coleman & Hoffer, 1987; Diaz et al., 2000; Sampson et al., 1999). The three remaining quantitative studies by Maccoby and colleagues (1958), Portney and Berry (1997) and Stevenson (1998) used nonprobability, purposive sampling methods, in addition to all three of the qualitative studies (Falk & Kilpatrick, 2000; Johnson, 1999; Morrow, 2000) and three of the four studies using mixed methods (Krishna & Uphoff, 1999; Onyx & Bullen, 2000; Pantoja, 1999). In the final study employing mixed methods, Garbarino and Sherman (1980) selected a pair of neighborhoods from the results of a multiple regression screening analysis (based on three, previously defined selection criteria), within which families were randomly sampled from a pool of families with kids under 18 years of age. Sample sizes across all studies using secondary data analysis were generally large: 3,311 families (Boisjoly et al., 1995); 32,380 surveys (Brehm & Rahn, 1997); 252 children (Furstenberg & Hughes, 1995); the U.S. public from 1900-2000 (Putnam, 2000); 667 two to five-year-olds (Runyan et al., 1998); 159 census tracts (Swanson Ernst, 2001); 16,014 eighth grade students (Teachman et al., 1996); and 10,889 eighth grade students (Teachman et al., 1997). Within the empirical studies, the sample sizes were smaller, yet also quite varied. Several studies had small samples: 99 (Morrow, 2000); 112 (Garbarino & Sherman, 1980); and 200 (Johnson, 1999). Others used medium-sized samples: 718 (Butler et al., 2000) and 789 (Diaz et al., 2000). Three studies had quite large samples: 4000 (Coleman & Hoffer, 1987); 5000 (Portney & Berry, 1997); and 8782 (Sampson et al., 1999). Only four of the twenty-two studies reported response rates, which ranged from 65.3% to 75% (Brehm & Rahn, 1997; Butler et al., 2000; Maccoby et al., 1958; Sampson et al., 1999). With respect to the use of comparison groups, fifteen of the twenty-two studies in the review cohort contrasted differences among groups in the effects of social capital on individual, familial and community outcomes (Boisjoly et al., 1995; Butler et al., 2000; Coleman & Hoffer, 1987; Diaz et al., 2000; Garbarino & Sherman, 1980; Krishna & Uphoff, 1999; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Portney & Berry, 1997; Runyan et al., 1998; Stevenson, 1998; Teachman et al., 1996, 1997). – 66 – Descriptive statistics and frequencies were used in nine studies to report basic statistics (Boisjoly et al., 1995; Butler et al., 2000; Diaz et al., 2000; Falk & Kilpatrick, 2000; Garbarino & Sherman, 1980; Maccoby et al., 1958; Portney & Berry, 1997; Putnam, 2000; Sampson et al., 1999). The majority of the review studies used different multivariate regression analyses, including hierarchical multiple regression, ordinary least squares regression and logistic regression with a variety of control variables, including human capital, financial capital, and family social capital (Boisjoly et al., 1995; Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Garbarino & Sherman, 1980; Johnson, 1999; Krishna & Uphoff, 1999; Pantoja, 1999; Putnam, 2000; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998; Swanson Ernst, 2001; Teachman et al., 1996, 1997). Two studies used structural equation modeling with latent factors relating to constructs of social capital (Brehm & Rahn, 1997; Onyx & Bullen, 2000), while two studies used principal components factor analysis (Swanson Ernst, 2001; Teachman et al., 1996). Two of the three qualitative studies conducted frequency counts of thematic elements via conversation analysis using the NUD*IST software (Falk & Kilpatrick, 2000) and content analysis (Morrow, 2000). Methodological Limitations of Previous Research As portrayed in the preceding section, there are multiple similarities among the empirical literature concerning social capital. Research designs and techniques for both the data collection and analysis for individual studies were selected within the explanatory framework of social capital theory. Additionally, researchers generally took adequate measures to strengthen the internal validity of their studies: sample sizes were mostly large, numerous studies adopted random sampling techniques and acquired data via multiple sources, and the majority of studies incorporated comparison or control groups. Furthermore, there existed high systematization across studies in their measurements of social capital among groups. The majority of studies used Onyx and Bullen’s Social Capital Index, an instrument consisting of 36 items (eight specific independent factors and one general, secondary factor), with a Cronbach’s alpha of .84 and with each item contributing to the scale in a statistically significant manner. Together, the eight factors explain 49.3% of the total variance. Thus, the Social Capital Index constitutes a reliable and validated instrument to measure social capital in the empirical realm. Notwithstanding the methodological strengths identified among studies, there were also some limitations. First, there is extensive discord among researchers regarding the actual component factors comprising social capital as well as how one operationalizes these components to measure them. For instance, researchers appear to be split by the relationships-benefits divide presented above. In a little over half of the studies, social capital was defined as the relationships or interactions between children and their families (family social capital), or between individuals and their communities (community social capital) (Brehm & Rahn, 1997; Coleman and Hoffer, 1987; Diaz et al., 2000; Falk & Kilpatrick, 2000; Furstenberg & Hughes, 1995; Johnson, 1999; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Putnam, 2000; Sampson et al., 1999; Stevenson, 1998; Swanson Ernst, 2001; Teachman et al., 1996). In contrast, the remaining studies tended to conceptualize social capital in terms of the benefits or assets that it provides to those individuals, families and communities who invested in this social resource (Boisjoly et al., 1995; Butler et al., 1995; Garbarino & Sherman, 1980; Krishna & Uphoff, 1999; Portney & Berry, 1997; Runyan et al., – 67 – 1998; Teachman et al., 1997). Thus, it appears that social capital is considered both an end (tangible benefits), as well as a means to arrive at that end (social relationships). This conceptual duality of social capital further complicates comparisons of findings among studies, as researchers are departing from unique original conceptualizations of the term. Likewise, studies vary with respect to which components researchers select to operationalize the notion of social capital. For instance, Onyx and Bullen (2000) constructed an empirically grounded definition of social capital. Their Social Capital Index consists of eight specific factors: community participation, social agency, trust, neighborhood connectedness, family and peer relations, tolerance of diversity, value of life, and work connections. This definition, comprised of eight components of social capital, clearly constitutes the most extensive of all. On the other hand, other researchers have elected some of these factors to measure social capital, or rather, selected entirely distinct components, which are often divorced from existing theoretical explanations and/or empirical precedents. Butler and colleagues (2000) aimed to measure social capital on the community level, yet defined the concept as “entrepreneurial social infrastructure,” using indictors such as legitimacy of alternatives, diversity of internal and external networks, and expansive mobilization of internal community resources. Brehm and Rahn (1997) chose to focus solely on civic engagement and interpersonal trust to represent social capital. Krishna and Uphoff (1999) measured social capital as the cognitive and institutional assets that produce tendencies for reciprocal collective action. Morrow (2000), on the other hand, focused on some of Onyx and Bullen’s factors, while incorporating additional measures: trust, reciprocal support, civic engagement, community identity, and social networks. Pantoja (1999) operationalized the notion of social capital by assessing the social and cultural coherence of a society, its social norms and values, and the local institutions and social infrastructure embedded in the community. Swanson Ernst (2001) also adopted a structural framework to measure social capital, examining the patterns and functions of formal and informal networks, institutions and organizations in a given community. Teachman and colleagues (1996) observed the density of interactions among parents and between parents and educational institutions in communities. To Runyan and colleagues (1998) social capital represented the specific benefits that people accrued from their individual and collective relationships within their families and communities. Sampson and colleagues (1999) focused on three factors, which are loosely derived from social capital theory: intergenerational closure, informal social control, and reciprocated exchange. Lastly, Portney and Berry (1997) used social capital to connote “strong democracy” and sought to quantify the institutions within communities, which allotted residents the opportunities to participate with voice and action in the decision-making process. It is evident across studies that the social capital literature still lacks a reliable and validated conceptual template with consistent and systematic indicators to operationalize the term and compare findings from multiple studies. Review of the literature concerning social capital also reveals the presence of contradictory empirical precedents with respect to the theory’s propositions. For instance, Putnam suggests that the scarcity or altogether absence of social capital is a hallmark characteristic of socially disorganized communities. Likewise, he claims that due to a “viscous circle”—that low levels of mutual trust and social cohesion lead to high levels of crime, which in turn result in even lower levels of mutual trust and cohesion—these disorganized areas are precisely the communities that find themselves – 68 – overwhelmed with social problems and in tandem, lacking the needed social capital to stimulate and facilitate collective action towards positive solutions. Furthermore, Putnam purports that due to the underlying lack of social capital within the mesosystem and thus, the unlikely possibility of generating, acquiring and developing this social resource, communities of this particular type remain trapped in poverty and marginalization, and plagued by social problems and deviant behavior (Putnam, 2000). Existing literature does, however, reveal numerous studies that find social capital within marginal areas, or ghettos, manifested in the intra- and extra-familial social support networks and elaborate systems of interfamilial bartering (Diaz et al., 2000; Furstenberg & Hughes, 1995; Johnson, 1999; Krishna & Uphoff, 1999; Onyx & Bullen, 2000; Pantoja, 1999; Runyan et al., 1998; Stevenson, 1998). Nevertheless, these social assets are often loose and fragmented, insufficient in quantity for residents to ultimately overcome their poverty, or even immeasurable by upper-middle class, contemporary, U.S.-based social capital indicators (e.g., Internet use, GreenPeace membership, and newspaper reading). Other researchers propose that social capital does, indeed, exist in abundance within impoverished communities. However, it tends to be loose and fragmented, which may help to explain why social capital—within impoverished communities—is often unsuccessful in improving the collective well-being of residents or increasing the quality of life within the community (Krishna & Uphoff, 1999; Pantoja, 1999; Portes & Landolt, 1996). The limitations discussed in this section may hinder the comparison of results across studies as well as thwart both the development of a widely used instrument and the systematization of a common set of indicators to measure social capital in the empirical realm. Until findings can be consistently and validly compared across studies, the generalizability of social capital will remain in its infancy. However, the multiple similarities across studies in some of the basic determining components of social capital facilitate the integration of like defining factors as well as the theoretical development and advancement of the social capital framework. I will now present some of the commonalities among the cohort of studies in terms of how the notion of social capital has been operationalized and measured on two different levels within the empirical realm. Synthesis of Empirical Findings For this review cohort of social capital literature, the findings are grouped within two general categories: 1) indicators of family social capital and 2) indicators of community social capital. Indicators of Family Social Capital Among all of the cohort studies, eight examined the effects of family social capital on individual outcomes for children and youth. Using Coleman and Hoffer’s (1987) High School and Beyond study of 4,000 randomly selected high school students as an empirical precedent, numerous subsequent studies have followed Coleman’s initial operationalization of family social capital into five main components, each with a separate set of measures. Family structure comprises the first component of family social capital. All eight studies used this component of family social capital as a predictor of outcomes in children and youth. High levels of consistency existed, as well, among the indicators used across studies to measure family structure: single-parent vs. two-parent household, absence vs. – 69 – presence of a paternal figure—either biological or stepfather, and both parents vs. one parent work(s) outside the home (Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Johnson, 1999; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998; Teachman et al., 1996, 1997). Second, six of the eight studies sought to examine the quality of intra-familial parent-child relations. Common indicators used to measure this component of family social capital include: number of times the parent helps the child with homework per week, number of sharing activities parent and child participate in together per week, number of times per week parent verbally encourages the child, and number of siblings in the household, which Coleman (1987) hypothesizes can dilute adults’ attention to children (Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Runyan et al., 1998; Sampson et al., 1999; Teachman et al., 1996, 1997). Third, six of the eight studies assessed the adult’s interest in the child as an additional component of family social capital. Common indicators for this component were: the mother’s aspirations for child, parents’ levels of empathy for the child’s needs, and parents’ attitudes towards children’s behaviors (Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Johnson, 1999; Runyan et al., 1998; Teachman et al., 1996, 1997). The fourth similar component representing family social capital across multiple studies consists of the parents’ monitoring of their children’s activities. Five of the eight studies operationalized this component via the following measures: number of school meeting the parents attend; number of child’s friends that parents know by sight or by name, and number of child’s friends’ parents that parents know by sight or by name (Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Sampson et al., 1999; Teachman et al., 1996, 1997). Finally, three of the eight studies explored the degree of extended family exchange and support as a component of family social capital. Coleman and Hoffer (1987), Furstenberg and Hughes (1995) and Stevenson (1998) adopted the following three indicators to measure this component: number of extended family members who live in the home, number of times the family visits extended family members, and the number of interactions the child has with extended family members. Indicators of Community Social Capital Twenty-one of the twenty-two studies in the review cohort examined community-level social capital and its effects on outcomes of intrapersonal and collective well-being. Perhaps the most common existing instrument to measure community social capital consists of the Social Capital Index, developed and empirically tested by Australian researchers, Onyx and Bullen. The instrument encompasses the following eight factors, which measure social capital at the community level: 1) participation in the local community (participation in formal community structures); 2) social agency or proactivity in a social context (sense of personal and collective efficacy or personal agency within a social context); 3) feelings of trust and safety (feelings that most people in the community can be trusted); 4) neighborhood connections (informal interaction within the local area); 5) family and friends connections (conversations with family and friends); 6) tolerance of diversity (views of multiculturalism in community); 7) value of life (feelings of being valued by society); and 8) work connections (feelings of team at work). Across all review studies, seven used this instrument—or – 70 – portions of it—as a measure of community social capital (Diaz et al., 2000; Falk & Kilpatrick, 2000; Krishna & Uphoff, 1999; Onyx & Bullen, 2000; Pantoja, 1999; Putnam, 2000; Runyan et al., 1998). With specific reference to community social capital and its effects on children and youths’ wellbeing, Coleman (1988) proposes four general components of community social capital, which have been adopted as meso-level measures of social capital across numerous studies in the review cohort: 1) social support networks, 2) civic engagement in local institutions, 3) informal social norms, and 4) trust and reciprocity. First, multiple studies measure the social support networks—or social relationships—among individuals in a community as an indicator of community social capital (Boisjoly et al., 1995; Butler et al., 2000; Diaz et al., 2000; Falk & Kilpatrick, 2000; Furstenberg & Hughes, 1995; Garbarino & Sherman, 1980; Krishna & Uphoff, 1999; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Putnam, 2000; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998; Teachman et al., 1997). Second, the majority of studies also examines the quantity and quality of relationships and interactions between parents and the social institutions within the community as a component of community social capital (Boisjoly et al., 1995; Brehm & Rahn, 1997; Butler et al., 2000; Diaz et al., 2000; Falk & Kilpatrick, 2000; Furstenberg & Hughes, 1995; Garbarino & Sherman, 1980; Johnson, 1999; Krishna & Uphoff, 1999; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Portney & Berry, 1997; Putnam, 2000; Runyan et al., 1998; Swanson Ernst, 2001; Teachman et al., 1996, 1997). Third, many studies also include the presence of social norms and sanctions that enforce them within the community as a strong indicator of community social capital (Butler et al., 2000; Diaz et al., 2000; Falk & Kilpatrick, 2000; Krishna & Uphoff, 1999; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Portney & Berry, 1997; Putnam, 2000; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998). Finally, various studies attempt to explore the levels of trust and reciprocity among community members as a reflection of how much social capital exists within the community (Brehm & Rahn, 1997; Diaz et al., 2000; Falk & Kilpatrick, 2000; Krishna & Uphoff, 1999; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Putnam, 2000; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998). Also consistent with the measures of social capital from Coleman and Hoffer’s (1987) original study, several studies use the following three indicators to evaluate community social capital: 1) whether or not the family attends church together regularly (Coleman & Hoffer, 1987; Runyan et al., 1998); 2) whether or not the child attends a Catholic School (Coleman & Hoffer, 1987; Teachman et al., 1996, 1997); and 3) the number of times the child has changed schools in the past year (Coleman & Hoffer, 1987; Teachman et al., 1996, 1997). Discussion of Systematic Review Method and the Social Capital Literature The study of social capital as a predictor variable in influencing individual and collective well-being has provided new precedents regarding the role that this social resource plays in facilitating positive outcomes for both individuals and families, as well as for communities. The systematic review performed here has exposed three basic trends that are apparent across multiple studies, which merit further attention in subsequent research. Families with high social capital are more likely to produce children who fare positively in areas of general well-being, including mental and physical health, educational attainment and formal labor – 71 – market participation (Coleman, 1988, 1990; Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Johnson, 1999; Putnam, 2000; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998; Teachman et al., 1996, 1997). This consistent pattern across multiple studies and diverse academic disciplines may be the result of two principle influences. First, ongoing stocks of human and financial capital are made available to children through their family social capital. Second, social resources, contacts and opportunities are presented to children due to their family’s stock of social capital. Synthesizing the findings across studies, it is possible to create a profile of families with high social capital. Empirical precedents suggest that these families have a two-parent family structure, with the presence of a paternal figure, either biological or a stepfather. They are typically families characterized by frequent parent-child interactions, high parental interest in children’s daily lives and high parental monitoring of children’s activities. The parents of families with high social capital are also embedded in surrounding social networks, comprised of both immediate and extended family supports. Lastly, there is some evidence that regular church attendance by families, parochial education at Catholic schools for children and minimal school changes for children are also positively correlated with high family social capital. Similarly, communities with high social capital are more likely to be more economically and socially developed communities, as well as home to individuals who perceive a higher quality of community life (Boisjoly et al., 1995; Brehm & Rahn, 1997; Butler et al., 2000; Diaz et al., 2000; Falk & Kilpatrick, 2000; Garbarino & Sherman, 1980; Krishna & Uphoff, 1999; Maccoby et al., 1958; Morrow, 2000; Onyx & Bullen, 2000; Pantoja, 1999; Portney & Berry, 1997; Putnam, 2000; Swanson Ernst, 2001). This premise may be partly due to both the tangible and intangible assets produced for collective use from the social relationships and interactions, which occur at the community level. By integrating the mesolevel findings concerning community social capital, a series of common characteristics emerge that reflect communities with high levels of social capital. Generally, these communities are home to residents who are active participants in community life and informal organizations. High levels of trust and reciprocity exist among neighbors and the presence of informal social norms of expected and desirable behavior replaces the need for more formal measures, such as legal sanctions or repression by authority. These communities provide residents with access and opportunities to participate in both formal and informal social support networks. Finally, residents in communities with high social capital report a higher quality of life, are more inclined to tolerate diverse populations and subcultures, and are generally more concerned with the collective efficacy of the community as a whole. Regarding the final trend, social capital, after poverty, is the best predictor of children’s welfare. This social resource is an especially significant determinant of youth idleness and delinquency, high school dropout rates, teen pregnancy and newborns’ birth weights. Nevertheless, while the presence of poverty in the lives of children and youth has been identified as a negative predictive factor that hinders their development—associated with such consequences as adolescent criminality, school dropout, teen pregnancy and infant mortality—social capital, in contrast, is considered a positive predictive factor that can prevent similar social problems in children and youth (Putnam, 2000). Multiple studies suggest that a community’s social institutions and infrastructure as well as the social support provided to residents via their participation in formal and informal social networks are strongly associated with the healthy development of children and their achievement of positive – 72 – future outcomes (Coleman & Hoffer, 1987; Furstenberg & Hughes, 1995; Garbarino & Sherman, 1980; Johnson, 1999; Maccoby et al., 1958; Morrow, 2000; Putnam, 2000; Runyan et al., 1998; Sampson et al., 1999; Stevenson, 1998; Swanson Ernst, 2001; Teachman et al., 1996, 1997). This pattern may be a result of the increased access to other forms of capital and human and social resources in communities characterized by high social capital. The community’s collective stock of social and human assets are, in turn, accessible and available to children and youth via their own social contacts and relationships—and those of their families—with other community residents. Subsequent to conducting the systematic review of the social capital empirical literature, the critical questions that remain unanswered are: 1) Departing from the premise that social capital is a strong predictor of children’s general well-being, is social capital, as well, a determinant of the streetworking children phenomenon?, 2) Based on empirical precedents that suggest differences in levels of family social capital among children who fare positively and those who fare negatively on indicators of general well-being, do families of street-working children and families without streetworking children differ in levels of social capital?, and 3) Considering two empirically founded, microlevel predictors of street-working children—family financial capital and family human capital—can family social capital help explain why some families encourage their children to pursue street labor while other families with similar socio-economic statuses and parental educational levels choose not to? Implications for Future Research After reviewing the theoretical literature and empirical precedents regarding both the phenomenon of street-working children and the notion of social capital, I propose that it may be beneficial to explore the phenomenon of street migration through a social capital lens. I base this supposition on three principle premises: 1) that human behavior depends not only on the intrapersonal characteristics of individuals and the surrounding structural influences, but also on both the social relationships within which individuals are embedded and the characteristics of others with whom they interact, such as family members, neighbors, and friends (Putnam, 2000); 2) that families and communities with high levels of social capital are characterized by individual participation in social support networks and the presence of collective norms regarding the socially acceptable and desired behavior, which, in a sense, inhibit youth from behaving in ways that would impede the development of other forms of capital, such as human, financial or cultural (e.g., participating in deviant activities such as dropping out of school, consuming illicit substances, participating in gang activities or engaging in sexual activities at an early age) (Coleman, 1988); and 3) of all the predictive factors associated with children’s well-being, social capital—second only to poverty—has the highest influence on children’s development and attainment of future outcomes (Putnam, 2000). Furstenberg and Hughes (1995) highlight an important characteristic of social capital, which can possibly facilitate increased understanding of the street-working children phenomenon. Social capital—together with its related factors, such as civic participation and social networks and relationships—function as a bridge between the microsystem (the individual) and the macrosystem (the structural). Thus, due to its inherent, intermediate nature between systems, the social capital framework can perhaps explain social phenomena that traverse the three systemic levels more – 73 – accurately than micro or macro models alone. The movement of children from families and communities to the streets, as child street workers, constitutes one of these multilevel social phenomena. The systematic review of the existing empirical literature concerning the street-children phenomenon reveals various micro-, meso- and macrolevel determinants of the movement of children into the streets. Studies suggest that street-working children largely come from families with low financial and human capital, who often reside in communities with low physical and social capital. While these oft-cited predictors of children’s informal street labor explain much of the movement of children into the streets, a number of unanswered questions remain. It is still unclear why some families with limited financial and human capital use their children as street-workers, while other families with similar incomes and parental educational levels choose not to. This gap in the existing knowledge presents social science researchers with an opportunity to explore additional aspects of families and communities that may also be important determinants of children’s informal street labor. In the event that future studies can empirically demonstrate a difference in the levels of family and/or social capital between families with street-working children and families with children who do not work in the streets, we may indeed have a useful measure to guide child advocates, social workers, and street children organizations, in practice, in moving from a palliative approach to a preventive one to address street migration at its roots in the community. Likewise, if future research succeeds in verifying that social capital can indeed be mobilized as a community resource that prevents the migration of children to work in the streets, it may be possible to justify, with theory and empirical precedents, the formulation of social policies that develop new and strengthen existing community mechanisms to anticipate risk. This, in turn, will likely reduce the possibility that certain populations of children migrate part- or full-time into the streets. References Arriagada, I. 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Washington, D.C.: World Bank. – 77 – – 78 – Table 1 Empirical studies related to street-working children – 79 – – 80 – – 81 – – 82 – – 83 – – 84 – Table 2 Empirical studies related to social capital – 85 – – 86 – – 87 – – 88 – – 89 – – 90 – – 91 – – 92 – ATELIER / WORKSHOP 203 LA PAUVRETÉ DES ENFANTS SIGNALÉS AUX SERVICES DE PROTECTION DE LA JEUNESSE QUÉBÉCOIS P A R : M ICHELINE M AYER , P H . D . CHERCHEUSE SENIOR I N S T I T U T DE R E C H E R C H E P O U R LE MONTRÉAL , Q UÉBEC , C ANADA DÉVELOPPEMENT SOCIAL DES JEUNES (IRDS) La pauvreté économique et la pauvreté sociale définissent des contextes de vie peu propices au développement harmonieux des enfants et à l’exercice des capacités parentales. Une abondante littérature de recherche démontre que la pauvreté constitue un facteur de risque important d’émergence ou d’amplification d’un ensemble de problèmes, dont les problèmes de mauvais traitements envers les enfants (voir entre autres Schumacher, Slep & Heyman, 2001, Ross & Roberts, 1999, Drake & Pandey, 1996, Garbarino & Kostelny 1992). Pourtant, la pauvreté des familles a longtemps été occultée par rapport aux problèmes de comportement des parents (Swift 1995). L’Étude d’incidence québécoise (ÉIQ)1, qui a permis de documenter les caractéristiques des enfants signalés à la direction de la protection de la jeunesse, a démontré la détresse économique et sociale des enfants et des familles signalées, et tout particulièrement de ceux qui sont concernés par la problématique de négligence. L’analyse des données permet d’appréhender le rôle que joue la pauvreté comme facteur de risque de mauvais traitements pour les enfants. Description brève de l’Étude d’incidence québécoise L’Étude sur l’incidence et les caractéristiques des situations d’abus, de négligence, d’abandon et de troubles de comportement sérieux signalées à la direction de la protection de la jeunesse au Québec (ÉIQ) a permis de documenter près de 10 000 signalements qui ont été adressés, du 1er octobre au 31 décembre 1998, aux services de protection québécois. Ces signalements ont été décrits à partir de formulaires remplis par les intervenants. Les objectifs de l’étude étaient d’estimer les taux d’enfants signalés aux services de protection en fonction des diverses formes de mauvais traitements et de troubles de comportement et de décrire les caractéristiques des problématiques signalées, des clientèles desservies et des services offerts dans les premiers mois suivant le signalement. Parmi les 9 790 signalements reçus, 4 861 ont été retenus concernant 4 674 enfants et 3 618 familles. Ces signalements retenus ont été jugés, suite à l’évaluation en profondeur des intervenants, comme présentant l’une ou l’autre des situations suivantes : les faits signalés sont fondés et la sécurité ou le développement de l’enfant est compromis, les faits signalés sont fondés mais la sécurité ou le développement de l’enfant n’est pas compromis, ou les faits ne sont pas fondés et il faut fermer le cas. 1 Tourigny, M., Mayer, M., Wright, J., Lavergne, C., Hélie, S., Trocmé, N., Bouchard, C., Chamberland, C., Cloutier, R., Jacob, M., Larrivée, M.-C. et Boucher, J. (2002) (sous presse). Étude sur l’incidence et les caractéristiques des situations d’abus, de négligence, d’abandon et de troubles de comportement sérieux signalées à la direction de la protection de la jeunesse au Québec (ÉIQ), Montréal, Canada : Institut de recherche sur le développement social des jeunes. – 93 – L’analyse des données de l’étude permet de conclure que les caractéristiques des enfants et des familles dont le signalement a été retenu traduisent une grande pauvreté économique et sociale. Cette pauvreté est encore plus intense pour les enfants dont la sécurité ou le développement est compromis. La pauvreté des enfants et des familles signalées On peut observer que les enfants et les familles dont le signalement est retenu par les services de protection vivent souvent dans des conditions financières très précaires. Par exemple, la principale source de revenu des familles des enfants dont la sécurité ou le développement est compromis est l’aide sociale dans près de 50 % des cas (vs 8,7 % des familles de la population) ou un emploi à temps partiel ou saisonnier dans près de 10 % des cas. Ainsi, on peut constater que près de 60 % des familles des enfants en besoin de protection vivent dans des conditions de vie difficiles. On note aussi que les intervenants mentionnent l’existence de plusieurs problèmes dans les familles des enfants en besoin de protection : 2,3 problèmes en moyenne qui se présentent surtout sous forme de problèmes économiques (39 %), de problèmes reliés à une séparation ou un divorce (33 %), de consommation abusive de drogue ou d’alcool (30 %), de manque de soutien social (27 %), ou de violence conjugale (25,3 %). Les enfants dont le signalement est retenu mais dont la sécurité ou le développement n’est pas évalué comme compromis sont aussi dans des situations précaires mais d’intensité un peu moins grande. Ainsi, parmi ceux-ci, les enfants dont le signalement porte sur des faits fondés sont dans des conditions financières difficiles dans 49 % des cas et sont considérés comme vivant dans des familles affrontant des problèmes économiques dans 37 % des cas. On peut en fait observer que la pauvreté caractérise, à des degrés variables, une forte proportion des familles signalées. Les indicateurs de pauvreté associés au risque de signalement retenu L’étude d’incidence a permis d’analyser le risque d’avoir un signalement retenu que représentent différentes combinaisons d’indicateurs socio-économiques. L’analyse s’est centrée sur trois caractéristiques socio-économiques des familles qui sont généralement associées au risque de mauvais traitements, soit le faible revenu (moins de 15 000 $ de revenu familial ou l’aide sociale), la faible scolarité des parents (au moins un parent sans diplôme secondaire) et la monoparentalité. Afin de mesurer les relations existant entre les différentes combinaisons de ces indicateurs, des tableaux croisés ont été construits pour caractériser les familles de l’ÉIQ et des tableaux croisés similaires ont été commandés à Statistique Canada pour décrire la population dont ces familles sont issues. Huit groupes de familles ont donc été construits pour refléter les différentes combinaisons possibles de ces indicateurs. Par exemple, le groupe « 1 » concernait les familles bénéficiant d’un revenu de plus de 15 000 $, biparentales et fortement scolarisée, alors que le groupe « 4 » concernait les familles biparentales avec un revenu faible et une faible scolarité, et le groupe « 8 » les familles monoparentales avec une faible scolarité et un revenu – 94 – faible. Ces regroupements ont été mis en relation avec une variable dépendante définie comme le fait d’avoir ou non au moins un enfant dont le signalement a été retenu. Les résultats de l’analyse ont démontré que le faible revenu, la faible scolarité et la monoparentalité sont des facteurs de risque dont l’effet varie selon les différentes combinaisons possibles. Par exemple, si une famille biparentale, ayant un revenu de plus de 15 000 $ et dont les parents ont une scolarité secondaire ou plus, ont une probabilité d’avoir un signalement retenu de 2,19 sur 1 000, cette probabilité est de 40,8 sur 1 000 pour les familles monoparentales de faible scolarité et de faible revenu. Entre ces deux situations extrêmes, on peut observer comment se présentent en terme de risque, les différentes combinaisons possibles de caractéristiques socio-économiques. La situation qui vient en deuxième place en terme de risque est la combinaison biparentalité, faible scolarité et faible revenu (38,9 sur 1 000) alors que la combinaison monoparentalité, faible scolarité et revenu plus élevé vient en troisième place, mais avec une différence appréciable (12,9 sur 1 000). L’analyse démontre en effet que, pris individuellement, les trois indicateurs socio-économiques n’ont pas le même poids dans la probabilité d’avoir un signalement retenu. Le revenu possède le poids le plus élevé (5,34 plus de chance), suivi par la scolarité (4,00 fois plus de chance) et la monoparentalité (2,51 plus de chance). Les différentes combinaisons permettent de tenir compte non seulement de l’effet de chacune des variables mais aussi de la situation créée par les cas de figure variés de leurs regroupements possibles. La pauvreté plus intense des enfants négligés L’analyse a aussi permis de constater que les enfants signalés ne sont pas tous également concernés par le problème de la pauvreté économique et sociale. Les enfants signalés pour négligence sont les plus affectés. En effet, les enfants dont le signalement est retenu pour négligence vivent en plus forte proportion que les enfants dont le signalement est retenu pour un autre motif de protection dans des familles ayant un revenu de moins de 15 000 $ (62 % contre 33 %). Ils ont aussi plus fréquemment des parents qui ont une scolarité faible, n’ayant pas de diplôme secondaire (65 % contre 36 %). De même, leurs familles sont plus souvent perçues comme affrontant des problèmes économiques graves par les intervenants (46 % contre 20 %) et ils vivent plus souvent en famille monoparentale (46 % contre 34 %). Conclusion L’Étude d’incidence québécoise (ÉIQ) permet de constater que les enfants signalés appartiennent à des contextes familiaux difficiles et de cerner l’importance que représentent la pauvreté économique et la pauvreté sociale chez les familles qui sont signalées aux services de protection. On peut y mesurer en effet le pourcentage de familles signalées qui vivent dans des situations économiques précaires, la variété des problèmes qu’elles affrontent de même que le risque que représentent diverses dimensions de la pauvreté dans l’incidence des mauvais traitements. La pauvreté est-elle une cible d’intervention réaliste? Il apparaît inconcevable de demander aux intervenants sociaux de s’attaquer directement à ce problème mais il apparaît parallèlement irréaliste – 95 – de penser prévenir les mauvais traitements sans tenir compte de cette dimension incontournable du problème. Quelle place occupe la lutte à la pauvreté économique et à la pauvreté sociale dans les interventions à l’égard des enfants et des familles? Bibliographie Drake, B. et Pandey, S. (1996), Understanding the relationship between neighborhood poverty and specific types of child maltreatment, Child Abuse and neglect, vol. 20, no. 11. Garbarino, James, Kostelny, Kathleen (1992), Child maltreatment as a community problem, Child Abuse and Neglect, vol. 16, p. 455-464. Ross, D.P., Roberts, P. (1999), Le bien-être de l’enfant et le revenu familial : un nouveau regard au débat sur la pauvreté, Conseil canadien de développement social, 52 p. Schumacher, Julie A.; Slep, Smith Amy M., and Heyman, Richard E. ( 2001), Risk factors for child neglect. Agression and Violent Behavior; 6(2-3): 231-254. Swift, K. J. (1995), Manufacturing “Bad Mothers”: A Critical Perspective on Child Neglect, Toronto, University of Toronto Press, 228 p. – 96 – ATELIER / WORKSHOP 304 LES EFFETS DU MILIEU SOCIO-ÉCONOMIQUE SUR LE DÉVELOPPEMENT COGNITIF DES ENFANTS DE 5 À 12 ANS P A R : P IERRE N OLIN , P H . D . P R O F E S S E U R / C H E R C H E U R , D É P A R T E M E N T DE P S Y C H O L O G I E G R O U P E D E R E C H E R C H E E N D É V E L O P P E M E N T D E L ’E N F A N T U N I V E R S I T É D U Q U É B E C À T R O I S -R I V I È R E S T R O I S -R I V I È R E S , Q U É B E C , C A N A D A ET DE LA FAMILLE (GREDEF) Contexte théorique La pauvreté n’est pas un phénomène rare en Amérique du Nord (McLoyd, 1998). Bien qu’il existe différentes façons d’identifier le niveau socio-économique d’une famille, il semble tout de même se dégager un certain accord autour de certaines variables pouvant mener à cette classification. Parmi celles-ci, on compte l’occupation des parents, le niveau d’éducation des parents, le revenu familial, le prestige lié à l’occupation professionnelle des parents et un certain style de vie (House, 1981). Ainsi, le concept de niveau socio-économique est vu comme un phénomène multidimensionnel plutôt qu’unidimensionnel. En sociologie, le niveau socio-économique est fonction de l’éducation, du revenu et de l’occupation (Dutton & Levine, 1989). Les études portant sur les effets de la pauvreté et du niveau socio-économique sur le fonctionnement cognitif de l’enfant ont clairement démontré que le niveau socio-économique défavorisé est un facteur de risque important pour le développement intellectuel (Palacio-Quintin, 1997). Cela a été démontré pour différentes composantes de la cognition. C’est le cas de la créativité (Forman, 1979), la perception (Willis & Pishkin, 1974), l’expression graphique (Gauthier & Richer, 1977; Gendron et Palacio-Quintin, 1982), la pensée opératoire (Roy & Palacio-Quintin, 1984), la pensée logicomathématique préopératoire (Palacio-Quintin, 1992), l’intelligence et le langage (Duncan et al, 1994; Smith et al, 1997; Zill et al, 1995). Un bon nombre d’études qui ont contrôlé le QI maternel, le niveau d’éducation de la mère et d’autres caractéristiques de la mère (l’âge et les comportements durant la grossesse) ont démontré des effets significativement négatifs sur les habiletés cognitives et verbales (Korenman et al, 1995; Liaw & Brooks-Gunn, 1994; Smith et al, 1997). Par exemple, Duncan et al (1994), à l’aide d’une étude longitudinale, ont montré que le revenu familial et le statut de pauvreté prédisaient significativement le QI chez des enfants de cinq ans, et ce même après avoir contrôlé le niveau d’éducation de la mère, la structure familiale, l’ethnie et d’autres facteurs. Par ailleurs, d’autres études ont démontré que les enfants qui proviennent de milieux socioéconomiques pauvres performent significativement moins bien que les enfants non pauvres sur des indicateurs de réussite scolaire, incluant les tests de rendement scolaire, la reprise de niveaux scolaires, l’échec de cours, les placements en classes spéciales, le taux de graduation, le taux de décrochage et le nombre d’années scolaires complétées (Coleman et al, 1966; Conger et al, 1997; Entwisle & Alexander, 1990; Haveman & Wolfe, 1995; Hill et Duncan, 1987; White, 1982). – 97 – La synthèse de ces informations mène donc à l’identification d’un lien certain entre le niveau socioéconomique et la performance des enfants à différents tests d’intelligence et de fonctions cognitives. Toutefois, la revue des écrits montre une certaine lacune en regard de l’ensemble des fonctions évaluées dans une perspective neuropsychologique. La neuropsychologie s’intéresse principalement aux relations cerveau/comportement. Les instruments d’évaluation de la neuropsychologie permettent alors de confirmer la présence d’une atteinte cérébrale, mais plus encore, de décrire un individu selon une perspective neurofonctionnelle. Les domaines les plus souvent couverts par cette approche sont habituellement la somatosensation, la motricité, l’orientation spatio-temporelle, l’agnosie, l’apraxie, l’attention, le langage (expression et compréhension), la mémoire à court terme, la mémoire à long terme, l’intelligence, les fonctions cognitives supérieures (fonctions frontales) et les fonctions exécutives. Or, les normes établies pour l’utilisation des épreuves neuropsychologiques sont faites à partir d’échantillons pris au hasard et donc possiblement hétérogènes sur le plan du niveau socio-économique. Il se pourrait même que les enfants de niveaux socio-économiques faibles soient sous-représentés dans ces échantillons normatifs. But et objectifs Le but de la présente communication est de vérifier s’il est possible de différencier les enfants provenant de milieux socio-économiques faibles par rapport à des enfants de milieux plus aisés. Plus précisément, l’étude vise à vérifier si ces différences se retrouvent dans l’ensemble des fonctions habituellement couvertes par une évaluation neuropsychologique ou si, au contraire, seulement certaines fonctions sont davantage influencées par le niveau socio-économique. Enfin, l’étude vise à recadrer l’utilisation des tests neuropsychologiques auprès de clientèles provenant de milieux socioéconomiques faibles si de telles différences existent entre les enfants. Méthode SUJETS Groupe 1 : Les enfants du groupe 1 (n = 22) ont été recrutés dans les écoles de la région de TroisRivières (Québec, Canada). Ils constituent le groupe des enfants de niveau socio-économique faible. Les salaires annuels bruts des familles de ces enfants sont tous inférieurs ou égaux à 25 000 $ canadiens. Ce groupe est composé de 12 garçons et 10 filles. L’âge varie de 5 à 11 ans. Groupe 2 : Les enfants du groupe 2 (n = 36) ont également été recrutés dans les écoles de la région de Trois-Rivières. Ils constituent le groupe des enfants de niveau socio-économique plus élevé. Le salaire annuel brut de ces familles est d’au moins 30 000 $ canadiens. Il est composé de 19 garçons et 17 filles. L’âge varie de 5 à 12 ans. Groupe 3 : Ce groupe (n = 29) est composé d’enfants qui sont en situation de maltraitance (négligence et abus physique). Ces enfants ont été recrutés par les Centres jeunesse de la Mauricie et du Centre-du-Québec. Il est composé de 22 garçons et 7 filles. L’âge varie de 5 à 11 ans. Des analyses de variance et de distribution ont démontré que les trois groupes sont équivalents en ce qui concerne l’âge, le niveau scolaire et le genre. – 98 – Instruments L’évaluation neuropsychologique couvre l’ensemble des fonctions suivantes : la somatognosie, la motricité, l’attention, la mémoire à court terme, la mémoire et l’apprentissage verbal et visuel, les fonctions cognitives supérieures (fonctions frontales), les fonctions exécutives, le langage et l’intelligence. Le nom des tests utilisés pour chacune des fonctions se retrouve au Tableau 1. Procédure L’administration de la batterie de tests neuropsychologiques nécessite environ 180 minutes selon les enfants. Tous les tests ont été administrés de façon individuelle à tous les enfants et selon le même ordre. Les enfants ont été évalués dans un local de leur école en deux ou trois rencontres d’environ 90 minutes. Résultats Le Tableau 1 présente les moyennes et écart types pour l’ensemble des variables de la batterie d’évaluation neuropsychologique et ce, pour chacun des trois groupes. Des analyses de variance (oneway) avec contrastes (test de Scheffe) ont été effectuées pour chacune des variables dépendantes (résultats aux tests neuropsychologiques). Les résultats de ces analyses se retrouvent également au Tableau 1. Tableau 1 Moyennes et écarts types obtenus par les trois groupes à l’ensemble des mesures de l’évaluation neuropsychologique – 99 – – 100 – Interprétation des résultats et discussion De façon surprenante, les résultats de cette étude démontrent qu’il existe peu de différences entre la performance des enfants de milieux socio-économiques faibles et ceux de milieux plus élevés. Les seules fonctions qui se démarquent sur ce plan concernent toutes l’impulsivité/désinhibition. Les enfants de milieux pauvres sont en effet significativement moins efficaces au test « Knock and Tap » et au test de la Statut du NEPSY comparativement aux enfants plus à l’aise économiquement. Ainsi, il semble que le niveau socio-économique influence peu le rendement aux différentes épreuves neuropsychologiques. Ceci est intéressant par rapport à la mise en garde qui avait été faite au début de ce texte. Celle-ci devient donc caduque suite aux analyses. Il semble donc possible d’utiliser les normes des différents tests afin de vérifier si un enfant donné se situe au niveau de la norme de son groupe d’âge, peu importe son niveau socio-économique, à l’exception de la composante d’impulsivité soulignée plus haut. Les résultats ne sont donc pas en accord avec les travaux précédents qui avaient clairement démontré un effet du niveau socio-économique sur l’intelligence, le langage et autres fonctions cognitives (Palacio-Quintin, 1997; Forman, 1979; Willis & Pishkin, 1974; Gauthier & Richer, 1977; Gendron et Palacio-Quintin, 1982; Roy & Palacio-Quintin, 1984; Palacio-Quintin, 1992; Duncan et al, 1994; Smith et al, 1997; Zill et al, 1995; Korenman et al, 1995; Liaw & Brooks-Gunn, 1994; Smith et al, 1997). Ceci est particulièrement étonnant. En s’appuyant sur l’idée que le niveau socio-économique est multidimensionnel plutôt qu’unidimensionnel, il est possible de proposer que nos échantillons ne couvrent pas l’ensemble des caractéristiques liées au niveau socio-économiques faibles des études précédentes. Ainsi, notre échantillon est composé d’enfants francophones blancs provenant d’une région relativement homogène sur le plan culturel. Les éléments liés à l’ethnie, souvent inclus dans les travaux américains, sont évacués de la présente étude. Il y aurait donc lieu de poursuivre cette étude en approfondissant davantage d’autres composantes pouvant définir le niveau socioéconomique. Dans cette lignée, il est reconnu que certains facteurs de santé rencontrés dans les milieux socio-économiques faibles participent aux différences obtenues dans les études précédentes. À titre d’exemple, plusieurs enfants de l’étude de Duncan étaient de petit poids à la naissance et prématurés. Dans notre étude, il existe un nombre d’enfants prématurés, post maturés ou ayant des troubles en classe et ce, de façon relativement comparable dans les trois groupes. Il est possible que ces choix méthodologiques expliquent le peu de différences entre les enfants de niveaux socioéconomiques faible et élevé. Notre étude suggère qu’il faille faire attention à la généralisation des résultats de telles études selon le milieu dans lequel nous travaillons. Par ailleurs, il est fort intéressant de noter qu’il importe d’avoir un groupe de sujets témoins appariés sur le plan du niveau socio-économique lorsque l’on étudie d’autres enfants à risque. Les résultats démontrent en effet que des portraits différents peuvent être démontrés selon que, par exemple, les enfants en situation de maltraitance sont comparés à des témoins de niveaux socio-économiques faible ou élevé. Ainsi, les enfants maltraités ont démontré un rendement significativement inférieur aux enfants de niveau socio-économique faible et élevé sur le plan de la motricité fine, de l’attention, de la mémoire à court terme, des fonctions cognitives supérieures (abstraction) (tours et similitudes) et du langage. Toutefois, les différences du groupe d’enfants en situation de mauvais traitements qui concernent la mémoire verbale, le calcul arithmétique et le Q.I. estimé ne sont obtenues qu’en – 101 – comparaison aux enfants du groupe dont le revenu socio-économique est élevé. Ces résultats invitent à la prudence et suggèrent de poursuivre la recherche dans ce domaine. Références Coleman, J.S., Campbell, E., Hobson, C., McPartland, J., Mood, A., Weinfeld, F., & York, R. (1966). Equality of educational opportunity. Washington, DC : US Government Printing Office. Conger, R.D., Conger, K.J., & Elder, F. (1997). Family economic hardship and adolescent academic performance : Mediating and moderating processes, In G. Duncan & J. Brooks-Gunn (Eds), Consequences of growing up poor (p. 288-310). New York : Russell Sage Foundation. Duncan, G., Brooks-Gunn, J., & Klebanov, P. (1994). Economic deprivation and early childhood development. Child Development, 65, 296-318. Dutton, D.B. & Levine, S. (1989). Overview, methodological critique, and recommandations. In J.P. Bunker, D.S., Gomby, & B.H. Kehrer (Eds), Pathways to health (p. 29-69). Menlo Park, CA : Henry J. Kaiser Family Foundation. Entwisle, D., & Alexander, K. (1990). Beginning school math competence: minority and majority comparisons. Child Development, 61, 454-471. Forman, S. (1979). Effects of socio-economic status on creativity in elementary school children. Creative Child and Adult Quarterly, 4, 2, 87-92. Gauthier, Y. & Richer, S. (1977). L’activité symbolique et l’apprentissage scolaire en milieu favorisé et défavorisé, Montréal, PUM. Gendron, Y., & Palacio-Quintin, E. (1982). L’évolution graphique d’enfants âgés de six à douze ans en fonction de divers niveaux socio-économiques. Communication au Congrès de l’ACFAS. Haveman, R., & Wolfe, B. (1995). The determinants of children’s attainments : A review of methods and findings. Journal of Economic Literature, 33, 1829-1878. Hill, M.S., & Duncan, G. (1987). Parental family income and the socio-economic attainment of children. Social Science Research, 16, 39-73. House, J. (1981). Social structure and personality. In M. Rosenberg & R Turner (Eds), Social Psychology : Sociological perspective (p. 525-561). New York : Basic Books. Korenman, S., Miller, J., & Sjaastad, J. (1995). Long-term poverty and child development in the United States: Results from the NLSY. Children and Youth Services Review, 17, 127-155. Liaw, F. & Brooks-Gunn, J. (1994). Cumulative familial risks and low-birthweight children’s cognitive and behavioral development. Journal of Clinical Child Psychology, 23, 360-372. McLoyd, V.C. (1998). Socio-economic disadvantage and child development. American Psychologist, 53, 2, 185-204. Palacio-Quintin, E. & Jourdan-Ionescu, C. (1991). Les enfants de quatre ans : la mesure du Home et du QI en fonction du niveau socio-économique et culturel. Enfance, Vol. 45 (1-2), 99-110. Palacio-Quintin, E. (1992). Test MAME, maturité pour l’apprentissage des mathématiques élémentaires. Manuel et matériel, Montréal, Institut de recherches psychologiques. Palacio-Quintin, E. (1995). Les différences de développement cognitif entre enfants de milieux socio-économiques différents et les facteurs associés à ce phénomène. Dans Lautrey, J. (sous la direction de). Universel et différentiel en psychologie, p. 305-325. Paris : PUF. Palacio-Quintin, E. (1997). Facteurs sociaux de risque et facteurs de protection dans le développement cognitif de l’enfant. Dans : G.M. Garabulsy & R. Tessier (Éds.), Enfance et famille : contexte et développement, p. 123-135. Ste-Foy, Québec : Presses de l’Université du Québec. Patterson, C., Kupersmidt, J., & Vaden, N. (1990). Income level, gender, ethnicity, and household composition as predictors of children’s school-based competence. Child Development, 61, 485-494. – 102 – Roy, S., & Palacio-Quintin, E. (1984). Décalages dans l’accession à la notion de conservation : rôle du facteur niveau socioéconomique. Communication au Congrès de la SQRP, Montréal. Smith, J., Brooks-Gunn, J., & Klebanov, P. (1997). Consequences of living in poverty for young children’s cognitive and verbal ability and early school achievement. In G. Duncan & J. Brooks-Gunn (Eds.), Consquences of growing up poor (p. 132-189). New York: Russell Sage Foundation. White, K. (1982). The relation between socio-economic status and academic achievement. Psychological Bulletin, 91, 161-481. Willis, D. & Pishkin, V. (1974). Perceptual motor performance on the Vane and Bender tests as related to two socio-economic classes and ages, Perceptual and Motor Skills, 38, 3, 883-890. Zill, N., Moore, K., Smith, E., Stief, T., & Coiro, M. (1995). The life circumstances and development of children in welfare families: A profile based on national survey data. In P.L. Chase-Lansdale & J. Brooks-Gunn (Eds.), Escape from poverty: What makes a difference for children? (p. 38-59). New York: Cambridge University Press. – 103 – ATELIER / WORKSHOP 107 LE RÔLE DES PÈRES DE MILIEUX DÉFAVORISÉS DANS LA PROMOTION DE LA SANTÉ MENTALE DE LEURS ENFANTS 1, 2 P A R : S ARAH D UFOUR , P H . D . COORDONNATRICE RECHERCHE C E N T R E D ’ E X C E L L E N C E P O U R LA P R O T E C T I O N ET LE B I E N - Ê T R E I N S T I T U T P O U R LE D É V E L O P P E M E N T S O C I A L D E S J E U N E S MONTRÉAL , Q UÉBEC , C ANADA DES ENFANTS Dans une perspective de promotion de la santé mentale chez les enfants, il est essentiel de bien comprendre le milieu familial et la contribution des pères. En effet, la conception actuelle de la notion de santé mentale « oblige à prendre en compte non seulement la capacité des personnes de s’adapter à leur milieu, mais également celle du milieu de fournir les meilleures conditions possibles pour favoriser le développement optimal de la santé mentale » (Comité de la santé mentale du Québec, 1994, p. 7). Une meilleure connaissance du point de vue des pères eux-mêmes sur leur rôle dans la promotion de la santé mentale de leur enfant ouvre la porte à l’élaboration de programmes mieux ajustés à la réalité et au vocabulaire des individus visés. Néanmoins, à ce jour, peu de chercheurs se sont intéressés au sens donné à la paternité par les pères eux-mêmes (Lamb, 2000). Des chercheurs soulignent en outre l’importance de l’étude des pères de milieux défavorisés, dont on connaît peu la réalité (Cabrera et Peters, 2000; Marsiglio et Cohan, 2000). Les rares recherches auprès de ces pères mettent l’accent sur des comportements négatifs, comme l’absence du père ou le nonpaiement des pensions alimentaires (Cabrera et Peters, 2000). La présente recherche s’intéresse à la manière dont les pères d’enfants d’âge préscolaire de milieux défavorisés conçoivent leur rôle dans la promotion de la santé mentale de leur enfant. 1. Méthodologie 1.1 Participants Trente pères de familles biparentales, dont au moins un enfant est âgé entre trois et cinq ans, participent à la recherche. Ils habitent deux quartiers urbains défavorisés appariés à partir du pourcentage de familles sous le seuil de faible revenu et de la composition ethnique du voisinage. Les pères participants sont des pères biologiques et des figures paternelles, la notion de figure paternelle faisant référence à tout homme qui vit avec l’enfant depuis au moins un an. Seuls les pères d’origine ethnoculturelle québécoise et maîtrisant la langue française ont été invités à participer à l’étude. 1 Cette recherche a été rendue possible en partie grâce à une bourse de formation du programme national de recherche et de développement en santé (Santé Canada). 2 Une version préliminaire de cette communication a été présentée à Montréal en novembre 2000 par S. Dufour et C. Bouchard au premier Symposium national sur la place et le rôle du père, dans le cadre des Journées annuelles de santé publique. – 104 – 1.2 Procédure et instruments de mesure du volet quantitatif La présente étude comprend deux volets, un premier quantitatif et un second qualitatif. Le premier volet de la recherche tire profit des données d’une enquête indépendante où 250 parents (pères et mères) répondaient à une batterie de questionnaires sur leur vie familiale. Suite à l’autorisation de la Commission d’accès à l’information, la Régie de l’assurance maladie du Québec a transmis sur demande les renseignements nominatifs sur les ménages des secteurs ciblés comptant au moins un enfant entre zéro et cinq ans. Le recrutement des participants a été réalisé auprès d’un échantillon représentatif de cette population. Après une lettre avisant la famille de sa visite, une intervieweuse se présentait en personne à la résidence familiale (taux de participation : 20 %). Les participants étaient ensuite rencontrés à la maison et répondaient verbalement en face à face et à tour de rôle à une batterie de questionnaires. Un montant de 20 $ était ensuite remis à la famille en guise de compensation pour cette entrevue de deux heures. L’un de ces questionnaires, le Questionnaire montréalais d’engagement paternel (QMEP) couvre des sphères d’activités paternelles tant directes, comme les soins à l’enfant, qu’indirectes, comme la planification. Ses 31 items visent l’évaluation de la fréquence absolue ou relative de tâches ou d’actions accomplies par les pères dans huit dimensions : soins de base, disponibilité/accompagnement, discipline/socialisation, évocation, planification/initiation, soutien/affection, jeux et enseignement. La cohérence interne et la stabilité dans le temps sont satisfaisantes (alpha de Cronbach = 0,82; r = 0,80 au test-retest à un mois d’intervalle). Les indications de sa validité commencent à être disponibles. Notamment, deux groupes d’experts se sont prononcés sur sa validité de contenu; la vérification des corrélations entre les réponses de 225 pères au QMEP et des variables associées théoriquement à l’engagement paternel confirme en outre partiellement les hypothèses, formulées a priori. Enfin, le QMEP n’est pas corrélé à un instrument de mesure de désirabilité sociale (voir Dufour et al., 1998, pour les étapes de développement de l’instrument et ses corrélats). La Mesure du sentiment de compétence parentale (MSCP) fait état de la perception qu’ont les parents de leur propre compétence. La version utilisée est une adaptation québécoise (Bolté, 1994) de l’instrument élaboré par Gibaud-Wallston (1977). La MSCP comprend 20 items; chacun d’eux est évalué à partir d’une échelle de type Likert à six points. La cohérence interne du score global (alpha = 0,81) et celle des scores aux trois échelles sont acceptables (alpha = 0,78 pour la satisfaction parentale; 0,74 pour le sentiment d’efficacité; 0,72 pour la motivation/valorisation). La version originale en langue anglaise est corrélée à une mesure d’estime de soi (r = 0,43; p < 0,01), et la version modifiée de langue française est corrélée à une échelle d’attitude parentale mesurant le degré de satisfaction du parent face à son enfant et à sa relation avec lui (r = 0,60). Des experts se sont prononcés sur la validité de contenu (Bolté, 1994). 1.3 Procédure et protocole d’entrevue du volet qualitatif Des 250 familles (pères et mères) ayant collaboré à ce premier volet, seuls les 116 pères d’enfants de 3 à 5 ans ayant accepté d’être recontactés constituent le bassin de participants pour le volet qualitatif de la recherche. La mise en rang percentile des scores des participants au Questionnaire d’engagement paternel et à la Mesure du sentiment de compétence parentale, complétés lors du – 105 – premier volet de l’étude, permettent de créer deux groupes contrastés (échantillon dit à variation maximale, voir Patton, 1990) : a) un groupe de pères très engagés et ayant un très fort sentiment de compétence (n = 28, taux de participation de 88 %) et b) un groupe de pères peu engagés ayant un faible sentiment de compétence (n = 31, taux de participation de 50 %). Les pères sont contactés au hasard jusqu’à ce que 15 personnes dans chacun des groupes acceptent de participer à l’entrevue3. La rencontre a lieu à leur domicile ou à l’université, au choix du participant. L’entrevue, d’une durée moyenne de 45 minutes, est enregistrée sur bande audio. Vingt-cinq dollars sont offerts aux pères en guise de compensation. Le protocole d’entrevue combine deux approches : le guide d’entrevue et l’approche standardisée à questions ouvertes (Patton, 1980). Le protocole d’entrevue a été prétesté auprès de 10 personnes. La version finale comprend six thèmes : la conception de la santé mentale des enfants, la conception du rôle paternel, l’appréciation subjective du rôle paternel, les pratiques parentales, la perception du quartier et enfin leurs demandes d’aide et leurs échanges. 1.4 Analyse des données L’analyse des données se réalise en deux temps. Le matériel d’entrevue a d’abord été soumis à une analyse descriptive thématique (voir Dufour, 2001, pour une description détaillée). Elle peut être qualifiée d’analyse horizontale ou inter participants, dans la mesure où ce sont les réponses de tous les participants à un même thème d’entrevue qui constituent le matériel analysé. Elle comprend trois étapes : (1) L’analyse de contenu (voir L’Écuyer, 1990; Patton, 1990), qui vise à organiser et à simplifier des données complexes (le discours verbatim des participants) en thèmes ou catégories qui soient à la fois significatives et gérables. Une grille de codification est élaborée pour chacune des questions d’entrevues à partir d’une lecture récurrente du matériel d’entrevue. (2) Le calcul de l’accord inter juges, où le tiers des entrevues sont soumises à un juge indépendant. Les kappas varient entre 1 et 0,73 pour l’ensemble des questions d’entrevue (kappa médian = 0,83). (3) L’extraction des dimensions, qui permet de dégager un concept unificateur synthétique pour chacun des thèmes d’entrevue. À titre d’illustration, le processus ayant mené à l’extraction de la dimension « conception de la santé mentale » est décrit dans les prochaines lignes. Suite à l’analyse de contenu, on constate que les catégories des grilles de codification « critères de santé mentale » et « buts éducatifs » couvrent des univers conceptuels similaires s’étalant sur un même continuum allant de l’encouragement de l’enfant à l’expression de l’individualité/autonomie, d’une part, à l’apprentissage à la conformité aux normes/insertion dans le milieu, d’autre part. Selon la conception dominante dans leur discours, chaque père se situe à un de ces pôles ou dans la position mitoyenne. 3 Bien qu’il n’existe pas de règles formelles pour la taille des échantillons qualitatifs, plusieurs chercheurs considèrent la trentaine de participants suffisante pour une recherche qualitative (Deslauriers, 1991; Miles et Huberman, 1994; Patton, 1980). L’analyse de contenu ayant montré que les catégories de réponses saturaient, des entrevues complémentaires n’ont pas été jugées nécessaires. – 106 – L’élaboration d’une typologie de pères constitue la seconde étape de l’analyse des données. Elle a pour objectif de dégager des profils de pères éducateurs à la santé mentale en établissant des liens entre les divers thèmes d’entrevue. La typologie constitue une analyse verticale ou intra-participants, dans la mesure où c’est l’agencement des réponses au sein d’une même entrevue qui constitue le matériel analysé. Elle s’élabore en quatre étapes : (1) L’établissement des profils individuels, qui précise pour chaque participant sa position sur les six dimensions identifiées à l’étape précédente. (2) Le calcul du degré d’association entre les participants, degré qui indique à quel point deux participants se ressemblent ou sont différents sur les dimensions identifiées. Ce degré se situe entre 0 et 6, 0 signifiant que les deux participants sont différents sur toutes les dimensions et 6 signifiant qu’ils sont semblables sur les six dimensions. (3) Le regroupement des pères similaires, qui vise à réunir les pères qui se ressemblent le plus (4, 5 ou 6 comme degré d’association) et à isoler les pères les plus différents (0 et 1 comme degré d’association). (4) L’analyse comparative des regroupements de pères, qui permet d’identifier les caractéristiques dominantes de chaque regroupement de pères. 2. Résultats et discussion Tel qu’illustré par le Tableau 1, l’analyse des données a permis l’élaboration d’une typologie comprenant cinq profils regroupés en deux dimensions : les pères réactifs et les pères proactifs. Tableau 1 Typologie de pères éducateurs à la santé mentale 2.1 Les pères réactifs Le pater familias, ou père traditionnel, caractérise encore aujourd’hui le rapport à la parentalité d’un grand nombre d’hommes (Quéniart, 2000; Le Camus et Zaouche-Gaudron, 1998; Pedersen, 1981). Les rôles parentaux entre le père et la mère sont distincts et complémentaires dans ces familles. Avant – 107 – tout pourvoyeur économique, veillant à la sécurité et au bien-être de sa famille, le père traditionnel appuie sa conjointe qui est la première responsable des soins et de l’éducation des enfants. Ce père s’engage peu d’une manière directe auprès de ses enfants. Gardien des valeurs associées à la famille traditionnelle, il représente l’autorité et, conséquemment, la discipline lui revient souvent d’office alors que la mère prodigue soins et affection. D’une manière générale, les pères réactifs de la présente étude leur ressemblent par leur faible engagement, par leur sentiment de compétence parental peu élevé et par le fait qu’ils visent davantage l’insertion dans le milieu et la conformité aux normes pour leur enfant. La typologie développée comprend deux profils de pères réactifs : les hommes de famille et les pères soucieux. Les hommes de famille sont généralement peu engagés et ils se sentent peu compétents dans leur rôle parental. Leur rôle comprend, outre la disponibilité et l’affection, la socialisation et la réponse aux besoins de base. Les hommes de famille disposent d’un répertoire assez restreint de pratiques pour atteindre leurs buts éducatifs auprès de leurs enfants. Ils ne se sentent ni particulièrement bien, ni particulièrement mal dans leur rôle. Ces pères conçoivent la santé mentale des enfants soit essentiellement comme de l’insertion dans le milieu et de la conformité aux normes, soit comme autant comme de l’insertion dans le milieu et de la conformité aux normes que l’expression de l’individualité et de l’autonomie. Ils perçoivent leur quartier comme accueillant et favorable au bien-être des enfants. Pour certains d’entre eux, leur rôle paternel n’est pas la source de grands questionnements ou de difficultés immédiates qui se traduiraient par des demandes d’aide mais ils connaissent bien les ressources de leur quartier; ils racontent cependant avec fierté les prouesses de leur enfant à leur entourage (dits les candides). Les autres, hommes de questionnements, n’hésitent pas à demander de l’aide et ils sont très au fait des ressources de leur environnement (dits les inquiets). Les pères soucieux conçoivent le plus fréquemment la santé mentale des enfants en terme d’autonomie et d’expression de l’individualité. Tel que décrit plus haut, ils sont généralement du type inquiets pour leurs demandes de soutien dans leur rôle parental. Comme ce participant, plusieurs d’entre eux ne souhaitent pas imiter le modèle de leur propre père : « Mon père (…) m’a apporté son côté positif et négatif. Puis moi de la façon que je vois les choses avec mon garçon (…) c’est de lui remettre le flambeau en meilleur état que je l’ai reçu. (…) Les choses (…) que je savais qu’elles m’ont fait souffrir ou que là je le sais qu’elles sont négatives, j’essaie de ne pas lui transmettre ça parce que je sais que ça peut (…) nuire à son épanouissement personnel puis professionnel ». Les pères soucieux ne se sentent ni particulièrement bien, ni particulièrement mal dans leur rôle parental. Ils considèrent enfin que leur quartier est néfaste pour le bien-être des enfants. 2.2 Les pères proactifs Au-delà du modèle traditionnel, une autre manière de s’engager auprès de leur enfant s’offre maintenant aux pères. Un haut degré d’engagement direct auprès de l’enfant ainsi qu’un partage équitable des responsabilités domestiques et éducatives avec la mère caractérisent ce qu’il est convenu d’appeler les « nouveaux pères », les « pères engagés », les « pères poules » ou les « hommes roses » (Quéniart, 2000; Pedersen, 1981). Alors que les pères réactifs de la présente étude ressemblent aux pères traditionnels identifiés dans les écrits scientifiques, les pères proactifs ressemblent aux nouveaux pères. Ils regroupent presque tous les pères engagés et ayant un fort sentiment de – 108 – compétence de l’échantillon, la majorité des candides et tous les pratico-pratiques (des hommes concrets dont les demandes d’aide sont motivées par la recherche d’une solution à des difficultés immédiates). Les seuls pères dont la définition du rôle comprend à la fois l’affection, la disponibilité et la socialisation sont proactifs. Enfin, ce groupe inclut tous les pères qui rapportent une appréciation subjective très positive de leur rôle. Trois profils de pères proactifs se dégagent des analyses : les pères accommodants, les pères guides et les pères pragmatiques. Les pères accommodants conçoivent la santé mentale des enfants soit essentiellement comme de l’insertion dans le milieu et de la conformité aux normes, soit comme autant comme de l’insertion que l’expression de l’individualité et de l’autonomie. Ils sont des candides dans leurs échanges et leurs demandes d’aide concernant leur rôle parental. Ils conçoivent leur rôle exclusivement en terme de disponibilité et d’affection, responsabilités auxquelles certains pères ajoutent la réponse aux besoins de base de l’enfant. Les pères accommodants sont généralement très engagés, ils se sentent très compétents dans leur rôle parental et ils vivent particulièrement bien ce rôle. Ils considèrent aussi qu’ils doivent constituer des modèles pour leurs enfants. Fortement engagés, les pères guides se sentent très compétents dans leur rôle parental et ils vivent particulièrement bien ce rôle. Ces pères conçoivent la santé mentale des enfants surtout en terme d’autonomie et d’expression de l’individualité. Ils disposent d’un éventail relativement diversifié de pratiques pour exercer leur rôle parental. Ces pères se conçoivent comme des conseillers pour leur enfant : « être père, c’est (…) être un guide et non pas le diriger ou le laisser aller complètement ». Leur genre d’échanges et demandes d’aide en font des pratico-pratiques ou des candides. Les pères de ce profil ont une réflexion étoffée sur leur rôle parental et ils présentent une bonne capacité d’introspection. Enfin, ces hommes perçoivent leur quartier ni comme particulièrement favorable, ni comme particulièrement néfaste au bien-être des enfants. Les pères pragmatiques utilisent un éventail fort diversifié de pratiques éducatives. Plusieurs précisent qu’ils ne veulent pas reproduire le modèle de leur propre père. Ils perçoivent aussi leur quartier soit neutre, soit néfaste pour le bien-être des enfants. Leur rôle parental se définit comme la disponibilité, l’affection et la socialisation. Certains soulignent l’importance d’être un modèle pour ses enfants. L’équité au sein de la fratrie constitue une autre préoccupation pour certains pères pragmatiques. Ils sont soit neutres, soit positifs dans leur appréciation subjective de leur rôle. Leurs demandes d’aide et leurs échanges sont caractéristiques des pratico-pratiques et des candides. Enfin, pour les pères de ce profil, la santé mentale d’un enfant est constituée autant par l’insertion dans le milieu et la conformité aux normes que par l’expression de l’individualité et l’autonomie. 2.3 Vers un modèle de la genèse du rôle paternel en milieux défavorisés Les différents profils de pères évoqués peuvent enfin être vus sous l’angle de leur niveau de développement. La perception que les pères ont de leur rôle varie en complexité, aussi bien en ce qui a trait aux dimensions qu’ils y reconnaissent qu’aux actions qu’ils rapportent (Figure 1). Cela n’est pas sans rappeler la définition du développement humain proposée par Bronfenbrenner (1979, p. 27) : « human development is the process through which the growing person acquires a more extended differented, and valid conception of the ecological environment, and becomes motivated – 109 – and able to engage in activities that reveal the properties of, sustain, or restructure that environment at levels of similar or greater complexity in form and content ». Les divers profils présentent donc une complexification et un sentiment de maîtrise de l’environnement croissants; ils évoluent en outre d’une manière analogue aux transformations historiques du rôle paternel (voir Lamb, 1995). Cette transformation implique des changements durables dans les caractéristiques de la paternité. Elle constitue un processus dynamique non linéaire, avec des périodes de transition (représentées par les boucles à la Figure 1), suivies de période de stabilité dans la conception dominante, suivies d’une nouvelle transition, etc. Ces transitions impliquent des questionnements, des chocs de valeurs et elles sont souvent accompagnées de changements sociaux importants, par exemple l’entrée massive des femmes sur le marché du travail. Figure 1 Modèle de la genèse du rôle paternel en milieux défavorisés Selon le modèle proposé, les diverses étapes de la genèse du rôle paternel impliquent une vision de plus en plus complexe du rôle paternel ainsi qu’un sentiment de maîtrise de plus en plus élevé sur l’environnement. En appliquant ces principes pour spéculer sur la prochaine transformation du rôle paternel, on peut envisager une nouvelle génération de pères : les pères politisés, caractérisés par leur empowerment psychologique. Selon Zimmerman et Warschausky (1998, p. 6), « empowered individuals would be expected to feel a sense of control, understand their sociopolitical environment, and become active in efforts to exert control ». En fait, de tels pères existent déjà au sein de l’échantillon de la présente étude. Par exemple, un père a mobilisé des adultes du quartier afin d’aménager une aire de jeux conviviale et sécuritaire pour les enfants du voisinage. Particulièrement en milieux défavorisés, cette perception de son propre pouvoir en tant que parent semble une – 110 – piste prometteuse pour diminuer les effets potentiellement néfastes de l’environnement sur le développement des enfants Conclusion En s’intéressant au rôle actif que les pères se donnent dans la promotion du bien-être de leur enfant, la présente étude s’inscrit clairement dans le cadre théorique dit de la « paternité générative » (voir Hawkins et Dollahite, 1997; Snarey, 1993). Les résultats suggèrent aussi qu’il n’existe pas une seule, mais des sous-cultures de la paternité en milieu urbain défavorisé. Ces pères ne constituent pas un groupe homogène, ce qui supporte la proposition selon laquelle il existerait, outre les variations transculturelles, des variations intraculturelles dans la conception du rôle paternel. En permettant l’identification de divers types d’éducateurs à la santé mentale, les résultats de cette recherche fournissent enfin quelques pistes intéressantes pour la promotion de l’engagement paternel auprès de pères de milieux défavorisés mais sans difficultés particulières. Une meilleure connaissance des cibles vers lesquelles se dirigent les efforts de promotion ou d’éducation permet en effet de planifier plus efficacement les interventions. Des recherches subséquentes pourraient vérifier si les profils identifiés se retrouvent dans d’autres contextes. Références Bolté, C. 1994. « L’évolution du sentiment de compétence parentale chez les nouveaux parents d’enfants nés prématurés ». Mémoire de maîtrise non publié, Québec, Université Laval. Bronfenbrenner, U. 1979. « The Ecology of Human Development : Experiments by Nature and Design ». Cambridge : Harvard University Press. Cabrera, N. J., C. S. Tamis-LeMonda, R. H. Bradley, S. Hofferth et M. E. Lamb. 2000. « Fatherhood in the Twenty-First Century ». Child Development, vol. 71, no. 1, p. 127-136. Cabrera, N. J., et H. E. Peters. 2000. « Public Policies and Father Involvement ». Marriage & Family Review, vol. 29, no. 2/3, p. 295-314. Comité de la santé mentale du Québec. 1994. Recommandations pour développer et enrichir la politique de santé mentale. Sainte-Foy : Publications du Québec. Dufour, S. 2001. « La santé mentale des enfants de milieux défavorisés. Conceptions, pratiques et profils de pères. » Thèse de doctorat non publiée, Montréal, Université du Québec à Montréal. Dufour, S., C. Bolté, J. Bégin, D. Paquette et C. Bouchard. 1998. The « Montreal Father Involvement Questionnaire : Development and Preliminary Psychometric Properties ». Communication interactive par affiche présentée au XVe congrès de l’International Society for the Study of Behavioural Developement (ISSBD), Berne, juillet 1998. Gibaud-Wallston, J. A. 1977. Self-Esteem and Situational Stress : Factors Related to the Sense of Competence in New Parents. Thèse de doctorat non publiée, Georges Peabody College of Teachers, University of Rhode Island. Griswold, R. L. 1997. « Generative Fathering : a Historical Perspective ». In Generative Fathering. Beyond Deficit Perspectives, sous la dir. de A. J. Hawkins et D. C. Dollahite, p. 71-86. Thousand Oaks : Sage. Hawkins, A. J., et D. C. Dollahite. 1997. « Beyond the Role-Inadequacy Perspective of Fathering ». In Generative Fathering. Beyond Deficit Perspectives, sous la dir. de A. J. Hawkins et D. C. Dollahite, p. 3-16. Thousand Oaks : Sage. L’Écuyer, R. 1990. Méthodologie de l’analyse développementale de contenu. Méthode GPS et concept de soi. Sillery (Québec) : Presses de l’Université du Québec. – 111 – Lamb, M. E. 1995. « The Changing Roles of Fathers ». In Becoming a Father, sous la dir. de J. L. Shapiro, M. J. Diamond et M. Greenberg, p. 18-35. New York : Springer. Le Camus, J., et C. Zaouche-Gaudron. 1998. « La présence du père auprès du jeune enfant : de l’implication accrue à l’implication congrue ». Psychiatrie de l’enfant, vol. XLI, no. 1, p. 297-319. Marsiglio, W., et M. Cohan. 2000. « Contextualizing Father Involvement and Paternal Influence : Sociological and Qualitative Themes ». Marriage & Family Review, vol. 29, no. 2/3, p. 75-95. Patton, M. Q. 1980. Qualitative Evaluation Methods. Beverly Hills : Sage. Patton, M. Q. 1990. Qualitative Evaluation and Research Methods (Second Edition). Newbury Park : Sage. Pedersen, F. A. 1981. « Father Influences Viewed in a Family Context ». In Changing Role of the Father in Child Development, Second Edition, sous la dir. de M. E. Lamb, p. 295-317. New York : Wiley. Quéniart, A. 2000. « Qui sont les pères d’aujourd’hui ? ». Interface, vol. XXI, no. 1, p. 35-41. Snarey, J. 1993. How Fathers Care for the Next Generation : a Four-Decade Study. Cambridge : Harvard University Press. Zimmerman, M. A., et S. Warschausky. 1998. « Empowerment Theory for Rehabilitation Research : Conceptual and Methodological Issues ». In Rehabilitation Psychology, vol. 43, no. 1, p. 3-16. – 112 – ATELIER / WORKSHOP 107 THE CONTRIBUTION OF FATHERS FROM DISADVANTAGED NEIGHBOURHOODS TO THEIR CHILDREN’S MENTAL HEALTH 1, 2 B Y : S ARAH D UFOUR , P H . D . RESEARCH COORDINATOR C E N T R E OF E X C E L L E N C E F O R C H I L D W E L F A R E I N S T I T U T E OF R E S E A R C H F O R S O C I A L D E V E L O P M E N T MONTREAL , Q UEBEC , C ANADA OF CHILDREN AND YOUTH (IRDS) In order to effectively promote children’s mental health, it is essential to have a good understanding of the family setting and the contribution of fathers, since the present day conception of the notion of mental health “requires we take into account not only the individuals’ ability to adapt to their milieu, but also that of the milieu to provide the best conditions possible to contribute to the optimal development of the individuals’ mental health” (Comité de la santé mentale du Québec, 1994, p. 7). A better understanding of the fathers own view of their contribution to their child’s mental health will open the door to the development of programmes better adapted to the reality and vocabulary of these very individuals. However, to this day, very few researchers have been interested in the meaning fathers themselves give to fatherhood (Lamb, 2000). On the other hand, some researchers have already mentioned the importance of studying fathers from disadvantaged neighbourhoods, since we know very little about their reality (Cabrera and Peters, 2000; Marsiglio and Cohan, 2000). The rare researches on these fathers focus on negative behaviours, such as the father’s absence or the father’s refusal to pay alimony (Cabrera and Peters, 2000). The present research is interested in the way in which fathers of pre-schoolers from disadvantaged neighbourhoods view their contribution to their child’s mental health. 1. Methodology 1.1 Participants Thirty fathers from families with two parents living together and with at least one child between the ages of three and five took part in the research. They live in two disadvantaged urban neighbourhoods matched based on the percentage of families living below the level of low income and the ethnic composition of the neighbourhood. The participating fathers are biological fathers and father figures; the notion of father figure refers to any man who has been living with the child for at least one year. Only fathers of Quebec ethnocultural origins mastering the French language were invited to take part in the study. 1 This research was made possible in part by Health Canada through a National Health Research and Development Program (NHRDP) Research Training Award granted to the author. 2 A preliminary version of this paper was presented in Montréal in November 2000 by S. Dufour and C. Bouchard at the first “Symposium national sur la place et le rôle du père”, during the “Journées annuelles de santé publique”. – 113 – 1.2 Procedure and measurement instruments used in the quantitative segment The present study includes two segments, the first being quantitative and the second qualitative. The first segment of the research draws on data of an independent study where 250 parents (fathers and mothers) answered a series of questionnaires about their family life. Following the authorization from the Commission d’accès à l’information, the Régie de l’assurance-maladie du Québec sent upon request nominal information on the households of the target sectors with at least one child between the ages of 0 and 5. Participant recruitment was based on a representative sample of this population. Following a letter notifying the family of a visit, an interviewer would show up in person at the family home (participation rate: 20 %). Participants were then met at home and were asked each of their turn to verbally answer a series of questionnaires. Families then received $20 as a compensation for this two-hour interview. One of these questionnaires, the Montreal Father Involvement Questionnaire (MFIQ) covers direct (e.g.: childcare) as well as indirect (e.g.: planning) areas of paternal activities. The 31 items aimed at assessing the absolute or relative frequency of chores or actions carried out by fathers in eight areas: basic care, availability/accompanying, discipline/socialization, evocation, planning/initiation, support/affection, games and teaching. The internal coherence and stability in time are satisfactory (alpha of Cronbach = 0,82; r = 0,80 at the test-retest one month later). The indications of its validity are becoming available. Two expert groups have notably expressed themselves on the validity of its content; the verification of the correlation between the answers from 225 fathers to the MFIQ and the variables theoretically associated to father involvement partially confirm the hypotheses, formulated a priori. Lastly, the MFIQ is not correlated to an instrument of measurement of social desirability (see Dufour and al., 1998, for the steps in the development of the instrument and its correlates). The Measure of the Sense of Competence in Parents (MSCP) reports the perception parents have of their own competence. The version used in this study is a Quebec adaptation (Bolté, 1994) of the instrument developed by Gibaud-Wallston (1977). The MSCP includes 20 items; each one being assessed using a Likert type six-point scale. The internal coherence of the overall score (alpha = 0,81) and that of the scores on the three scales are acceptable (alpha = 0,78 for parenting satisfaction; 0,74 for the feeling of efficiency; 0,72 for the motivation/encouragement). The original English version is correlated to a measure of self-esteem (r = 0,43; p < 0,01), and the modified French version is correlated to a scale of parental attitude measuring the degree of the parent’s satisfaction with her/his child and her/his relationship with the child (r = 0,60). Experts expressed their opinion on the validity of the contents (Bolté, 1994). 1.3 Procedure and interview protocol for the qualitative segment Out of the 250 families (fathers and mothers) who collaborated to the first segment, only the 116 fathers of children between the ages of 3 and 5, who accepted to be contacted again, constituted the pool of participants for the qualitative segment of the research. The percentile ranking of participants’ scores in the Father Involvement Questionnaire and in the Measure of the Sense of Competence in Parents, completed during the first segment of the study, allowed for the creation of two contrast groups (maximal variation sample see Patton, 1990): a) a group of fathers who are very – 114 – involved and have a strong sense of competence (n = 28, participation rate of 88 %) and b) a group of fathers who are very little involved and who have a low sense of competence (n = 31, participation rate of 50 %). Fathers were contacted randomly until 15 individuals from each group accepted to take part in the interview3. Participants could choose to do the interview at their home or at the University. The 45-minute interviews were taped on audiocassettes. Twenty-five dollars was given to the fathers to compensate them. The interview protocol combined two approaches: the interview guide and the standardised approach with open questions (Patton, 1980). The interview protocol was pre-tested with 10 individuals. The final version included six themes: the conception of children’s mental health, the conception of the paternal role, the subjective appreciation of the paternal role, the parenting practices, the perception of the neighbourhood and lastly the requests for help. 1.4 Data Analysis Data analysis was done in two parts. Firstly, the interview material underwent a descriptive thematic analysis (see Dufour, 2001, for a detailed description). It can be qualified as a horizontal analysis or an inter-participant analysis, since it is the answers from all participants to one same interview theme that constitute the material analysed. It includes three steps: (1) Content analysis (see L’Écuyer, 1990; Patton, 1990), which aims at organizing and simplifying complex data (participants verbatim discourse) into themes or categories that are meaningful and manageable. A codification chart was elaborated for each interview question, based on a recurring reading of interview material. (2) Inter-judge agreement calculation, where one third of the interviews are presented to an independent judge. Kappa varies between 1 and 0,73 for interview questions as a whole (median kappa = 0,83). (3) Extracting aspects is a process through which a unifying synthetic concept for each of the interview themes is identified. By way of illustration, the process leading to the extraction of the aspect of the “conception of mental health” is described below. Following a content analysis, one notes that the categories of the codification charts “criteria of mental health” and “educational goals” cover similar conceptual universes spanning over one same continuum starting from child encouragement to the expression of individuality/autonomy, on one part, and to the learning to comply with norms/social insertion, on the other part. According to the conception dominating their discourse, each father positions himself at one of these poles or somewhere in between. The establishing of a father typology makes up the second stage of the data analysis. Its objective is to identify the profile of fathers’ contributors to their child’s mental health through links between various interview themes. The typology constitutes a vertical or intra-participant analysis, whereby it 3 Although there is no official rule regarding the size of qualitative samples, many researchers consider thirty participants to be sufficient for a qualitative research (Deslauriers, 1991; Miles et Huberman, 1994; Patton, 1980). The content analysis having shown that the categories of answers were saturated, further interviews were not deemed necessary. – 115 – is the organisation of the answers from one same interview that comprises the material analysed. It is divided into four steps: (1) Establishing individual profiles, which identifies each participant’s position on the six aspects identified during the previous stage. (2) Calculation of the degree of association between participants. This indicates to what degree two participants are similar or different, according to the aspects identified. The degree varies between 0 and 6, 0 meaning both participants are different on all aspects and 6 meaning that participants are similar on all six aspects. (3) Grouping of similar fathers, which aims at grouping fathers who are most similar (a degree of association of 4, 5 or 6) and at isolating fathers who differ the most (a degree of association of 0 and 1). (4) Comparative analysis of the groupings of fathers, which allows for the identification of the dominating characteristics in each grouping of fathers. 2. Results and discussion As illustrated in Chart 1, the data analysis has allowed for the development of a typology that includes five profiles divided into two classifications: reactive fathers and proactive fathers. Chart 1 Typology of fathers contributors to mental health 2.1 Reactive fathers In our days and times the pater familias, or traditional father, still characterises the way in which a great number of men relate to fatherhood (Quéniart, 2000; Le Camus and Zaouche-Gaudron, 1998; Pedersen, 1981). Paternal and maternal roles are distinct and complementary in these families. The traditional father, above all a provider who looks after the family’s safety and well-being, supports his spouse who is primarily responsible for the children’s care and education. This type of father is very little involved in a direct fashion with his children. Guardian of values related to the traditional family, he represents authority and, consequently, is responsible for discipline while the mother gives – 116 – care and affection. Generally speaking, the reactive fathers of the present study resemble him in their lack of involvement, in their low sense of parental competence and in the fact that they give greater importance to social insertion and the compliance with norms for their children. The typology developed comprises two profiles: family men and concerned fathers. Family men are generally little involved and have a low sense of competence in their parental role. Their role includes, asides from availability and affection, socialization and satisfying basic needs. Family men have a limited range of practices to reach the educational goals they have set for their children. They do not feel especially good or bad in their role. These fathers perceive their children’s mental health essentially as social insertion and compliance with norms, or as much as social insertion and compliance with norms as the expression of individuality and autonomy. They see their neighbourhood as friendly and favourable to their children’s well-being. To some of them, their paternal role is not a source of questioning or immediate difficulties which would be translated into requests for help, however they are aware of the resources available in their neighbourhood and they talk about their child’s feats with pride to the people around them (they are referred to as candid). The others, men who question themselves, do not hesitate to ask for help and they are very aware of the resources in their environment (they are they are referred to as worried). Concerned fathers most frequently perceive their children’s mental health in terms of autonomy and the expression of individuality. Such as described above, they are generally the worried type as by their request for support in their parental role. Like this participant, many of them do not want to reproduce the model of their own father: “My father (…) brought me both his positive and negative sides. For my part, the way I see things with my son (…) I want to hand him on the torch in a better state then it was when I received it. (…) Things (…) that I knew had made me suffer or that I now know are negative, I try not to repeat with him because I know they can (…) harm his personal and professional growth”. Concerned fathers do not feel especially good or bad in their parental role. They consider their neighbourhood as harmful for their children’s well-being. 2.2 Proactive fathers Beyond the traditional model, men now have the choice of another way of being present with their child. A high degree of direct involvement with the child as well as a fair sharing of domestic and educational responsibilities with the mother are what characterize what we call “new fathers”, “committed fathers”, “father hens” or “house husbands” (hommes roses) (Quéniart, 2000; Pedersen, 1981). While the reactive fathers of the present study resembled the traditional fathers described in scientific literature, the proactive fathers resemble the new fathers. They include almost all the involved fathers with a strong sense of parental competence in the sample, most of the candids and all the practical fathers (practical minded men whose requests for help are motivated by the need for a solution for present difficulties). Only the fathers for whom the definition of their role includes affection, availability and socialization all together are proactive. Finally, this group includes all fathers who have a very positive subjective appreciation of their role. Three profiles of proactive fathers emerge from the analyses: accommodating fathers, guiding fathers and pragmatic fathers. Accommodating fathers perceive their children’s mental health essentially as social insertion and compliance with norms, or as much as social insertion and compliance with norms as – 117 – the expression of individuality and autonomy. Their discourse is that of candids and their requests for help regard their parental role. They perceive their role exclusively in terms of availability and affection, responsibility to which some fathers add satisfying their child’s basic needs. Accommodating fathers are generally very involved, they have a high sense of parental competence and they feel particularly good in this role. They also deem that they must be a model for their children. Highly involved, guiding fathers feel very competent in their parental role and feel particularly good in this role. These fathers perceive their children’s mental health mostly in terms of autonomy and the expression of individuality. They dispose of an array of relatively diverse practices in the exercise of their parental role. These fathers see themselves as advisors for their children: “being a father is (…) being a guide and not directing him nor leaving him to himself completely.”. Their type of discourse or requests for help make them practical men or candids. Fathers with this type of profile have a meaningful reflection about their parental role and they present a good capacity for introspection. Lastly, these men see their neighbourhood as not being particularly favourable nor particularly harmful for their children’s well-being. Pragmatic fathers use a wide array of very diversified educational practices. Many say that they do not want to duplicate the model of their own father. They see their neighbourhood as neutral, or as harmful for their children’s well-being. Their parental role is defined as availability, affection and socialization. Some stress the importance of being a model for their children. Fairness among siblings is another concern for some pragmatic fathers. They are either neutral or positive in the subjective appreciation of their role. Their requests for help and their discourse are characteristic of the practical men and of the candids. Lastly, fathers with this profile view their children’s mental health as much as social insertion and compliance with norms as the expression of individuality and autonomy. 2.3 Towards a genesis model of the paternal role in disadvantaged neighbourhoods The different father profiles aforementioned can also be seen from the viewpoint of their level of development. The perception that fathers have of their role varies in complexity, as much in the aspects they recognise in it as in the actions they mention (Figure 1). Which reminds us of the definition of human development proposed by Bronfenbrenner (1979, p. 27): “human development is the process through which the growing person acquires a more extended differented, and valid conception of the ecological environment, and becomes motivated and able to engage in activities that reveal the properties of, sustain, or restructure that environment at levels of similar or greater complexity in form and content”. The different profiles therefore present increasing complexity as well as a growing feeling of control over the environment; moreover they evolve in a way that is analogue to the historical transformations of the paternal role (see Lamb, 1995). This transformation implies durable changes in the characteristics of fatherhood. It is made up of a dynamic non-linear process, with transition periods (represented by the loops in Figure 1), followed by periods of stability in the dominating conception, followed by another transition, etc. These transitions involve questioning, value clashes – 118 – and are often accompanied by important social changes, such as when women massively joined the work force. Figure 1 Genesis model of the paternal role in disadvantaged neighbourhoods According to the suggested model, the various steps in the genesis of the paternal role imply a more and more complex vision of the paternal role as well as an increased sense of control over the environment. By applying these principals to speculate about the next transformation of the paternal role, one can envisage a new generation of fathers: politicised fathers, characterized by their psychological empowerment. According to Zimmerman and Warschausky (1998, p. 6), “empowered individuals would be expected to feel a sense of control, understand their sociopolitical environment, and become active in efforts to exert control”. As a matter of fact, such fathers are already present in the sample of this study. For example, one father mobilized the adults of the neighbourhood to lay out a safe and kid-friendly playground for the children of the neighbourhood. This perception of empowerment as a parent, especially in disadvantaged neighbourhoods, seems to be a promising lead for the decrease of potentially negative influences of the environment on child development. Conclusion In focusing on the active roles fathers take on in the contribution to their children’s mental health, the present study clearly falls within the theoretical framework of “generative fathering” (see Hawkins and Dollahite, 1997; Snarey, 1993). The results also suggest that there is not one single, but many sub-cultures of fatherhood in disadvantaged urban neighbourhoods. These fathers do not form a homogenous group, which supports the suggestion according to which there exists – 119 – intracultural variations, asides from the transcultural variations in the conception of the paternal role. In identifying different types of contributors to mental health, the results of this research finally provide interesting starting points for the promotion of father involvement with fathers from disadvantaged neighbourhoods without any particular difficulties. A better understanding of the targets at which the promotional or educational efforts are aimed, allows for a more efficient planning of interventions. Subsequent researches could verify if the profiles identified are found in any other contexts. References Bolté, C. 1994. “L’évolution du sentiment de compétence parentale chez les nouveaux parents d’enfants nés prématurés”. Unpublished master’s thesis, Québec, Université Laval. Bronfenbrenner, U. 1979. “The Ecology of Human Development : Experiments by Nature and Design”. Cambridge: Harvard University Press. Cabrera, N. J., C. S. Tamis-LeMonda, R. H. Bradley, S. Hofferth and M. E. Lamb. 2000. “Fatherhood in the Twenty-First Century”. Child Development, vol. 71, no. 1, p. 127-136. Cabrera, N. J., and H. E. Peters. 2000. “Public Policies and Father Involvement”. Marriage & Family Review, vol. 29, no. 2/3, p. 295-314. Comité de la santé mentale du Québec. 1994. Recommandations pour développer et enrichir la politique de santé mentale. Sainte-Foy : Publications du Québec. Dufour, S. 2001. “La santé mentale des enfants de milieux défavorisés. Conceptions, pratiques et profils de pères.” Unpublished doctorate thesis, Montréal, Université du Québec à Montréal. Dufour, S., C. Bolté, J. Bégin, D. Paquette and C. Bouchard. 1998. The Montreal Father Involvement Questionnaire: Development and Preliminary Psychometric Properties. Interactive paper presented on posters at the XV conference of the International Society for the Study of Behavioural Development (ISSBD), Berne, July 1998. Gibaud-Wallston, J. A. 1977. Self-Esteem and Situational Stress: Factors Related to the Sense of Competence in New Parents. Unpublished doctorate thesis, Georges Peabody College of Teachers, University of Rhode Island. Griswold, R. L. 1997. “Generative Fathering: a Historical Perspective”. In Generative Fathering. Beyond Deficit Perspectives, under the dir. of A. J. Hawkins and D. C. Dollahite, p. 71-86. Thousand Oaks: Sage. Hawkins, A. J., and D. C. Dollahite. 1997. “Beyond the Role-Inadequacy Perspective of Fathering”. In Generative Fathering. Beyond Deficit Perspectives, under the dir. of A. J. Hawkins and D. C. Dollahite, p. 3-16. Thousand Oaks: Sage. L’Écuyer, R. 1990. Méthodologie de l’analyse développementale de contenu. Méthode GPS et concept de soi. Sillery (Québec) : Presses de l’Université du Québec. Lamb, M. E. 1995. “The Changing Roles of Fathers”. In Becoming a Father, under the dir. of J. L. Shapiro, M. J. Diamond and M. Greenberg, p. 18-35. New York: Springer. Le Camus, J., and C. Zaouche-Gaudron. 1998. “La présence du père auprès du jeune enfant : de l’implication accrue à l’implication congrue”. Psychiatrie de l’enfant, vol. XLI, no. 1, p. 297-319. Marsiglio, W., and M. Cohan. 2000. “Contextualizing Father Involvement and Paternal Influence: Sociological and Qualitative Themes”. Marriage & Family Review, vol. 29, no. 2/3, p. 75-95. Patton, M. Q. 1980. Qualitative Evaluation Methods. Beverly Hills: Sage. Patton, M. Q. 1990. Qualitative Evaluation and Research Methods (Second Edition). Newbury Park: Sage. – 120 – Pedersen, F. A. 1981. “Father Influences Viewed in a Family Context”. In Changing Role of the Father in Child Development, Second Edition, under the dir. of M. E. Lamb, p. 295-317. New York: Wiley. Quéniart, A. 2000. “Qui sont les pères d’aujourd’hui ?”. Interface, vol. XXI, no. 1, p. 35-41. Snarey, J. 1993. How Fathers Care for the Next Generation: a Four-Decade Study. Cambridge: Harvard University Press. Zimmerman, M. A., and S. Warschausky. 1998. “Empowerment Theory for Rehabilitation Research: Conceptual and Methodological Issues”. In Rehabilitation Psychology, vol. 43, no. 1, p. 3-16. – 121 – ATELIER / WORKSHOP 102 PARENTAL ALIENATION SYNDROME AND ITS IMPACT ON CHILD POVERTY B Y : M ARIA S TERGIOU , M . A . DOCTORAL CANDIDATE D E P A R T M E N T OF E D U C A T I O N A L MC GILL UNIVERSITY MONTREAL , Q UEBEC , C ANADA AND COUNSELLING PSYCHOLOGY Introduction According to Richard Gardner (2001), Parental Alienation Syndrome (PAS) is a disorder that arises in the context of child-custody disputes. Gardner defines PAS as a “primary manifestation in the child’s campaign of denigration against the parent, a campaign that has no justification.” Gardner goes on to that PAS “results from the combination of a programming (brainwashing) parent’s indoctrinations and the child’s own contributions to the vilification of the target parent. When true parental abuse and/or neglect is present the child’s animosity may be justified, and so the parental alienation syndrome diagnosis is not applicable” (p. xix). This disorder can be classified as mild, moderate, or severe, with the moderate level being the most common. The mild form is the least harmful; the severe form borders on paranoia with delusions of persecution and other irrational fears. An in-depth examination as to how PAS impacts and/or leads to child poverty in Canada is a necessary one, for it will address the question does PAS impact and/or lead to child poverty? This is an important question within the academic realm of psychology, education, as well as economics, for the psychological dynamics within a family may impact and/or impact economic stability. Therefore, in order to address this issue, a definition of poverty will be provided, as well as Canadian statistics on poverty. Then, a further look into PAS and how Canadian families have been affected by PAS will be looked at. Finally, it will be concluded that certain family dynamics may lead to PAS, and this can then impact and/or lead to the depletion of the families’ resources, and thus child poverty. Poverty in Canada The Luxembourg Income Study defines poverty as an individual who is living below the poverty line who has an income of less than 50% after the average salary, taxes, and transfers (Half of solo mothers…, 2002). These individuals many times have families to support, which may make the financial situation of the family more difficult to deal with. Even though the Luxembourg Income Study defines a person with poverty as an individual who is considered to be living at or below the poverty line, there is no single definition of child poverty: that is, these children come from either two-parent or single-parent families (Half of solo mothers…, 2002). However, in all industrialized nations for which 1990s information is available, children in single-mother families are at a greater risk of poverty. For instance, in Australia, Canada, and the United States, over 50% of children in single-mother families are living below the Luxembourg Income Study definition of poverty. These three countries have a greater chance of having children – 122 – in poverty when they come from single-mother families. Not only are they more likely to be poor, but they are more likely to be in poverty for an extended period of time, and their families are more likely to live deep in poverty. According to the most frequently used way of counting individuals who are at or below the poverty line in Canada, there were in 1995 (the last year for which this type of information was available) 5 million poor people in Canada or 17% of the population. This comprised 1.5 million children, 600,000 seniors (termed ‘elderly’ by Statistics Canada), and 3 million other adults (Barriers to the Alleviation of Poverty in Canada, 2002). Child Poverty in Canada is a subject that is much discussed and debated. The National Council of Welfare has reported extensively on the negative effect poverty has on children and their families (Child Poverty Profile…, 2002). Good health and development during childhood are amongst the most important factors in making sure that people grow up healthy enough to learn, find work, raise families and participate fully in society for all of their lives. Children in low-income families s have higher risks of poor health and poor development outcomes than do children in middle-income and high-income families. These problems of child poverty were recognized and were hopefully to be remedied by the Canadian government. In November 1989, all parties in the House of Commons voted unanimously to work to eliminate child poverty by the year 2000. Eight years later, child poverty levels had grown by 46%. Canada has a growing rate of child poverty, as is evident in the following statistics (Children and Poverty, 2002): ◆ The number of poor children living in Canada has increased by 428,000 since 1989. ◆ Canada has the second highest child poverty rate when compared with 17 other industrialized nations around the world, second only to the US. ◆ 68% more Canadian children live in families needing social assistance today than in 1989. ◆ A child under 18 is more likely to be poor in this country than an adult Canadian ◆ Approximately 25% of poor children live in families where parents are employed full year, full time. ◆ 50% of children living below the poverty line belong to single-mother families. Child poverty is an indicator of the hardships experienced by an increasing number of Canadian families. Children are poor because their parents are poor. For this reason, any serious national strategy to reduce child poverty must address several problems. This paper focuses on how divorce may impact or lead to child poverty. Parental Alienation Syndrome “Parental Alienation Syndrome (PAS) is a term to describe a new form of psychiatric disorder, rarely seen, culminating in the emotional abuse of children” (Cartwright, 2002, p. 1). It combines the programming (or ‘brainwashing’) of a child or children by one parent in an attempt to denigrate the other (usually non-custodial) parent with the self-created contributions made by the child to support the alienating parent (Gardner, 1985). PAS results from the attempt by one parent, usually the custodial parent, to behave in such a way as to alienate the child or children from the other – 123 – parent. PAS can evolve from something minor such as avoiding to take clothes or toys from the alienated parent’s home, top something more irrational such as naming “daddy’s girlfriend a whore”, or to the extreme by having the alienated parent attempt to have the other parent lose custody. This emotional abuse of the child is a “serious, pervasive, and growing form of abuse often misunderstood or disregarded by the courts, lawyers, or by many mental health professionals. Because of this, permanent estrangement of PAS children from their lost parents may become the result” (p. 1). PAS is, therefore, a syndrome which is developed by a bad Divorce Act and fostered by a divorce arena of lawyers, judges, social workers, counsellors, psychologists, psychiatrists, and guardians of children” (p. 1). Not only are these children victims of the Divorce Act and the divorce industry, they may also see nothing wrong with hurting and rejecting one of their parents, sometimes permanently (Carwtight, 2002). Both mothers and fathers are susceptible to becoming alienators, and being alienated by their children from the custodial parent. Also, it is not simply the parent who is doing the brainwashing against the other parent. The children’s own scenarios of denigration often contribute and complement the deprecation of the parent who is being alienated. Hence, PAS refers to both these contributions to the disorder, the parent being alienated from the child by the other parent, as well as the child’s own alienation of the ‘hated’ parent (Gardner, 1998). With PAS on the rise, so are numerous court hearings and mental health counselling sessions. The reason is that parents fight for custody within the judicial system and this becomes more lengthy when PAS is an issue. This is because the alienating parent attempts to show the court how bad an individual the alienated parent is. Thus, more mental health counselling is on the rise, for, depending on the type of PAS, both parents as well as the child may seek professional help in order to alleviate the impact PAS has left on the divorced family. The question now is, is child poverty and PAS, a psychiatric disorder which is defined as systematically brainwashing children from one parent in order to reject the other parent? PAS may very well lead to child poverty. The rational behind this is that the divorced family’s resources many times goes towards paying lawyers, as well as mental health professionals. Coupled with the added stress of dealing with PAS, a syndrome that many divorced families are afflicted with, this would further deplete the family’s resources for more time, energy, and money would go towards lawyers and mental health professionals. The depletion of the family’s resources, because of PAS, has several negative consequences: ◆ The family’s standard of living would decrease. This can impact the livelihood of educational opportunities, nourishment, or to the more extreme, bankruptcy. ◆ The time and energy the parents have towards their child is depleted for it is taken up by court dates and counselling. Conclusion There is very little current literature which links PAS and child poverty. Instead, most of the research that is currently being conducted focuses on PAS, for recognition of PAS has come slowly (Cartwright, 2002). PAS has not been recognized within the DSM, which is the Diagnostic and – 124 – Statistical Manual of Mental Disorders, published by the American Psychiatric Association, the main diagnostic reference by the Mental Health professionals in the United States of America (DSM-IV Diagnostic Criteria…, 2002). The DSM is the Diagnostic Criteria for the most common mental disorders. Since PAS has not been considered by the DSM as a mental health disorder a countless number of “lawyers and mental health professionals continue to deny that such a syndrome exists, with their primary reason being that it is not found in the DSM-IV” (Cartwright, 2002, p. 4), the DSM-IV being the most current publication of the DSM. Therefore, it is necessary to bring to the attention of researchers, psychologists, those in the legal system, mental health professionals, as well as educators the impact of PAS on the family, as well as the child’s economic status. However, recognition is needed on PAS, as well as its effects. At the research level, therefore, a multi-disciplinary look at the links between PAS and child poverty is warranted, as well as the development of PAS prevention and treatment programs (Cartwright, 2002). Finally, there must be an in-depth look at PAS must be considered in order to be able to understand that syndrome more fully, have parents assume joint custody, and alleviate or prevent this syndrome in causing irreversible damage to an individual’s mental health, as well as the destruction of an entire family unit. References Cartwright, G.F. (2002). The Changing Face of parental Alienation Syndrome. Unpublished article, 1-6. Cartwright, G.F. (1993). Expanding the parameters of parental alienation syndrome. American Journal of Family Therapy, 21 (3), 205-215. Gardner, R.A. Therapeutic Interventions for Children With Parental Alienation Syndrome, Creative Therapeutics, Inc.: 2001. Gardner, R.A. (1998). Recommendations for dealing with parents who induce a Parental Alienation Syndrome in their children. Journal of Divorce and Remarriage, 28, 3/4, 1-23. Gardner, R.A. (1985). Recent trends in divorce and custody litigation. Academy Forum 29: 3-7. Barriers to the Alleviation of Poverty in Canada (2002). http://www.geocities.com/wallstreet/8691/poverty.html Child Poverty Profile 1988 Summary (2002). http://www.newcnbes.net/htmdocument/priciples/childpovertysummary.html DSM-IV Diagnostic Criteria of Mental Disorders (2002). http://www.psychologynet.org/dsm.html CHILDREN AND POVERTY (2002). http://www.cfe-efc.ca/docs/cccf/00000764.htm Half of solo mothers in poverty in Australia, Canada, and US. (2002). http://www.lysator.liu.se/nordic/mirror/unicef/insolo.htm – 125 – SECTION 2 LES ENFANTS ET LA PAUVRETÉ DANS LE MONDE La pauvreté est un phénomène international qui se manifeste différemment selon les pays. Dans la présente section, des experts renommés nous présentent des analyses et des perspectives intéressantes sur la pauvreté dans leurs pays respectifs. La professeure Maureen Baker examine les relations entre la pauvreté des familles, la santé et l’emploi. Elle présente les résultats d’un projet de recherche néo-zélandais portant sur l’état de santé auto-évalué de mères monoparentales vivant du bien-être social. La nature particulière de la pauvreté au Brésil est portée à notre attention par les professeures Zélia Maria Mendes Biasoli-Alves et Marina Rezende Bazon qui soulignent, dans leur présentation, l’impact de la pauvreté économique sur le fonctionnement des familles et les actions qui doivent être entreprises pour résoudre efficacement le problème. En Inde, le professeur Deepak Kumar Behera met en lumière des problématiques telles que l’insécurité alimentaire, la famine et la traite des enfants découlant de la pauvreté profonde dont souffre la population de Kalahandi. Il discute de l’impact de cette situation désastreuse sur le bien-être des enfants vivant dans cette région. On sait depuis longtemps que les populations autochtones ou indigènes sont victimes plus que toutes autres de pauvreté partout dans le monde. Au Québec, les autochtones représentent 1 % de la population mais constituent l’un des groupes les plus touchés par de hauts niveaux de pauvreté. Steve Audet, Doris Papatie et Roch Riendeau donnent une description édifiante de la vie au sein de la communauté algonquine de Kitcisakik et de la manière dont ses 360 résidents ont relevé le défi et implanté des mesures visant à améliorer leurs conditions de vie collectives. L’Afrique est reconnue depuis longtemps comme le continent le plus pauvre du monde et la situation de pauvreté absolue dont sont victimes les enfants africains a reçu énormément d’attention de la part du public. Le professeur Anand Ramphal d’Afrique du Sud traite des effets de la pauvreté sur le développement psychologique et le rendement scolaire des enfants. Dans son exposé, il présente des recommandations quant aux mesures que doivent mettre en œuvre le système d’éducation et la société dans son ensemble afin d’améliorer les chances de succès de ces enfants. Une étude exhaustive des revenus de bien-être social chez les familles canadiennes est présentée par Diane Richard. Les résultats démontrent qu’il est très rare que l’on donne aux familles bénéficiant de l’assistance sociale des opportunités qui leur permettraient de surmonter leur situation de pauvreté. Finalement, Jane Rudd effectue une analyse du trafic des jeunes filles et des adolescentes en Ukraine. Il ressort de son étude que la pauvreté (et la violence) est la principale raison ayant incité ces femmes à aller à l’étranger et risquer de se retrouver victimes de trafiquants. – 127 – CHILDREN AND POVERTY THROUGHOUT THE WORLD Poverty is an international phenomenon with very distinct national boundaries. In the following papers, renowned experts provide us with interesting perspectives and analysis of poverty in their respective countries. Professor Maureen Baker discusses the relations between family poverty, poor health, and employment. The results of a New Zealand research project focussing on the selfreported health status of lone mothers on social benefits are presented. The particular nature of poverty in Brazil is brought to our attention by professors Zélia Maria Mendes Biasoli-Alves and Marina Rezende Bazon who underline, in their presentation, the impact of economic poverty on family functioning and the actions that need to be taken to effectively address the problem. On the Indian continent, professor Deepak Kumar Behera highlights the issue of food security and the much-publicized child selling and starvation that have resulted from the deep rooted poverty suffered by the population of Kalahandi. The implication of this disastrous situation on the well being of the children living in the area is discussed. Aboriginal or native people have long been associated with the plight of poverty irrespective of where they reside in the world. In Quebec, they constitute but 1% of the population yet are one of the largest groups that are subjected to high levels of poverty. Steve Audet, Doris Papatie and Roch Riendeau present a vivid description of life in the northern Algonquin community of Kitcisakik and how its 360 residents have taken the challenge before them and implemented certain measures aimed at improving their collective lives. Africa has long been identified as the poorest of all five continents and the one receiving the most public attention with regards to the plight of children victimized by poverty. Professor Anand Ramphal of South Africa discusses the effects of poverty on the psychological and educational development of children. In this discussion, recommendations are made with regards to measures that the school system and society need to put into practice in order to improve the children’s chances for success. An exhaustive study on the income of Canadian families on social assistance is presented by Diane Richard. Findings show that families on social assistance are rarely given an opportunity to overcome their impoverished situation. Children, consequently, need special programs and assistance in order to develop normal lives. Finally, Jane Rudd provides an analysis of trafficking of girls and young women in Ukraine. In her study, it was found that poverty (and violence) prompted them to go abroad and risk a ‘trafficking situation’. – 128 – ATELIER / WORKSHOP 405 CHILD POVERTY, MATERNAL HEALTH AND SOCIAL BENEFITS B Y : M AUREEN B AKER , P H . D . P R O F E S S O R , D E P A R T M E N T OF S O C I O L O G Y U N I V E R S I T Y OF A U C K L A N D A U C K L A N D , N EW Z E A L A N D Abstract This paper begins with a discussion of the relations among family poverty, poor health and employment. It argues that some lone mothers are unable to keep their children out of poverty because poor health interferes with finding or maintaining employment. These issues are discussed with reference to the international literature but also the results of our New Zealand research project, which examines the self-reported health status of lone mothers on social benefits, their experiences as beneficiaries, and their views about the government requirement to seek paid work. These lone mothers have not been exempted from the work test for health or disability reasons but our questionnaire results indicate that their self-reported health status is well below that of New Zealand women of comparable age. About one-third report health problems, either their children’s or their own. Excerpts from 120 qualitative interviews illustrate the challenges that many one-parent families face when they attempt to exit from welfare. Adult Poverty, Children and Poor Health The Innocenti Report Card (2000) of Child Poverty in Rich Nations notes that the poverty rate1 among children living in two-parent families is higher in North America, the United Kingdom and Australia than many other “rich” nations. For one-parent families, the rates are much worse: over 55% of children in American one-parent families and about 52% in Canadian one-parent families live in poverty. This Report notes the strong relationship between child poverty and having parents who are unemployed, outside the labour force, or earning ‘low wages’2. Poverty rates are also higher if the lone parent is the mother. In some countries, such as Australia and the United Kingdom, the vast majority of lone mothers rely for most of their income on social benefits, which are deliberately set below the minimum wage (Baker & Tippin, 1999: 22). In recent years, governments in all the liberal welfare states3 have developed welfare-to-work programs to encourage welfare recipients to move more quickly into paid work. When lone mothers enter the workforce, however, they often cannot support their families. 1 Poverty rates are usually defined in cross-national research as incomes (after taxes and government transfers) that are less than 50% of the national median, adjusted for family size. 2 Low-wages are defined as full-time workers with wages less than two-thirds of the national median. 3 This term by Esping-Andersen (1990) included Canada and the English-speaking countries, which tend to target social benefits to the poor and expect most individuals to support themselves and their families on their own wages. He contrasts liberal welfare states to corporatist welfare states (that rely mainly on contributory social insurance programs) and social democratic countries (that provide many universal benefits and services). – 129 – The jobs they find are often temporary, low paid, part-time, and seldom include flexible work hours, paid sick leave, or extended health benefits (Dooley, 1995; Harris, 1996; Vosko, 2000). Their job qualifications are typically lower than partnered mothers, and many lone mothers experience childcare and other problems that interfere with keeping a job or progressing through the ranks. More often than partnered mothers, lone mothers suffer from health problems (Dorsett & Marsh, 1998; Whitehead et al, 2000; Cook et al, 2001; Curtis, 2001; Sarfati and Scott, 2001). This paper examines the health issues of lone mothers and their children living on social benefits in New Zealand, which is an example of a liberal welfare state. The paper asks how health problems interact with time outside the labour force, low wages and low benefit levels to keep lone mother families living in poverty. Does poor health prevent some lone mothers from finding and keeping a job, or do low income, stress and poor living conditions make these mothers and their children unhealthy? These issues are discussed by referring to a larger project, which examined the selfreported health status of lone mothers and their children, their experiences as beneficiaries who are expected to find paid work, and their views about their ability to hold a job and improve their family’s financial circumstances4. This specific paper focuses on some of the women’s stories, taken from 120 qualitative interviews, about how children’s illness and disabilities and lone mothers’ own health have influenced their job prospects and their family income. Studies from many countries reveal that children who are raised in impoverished families, with few material and cultural resources, typically suffer from multiple disadvantages throughout life. These disadvantages include lower achievement in school, higher rates of behavioural problems and juvenile delinquency, early school leaving, higher unemployment rates, poor physical and mental health, and premature death rates (Hobcraft & Kiernan, 2001; Roberts, 1997; Ross, Scott & Kelly, 1996). Although social activists and researchers tend to focus on ‘child poverty’, the Innocenti Report Card makes it abundantly clear that children are living in poverty because their parents are outside the labour market or working for low wages. Politically, more .mileage’ can be gained from highlighting the consequences of poverty for children than for adults. However, policy solutions must address the barriers to sustaining employment and improving the circumstances of low-income parents. Our interviews reveal that lone mothers try to shield their children from the worse consequences of low income, shortage of food, living in poor neighbourhoods, abuse and high stress levels, but they are not always able to do this. Health problems cut into their already low income from social assistance and keep some lone mothers out of the workforce, thus augmenting family poverty. At the same time, the stresses and deprivations of living on social benefits lead to further deterioration of the family’s health. Welfare, Paid Work and Poor Health The countries with the lowest child poverty rates allocate the highest proportions of Gross National Product to social expenditures. The Innocenti Report Card (2000) indicates that the ‘social 4 This project was funded by a Health Research Council Grant to Maureen Baker (Dept of Sociology), Heather Worth (Centre for Research on Gender), David Tippin (Sociology/CRG) and Tracey McIntosh (Sociology) at the University of Auckland from 2000-2002. – 130 – democratic’ countries of Sweden, Denmark and Finland top this list while Mexico, Turkey and Japan fall below the ‘liberal welfare states’ of Canada, United States, United Kingdom and Australia5. Furthermore, there is considerable cross-national variation in the effect of tax and social programs in reducing child poverty. In liberal welfare states, governments and taxpayers normally accept the position that public assistance should be available only when personal or family resources are exhausted, or when the family clearly cannot cope. Increasingly, these countries have focused on personal responsibility for family well-being, the employability of welfare recipients, and contractual obligations to retrain or search for paid work as a condition to receiving government benefits. Benefit levels are deliberately set below minimum wages to encourage beneficiaries to spend as little time as possible on welfare. Research from the United States indicates that ‘welfare mothers’ who move into paid work are most likely to remain employed and less likely to return to social benefits if they have prior work experience, more than 12 years of schooling, and fewer than three children (Harris, 1996; Cancian et al, 1999). Job instability is also related to physical and mental health problems, substance abuse, family stresses, employer discrimination, violence by a partner, and inappropriate work behaviours. Riccio and Freedman (1999) found that health and personal problems made continuous employment impossible for about one third of the participants of a California welfare-to-work program. Whitehead, Burström and Diderichsen (2000) compared lone mothers in Britain and Sweden over two decades and found more poverty and poorer health in Britain. Nevertheless, in both countries, lone mothers reported poorer health than married mothers. The authors present three hypotheses about the relationship between lone motherhood and poor health. Lone mothers (including those who are employed) may suffer from ‘time poverty’, which elevates stress levels and leads to illness. The kinds of work they do compared to married mothers may be more stressful and dangerous. And finally, they may suffer from lower social support. These factors may help to explain the poorer health of Swedish lone mothers compared to married mothers, despite low levels of poverty, high standards of housing and relatively generous social services in Sweden. Our own research in New Zealand investigated further the relationship between lone motherhood, low income and poor health. Health, Domestic Purposes Beneficiaries and the Transition to Paid Work In New Zealand, we designed a study involving mailed questionnaires and personal interviews with lone mothers on the Domestic Purposes Benefit (DPB), an income support program permitting lone parents to care for their children at home. We also conducted focus groups with case managers working for the welfare department. The questionnaire, returned by 244 ‘work-tested’ sole mothers, focused on their health status and use of health services. The focus groups and interviews with 14 case managers examined the role of health in case management practices and welfare policy. Personal interviews with 120 work-tested lone mothers discussed their family health and welfare-to- 5 New Zealand is not included in this survey. – 131 – work experiences. The study was located in three regions on the North Island representing different socio-economic and ethnic areas. The SF-36 questionnaire we used measures health-related quality of life and was previously used by the New Zealand Ministry of Health in the national health survey Taking the Pulse (1999). As well as questioning the health status and use of health services by respondents and their families, it also asks for background details about their household, employment and education. Our questionnaires were mailed to lone mothers receiving the DPB, with children over six years old, who were subject to a work test. This means that none were exempted from paid work or training for reasons such as disability or sickness. The questionnaire results were compared to the results of the national health survey. First, we found that the lone mothers on the DPB reported poorer health than did women in the general population, but no significant differences were apparent by ethnicity or place of residence. Second, a higher proportion of the DPB sample had used public hospital emergency services and reported a higher rate of unmet health need in the past year. For example, they have not gone to a doctor or not picked up a prescription when needed. The major reason given was cost (76.9% of respondents who had not visited a GP when needed said this). We calculated mean scores for the eight components of health measured by the questionnaire and these were lower for beneficiaries on every measure, as Table 1 indicates. We asked our DPB sample what issues prevented them from taking up paid work (See Table 2). Among other reasons, about one third said that their health or children’s health prevented them from taking a job, which is quite striking when it is considered that these women have not met the policy criteria for exemption from their work/training obligations due to health problems or disabilities. A higher percentage of those who reported their health as a reason for not taking a job had lower educational attainment and lower incomes. These findings are consistent with research in other liberal welfare states. We then asked case managers how they view and assess beneficiaries’ health and how they consider health issues in case management strategies and practices. With written guidelines and advice from colleagues and supervisors, case managers retain discretion to exempt or defer a woman from the work test, to seek additional medical advice, and to recommend specific benefit entitlement or supplementary assistance. The results of this phase of the study are reported in Tippin and Baker (2001). To summarize, case managers reported that some clients are reluctant to discuss their mental health because of the perceived stigma or lack of awareness of problems. Emotional health is difficult to assess without first building rapport but client interviewing is strictly scheduled and time is scarce. Given the level of health problems among lone mothers, we found it striking that the discursive parameters of a sustainable welfare-to-work policy in New Zealand and elsewhere so frequently marginalize health issues (ibid). DPB mothers were personally interviewed to obtain more details about their health, family circumstances, and interactions with case managers. The rest of this paper discusses some of these women’s stories, emphasizing their children’s health and how various family health problems have constrained their efforts to support their families and pull themselves out of poverty. To understand – 132 – their personal circumstances, it is necessary to present some information about the local benefit and health systems. The New Zealand Benefit and Health Systems for Lone Mother Families In 1973, the New Zealand government developed the Domestic Purposes Benefit (DPB), an income support program to enable lone parents to care for their children at home6. After 1984, New Zealand experienced a period of ‘neo-liberal’ restructuring (Kelsey, 1995). In 1991, the (conservative) National government reduced the level of social benefits (including the DPB) and raised the minimum qualifying age to 18 years. They also introduced new employment expectations after 1995, a new abatement scheme in 1996, and enforced new work tests after 1997 (Wilson, 2000: 79). After school and school holiday care was also expanded for the children of DPB recipients. Now, lone parents on the DPB, whose youngest child is aged 14 years or over, must be actively preparing for full-time work unless they are exempted for some reason (including sickness or disability). If the youngest child is between 6 and 13 years, the parent is subject to a part-time work test. Those with younger children are expected to attend annual planning meetings (WINZ 1999). The Labour coalition government has recently introduced legislation to make work-testing more flexible and personalized rather than adhering to strict age categories. If passed, DPB recipients with preschool children could be asked to seek paid work. Although the DPB was designed to be gender neutral, most recipients were women. In 1998, 87% of recipients were women. Of all recipients, 94% of recipients were sole parents, 2% were women alone and 4% were people caring for sick or infirm family members. Almost three-quarters of recipients of the DPB are separated or divorced (Wilson, 2000). Only 9% are under the age of 20, while three-quarters are between 20 and 40 years old (ibid). The New Zealand public health system, initiated by the first Labour government in the 1930s, was also eroded with the restructuring of the 1980s and 1990s. Government subsidies for visits to doctors and hospitals were reduced, requiring patients to pay larger user fees. Now, visits to family physicians (except for preschool children and pregnant women) cost about $45, although diagnostic tests are often free and prescriptions are heavily subsidized. Visits to hospital emergency wards also require user fees even though New Zealand has public accident compensation insurance (Barnett & Barnett, 1999). Social benefit recipients receive a Community Card that reduces the cost of physician visits and further subsidizes prescriptions. Some lone mothers on the DPB would be eligible for temporary exemptions from work and for additional sickness and disability benefits to defray health-related expenses. However, many low-income families in New Zealand live in substandard housing with no heating or costly electric heaters. The high winter rainfall in Northland and the Auckland area and the lack of central heating creates housing with indoor temperatures around 10-15 degrees Celsius in the winter. This encourages the growth of mould and leads to a high rate of bronchial ailments. Furthermore, these families are often short of money for food and preventive health care. 6 Australia introduced a similar benefit in the same year, now called the Sole Parent Benefit. – 133 – The lone mothers we interviewed provided rich details about many aspects of living on social assistance and their relations with the welfare department, health system and labour market. However, only a few examples can be presented in a paper of this length. Interview comments have been extracted that focus on the children’s and mothers’ health, illustrating the relations among poverty, family health problems and lone mothers’ ability to earn their way out of poverty. 1. Children’s Health Problems Many of the lone mothers we interviewed reported that their children experienced disability or health problems requiring their constant care. For example, a lone mother with two daughters and the care of her elderly mother has been on the DPB for over a decade despite the fact that she has a university education. She discussed the situation of her older daughter, for whom she receives a child disability allowance: “She’s severely autistic so she doesn’t talk. She’s still in nappies. She needs feeding. She needs constant supervision because, yeah, she’s got no idea of safety. So although she’s mobile, she still has a wheelchair. She’s constantly on the move, she doesn’t sleep so well … Career-wise, I can’t establish a career. Even the part-time work I do really messes things up [her benefit is cut]…” She has refused several jobs because of her ‘family responsibilities’ and has been turned down for others because she is over-qualified. She now works about six hours a week and struggles to make ends meet. Another lone mother with three children was very distressed during the interview because the welfare office had been asking her to find paid work. She has a son with disabilities and because he has reached the age of 21, she is no longer permitted to use him as a reason to remain on the benefit. He is expected to purchase care and she is expected to move off the benefit into the labour force. With considerable anxiety in her voice she said: “I won’t give him up. I’ll come off the benefit and I’ll scrape, but I’m not giving him up. I’m not putting him in a home because he …would die. So hence, I’m at the doctor’s on Prozac, continually at the doctor’s at the moment ’cause I’m so stressed out”… You know, I’ve not asked (the welfare department) for any money before, whereas last week I had to ask for money to pay for food because I’ve been to the doctor’s so much. And I mean when you’re paying $48 for papers to be signed [by the doctor] to say you’re not well and stuff like that, I mean, out of what I get there’s nothing left and I had to ask for a food hamper, which is beyond me asking…” Lone mothers told us that they often delay taking their children to the doctors, waiting to see how serious the illness will become and if it is worth the expense. Some already owe money to their doctors. One mother with five children said: “My son had come in the night before and he was feverish so I made an appointment to see the doctor … But I had no money again and already had a $30 account there, and it was, like, what if I could get him better before – 134 – lunchtime? … I can avoid taking him to the doctor…. It’s not easy to find ten or fifteen dollars … But if it’s something I know I can’t cope with, I will sit at the doctor’s and wait it out even though I know I’ve got a bill.” A mother with two children made a similar comment about her daughter: “I don’t rush to the doctor… I watch her and watch her and watch her before I actually take her to the doctor. And often, I’ll ring the nurse and say this is happening to her, do you think I need to bring her in? Because the money’s just not there … and at times I’m paying to go to the hospital and paying to go to the doctor and getting prescriptions, the food budget is the one that goes… I won’t go into debt so therefore our food budget gets hit … Yeah, I’ll eat less or do without while they eat.” Low benefit levels mean that mothers with family health problems find medical and prescription costs prohibitive. So too are other health-related expenses, including preventive measures. One university-educated beneficiary who works part-time noted: “As soon as (the welfare office) found out that the interest rate on my mortgage went down, they took my money off me so then I couldn’t afford to pay the health insurance that I had put up. Indirectly, the fact that they give you so little normally affects your ability to stay healthy. I would love to buy the children some vitamin tablets, but at $10 a bottle you hesitate again.” A woman who has three children and has been on the DPB “on and off for ten years” reported many health problems, both her own and her children’s, interfering with paid work. She quit a full-time job and accepted part-time work after suffering from “bad depressive periods, stress-related” after leaving an abusive marriage. She work part-time for a while but then decided that she needed to improve her career options by moving to the city. She reported that her children “couldn’t cope” in the city: “My son burnt the house down … he ended up trying to stab his sister in the head—all sorts of things were happening … I just had to give up work.” A mother with two grown children, the younger just left home, mentioned that the family has experienced a number of health problems since they moved to Auckland ten years ago and she went on the DPB. These, combined with her own health problems, interfered with upgrading her qualifications and earning a living: “They (her children) were both susceptible to allergies … I think just because I was stressed, I got chronic fatigue and my son … now has chronic fatigue … my daughter, after six months, got whooping cough. I was not well enough to look after her so I had to send her back to her father … I was hoping to look for work but all that stopped when I got sick … I (later) decided I would go back (to university) … I got a scholarship to go back but I wasn’t able to do that, as I wasn’t able to attend and be there to look after my son because he was quite seriously sick. He needed 24-hour care … there would be trips to the emergency room in the middle of the night.” – 135 – Case managers may allocate special allowances to lone mothers, such as a child disability allowance, to defray the cost of extra medical expenses. However, one mother was offered a disability allowance for her asthmatic son but declined to accept it because she said she had to pay the doctor $25 to fill out the form in order to receive an extra $1.80 a week on her benefit. She mentioned that she already owed the doctor $325 but had to take her son to the doctor: “Sometimes two, three times a week and I’d get charged $25 … As it gets colder (on winter nights), (the asthma) gets worse and worse so I have to run an overnight heater just to keep the air at a certain temperature… So then I get a really big power bill… This winter he has been the worst that we’ve had. He’s popped both eardrums…” This woman has arranged to work near her son as part of her work requirements but her jobs are clearly low-level and not very lucrative. Although a few mothers appear to use their children’s illness as an excuse not to enter paid work, most take their mothering role very seriously and sincerely want the best for their children. Most mothers with child health problems make “deals” with their doctors and chemists to pay off their debts in instalments. Some mothers use their food money to pay for medical expenses and then return to the welfare office to request a food voucher. Some deprive themselves of food in order to pay their health-related debts. Most mothers with child health problems also tried to work as much as possible to pay their extra health-related bills, although not all reported this extra income to the welfare office. For those lone mothers with family health problems, the health subsidies appear to be too low. 2. Women’s Poor Health Some of the lone mothers we interviewed told us that the Domestic Purposes Benefit has allowed them to regain their health, which most believe declined through too much stress. One mother with two children said: “When I went on the DPB and took a year off (paid work), my health gradually got better because I didn’t have the stress of full-time work and being on my own and having kids ... I did have time to recuperate, albeit that I couldn’t pay the bills because I was on the bare DPB … My health really came right after that year when I went back to work part-time. I got $100 more a week as a result of working 20 hours—and this made a big difference in not panicking when the power bill arrived… I am very loath to add any more stress to my life… Every time I see an envelope with (the welfare or tax office name) in the letterbox, I don’t want to open it … it is always bad news.“ Other women continued to experience poor health while on the DPB. Their health is clearly worsened by avoiding visits to doctors because of the high cost or not taking time off their part-time work, housework and caring activities to permit themselves to recover. One lone mother said: “I don’t go to the doctor myself, ever. I had pneumonia last year and didn’t go and ended up getting pleurisy… I finally went up there (to the doctor) and he – 136 – said: ‘My God, you’re a sick woman. You need to be in the hospital’. And I was, like, yeah, well I’m a single mother, so flag it. I’ll just go back home and carry on! … Most of the groceries I buy are for my son… In the last six months, I’ve lost about 8 kilos ‘cause I just can’t afford to feed me too much…” Another mother of three made a similar comment when discussing various health problems: “I’ve had a couple of minor operations while on the benefit. You know, they (hospital staff) used to say: ‘Now go home and go to bed’. (Laughter) You know, you can’t go home and go to bed, because you can’t. You’ve got kids to cook for and you’ve got clothes to get clean and you’ve got all that stuff to do and so that’s just a luxury that is not available. And so you just have to plough through it, which means that it takes you longer to recover. Much longer than it should”. Lack of social support seems to raise the stress level of many lone mothers, which aggravates their physical health. One immigrant woman took her children back to the United Kingdom but returned after experiencing “serious relationship problems” with a new partner (she hinted at physical abuse). Her ex-husband then took her to court for removing the children from New Zealand. Now she is trying to upgrade her qualifications in order to find a part-time job. She said: “I have got very, very stressed out at times… and I got a viral infection about four months ago and the doctor said that it was because of my stress and what I was under and the problems at home. It sort of enhanced it more and I ended up being in hospital for a week… By the time I finished [her course] and I got home, the children would be home from school and then its making dinner and doing homework and housework and washing and shopping and then by the time—they go to bed at 8:30—that was my time to study… So quite often I’d sit up till about 3 o’clock in the morning and I’m one of those people who don’t eat when I’m under stress as well. I don’t think about my health… (I) basically just run myself down but usually until the cold sores pop up, I don’t realise that I’m in that situation…” Later she mentioned that her best social support was her 12-year old daughter, who is: “… quite mature for her age and if she can see, it’s like she can sense things before I know they’re there, and she’ll, you know, just give me lots of cuddles and she’ll make me cups of tea and, you know, and she’ll even make me something to eat if she knows I’ve not had anything…” However, the fact that this child feels the need to .look after’ her mother places a rather heavy burden on her. Another woman, who lives with her asthmatic daughter, told us she had cancer when she was pregnant with her daughter and now has just been diagnosed with Crohn’s disease. Recently, she quit her part-time job for health reasons but her case manager disapproved and cut her benefit. She angrily reported the conversation with her case manager when she went to the welfare office to ask for a food voucher: – 137 – “… and I got a medical certificate. She’s seen it. She signed it and … I mean it is so frustrating… I’ve got no money. My daughter, I mean, shit, we’re onto our last couple of slices of bread. When I say we have no food, I mean we have no food and it was just so frustrating because this woman turned around and said to me: ‘You’re working!’ And I said: ‘No, I’m not’!” The beneficiary was angry because the case manager cut her benefit and then called her former place of work to verify that she was not working. Meanwhile, she had no food and had to borrow money from a neighbour. Many lone mothers reported that health problems interrupted their attempts to find work, retrain, or to hold onto a job. One lone mother was doing a double major at university and raising three children: “I had to cut back this semester because I got really sick after the first semester doing three (courses). It was just two much… raising three children and doing a degree is just far too much. You try to do it as quickly as you can because you want to be independent. But when you don’t have an ex-husband helping you out and you don’t have a family around, it’s just about impossible really to do it and do it well, you know, being able to cope without stress.” Some beneficiaries appear to use poor health as an excuse for not working. One lone mother, on the benefit for nearly twenty years, cares for two of her three children at home. She discussed her interactions with the welfare office: “Four years ago … they called me up and said, right—you’ve got to get a job and it was a big meeting and I was thinking, right, I’ve got to get a job, you know, got to get a job… Well I went home for another year and sat there and they called me up again: .Oh, what have you done?’ Oh, well I said, I’d thought about doing this correspondence course … I got away with another year.” She eventually took a correspondence course but received poor results. Now she argued that arthritis prevented her from performing most kinds of jobs: “I can’t … I doubt if I could, I mean waitressing—not that I want to be a waitress—but you know holding plates and that. Like I couldn’t do stuff like that. And I mean but I hate computers. I mean I would hate to sit in an office all day. Yeah, I honestly haven’t got a clue. I kind of hope someone will just one day come and offer me (a job) …” However, most lone mothers struggle to study or work but some are forced by poor health to cut down on their activities. A mother with two children, on the DPB for many years, went back to university (while receiving the DPB) to upgrade her education but had to quit due to poor health. She mentioned that she had arthritis and cancer, but had not told the welfare office much about her health problems. Nevertheless, she is now working at three part-time jobs to try to pay her bills. When asked if she discusses her health problems with her case manager, she replied: – 138 – “Personally, I say as little as possible, as little as possible, because it just comes back and bites you …” The fact that this woman has not reported her medical condition means that she doesn’t have a medical exemption and her case manager would pressure her to work more hours per week than her doctor would recommend. Yet she was reluctant to reveal too much about her “weaknesses” for fear that her case manager would use this information against her. Many of these women are coping simultaneously with their children’s health or disability problems and their own poor health at the same time that welfare officers are pressuring them to find paid work or increase their working hours. In most cases, lone mothers with medical certification would receive a temporary exemption from the requirement to find work until their health improved but some women in our study withheld information from their case manager. They feared that any change in their status would lead to further stigmatisation, intrusive personal investigations or a reduction of their already low income. Conclusion The link between poverty and poor health suggests that wealthier people can afford to purchase more nutritious food, dryer and warmer accommodation, better hygiene, warmer clothes, preventative health services, and better health care when they become ill. In addition, poor people are more likely to work in dangerous positions with low job control, live in high crime areas, and to engage in lifestyles that can have greater risks (Clarke, 2000). To understand how health issues affect the prospects of moving out of poverty for lone mother families on social benefits, we must reconsider and contextualise what ‘health’ means for many of these mothers. From our New Zealand study, it is apparent that health is a very ‘social’ concept in a welfare-to-work setting. The health of the entire household, including lone mother, her children and other dependants must be considered. A child’s poor health tends to reinforce the mother’s sense that she is solely responsible for the family, as well as a sense of self-sacrifice and concentration on the needs of the children. Where social supports are lacking and there are few family or community ties, life tends to appear even bleaker. Health also has multiple components and meanings: physical, mental, emotional and for some, spiritual. Together these elements comprise a sense of well-being, and help determine whether and under what circumstances a mother is ‘well’ enough to undertake paid work. Moreover, our research indicates that health for the lone mother family is embedded within the experience of poverty, the relative lack of resources, and constraints on aspirations and opportunities that these entail. It is poverty that makes poor or uncertain health so consequential for these women and their families. Having insufficient funds to go to the doctor or get a prescription, to deal with an unexpected health problem, and experiences at the welfare office that diminish self-esteem and confidence, are examples of the many factors that affect the paid employment prospects of low-income lone mothers. Our New Zealand research reinforces the finding of overseas studies that one-third of lone mothers on social benefits report poor family health or disability problems. The health of lone mothers is – 139 – much poorer than married mothers or women of comparable age. Combined with low levels of education, sporadic employment experience, and transportation and childcare issues, the health problems of lone mothers and their children interfere with their ability to fulfil the requirements of welfare to work programs. If these lone mothers cannot sustain continuing employment, they cannot improve their incomes. In liberal welfare states such as New Zealand, reliance on social benefits tends to prolong poverty for lone mothers and their children. Our interviews illustrate that these lone mothers suffer from considerable stress, which encourages the development of both physical and mental health problems. Leaving an unhappy marriage, which in some cases has been abusive, is difficult for many women who can’t pay their bills or cope with the children alone, and some go back to their partners several times before they separate permanently and go on the benefit. Retaining the primary or sole responsibility for children makes it difficult to upgrade their qualifications or find paid work, especially if their children experience health problems, disabilities or behavioural problems. The welfare office offers temporary exemptions from work or special benefits to lone mothers with health problems, but this often requires expensive visits to the doctor for certification. Many lone mothers, in New Zealand and in other liberal welfare states, clearly seem to need more assistance than they are receiving, in terms of financial assistance, childcare services, housing and transport subsidies, and counselling. If policy makers are serious about resolving .child poverty’, they need to review social assistance levels and the accompanying special benefits relating to medical expenses, disability allowances and counselling. In addition, they need to help address the barriers that many parents experience in trying to maintain employment, especially childcare for school-aged children but also improved public transportation for school children and themselves. Minimum wages and working conditions need to be regulated to permit parents to earn enough to support themselves and their children. Finally, health care needs to become more affordable for low-income families. Our New Zealand research indicates that the current welfare-to-work program places unreasonable demands on some lone mothers. They are expected to search for and maintain paid work without adequate social supports. Neither the social benefit system nor the public health system adequately addresses the poor physical and mental health of many lone mothers expected to exit from welfare. Without more acknowledgement of these problems and more public support, about one-third of lone mothers may be unable to pull their children out of poverty due to poor family health. – 140 – Table 1 Comparison of SF-36 Health Scores of DPB Women and NZ Women Table 2 Main Issues Preventing Women on the DPB Taking up a Paid Job References Baker, Maureen and David Tippin. 1999. Poverty, Social Assistance and the Employability of Mothers: Restructuring Welfare States. Toronto: University of Toronto Press. 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Toronto: University of Toronto Press. Whitehead, Margaret; Bo Burström & Finn Diderichsen. 2000. ‘Social Policies and the Pathways to Inequalities in Health: A Comparative Analysis of Lone mothers in Britain and Sweden’, Social Science and Medicine 50(2): 255-270. Wilson, Moira. 2000. ‘The Policy Response to the Employment Task Force and Changing Patterns of Domestic Purposes Benefit Receipt: A Cohort Analysis’, Social Policy Journal of New Zealand Issue 14 (July): 78-103. WINZ. 1999. Work Test—Work Services Handbook. 7/6/99 Internet. – 142 – ATELIER / WORKSHOP 402 PROJETS D’INTERVENTION AUPRÈS DES FAMILLES EXPOSÉES À DES PROBLÈMES SOCIAUX P A R : Z ÉLIA M ARIA M ENDES B IASOLI -A LVES , P H . D . P R O F E S S E U R T I T U L A I R E , D É P A R T E M E N T DE P S Y C H O L O G I E U N I V E R S I T É DE S ÃO P A U L O S ÃO P A U L O , B R É S I L ET É D U C A T I O N Introduction Les thèmes liés à l’amélioration de la qualité de vie des populations qui sont soumises à des conditions de souffrance et d’insuffisance de ressources pour surmonter leurs difficultés gagnent en force et en évidence dans les dernières décennies du XXe siècle. On voit naître des discussions dans les plus différents domaines sur des politiques publiques capables d’apporter de bonnes solutions à des problèmes qui empêchent les personnes d’avoir un développement adéquat. Et dans les pays qui ne font pas partie du « premier monde», le tableau qu’on observe est toujours plus sérieux. Au Brésil, la situation qu’on rencontre a des particularités, parce qu’il s’agit d’un pays qui : ◆ se rappelle à un continent; ◆ a des régions beaucoup plus développées que d’autres et donc des mouvements constants de migration; ◆ a des villes qui ont subi un agrandissement très rapide (400 % à 800 % en 50 ans), sans que les conditions d’infrastructure soient présentes; ◆ a une société agraire qui devient de plus en plus urbaine et avec une population sans préparation pour le type de travail que la ville exige; ◆ est une fédération dont le pouvoir est soumis à des intérêts divers (même internationaux) et qui ne fait pas une distribution juste des revenus. Ainsi, pour parler de projets d’intervention auprès des familles brésiliennes qui sont exposées à des problèmes psychosociaux, il faut d’abord signaler la pauvreté économique comme la cause la plus fréquente des difficultés qu’affrontent un grand nombre de familles (même si on considère qu’il s’agit d’un pays très riche en ressources naturelles), traduites par : ◆ les mauvaises conditions d’habitation et de l’endroit (surpopulation d’un espace très restreint, absence de réseaux d’eau et de conditions minimales de propreté); ◆ les difficultés pour avoir une nourriture appropriée à chaque jour; ◆ l’absence d’un emploi pour les hommes et les femmes qui puisse offrir un revenu minimum pour une survie digne de la famille; ◆ les femmes qui vont travailler dans les maisons des familles de la classe moyenne, ou même de la classe haute, et reçoivent très peu d’argent; – 143 – ◆ les enfants qui ont des difficultés à être à l’école et qui sont dans la rue pour mendier ou réaliser des tâches mineures; ◆ des familles qui sont en situation de risque d’entrer dans le monde de la drogue, de l’alcool, de la criminalité. Des familles dont les enfants sont aussi pauvres.1 D’un autre côté, les idées modernes sur les droits de l’homme se consolident dans la recherche de la Liberté Égalitaire (XVIIIe siècle), mais la vraie internalisation de ces idées vient après la seconde Guerre Mondiale, en 1948, avec la Déclaration Universelle des Droits de l’Homme. Dès ce moment, on a beaucoup travaillé en proposant et en approuvant des lois, en faisant des conventions, en élaborant des déclarations et, à chaque moment, en donnant priorité à une partie de la population. Au Brésil, c’est après la Constitution de 1988 et sous l’influence d’un mouvement qui a engagé différents secteurs de la société, préoccupés par les mauvaises conditions sociales d’un grand nombre de personnes, surtout des enfants (à ce moment-là déjà présents dans les rues des grandes villes), et en voulant de la justice, qu’on arrive au Estatuto da Criança e do Adolescente (1990) – Statut de l’enfant et de l’adolescent – Un ensemble de normes ayant pour objectif de placer « l’enfance et la jeunesse à l’abri de la négligence, de la discrimination, de la violence, de la cruauté, de l’exploitation et de l’oppression ». Lequel dit dans son article 86 : « La politique de l’attention aux Droits de l’enfant et de l’adolescent sera faite sous un ensemble d’actions gouvernementales et non-gouvernementales, de la Fédération, des Provinces, du District Fédéral et des Municipalités. » Ces actions doivent être accomplies selon deux principes : ceux de la hiérarchie et de la complémentarité. La promulgation du ECA a donc donné l’opportunité d’un travail conjoint entre l’université, la municipalité, les Conseils Tutélaires, le Conseil de Droit et les Juges de l’enfance et de la jeunesse. Les études et données rapportées ici ont été conduites selon ce cadre légal. D’un autre coté, l’Approche Écologique de Bronfenbrenner (Bronfenbrenner, 1994, 2000; Tudge, 2001) est le modèle qui donne le fondement pour la récolte et l’analyse des données. Le diagnostic de la situation Le contexte Ribeirão Preto est une ville de 450/480 mille habitants, située dans une région agricole, avec une production élevée d’alcool combustible (pour les voitures) et un commerce bien développé; donc, c’est une ville très riche, mais en même temps avec un grand nombre de familles qui vivent dans les bidonvilles, dans lesquels habitent des hommes et des femmes qui n’ont pas de travail pendant la plupart de l’année (une caractéristique de la culture de la canne à sucre est qu’elle offre du travail seulement pendant certains mois de l’année), et aussi, les écoles et les services publics sont éloignés. 1 Quand on regarde la situation de misère et de difficulté socio-économiques des familles et des enfants au Brésil, on n’a pas l’habitude de considérer la pauvreté affective, surtout parce qu’il ne s’agit pas d’adultes qui ne sont pas attachés à leurs enfants mais de personnes qui ne peuvent pas donner à leurs enfants les conditions appropriées à leur survie et à leur développement. – 144 – Les programmes offerts par la municipalité I. À partir de 1993/1994, la municipalité a commencé l’installation de Centres pour les Enfants et les Adolescents autour de la ville, dans les régions plus pauvres, avec l’objectif de promouvoir des activités académiques complémentaires, sportives et artistiques pour les enfants et adolescents (6 à 16 ans) hors des heures de classe, pour qu’ils puissent avoir de la surveillance pendant toute la journée et aussi la possibilité d’utiliser les services de santé, d’orientation légale et professionnelle pour eux et pour leurs familles (on a maintenant 800/900 sujets distribués en 12 Centres). II. Projets ou Programmes – La municipalité structure (en fonction des besoins de la communauté et aussi après l’étude des dotations qu’elle a pour être distribuées dans le domaine social, de la santé et de l’éducation) différents programmes qui ont des buts particuliers et qui ont toujours l’obligation d’une inscription de la famille qui puisse permettre d’évaluer sa situation et de déterminer ses besoins prioritaires. Ils peuvent être divisés en : Programmes qui donnent des revenus ou une aide matérielle : ◆ revenu minimum; ◆ panier de base – l’alimentation pour une famille de trois ou quatre personnes, pour un mois; ◆ le lait pour les enfants; ◆ ville nettoyée. Programmes centrés sur le support à l’éducation : ◆ écoles; ◆ garderies; ◆ écoles municipales d’éducation infantile (EMEIS) (deux périodes pour des enfants de moins de six ans); ◆ pédagogie dans la rue; ◆ ville pour l’enfant. Programmes qui donnent une aide psychologique / sociale / médicale : ◆ centres pour la santé; ◆ groupes de mères. Mesures extrêmes : ◆ CACAV (Centre pour les enfants victimisés); ◆ garderie d’accueil – D. Miele; ◆ CARIBE I et II (Centre pour les enfants en régime d’adoption); ◆ famille substitutive. – 145 – La participation de l’université dans les projets de la municipalité Le Groupe de Recherche2 a travaillé à l’évaluation de certains programmes. A. D’abord, on a établi une définition de la famille comme une association de personnes qui ont décidé de vivre ensemble et de prodiguer des soins les uns envers les autres, surtout en accueillant les enfants durant leur période de dépendance; l’objectif était d’avoir une approche commune à tous les membres du groupe. Donc, à ce moment, on laisse de côté l’idée d’une famille idéalisée dans sa structure; on porte vraiment attention à la « famille vécue », la famille qu’on a devant nous et qui est dans un contexte social avec ses idéologies, valeurs, croyances et sentiments (Bronfenbrenner, 1994). B. Ensuite, on a établi que les projets de recherche sous la direction de l’université doivent apporter des idées nouvelles à l’intervention, mais avec une perspective éthique. Ce principe, dans le domaine de l’investigation, signifie être capable d’envisager la famille et les enfants comme des sujets de droits; et aussi, il faut penser à un type d’appui à la famille qui ne la rende pas dépendante par rapport aux institutions d’aide, mais qui puisse promouvoir son développement – en rejetant les stratégies qui peuvent favoriser sa dépendance et rendre difficile son émancipation; finalement, penser la famille comme étant capable de résoudre ses problèmes avec l’aide des institutions et donner de l’orientation aux professionnels qui travaillent avec elle pour que son évolution soit assurée; et on considère que le développement des enfants doit se passer surtout (dans la mesure du possible) au sein de la famille. Études On a choisi quatre études, toutes faisant partie d’un projet plus étendu avec des familles pauvres, et on a sélectionné, aux fins de la présente présentation, des données qui montrent les résultats obtenus après les actions entreprises par la municipalité suite aux dénonciations au Conseil Tutélaire3. ◆ Dynamique des relations familiales au sein de familles pauvres Études de cas (approche transversale) avec des familles (n = 4) dont les enfants ont été accueillis dans une maison pendant une période de temps, jusqu’au moment où elles deviennent capables, de nouveau, de prodiguer les soins envers leurs enfants. ◆ Pauvreté et violence envers les enfants et les adolescents Étude des enfants accueillis (approche transversale) dans une institution (n = 20) qui a pour but de donner du support à des familles aux prises avec la problématique de la violence envers leurs enfants. 2 Le Groupe de Recherche « Famille et Socialisation » rattaché au Département de psychologie et d’éducation de la FFCL RP – Université de São Paulo vient collaborer avec la Secrétarie du Citoyen de la Municipalité déjà quelques années après le fonctionnement de ces programmes. 3 SOS Enfant – Un service qui reste disponible 24 heures tous les jours. – 146 – ◆ Négligence / abandon / pauvreté et famille substitutive Étude du programme Famille Substitutive (approche longitudinale) pendant 8 mois en suivant ce qui se passait à l’interne et en faisant l’analyse de la situation de 56 enfants (29 familles) âgés de 1 à 16 ans. ◆ Accueil des enfants et des adolescents dans des institutions selon la recommandation du Conseil Tutélaire Étude de toutes les interventions réalisées pendant quatre mois, avec l’objectif de décrire les raisons qui ont motivé des juges à retirer des enfants/adolescents du milieu familial. Objectif L’objectif général de ce travail est de faire une analyse, sur une courte période de temps, de certains services qui sont offerts aux enfants, adolescents et leurs familles qui sont en situation de risque psychosocial. Les objectifs spécifiques envisagent : ◆ d’obtenir des informations sur la perception des professionnels sur les problématiques présentes dans les familles; ◆ d’obtenir un cadre des motifs pour lesquels les enfants sont retirés du milieu familial; ◆ de vérifier la perception des parents et des enfants sur les programmes offerts et leurs résultats. Méthodologie Dans ces études, on a obtenu des données par le biais de stratégies qui comprennent : ◆ l’analyse des formulaires préparés par les institutions au moment où elles reçoivent les enfants et les adolescents ainsi que des rapports produits pendant qu’ils sont sous leur garde; ◆ l’analyse des documents caractéristiques de chaque institution, programme ou Conseil Tutélaire (les objectifs, les normes, la clientèle envisagée); ◆ des entrevues avec les professionnels (travailleur social4, psychologue, membres des Conseils Tutélaires); ◆ des entrevues avec les mères des enfants et des adolescents qui étaient déjà sous l’attention d’une institution; ◆ des entrevues avec les enfants et les adolescents qui avaient l’expérience d’être accueillis par un programme ou par une institution; ◆ des observations de la routine des services d’Attention Directe. Ces études ont été développées selon les approches transversales et longitudinales; les choix ont été determinés, à chaque moment, en fonction des objectifs et des besoins liés à la récolte des données. Les analyses ont été réalisées selon deux systèmes : quantitatives et quantitatives/interprétatives. 4 Au Brésil, ce professionnel porte le nom d’assistant social. – 147 – Résultats et discussion D’abord, il faut signaler les lignes directrices des analyses, en accordant beaucoup d’importance à : ◆ un diagnostic des situations observées et de certains aspects de la réalité qui entourent les familles qui ont fait partie de ces quatre études; ◆ un cadre des besoins que les personnes envisagées rapportent, à partir de ce que les familles disent sur leur situation et leurs désirs en matière de soutien; ◆ des indicateurs quantitatifs, applicables à toute la population, mais aussi une analyse qualitative, plus approfondie, des aspects qui seront liés à des projets d’intervention. A. La première donnée importante montre que la totalité des familles, dont les enfants et les adolescents ont été placés sous la protection du Conseil Tutélaire, sont en situation de pauvreté ou de misère. Donc, elles peuvent être identifiées comme étant en situation de risque psychosocial en raison d’une insuffisance de ressources économiques qui se reflète dans les conditions du milieu où elles habitent. Mais, un autre facteur vient s’ajouter au cadre du risque parce que les familles, dont la structure correspond au modèle nucléaire en raison de grandes difficultés matérielles, se disjoignent et adoptent les stratégies les plus variées pour survivre. B. Les programmes 1. Du côté des programmes, l’évaluation montre bien la difficulté que pose la définition de chaque problème identifié. Ainsi, il arrive qu’en même temps on ait des cas parfaitement décrits et d’autres avec un mélange de toutes les causes. Les problèmes identifiés qui ont une relation avec l’abandon sont : la maladie des parents (20 %); l’hospitalisation des parents (20 %); la disparition des pères (20 %); la prostitution des mères (20 %); les mères en prison (20 %); sans rapport (20 %). D’autre part, les problèmes identifiés qui ont une relation avec la négligence sont : les problèmes d’alcoolisme des parents (31,2 %); la maladie mentale des parents (18,2 %); drogue et famille dans la rue (6,3 %); drogue, SIDA et prostitution (6,3 %); alcoolisme et maladie mentale (6,3 %); drogue et criminalité (18,6 %); sans rapport (12,3 %). Ces données montrent surtout que chaque problème ne vient pas tout seul, qu’il y a beaucoup d’autres situations qui rendent l’abandon et la négligence presque inévitables et que ces derniers sont majoritairement associés à la pauvreté. 2. Ensuite, on a observé qu’il y a beaucoup de raisons à l’origine du placement de l’enfant dans une famille substitutive. La négligence est responsable dans 29 % des cas; la violence dans 35 % des cas; la misère dans 18 % des cas; l’abandon dans 6 % des cas; la fuite de l’enfant de la maison dans 6 % des cas; et les relations inappropriées au sein de la famille dans 6 % des cas. Cependant, les descriptions dans les abrégés laissent des doutes quant à la présence et à l’utilisation d’une définition commune à tous les professionnels au moment où ils font l’enregistrement des cas. 3. Quand on analyse la question de la dénonciation de la maltraitance au Conseil Tutélaire, on observe d’abord que le placement des enfants et des adolescents dans les centres d’accueil est la mesure adoptée dans 20 % des cas. Les données extraites des abrégés montrent aussi que – 148 – dans la plupart des cas (80 %), la personne responsable pour la violation des droits des enfants et des adolescents est la mère, suivie par des membres de la parenté (10 %) et le père (10 %). Ici, il est important de signaler que très souvent, le père n’est pas présent à la maison, parce que le niveau de séparation conjugale dans ces populations en situation de risque psychosocial est grand; d’autre part, même quand le père est là, il n’a pas l’habitude de s’occuper de donner des soins aux enfants (Dacanal, 2000). 4. L’analyse des cas d’interventions réalisées par le Conseil Tutélaire montre que seulement 20 % sont finalisés avec succès. Quand la liaison de la famille avec le programme se termine, cela signifie que la famille peut offrir des meilleures conditions à ses enfants ou que les conditions de risque ne sont plus présentes. On peut interpréter ces résultats comme une conséquence de la complexité des problèmes sous investigation et traitement; aussi, il y a la « réincidence » des problèmes, un phénomène très présent, ce qui mène à argumenter qu’une évaluation des programmes offerts par la municipalité doit être effectuée. C. Les familles Il faut signaler que les familles, de plus en plus, cherchent de l’aide dans les services offerts par la communauté; elles veulent résoudre les problèmes qu’elles ont pour survivre avec leurs enfants dans les villes et perçoivent que les conditions où elles se trouvent ne sont pas favorables et qu’elles ont besoin d’appui externe. 1. L’analyse du programme Famille Substitutive permet de dire qu’il fonctionne d’une manière positive. Mais il faut considérer que souvent, l’accueil de l’enfant par une autre famille arrive avant que les adultes ne recherchent le Programme qui, parmi d’autres actions, donne des ressources à chaque mois pour que le nouveau milieu puisse accueillir l’enfant pendant une période de temps. Certains auteurs (Takashima, 1994) appellent ce phénomène, fréquent chez les familles des classes populaires, la « solidarité parentale due à la ville de naissance ». Cela signifie que dans la famille élargie ou même dans le voisinage, les personnes se préoccupent des enfants et qu’elles, selon les ressources dont elles disposent, veulent prendre soin des enfants des amis ou de la parenté. 2. Si on analyse les données des quatre études, on constate que les familles apprennent à chercher les services offerts par la Municipalité et par d’autres institutions présentes dans la communauté. Si, quand commencent les problèmes avec leurs enfants, elles sont éloignées des sources d’information et ne savent pas où chercher de l’aide, après un temps elles deviennent beaucoup plus compétentes pour trouver l’appui dont elles ont besoin et même donner des orientations à d’autres familles. 3. Quand on envisage les programmes qu’utilisent les mesures extrêmes de placement des enfants et des adolescents dans les maisons d’accueil sous l’angle des membres des familles sous l’attention directe du Conseil Tutélaire, on constate qu’environ 70 % ont une connaissance des motifs du retrait de l’enfant ou de l’adolescent de son milieu familial; mais – 149 – souvent ils ne sont pas d’accord avec ce type de mesure (40 %) et discutent de l’efficacité d’autres actions possibles. 4. Surtout, les familles racontent les difficultés qu’elles ont éprouvées quand l’enfant ou l’adolescent est retourné à la maison, parce qu’il n’est plus capable d’obéir et les mères ont un sentiment d’impuissance; elles considèrent que leur pratique éducative reste sans effet et qu’elles n’ont plus le pouvoir de contrôler le comportement inadéquat de leurs enfants. Une interprétation possible de cette situation met en lumière la question de l’affaiblissement de l’autorité des parents à cause du retrait des enfants de leur milieu familial, suivie d’un nombre d’accusations. La critique que l’on peut faire, suite à ces études, porte sur la manière dont les institutions travaillent, parce que le résultat qu’elles obtiennent signifie souvent de rendre la famille moins capable d’assumer la responsabilité d’éduquer ses enfants et adolescents d’une manière efficace (Augusto, 2002). 5. À cette situation vient s’ajouter, d’abord, une indifférenciation des actions proposées dans les programmes. Les études réalisées ont permis de dégager une liste des possibilités d’actions des professionnels dès le moment où ils prennent connaissance d’un cas : a) contact avec les Conseils Tutélaires, avec l’objectif d’échanger des informations, en discutant et en demandant des explications sur les procédures et les mesures qu’ils appliquent; en même temps, il y a la préoccupation que le Conseil puisse prendre connaissance de l’adhésion des membres de la famille aux actions proposées par les programmes; b) entrevues avec les mères/pères ou responsables, réalisées par les professionnels des Maisons d’accueil où se trouvent les enfants et adolescents, ayant pour but d’éclairer les raisons qui ont mené à ce que les enfants soient mis à l’abri; les problèmes et les conditions du fonctionnement familial impliqués dans la situation; les besoins des enfants et les soins importants pour garantir leur santé et leur développement; finalement, de donner des informations sur les ressources disponibles au sein de la communauté : écoles, garderies, centres de l’enfance; c) visites domiciliaires, pour faire un diagnostic de l’environnement dans lequel vit la famille, ses besoins et ses ressources; ensuite, une ou deux fois par mois (selon la disponibilité de l’institution), les professionnels reviennent à la maison des enfants accueillis, donnent des informations, des orientations et essaient d’établir un dialogue avec les familles; d) contact avec d’autres programmes et services avec l’objectif de diriger les familles vers une assistance médicale, psychologique, juridique ou vers des agences où elles pourront trouver des opportunités de travail; e) comme complément, il y a des groupes d’appui ou groupes thérapeutiques, selon le cas, surtout pour orienter les familles confrontées à des problèmes d’alcool et de drogue; f) appui matériel pendant une période de temps; certaines modalités impliquent de donner de l’argent, mais le plus fréquemment, selon les besoins de la famille, il faut fournir du lait aux enfants à chaque semaine et un panier alimentaire de base à chaque mois; – 150 – g) contact avec le réseau social d’appui; quelquefois, il est important d’obtenir un complément d’informations sur la situation des parents et de leurs enfants, mais il y a aussi l’objectif de trouver des personnes qui, en l’absence du père ou de la mère, puissent prendre sur elles la garde des enfants; h) visites des parents aux enfants et adolescents hébergés dans des institutions. L’intention est claire : il est important que le lien parent-enfant ne soit pas brisé. Cependant, bien que la liste soit grande et comporte des propositions intéressantes, celles-ci sont mises en œuvre d’une manière peu systématique et des procédures semblables sont appliquées à tous les cas, même si les difficultés sont différentes (Bazon, 1999). D. Le service public Il est vrai que les politiques publiques veulent être en accord avec les besoins des populations et que les services augmentent en quantité et en qualité; en même temps, il est évident que les problèmes sont beaucoup plus fréquents et que l’appareil public n’a pas la flexibilité requise pour éviter que les problèmes s’installent. La discussion que l’on peut faire, en suivant l’Approche Écologique de Bronfenbrenner (Tudge, 2001), souligne la nécessité de connaître le contexte, dans tous ses aspects, avant de pouvoir faire une interprétation adéquate; ainsi, on constate qu’il est essentiel d’analyser la famille comme un microsystème en interaction avec d’autres (comme l’école, l’institution d’accueil) et enveloppé par l’exo- et surtout par le macrosystème, c’est-à-dire par les valeurs et les croyances. 1. Devant ce modèle, les premières questions qui se posent sont les suivantes : Connaît-on vraiment ces familles et ce qu’elles considèrent comme nécessaires pour les aider? Les principes qu’elles suivent et les pratiques qu’elles adoptent? Ou, au contraire, a-t-on seulement des préconceptions avec lesquelles on aborde les familles pauvres, en considérant comme idéal les normes et les valeurs des classes moyennes? On doit donc réaffirmer l’importance du diagnostic. Il s’agit d’un moment précieux pour l’apport de données sur la réalité dans laquelle vivent les familles; il est donc essentiel et ne doit pas être remplacé par une action directe, programmée en fonction des objectifs établis sous l’autorité du professionnel, avant d’avoir effectué une analyse complète de la situation. 2. Un second aspect, résultant des données de ces quatre études, est que la famille, malgré tout ce qui peut être dit dans le discours, n’est pas au centre de l’attention des professionnels et des institutions. Cette constatation apporte une nouvelle question : Comment va-t-on promouvoir le développement des enfants, surtout des enfants qui sont dans la pauvreté et qui ont moins d’opportunités d’être avec d’autres adultes significatifs si on ne pense pas d’abord à la famille? Il est possible que le rôle essentiel des investigations réalisées par l’université, quand elle est en interaction avec les institutions de la communauté, doit être de discuter le diagnostic avec les professionnels qui travaillent directement avec les enfants, les adolescents et les parents, dans des programmes d’interventions; l’objectif premier étant d’aider les familles à – 151 – fonctionner d’une manière plus efficace; il faut se rappeler que les adultes sont les premiers modèles des enfants et que la famille, en tant que milieu essentiel de développement, offre les opportunités des premiers liens affectifs et est donc à la base de la socialisation. Dans la famille naissent les citoyens. Et, si on reconnaît comme Postman (1982, p. 19) que « les enfants sont des messages vivants que nous envoyons à un temps que nous n’aurons pas l’opportunité de voir », il faut soigner de plus en plus les nouvelles générations, de toutes les conditions sociales. Mais, surtout, les services publics doivent porter attention à celles qui sont dans la pauvreté. La manière la plus effective d’accomplir cette tâche est de placer la famille au centre de l’attention et de l’appui. Le plus tôt on agira dans ce sens, mieux on pourra satisfaire au critère que Bronfenbrenner (1975) considère comme le plus efficace pour évaluer une nation : « le soin que la génération plus âgée porte envers la plus jeune », en même temps qu’on établit une nouvelle direction à nos actions : vers la prévention. Références Augusto, A.P.R. (2002). Conhecendo famílias de crianças e adolescentes vitimizados: subsídios para propostas de intervenção com base numa análise de necessidades. Monografia de conclusão de Bacharelado. Ribeirão Preto: FFCLRP USP Bazon, M.R. (1999). Dinâmica e sociabilidade em famílias de classes populares: histórias de vida. Cadernos de psicologia e Educação Paidéia, 10, no. 18, 40-50. Bronfenbrenner, U. (1994). Ecological models of human development. International Encyclopedia of Education (Vol. 3, p. 1643-1647). Oxford : Elsevier Sciences. Bronfenbrenner, U. (2000). Developmental science in the 21th Century: Emerging questions, theoretical models, research designs and empirical findings. Social Development, 9, 115-125. Dacanal, J. N. (2000). Intervenções junto a famílias acometidas pela problemática da violência doméstica: descrição análise de um programa de atendimento na cidade de Ribeirão Preto – SP. Monografia de conclusão de Bacharelado. Ribeirão Preto: FFCLRP USP Estatuto da Criança e do Adolescente, Lei no. 8.069, de julho de 1990. Postman, N. (1982). The disappearance of childhood. New York : Dell Publishing Takashima, G.MK. (1994). O desafio da política de atendimento à família: dar vida às leis – uma questão de postura. Em S.M. Kaloustian (Org). Família brasileira a base de tudo (p. 38-53) Paulo: Cortez Tudge, J. (2001). Estudando a criança e a família em seu contexto: para uma abordagem cultural da Tolerância. Em Z.M.M. BiasoliAlves e R. Fischmann (Orgs). Crianças e Adolescentes- construindo uma cultura da tolerância. São Paulo: EDUSP. – 152 – ATELIER / WORKSHOP 304 THE IMPACT OF DROUGHT ON THE INDIGENOUS CHILDREN: SOME REFLECTIONS FROM KALAHANDI DISTRICT OF ORISSA, INDIA B Y : D EEPAK K UMAR B EHERA , P H . D . P R O F E S S O R , D E P A R T M E N T OF A N T H R O P O L O G Y SAMBALPUR UNIVERSITY SAMBALPUR , O RISSA , I NDIA Our security and quality of life depend upon the well-being of our children. It is simply not possible to develop a healthy society on the backs of poor and unhealthy children. (Ross, Scott and Kelly, 1996: 95) Introduction The issue of food insecurity in Kalahandi has received regular attention in the recent decades through media coverage. The frequent reporting of child selling and starvation death has made the region known the world over. When we analyze the history of drought in Kalahandi, we get a gloomy picture of poverty and food insecurity. After 50 years of independence the people of Kalahandi are not only trailing economically but also educationally. The deep-rooted poverty of this region traps many poor families during the lean season of a year. The regular failure of rainfall causes serious problems like food crisis and lack of employment opportunity in this region. The total dependence of people on monsoon has had led to several droughts during the past 100 years. The social disruption caused by recurrent periods of drought and food crisis is a matter of serious concern. While analyzing the problems of food insecurity and the reasons why certain regions and certain sections of population are more vulnerable than the others, it is necessary to examine the nature of the interrelationship between the “natural” and “human” factors, identifying how these factors affect the ability of a particular society or group to cope with the stress experienced by them. This must include an examination of the relationship between physical environment and patterns of social production and reproduction in the community concerned (Report on Drought Situation in Western Orissa, 1997: 7-8). The unequal distribution of resources, monopoly of the elites over the natural resources, non-egalitarian public distribution system, opportunist motives of the political leaders, over exploitation of the merchants, outrage of resource by the intruders have made the situation further worse for the indigenous population of the area in general and children in particular. The Drought-prone Kalahandi Kalahandi is the most backward district in Orissa. It is the southwestern district of Orissa with a large hilly tract forming part of the main line of the Eastern Ghats. The district is formed out of the Kalahandi feudal estate, which merged with the Indian Union in 1948 and the Khariar zamindari, which was part of the Central Provinces and was transferred to the State of Orissa in 1936. – 153 – The total population of the district is 1,334,372, which constitutes 3.64 percent of the total state’s population (Census of India, 2001). The annual rainfall of the district is 1,377 mm, which is a very comfortable level of precipitation. Large areas of the district are hilly with varying degrees of slope due to which rainfall is quite rapid. The soil types of the district are excellent for cultivation with about 16 percent of the district having black, clay soil. The fertility of the soil along the riverbanks of Tel, Udanti, Hati, Uttei and Sagada is high. Despite this munificence of nature, Kalahandi continues to be a drought-prone and poverty-stricken district. It is significant to record that Kalahandi has the lowest (11.57%) irrigation facility in the state of Orissa. The low irrigation availability in this district can be explained in terms of lack of proper management of existing sources of water and the absence of adequate State intervention to raise the irrigation base (Report on Drought Situation in Western Orissa, 1997: 6). Due to a lack of suitable irrigation facilities in many places the success of the harvest depends heavily on the monsoon arriving at the appropriate time and in adequate quantity. For this reason there is a high degree of risk attached to agricultural production and a high incidence of crop failure. Outside of agriculture there is a major shortage of alternative opportunities for employment. While the overall literacy rate of the district is 46.20 percent, its female literacy rate is 29.56 percent (Census of India, 2001). High levels of illiteracy and limited access to satisfactory education facilities leave large numbers of people highly vulnerable to various forms of exploitation. The vulnerability is influenced by the level and nature of their participation in the market; and by the way market operations are structured in the area concerned. Further, people’s ability to ensure food security is frequently impaired by poor health and the reduced efficiency of their immunity system caused by inadequate nutrition. Problems of food insecurity faced by sections of population in Kalahandi must be linked to wider social, political and economic factors and the pattern of historical development, which has been shaped by settlers from outside and the rich landlords, vesting them with considerable economic and political power (Report on Drought Situation in Western Orissa, 1997: 8-9). The District Gazetteer reports the history of drought in the region. A severe drought hit the district in 1954-55. A still more severe form of distress was seen in 1965-66. Like the population census once in 10 years, the drought also occurred in 1974-75, after 10 years. The Nawapara sub-division of Kalahandi district also witnessed severe drought in the years 1985 and 1996. Besides these major droughts, one finds droughts of smaller magnitude in this area almost every year. A major part of the district remains inaccessible during the rainy season. Most of the villages are connected by fair-weather roads, which can be used by vehicular traffic from January to June. During the rest of the year the roads remain inoperative. The heath delivery system of the district is the worst in the state. People have to travel a long distance to reach the nearest Primary Health Centre (PHC). The Public Distributive System (PDS) does not operate effectively due to continuous manipulation made by the persons who remain in charge of the system. The rich natural resources of the districts are mostly being exploited by the members of the trading communities (mostly Marwaris) who have been staying here for a long time. A majority – 154 – of the indigenous people of the districts are from Scheduled Caste and Scheduled Tribe backgrounds. The literacy level is extremely poor in the district. Recurrent Drought Leading to Extreme Poverty Recurrent drought severely affects the basic securities of a community. It can be said that extreme poverty is reached when all these securities are deeply undermined through recurrent drought. When most areas are affected, the person is not respected, nor has any value in any field of life. He begins to be seen as an “infra human being,” as Joseph Wresinski said. He had other strong words to describe this condition, such as “social death”, “not existing anymore” and said that this was what really distinguishes deprivation from extreme poverty (Wresinski, 1989). The problem of economic insecurity resulting from recurrent drought is a product of a structurally non-egalitarian distribution of resources and production. Poverty is to be measured in terms of the lack of basic securities, such as income, housing, education and training, health, culture, family links and social networks. While droughts are bound to affect the economy and social life of the people, the severity of the impact depends on the intensity of the drought, the manner in which it is handled and the strength and resilience of the economy and society (Dubhash, 1992: 30) Poverty and Children’s Well-being Poverty has been defined alternatively as: (1) lack of sufficient income for people to “play the roles, participate in the relationships and follow the customary behaviour which is expected of them by virtue of their membership in society” (Townsend, 1992: 5-10), and (2) inadequate resources to obtain basic living needs: food, shelter, clothing (Smith, 1976). Rather than seeing a conflict between the two definitions, Aber (1997) views the “social capital” and “physical capital” emphases of these two definitions as the two sides of the same coin of economic deprivation. Therefore he opines that though economic or material deprivation is most important, still other forms of deprivations— social, physical, psychological—have a definite bearing on the well-being of children. Although poverty level has something to do with the community, country, time one is living in, yet the very idea of “relative poverty” does not seem to portray the intolerable state which some people are living in (Tardieu, 1997: 209). As Amartya Sen (1983) puts it, “one consequence of taking this type of rigidly relativist view is that poverty cannot—simply cannot—be eliminated (…) there will always be certain sections of society that are badly off in relative terms”. Seeing poverty as an issue of inequality, he writes, is not enough to understand its devastating effect, and therefore to conceptualize it. Obviously a qualitative threshold is crossed when a human being falls into deep poverty. Extreme poverty is a violation of human and children’s rights and that the poorest are the victims of these violations. Wresinski (1987) describes lack of basic securities as component of indicators extreme poverty’s onslaught on human rights. A lack of basic security is the absence of one or more factors that enable individuals and families to assume basic responsibilities and to enjoy fundamental rights. Such a situation may become more extended and lead to more serious and permanent consequences. Chronic poverty results when lack of basic security simultaneously affects several aspects of people’s lives, when it is prolonged, and when it severely compromises people’s chances of – 155 – rearing their rights and of reassuring their responsibilities in the foreseeable future (Tardieu, 1997: 211) Poverty is not the only factor that can put children at a developmental disadvantage. Increasingly, however, evidence suggests that poverty and many of the conditions associated with it too often create unhealthy environment that can handicap the development of children and youth (Ross, Scott and Kelly, 1996: 68). Of course, child poverty is family poverty, since young children are not expected to support themselves. If we had no poor families, we would have almost no child poverty, although materially neglected children would still suffer because some families fail to allocate or adequately share income. The point is: tackling child poverty means tackling family poverty. It means examining the environmental conditions that keep parents from receiving adequate income (Ross, Scott and Kelly, 1996: 68). A major reason for the rising rate of family and child poverty is the worsening pattern of income and locally available resource distribution. Living in low-income families exposes children to greater risks of all kinds. Across a wide range of variables, poor children fare far worse than children from families that are better able to meet their basic needs. Simply put, poor children have poorer health, they have lower levels of educational attainment, they live in riskier environments and they partake in riskier behaviours. Over the long term, child poverty significantly endangers a child’s opportunity to grow and develop into a healthy, self-reliant adult. It is important to note that poor infants have a higher mortality rate; low birth weight is more prevalent in poor neighbourhoods and disability is linked to low income. The most powerful force driving children into hazardous work or employment is poverty. Poverty thus begets child labour, which in turn perpetuates poverty, inequality and discrimination. Partial evidence suggests that children in poor families sometimes contribute up to a quarter of household income. Since poor households spend a large proportion of their income on food, child labour can indeed be critical to their survival. Having to labour as a child—and most children who work do not have the privilege of free choice—can have an immense impact on the child’s physical and intellectual development. While poverty, illness or disability and other crises within the household often lead to child labour, another important factor that can push children into the workplace is the weight of local customs and traditions. Children are sometimes expected to play their social role or follow their parents’ footsteps in a particular trade. Local traditions can require poor families to indebt themselves for social or religious events, for which they subsequently have to rely on their children’s work to pay off the debt. Because of insufficient awareness of its consequences, child labour may be so deeply ingrained in local customs and habits that the parents and the children themselves do not realize that it is illegal or against the interests of the children. Any system of indicators of children’s well-being emphasizing new measures beyond survival would nonetheless be inadequate without measures of poverty. This is because poverty is one of the major constraints on children’s well-being and so is a necessary context within which to judge other indicators of children’s well-being. Child poverty places severe limits on the abilities of families, communities, states and societies to enhance the well-being of children (Aber, 1997: 193). – 156 – Poverty is the main underlying cause of millions of preventable child deaths each year. It is the cause of millions of children going hungry, missing out on school or being forced into child labour. Poverty causes lifelong damage to children’s minds and bodies, perpetuating the cycle of poverty across generations. Objectives An attempt has been made in this paper to examine the consequences of drought and poverty on a sample of indigenous children through an empirical study. The study tries to present a picture of the social disruption caused by recurrent drought in the Kalahandi and how that has adversely affected the life of the indigenous children. It analyses the problem of food insecurity and the reasons why the indigenous children of this region are more vulnerable than the others. Methodology The study was conducted in two non-irrigated villages, namely Mahulkot and Jayantpur, of Kalahandi district, which were severely effected by the drought of 1996. Data were collected from the sample villages during the period of drought through interview, observation and case study methods. Children of the sample villages constituted the primary set of respondents for the study. Along with income level of the villagers, three other aspects were taken into consideration, namely, irregularity of income, chronic debt and the nature of income. We also examined the way children think about the drought and participate in crisis management during the drought period. Their views on the impact of drought on their lives were also recorded and analyzed. The Sample Villages Mahulkot has a total population of 444 consisting of 156 households. On the other hand Jayantpur is a relatively smaller village having 65 households and a total population of 258. Village Jayantpur is situated closer to the forest in comparison to Mahulkot. Both villages are multi-ethnic and have a low level of literacy rate. The literacy rates for male and female of Mahulkot were 46.1 and 27.8 whereas the corresponding figures for Jayantpur were 43.1 and 24.2. The illiteracy rate is thus much higher in the sample villages than that of the State and National average. A majority of families have small and uneconomic land holdings. A good number of families are again landless. Though some of the people do not have patta land, yet they cultivate the land on the hill slope or near the stream (government land) and thereby try to produce part of their own consumption requirements. Both villages have a primary school. However, the children move out of the village for receiving secondary level education. A larger number of boys attend schools compared to girls. Neither of the villages has a Primary Health Center (PHC); the villagers use to cover at least four kilometres either by foot or by cycle to reach the nearest PHC. Though there is provision of electricity in the village Mahulkot, only 21 families have availed themselves of the service. Other people have decided against the same considering it to be too expensive. In Jayantpur there is no provision of electricity. – 157 – In both of the villages the work participation rate for men, women and children is very high. Inside the village they earn wage mostly as agricultural labourers. The payment (bhuti) is made in kind. The scope of earning wage during the period of drought becomes so less that all able-bodied persons move out from the village for earning wage. Income generating activities include mat and basket making, selling firewood and vegetables in the weekly market. The inhabitants of both villages have low risk-bearing capacity, as they are very poor. The crops grown in the sample villages are very much dependent on rainfall without any protective irrigation facility. The level of water comes down so much during summer that the villagers experience acute water shortage. They cover long distances to fetch portable water. Livestock were important to the household for ploughing, for manure and for milk products for domestic consumption. Impact of Drought: Chain of General Consequences Drought was just the beginning of a slow process by which it permeated through the economy and made its impact felt mostly by the vulnerable group. There is a “sequential pattern” in which the drought manifested itself in the sample villages. ◆ Decline in the crop acreage; ◆ Set back to agricultural production (crop production, milk production); ◆ Fall in employment in the agricultural sector due to slowing down of agricultural activity; ◆ Fall in purchasing power of those engaged in agriculture; ◆ Scarcity of drinking water; fall in water level; ◆ Scarcity of food grains; ◆ Rise in the price of food grains and other commodities; ◆ Scarcity of fodder; ◆ Distress sale of cattle; ◆ Loss of cattle life; ◆ Low intake of food; ◆ Malnutrition especially among children; ◆ Ill health and spread of diseases like diarrhea, dysentery, cholera; ◆ Distress sale and mortgage of land, jewellery and personal property; ◆ Migration of people in search of employment; depopulation of area; ◆ Death due to malnutrition/starvation/diseases; ◆ Fall of effective demand from the agriculture sector leading to the dislocation of productive processes and the slowing down of the economic activities in the secondary and tertiary sectors; ◆ Low morale of people; increasing number of thefts and looting of grain shops; – 158 – ◆ Social stress and tension; disruption of social networks and relationships; ◆ Growth of fatalism; reliance on heavenly power. The impact was not the same on all the sections of the sample villages. It was, of course, greater on the more vulnerable sections, i.e. those with hand to mouth existence. They included the landless and the marginal farmers and the artisans like weavers, ironsmiths, basket makers, whose livelihood depends upon local demand for goods and services. They were the ones whose stocks, if any, were quickly exhausted, who had to eat their seeds and who were compelled to sell or mortgage their meager belongings to the well-to-do. A succession of bad harvests plunged the small and marginal farmers of these two villages in a vicious circle of poverty dragging them down from the status of landowner to landless, penniless and powerless conditions. On the other hand, a few well-to-do in the sample villages not only survived but could emerge even stronger. Taking advantage of the scarcity and high price of food grown they could make a fortune out of the surplus stocks. They could lend money against land mortgaged by the small/marginal farmers and later, taking advantage of their weakened economic position and inability to repay the loan, could foreclose the mortgage. Thus the aftermath of a drought could leave the poor poorer and the rich richer and a great measure of inequality and potential for exploitation. Even if food stocks were available, the poor did not have access to them in times of drought because of what has been described as a “collapse in entitlements”. There was evidence of low consumption levels among large sections of the vulnerable population during the time of drought. Survival Strategies Some of the survival strategies adopted by the inhabitants of our sample villages were: ◆ Making use of social support mechanisms which existed in the villages; ◆ Making use of traditional and indigenous production methods which were well adapted to local conditions; ◆ Reduction in consumption and changed consumption patterns; greater use of Kanki (broken rice) which was available at a lower price; ◆ Drawing upon forest produce and wild roots and tubers; Mango Kernel was dried up and stored for use during the lean period. A kind of gruel was made out of the mango kernel for its consumption during the lean period. ◆ Use of stored food and other produce saved during a good harvest; ◆ Borrowing—use of loan and credit; ◆ Sale and mortgage of assets and durables; the prices of brass metal went down substantially compared to the previous year indicating that people in the region had been making distress sale of brass utensils. ◆ In both these non-irrigated villages with little employment opportunities inside the village, the option under scarcity for a small cultivating family was to move out of the village in search of employment. In both of the sample villages out-migration became a regular phenomenon both – 159 – for males and females. Children who were above 10 years of age frequently accompanied their parents for wage earning during the drought period. The members of the family moved together to seek employment outside the village. ◆ Buffalo and cattle were stall-fed for a variety of reasons: a lack of grazing land, the restriction of grazing in the forest. The Impact of the Poverty on the Indigenous Children The specific needs of children within a household are not normally fully understood or explicitly acknowledged: their needs are often overlooked and subsumed by the needs of other household members, who have more power to express themselves. For many children of our sample villages the dominating feature of childhood was that of powerlessness and lack of control over what happened to them. They were exposed to the dangers that hampered their growth and development. Poverty was one of the causes of malnutrition in our sample villages. We came across many children suffering from malnutrition during the course of our investigation. Lack of food, common and preventable infections, inadequate care and unsafe water in the sample villages caused malnutrition among many children. Some children were found in bondage due to the simple fact of being born to parents who were bonded themselves. A few families, riddled with debts, were unable to refuse their employer taking the child to do what he wished. Many children were members of a non-bonded family but due to extreme poverty the parents were not able to collect enough money to face exceptional expenditures such as a marriage, a funeral or serious sickness of a family member. The child was placed in bondage in exchange for a sum of money to pay the bill. The growth mechanism of the initial debt rapidly transformed a temporary situation into a permanent one. In some cases villagers were not able to survive with their families on their wages and asked their employer for an advance on their future wages. The overall amount of advance and interest became so substantial that those villagers saw no other solution than to place a child at the disposal of his employer. Some brokers visited the villages especially in periods of drought. A loan was proposed to the family by attracting them with the possibility of reimbursement through the labour of one of their children. The recruiters offered to pay the travel expenses of the child to the place of work and to be reimbursed later. The cost of education is a major factor why some children in our sample villages were not enrolled in school. Many children left school not primarily because of the need to work, but because of the direct cost of education. The cost of education per child could represent up to a third of the cash income of a typical poor family. It was not surprising, therefore, that the majority of children were working in order to pay for their own schooling or that of younger siblings. – 160 – The effects of drought and deforestation on children were considerable. The children spent more time in the forest because of the length of time taken collecting fodder and firewood and herding livestock. They again spent more time collecting water, working in the fields and doing wage labour. The dry soil takes longer to plough and the reduced fertility of the soil leads to lower yields. These all affected boys and girls, not only in their daily workload through traveling further and working harder, but in taking responsibilities during difficult times, contributing to the household either through earning some income, or through taking on new roles. Drought led to huge migration from the sample villages. The population of the sample villages got reduced to almost half during this period. This increased the pressure on those remaining. Those who migrated were mainly the able-bodied men and women. People left in the village therefore are mainly older people, pregnant women and smaller children whose productivity was lower. The result was that children were having to work at a younger age, which could affect their health and interrupt their previous ‘childhood roles’. This altered people’s perceptions of what activities are appropriate for children at certain ages. In situations where deforestation was getting worse people said they have to decrease their livestock. They also said that having fewer livestock could lead to a lack of manure. This situation is exacerbated by the loss of other food products form the livestock. The main factor determining the number of children who could go to school was the relative wealth of the household. School-going children had to work in peak seasons rather than study. They went for wage labour, worked in urban areas or worked to pay back the loans. Even when a child was not directly involved like this, the indirect effects were often to place an extra household work burden on the children, particularly on girls, when their parents moved out of the village for wage earning. The peak labour time for children, especially girls, was in the agricultural seasonal slack period when it was harder to collect fodder, water and firewood. Some of the work that children did was year-round, such as collecting fodder, looking after siblings and livestock, and for girls, helping in the house. Collecting firewood, which the children find harder than collecting fodder, was carried out when it was dry in the so-called slack season and stockpiled for the rest of the year. In this season, water also dried up, which means that water also took longer to collect. At the end of the dry season, people, especially children, suffered from diarrhoea and other diseases. Inadequate family income coupled with the demand for cheap labour are two of the main ‘push’ factors for migration and child labour in Kalahandi. Child labour and migration contributed to low school attendance. One major reason for school dropout and non-enrolment was poverty. The parents, most of whom were adversely affected by drought and poverty, were unable to meet the costs of schooling of their children. They were forced to withdraw their children from schools so that they can assist in water collection and the care of younger siblings. Most of the primary school leavers did not join secondary schools. They moved to towns to engage in unskilled labour or went to the neighbourhood farms for casual waged labour. With bad economic conditions, already overstretched parents found it increasingly difficult to maintain their children. More and more children, particularly girls, were being withdrawn from school, as investment in their education was seen as being lost when they marry. Further many parents see children’s work as an important process of socialization of adapting to adult roles. They argued that children were able to feel that – 161 – they could contribute if they were working and felt positive about supplementing the family income, particularly in the face of adult male migration to urban areas. Children were affected either directly, by actually going for wage labour, or indirectly, by having to bear the burden of the household work, when the adults and other children were out working. Children over ten years old went out for wage labour along with their parents. Girls did the hardest work, had the least say and the fewest education options. This was true for all of the households in the research area and related closely to parents’ attitude to gender roles and preferences. The life of drought-affected children became increasingly critical. As a result, the quality of life for these children and their chances of a more prosperous future diminished. The poor children did not do as well in school as non-poor children. At a basic level, a deprived material environment hindered the child’s ability to concentrate on learning. And schools themselves exacerbated the problems through their curriculum and programmes, inadequate facilities, shortage of funds, and in the quality of their staff. Together, these factors hampered the child’s future economic and social well-being. The dropout rate was also very high among the poor children. The level of formal education reached by parents, and their history of employment, are also key factors to measure along this dimension. Our study further showed a link between parents’ and children’s education. Both are good indicators of persistent deep poverty. Concluding Remarks The repercussions for children growing up in poverty are becoming depressingly clear with each new study. The problem of economic insecurity created by recurrent drought is a product of a structurally non-egalitarian distribution of resources and production. The indigenous children of the sample area are overburdened and lead a life under economic deprivation. They can be described as “children without childhood.” The eradication of poverty must be at the centre of development efforts into the 21st century. For as long as poverty is allowed to grow unchecked, children will continue to suffer. References Aber, J.Lawrence. 1997. “Measuring Child Poverty for Use in Comparative Policy Analysis,” in Asher Ben-Arieh and Helmut Wintersberger (eds.), Monitoring and Measuring the State of Children—Beyond Survival. Vienna: European Centre for Social Welfare Policy and Research. Census of India. 2001. Series—22 Orissa, Paper 1 of 2001 Provisional Population Totals. Directorate of Census Operations, Orissa. Dubhash, P.R. 1992. “Drought and Development,” Economic and Political Weekly, March 28, 1992. Nayak, A.N. 1996. Depleted Resources, Food Insecurity and Food Crisis Management among the Gonds of Western Orissa. Unpublished M.Phil. Dissertation, Sambalpur University, India. Report on Drought Situation in Western Orissa. 1997. Sambalpur University, Sambalpur, India. Ross, David P, Katherine Scott and Mark Kelly. 1996. “Child Poverty: What are the Consequences?” (p. 67-99) in Helmut Wintersberger (ed.), Children on the Way from Marginality towards Citizenship. Childhood Policies: Conceptual and Practical Issues. Vienna: European Centre for Social Welfare Policy and Research. – 162 – Sen, A.K. 1983. Poor Relatively Speaking. Oxford Economic Papers, 1. Smith, A. 1976. The Wealth of Nations. New York: Random House. Tardieu, Bruno. 199. “The Human Rights of children Growing up in Extreme Poverty; What Lacks of Basic Securities,” (p. 209-225) in Asher Ben-Arieh and Helmut Wintersberger (eds.), Monitoring and Measuring the State of Children—Beyond Survival. Vienna: European Centre for Social Welfare Policy and Research. Townsend, P. 1992. The International Analysis on Poverty. Hemel Hempstead, England: Harvestr-Wheatsheat. Wresinski, J. 1987. Chronic Poverty and the Lack of Basic Security. The Wresinski Report of the Economic and Social council of France, translation, documentation française. – 163 – ATELIER / WORKSHOP 305 LES DIFFÉRENTS VISAGES DE LA PAUVRETÉ À KITCISAKIK P A R : S TEVE A UDET , B . T S . ORGANISATEUR COMMUNAUTAIRE À KITCISAKIK D ORIS PAPATIE DIRECTRICE GÉNÉRALE C O M M U N A U T É DE K I T C I S A K I K R OCH R IENDEAU , B . A . P S Y C H O É D U C A T E U R EN M I L I E U N A T U R E L À K I T C I S A K I K V A L D ’O R , Q U É B E C , C A N A D A Contexte géographique et social : « tiers monde de l’Est canadien » À l’intérieur de cette présentation, nous traiterons des personnes autochtones. Elles ne représentent que 1 % de la population québécoise mais constituent un groupe où il y a une forte incidence de pauvreté. Au cours des prochaines minutes, on accentuera cette réflexion où l’on traitera d’une communauté autochtone qui, de par ses propres choix de société, vit de l’exclusion et de l’ignorance suite aux décisions politiques, économiques et sociales des gouvernements au cours de son histoire. Cette communauté se nomme Kitcisakik. Description de la communauté de Kitcisakik La communauté de Kitcisakik fait partie de la famille des Algonquins. La population comprend actuellement 360 personnes et elle compte deux agglomérations : la plus ancienne se trouve au Grand lac Victoria et elle est située à 118 km de route de Val-d’Or. La seconde se trouve à proximité du barrage Bourque, au lac Dozois, à 92 km de Val-d’Or. Le site du Grand lac Victoria est uniquement occupé l’été, en continuité avec les anciennes habitudes de concentration estivale et de dispersion hivernale sur les « camps de trappe ». De son côté, le site du lac Dozois est celui où l’on trouve les principaux édifices de services (entre autres, le Conseil des Anicinapek de Kitcisakik et le dispensaire). Plusieurs familles y ont construit une maison au cours des 10 dernières années et, à la différence de la précédente, cette agglomération est habitée durant toute l’année. Kitcisakik est l’une des communautés les plus pauvres de l’Est du Canada, compte tenu qu’elle ne dispose d’aucune infrastructure permanente, qu’elle est dépourvue de maisons sur fondation et qu’elle est sans école. Les gens vivent dans de petits logis d’une superficie moyenne de 16 ⳯ 24 pieds où l’on compte en moyenne 6 personnes, mais il n’est pas rare que l’on puisse compter jusqu’à 10 ou 12 personnes. Les maisons n’ont pas l’eau courante, ni l’électricité au secteur, ni le téléphone. Elles n’ont donc pas de salle de bains, ni de salle de lavage. Les gens vivent dans des logements où les conditions sociosanitaires ne rencontrent pas les standards généralement admis au Canada, puisqu’il leur faut cuisiner sur des réchauds de camping et qu’ils doivent s’éclairer avec des lampes fonctionnant au kérosène ou au naphta. Seuls les édifices du Conseil des Anicinapek de Kitcisakik et du dispensaire sont alimentés en eau courante, à quoi s’ajoutent le téléphone et l’électricité obtenue grâce à une génératrice fonctionnant – 164 – au diesel. Depuis les trois dernières années, la communauté s’est dotée d’une garderie, d’une salle communautaire ainsi qu’un bloc sanitaire qui ont aussi ces services de base. De plus, on compte un mini-dépanneur ainsi qu’un comptoir familial où l’on vend des vêtements d’occasion. Finalement, il y a une église sur la presqu’île du Grand lac Victoria, qui est d’ailleurs la plus vieille de l’Abitibi-Témiscamigue. Les seuls employeurs de la communauté sont le Conseil de bande, qui emploie actuellement 34 personnes, dont 20 sont autochtones. Ajoutons à ces services une petite compagnie de transport médical qui emploie trois personnes de la communauté. En dehors de ces revenus d’économie de service, il n’y a pas de véritable moteur économique dans le milieu car on y compte aucune PME et les compagnies exploitant les ressources naturelles du territoire n’embauchent pas de membres de la communauté de Kitcisakik. Sur les 360 personnes, 186 ont moins de 18 ans (51,7 %). La communauté connaît le plus haut taux d’aide sociale au Québec. En février 2001, 86,78 % de la population active étaient prestataires de la sécurité du revenu. Syndrome du pensionnat, déracinement d’un peuple Situation des enfants et de la langue à Kitcisakik : pauvreté cognitive, de la culture et de la langue Au sein de cette communauté, on constate de plus en plus la perte de la maîtrise de la langue algonquine qui se perd à grande vitesse au sein des générations montantes. Des facteurs tels que l’omniprésence des langues étrangères à travers la télévision et la musique, ou encore l’usage assidu du français au sein des organismes communautaires, expliquent en partie ce phénomène. Toutefois, le principal facteur est sans contredit la scolarisation des enfants et des adolescents qui se réalise en dehors de tout apprentissage de l’algonquin dans les écoles provinciales. En fait, la scolarisation des enfants de Kitcisakik s’est toujours faite à l’extérieur de la communauté. Lors de la création du pensionnat amérindien de Saint-Marc de Figuery au milieu des années 1950, les enfants ont été enlevés à leurs familles, coupés de leur culture; ce fut le début d’un clivage entre les générations qui n’a jamais cessé de se poursuivre. D’une part, les enfants étaient privés de leurs parents pendant 10 mois par année; d’autre part, on leur interdisait de parler la langue maternelle. C’est alors que l’usage de cette langue a commencé à se perdre dans la communauté, le processus n’ayant jamais cessé de s’accentuer depuis. Même si ce pensionnat a fermé ses portes en 1970 et que les enfants de Kitcisakik sont allés à l’école dans la communauté avoisinante du Lac Simon, ils n’ont jamais pu profiter d’un véritable enseignement de la langue maternelle. De plus, rien n’a été fait non plus en ce sens dans les écoles primaires et secondaires de Val-d’Or où les enfants de la communauté sont scolarisés depuis 1989. Alors que de nombreuses communautés autochtones du Canada peuvent assurer l’apprentissage de la langue ancestrale à leurs enfants par l’utilisation d’outils pédagogiques appropriés, la population de Kitcisakik ne dispose actuellement d’aucune ressource financière pour le maintien de cette richesse. En effet, celle-ci est l’une des seules communautés autochtones qui n’a pas de statut juridique tel que « réserve indienne », « communauté conventionnée » (comme chez les Cris du Québec) ou « municipalité » (comme chez les Inuits). Ces différents types de statut leur permettent – 165 – d’obtenir du financement spécifique pour la valorisation et l’enseignement de leurs langues ancestrales. Or, comme la communauté de Kitcisakik ne dispose d’aucun statut juridique comparable1, celle-ci ne peut profiter de budgets homologues, puisque ceux qu’elle obtient sont réservés exclusivement à la scolarisation des enfants à Val-d’Or. Les interventions ont pour objectif de réconcilier l’enfant avec la culture de ses aïeux, de lui en faire découvrir la profondeur, l’intelligence et la beauté. Celui-ci veut donc favoriser la ré-appropriation d’une identité sociale menacée et il traduit les aspirations profondes que la majorité des membres de la communauté ont exprimées à l’assemblée annuelle de l’été 2000 alors qu’ils ont énoncé que la sauvegarde de la langue, de la culture ainsi que leur dignité doivent dorénavant être priorisés dans les mandats du Conseil des Anicinapek de Kitcisakik. Le manque de connaissance et ses problèmes Le fait de maintenir une population dans l’inertie et l’ignorance, tel que l’on peut l’observer en l’an 2002 à Kitcisakik, nous apparaît comme un ensemble d’états de connaissance qui correspondent à des niveaux de maîtrise inégalement répartis. Dans la génération de ceux qui ont plus de 45 ans, on trouve une très forte proportion de locuteurs unilingues. Cette proportion baisse radicalement chez les gens qui sont âgés de 45 ans et moins car en deçà de ce seuil, l’immense majorité des locuteurs est passée par l’école obligatoire. Toutefois, la maîtrise de la langue maternelle y est encore très bonne si on étend cette classe d’âge aux individus âgés de 30 ans et plus. Ceux qui sont dans la trentaine avouent éprouver des difficultés à comprendre plusieurs mots ou tournures syntaxiques employés par les aînés, mais ils peuvent quand même exprimer dans la langue maternelle l’essentiel de leurs expériences personnelles. Quant aux enfants, aux adolescents et aux jeunes adultes dans la vingtaine, ils la comprennent dans le registre des choses les plus familières mais ne peuvent soutenir une conversation très approfondie avec les aînés, ni même, souvent, avec leurs propres parents. Il ressort donc de tout cela que la maîtrise de la langue algonquine décroît avec l’âge. Pour des raisons historiques et sociologiques mais aussi parce qu’il existe tout un vocabulaire propre à certains champs de la communication, la population des moins de 30 ans renonce souvent à la parler en s’exprimant de préférence en français. La révolution d’un peuple Nouvelle ère : délier la parole chez l’enfant, la dénonciation Lors de son assemblée annuelle à l’été 1988, le regretté Donat Papatisse2, chef de Kitcisakik, donne la parole aux enfants. Pour une première fois dans l’histoire de cette communauté, les enfants ont énoncé devant les adultes présents, leurs désirs d’avoir un milieu où il y aurait absence d’alcool, de drogue et de violence sous toutes ses formes. Certains de ces enfants ont même dénoncé les sévices sexuels subis et demandaient aux adultes et leaders de prendre les moyens afin de les protéger. La 1 Aussi incroyable que cela puisse paraître, cette communauté n’a pas de statut particulier, sauf que l’on reconnaît qu’elle se trouve sur un « territoire non organisé » et que le Conseil de bande est officiellement reconnu comme l’instance représentant les intérêts de sa population. 2 Donat Papatisse, décédé le 19 août 1996. – 166 – volonté exprimée par ceux-ci exigeait que leurs parents cessent toute consommation abusive et qu’ils s’occupent d’eux (les enfants). La majorité des enfants ont exprimé leur désir d’avoir une école dans leur propre communauté car ceux-ci fréquentaient l’école dans la communauté algonquine voisine du lac Simon où l’on retrouvait les mêmes problématiques. Cependant, tel que mentionné précédemment, concernant l’absence de statut légal, il était impossible à ce moment d’établir une école dans le milieu. Finalement, une décision fut prise à l’effet que dorénavant, les parents pouvaient décider d’envoyer leurs enfants à l’école à Val-d’Or. Bref, suite à cette assemblée annuelle, les enfants ont été transférés graduellement vers les écoles provinciales. Afin d’accueillir ceux-ci, le Conseil des Anicinapek a mis en place un service d’hébergement scolaire à partir de familles québécoises. L’honnêteté, le respect et la sécurité des enfants de Kitcisakik étaient des critères recherchés lors de la sélection des foyers hébergements. Dénonciation massive des agressions sexuelles Après avoir intégré leur foyer scolaire, les enfants ont connu une continuité dans la réponse à leurs besoins tels que la stabilité et la sécurité. Ces conditions ont favorisé les dévoilements de situations de négligences et d’abus sexuels subis dans leur milieu. Suite à cette vague de dénonciation, des signalements ont été rapportés au Directeur de la protection de la jeunesse de l’Abitibi-Témiscamingue. Le Conseil exerça des pressions politiques afin que sa population puisse recevoir des services psychosociaux pour évaluer et traiter les enfants ainsi que leurs familles. De plus, celui-ci donna son appui à une vaste campagne de dénonciation massive des abus commis sur les enfants et les femmes. Faute de réponse de la part du DPJ, les intervenants du milieu appuyé par le Conseil des Anicinapek ont exigé une enquête dirigée par la Commission de la Protection et des Droits de la Jeunesse (CPDJ). Suite à cette enquête, des ressources humaines et des capitaux ont été investis dans la communauté de Kitcisakik afin d’intervenir auprès des enfants victimes. Une table de concertation s’est mise sur pied, des intervenants se sont ajoutés à l’équipe déjà en place pour travailler avec le milieu afin de traiter les pathologies existantes. La communauté en concertation avec les intervenants a développé et s’est dotée d’un nouvel outil, d’une nouvelle façon d’intervenir qui va changer la façon de travailler au sein de la communauté. Kitcisakik développe et se dote d’un outil extraordinaire : le travail de réseau communautaire Suite à l’enquête de la CPDJ, les intervenants de la communauté se sont mobilisés sur l’ampleur de la situation. Le travail de réseau communautaire a été la clé du succès dans cette lutte pour enrayer les agressions sexuelles subies par l’ensemble des jeunes et des femmes. Beaucoup d’acteurs ont été interpellés, c’est à dire le ministre de la Santé et des Services sociaux, le DPJ, les intervenants sociaux, les leaders de la communauté et tous les travailleurs de Kitcisakik. Dans ce processus de réhabilitation, on a dû mettre des lignes directrices sur la façon de traiter la confidentialité. La notion cléricale de la confidentialité prenait un autre sens. Celle-ci devrait être adaptée et être plus – 167 – souple dans la mesure où l’information était partagée entre les intervenants naturels du milieu et ceux du réseau de la santé et des services sociaux. La décision de cette orientation clinique était d’assurer le succès des interventions dans la communauté, c’est-à-dire par l’identification des offenseurs afin d’assurer la sécurité des victimes par l’approche thérapeutique communautaire, sa principale force étant la pression des pairs. Conséquence des choix économiques, sociaux et politiques Impact de la mondialisation : ça persiste depuis plus de quatre siècles La période contact D’une économie de subsistance se limitant strictement aux activités de la chasse, de la pêche et de cueillette, l’arrivée des colonisateurs sur le territoire laisse présager de bonnes affaires. En échange du plus commun de leurs produits, la fourrure, ils reçoivent diverses marchandises qu’ils font entrer dans leurs habitudes de vie. C’est à partir de ce moment même qu’ils se sont trouvés confrontés à la réalité de la mondialisation. En effet, la forte demande en fourrures et de son commerce luxuriant depuis quatre siècles a conduit à transformer les espaces économiques préexistants en pourvoyeurs de ressources pour son bénéfice. Ainsi, dans notre histoire, à long terme, la transformation de la chasse de subsistance en traite des fourrures destinées au marché des Français, des Anglais et des autres empires, a conduit partout à l’épuisement de la ressource. Dès lors, les autochtones furent confrontés à la mondialisation avec ses règles du jeu. Aussi, ils ont été placés dans le contexte d’une mondialisation culturelle dont ils n’ont pas été que les consommateurs. Autant l’Anicinape a appris de la culture occidentale, autant l’Européen a appris, de son contact avec la culture amérindienne. Le monde autochtone faisait connaissance avec les outils de fer et l’écriture, ils s’instruisaient à travers l’orthodoxie du christianisme. Les colonisateurs, eux, s’initiaient à l’art de la chasse et de la trappe, à la connaissance du territoire et découvraient les vertus médicinales de la flore locale. Ces échanges ont enrichi les uns et les autres en faisant découvrir l’horizon de l’une et l’autre culture à des connaissances et à des manières de faire inconnues. A partir de 1815, de la traite des fourrures et le développement de la coupe du bois et de l’exploitation agricole, les autochtones sont devenus plus que jamais des « entraves » à un « progrès » qui commandait leur dépossession territoriale. La dépossession politique a suivi pour ces peuples qui ont même perdu le droit d’exister et pour lesquels l’assimilation devait, jusqu’en 1960, constituer la seule issue. Encore plus insidieux fut de vouloir confiner les Amérindiens dans des espaces inventés par les gouvernements sous la forme de réserves, ce qui représente des frontières exiguës dans leur relation à la terre de même qu’à leur univers mental, piégés par un passé forclos et un avenir fermé. Dans sa brutalité, le processus de dépossession a aussi provoqué une désorganisation générale du mode de vie traditionnel, dont les conséquences furent catastrophiques à tout point de vue. C’est pour ces raisons que les gens de Kitcisakik ont toujours refusé le concept de réserve jusqu’à aujourd’hui. – 168 – Pour les même raisons aussi, ils sont pénalisés de ne pas s’être conformés aux règles du jeu du colonisateur. Le prix de la liberté. Ramer à contre courant : ces irréductibles « Anicinapek » Faute de ne pas avoir troqué leur liberté au prix d’être enfermé dans une réserve, d’avoir renoncé à l’occupation de leur territoire, la communauté doit se battre quotidiennement pour avoir et maintenir les services de base que n’importe quel Canadien obtiendrait sans même y penser. L’image de Kitcisakik peut ressembler, de l’extérieur, étrangement à la trame de fond des ouvrages de Cossiny et Uderzo à l’intérieur des aventures d’Astérix où l’on prend plaisir à découvrir ces irréductibles Gaulois résister aux Romains. Cependant, les Kitcisakinis n’ont pas eu et n’auront jamais de druide pour fabriquer la fameuse potion magique. Par contre, ils pourront découvrir leurs forces en travaillant ensemble pour le mieux-être de leur collectivité. Le choc des cultures, les règles du colonisateur : maintenir Kitcisakik dans l’ignorance et la pauvreté Confrontation avec les marchés de la mondialisation, choc avec la culture occidentale, perte du pouvoir politique sur son destin, les Premières Nations ont été aux prises avec les trois faces de la mondialisation depuis longtemps. Or celle-ci, loin de leur apporter le bonheur et la prospérité que les grands financiers de ce monde promettent avec optimisme, les a gardés dans un état proche de la misère, et même d’extrême pauvreté. Jamais les communautés autochtones n’ont-elles affiché un tel taux de mortalité par violence et par suicide, un taux d’alcoolisme très élevé, l’usage abusif des drogues et ce, dès l’enfance, un taux d’abandon scolaire catastrophique et une augmentation croissante de la pauvreté. Les difficultés de ces gens à profiter de la mondialisation proviennent d’obstacles à la fois structurels et culturels. Structurels en premier lieu puisque la dépossession du territoire et de ses ressources a été systématique. Elle comportait même un volet légal, par l’application de la Loi sur les Indiens, ces derniers ont eu longtemps le statut d’enfants. Mais les obstacles étaient aussi culturels, il ne faut pas l’oublier. Et pourtant, à côté de trop nombreuses communautés incrustées dans une culture de la pauvreté comparable à celle des plus misérables ghettos noirs des villes américaines et même du tiers monde, l’on observe d’extraordinaires réalisations de projets sociaux et communautaires. Cela n’exprime pas la renonciation à soi, mais bien au contraire la volonté de s’approprier le monde à la manière des gens de Kitcisakik. En attendant que ces gens en viennent un jour à un compromis avec les lois du marché et l’idéologie du capitalisme, il est possible de penser à s’opposer à la mondialisation, du moins sous sa dimension apolitique. En favorisant l’émergence d’un espace public qu’ils puissent investir sans être une solution toute faite, l’accès à la responsabilité politique peut être une façon de participer à l’ordre de la mondialisation. Saisir ses enjeux et d’y prendre sa place sans se replier sur les discours redondants ficelés au passé. – 169 – Intervenir en contexte interculturel : le milieu « Anicinape » Depuis près de 20 ans, la communauté de Kitcisakik a fait appel à une équipe d’intervenants de l’extérieur du milieu afin d’intervenir au niveau du traitement de la santé physique et mentale. La première équipe, composée de quatre personnes en concertation avec la communauté, a constaté l’ampleur des différents types de souffrances. D’un commun accord, elle a choisi d’intervenir à partir des paramètres de l’approche écologique. Cette dernière tient compte des différents systèmes de l’individu. Par exemple, l’individu en interaction avec ses parents, sa famille élargie, sa communauté, son milieu scolaire, les structures politiques au niveau local, régional et national. Cette approche, qui répond aux besoins et attentes du milieu, a orienté le cadre des interventions subséquentes. Il y a 14 ans, une équipe psychosociale s’est jointe à l’équipe de santé et aux intervenants du milieu déjà en place afin d’aider les enfants, les adolescents et les parents de la communauté qui sont aux prises avec d’importantes difficultés au plan personnel, familial et communautaire. Comme intervenants en milieu autochtone, nous devions, dans un premier temps, tenir compte du contexte inter-culturel d’une population ayant été soumise à la colonisation par la culture d’où nous sommes issus. Le nouvel intervenant devait (et doit toujours) donc mettre sa façon d’interagir en veilleuse et être attentif au mode de vie Anicinape, de démontrer un intérêt marqué pour leur culture et leur langue. De plus, nous reconnaissons que les gens de la communauté sont les experts de leur histoire et de la compréhension qu’ils ont de leurs problématiques. Bien humblement, nous prenons la place que la communauté veut bien nous laisser et nous devons nous montrer patients. C’est à partir de ce moment que nous pouvons saisir toute la complexité de leur réalité. Développement du lien de confiance : un préalable au changement Avant même de poser la première intervention clinique, l’intervenant doit se faire connaître du milieu en tissant des liens de confiance avec les enfants et leurs familles. À titre d’exemple, le psychoéducateur s’est fait connaître auprès des jeunes en participant à des activités ludiques, structurées où il préparait et présentait des projets au sein de la communauté de Kitcisakik. Le fait de privilégier le partage de vécu avec les jeunes a permis à l’intervenant de se faire connaître auprès des parents et par le fait même, de développer graduellement des liens de confiance avec ceux-ci, ce qui est essentiel pour entamer un processus de changement chez la personne. Suite à l’établissement de ce lien de confiance avec les familles et les collaborateurs du milieu, les intervenants de l’extérieur ont pu commencer à accompagner les personnes dans les différentes problématiques identifiées. L’objectif premier étant d’intervenir dans leurs démarches de changement au niveau de leur situation personnelle, familiale et sociale, en s’assurant de la participation de leur famille ou d’autres membres de la communauté. Toutefois, nous étions conscients que notre mandat d’enrayer la compromission du développement ou de la sécurité d’un enfant, dans le cadre de l’application de la Loi de la protection de la jeunesse, allait susciter de vives réactions, parfois négatives chez certains enfants, adolescents et parents. Dans certain cas, les situations exigeaient qu’un enfant soit retiré de son milieu familial pour être placé en famille d’accueil, à l’extérieur de sa communauté. Toutefois, nous avons constaté que cette résistance – 170 – s’est estompée avec la mise en place de services continus et stables. Au-delà du service à dispenser, il y a l’attitude de l’intervenant qui est primordial. Celui-ci doit démontrer de l’ouverture, être à l’écoute, être disponible et avoir une bonne capacité d’entrer en relation avec l’autre. De plus, l’humilité avec laquelle il prendra sa place auprès du jeune, de sa famille et au sein de la communauté est nécessaire afin d’éviter le piège du clinicien expert qui sait tout. En effet, nous devons interagir d’égal à égal avec les gens rencontrés. S’il y a le moindre indice d’un déséquilibre dans la relation, où l’intervenant a laissé entendre, supposé ou encore que l’individu s’est senti rabaissé ou délaissé, cela met fin au processus thérapeutique. Parfois même la fin de son passage dans le milieu. Cela démontre bien la fragilité du lien. Il ne faut jamais rien prendre pour acquis. État de la pauvreté : ses effets sur la population Suite aux investigations des équipes de travail, nous avons constaté l’ampleur des configurations pathogènes existantes dans le milieu : ◆ aucune infrastructure pour les activités ludiques; ◆ pas d’école dans le milieu; ◆ abandon scolaire en bas âge; ◆ inhalation de solvants durant l’enfance (à partir de sept ans); ◆ consommation abusive d’alcool et de drogues à l’adolescence et à l’âge adulte; ◆ haut taux de violence conjugale; ◆ grossesses élevées à l’adolescence; ◆ nombre de famille monoparentale élevé où c’est la femme qui en assure la responsabilité; ◆ négligence parentale élevée; ◆ nombre élevé d’enfants victimes d’abus sexuels. Pour contrer les problématiques qui sévissent dans le milieu, nous avons développé différents groupes : ◆ groupes de soutien pour enfants victimes d’agression sexuelle avec accompagnement auprès de leur parent; ◆ groupes pour adolescents en difficultés sur le plan sexuel; ◆ groupes de développement des habilités sociales (programme YAPP); ◆ activités de sensibilisation liées à l’usage abusif des drogues et de l’alcool; ◆ groupes pour les parents afin d’actualiser leur potentiel éducatif; ◆ groupes d’extension Portage. – 171 – Parallèlement aux suivis de groupe, l’équipe d’intervention élargie s’est dotée d’outils de travail afin de faciliter la circulation de l’information, tels que : ◆ table de concertation communautaire; ◆ comité clinique multidisciplinaire jeunesse; ◆ forum communautaire sur les problématiques du milieu. Suite à la prise de conscience collective concernant les sévices sexuels frappant leurs enfants, une vaste opération de sensibilisation a été mise de l’avant, se traduisant par un forum communautaire réunissant tous les adultes de la communauté. Ce dernier avait comme objectif de mobiliser, d’informer et concerter la population afin de mettre en place des moyens concrets pour enrayer la problématique des agressions sexuelles. D’où est issu l’outil le « contrat communautaire », qui vise à identifier les responsabilités des parents en tenant compte des besoins des enfants et en énumérant les règles à suivre. Il est à noter que les adolescents, les adultes et les aînés furent consultés tout en participant à sa mise en place. Conclusion Depuis plus de 20 ans, des efforts soutenus et constants ont été nécessaires afin d’améliorer la santé globale des gens de Kitcisakik. Pour ce faire, plusieurs interventions et outils furent mis en place pour tenter d’enrayer les nombreuses problématiques qui paralysaient le développement individuel, familial et social. Pour ce faire, la communauté s’est attaquée à la pauvreté en misant d’abord sur la reconstruction du tissu social et en investissant sur ses jeunes et ses familles comme ressource première et essentielle au développement de leur avenir. Toute cette démarche est le résultat d’un choix éclairé de société. Cette nation a donc décidé d’investir sur son capital humain. À l’aube du troisième millénaire, la communauté de Kitcisakik poursuit le travail amorcé jusqu’à maintenant, en y ajoutant un nouveau volet, soit le développement socio-économique. Les priorités identifiées, suite à une vaste consultation de la population en 1996, sont : ◆ la construction d’un village avec les commodités courantes; ◆ la formation des ressources humaines; ◆ la construction d’une école dans le milieu; ◆ le développement économique des secteurs tels que la forêt, le tourisme et les services à la population; ◆ l’enseignement de la langue maternelle et de ses traditions. Cependant, la population est consciente des grands défis qui se dresseront devant elle durant les prochaines années. Tout en poursuivant le travail de réseau auprès de sa population, Kitcisakik est prête plus que jamais à prendre son avenir en main en diversifiant son développement et en ne perdant pas de vue que la force et le moteur d’une collectivité résident d’abord dans ses gens. – 172 – ATELIER / WORKSHOP 402 THE EFFECTS OF POVERTY ON THE PSYCHOLOGICAL AND EDUCATIONAL DEVELOPMENT OF CHILDREN B Y : A NAND R AMPHAL , B . A . , D E D , A I E PSYCHOLOGIST DURBAN , S OUTH AFRICA Besides the economic dimension, poverty in South Africa has a detrimental effect on a host of other areas in people’s lives, such as education and mental and health. These two areas are the focus of this paper. The Cost of Poverty Many years of political violence, migratory labour, forced removals as well as rapid urbanisation resulting from the abolition of influx control have severely impacted on the lives of children. From 1976, when children became more prominent in the struggle for liberation, they were subjected to gross human rights violations in a government-supported movement against them. A culture of violence became pervasive, and widespread poverty and lack of resources of all kinds forced children into commercial exploitation at the expense of their development. It is widely acknowledged that children’s growth, development, well-being, and safety depend largely on the ability of their parents or guardians to provide for them. In South Africa unemployment rates are generally high, especially for African women. Female-headed households are the poorest. Six out of every ten children live in poverty, with children in rural areas being poorer than those in urban centres. Of the population of children, 15.7% are aged 0-6 (Report: State of the Nation’s Children: 2001). These are critical years for development. During these foundation years, stimulation, health and care benefits are crucial for reducing the need for later expensive intervention. Clearly, South Africa faces formidable challenges in addressing the rights and needs of her children. Problems requiring urgent attention include socio-economic imbalances between black children and white children, urban and rural disparities, high unemployment rates, limited resources, a growing younger population, high levels of violence and crime, and the impact of HIV/AIDS. Sociocultural Factors and Dysfunctional Development A major problem with social class studies is the tendency toward broad generalisation. This may promote stereotypical thinking. For example, statements that characterise working class persons as impulsive and unable to delay gratification have little validity. Nevertheless, behavioural science research has established that chronic life stresses occur more often in the working class than in the middle class Moreover, working-class members are more vulnerable to stressors than are members of the middle class (Kaplan et al., 1994). The bulk of evidence indicates that both treated mental disorders and the symptoms of psychological discomfort are found most frequently in the lowest socio- – 173 – economic class. This is bound to have serious effects on the capacity of the parents to take the best care of their children. Social Disadvantage Chronic social disadvantage and poverty in early life are risk factors for later psychological problems. A variety of interacting mechanisms produce this condition. An inadequate physical environment and inadequate nutrition, for instance, may adversely affect children’s health, and this in turn, may adversely affect their psychological well-being. In addition, parents coping with multiple stressors associated with social disadvantage, may have few personal resources available for meeting their children’s needs for safety, care, control, and intellectual stimulation (Carr: 1999). Children of Urban Poverty Poor children are at higher risk of succumbing to death, disease, disability, or injury than are economically advantaged children. They are more likely to have parents with formidable vulnerabilities that expose them to a wide range of dangers. Their mothers, often young and socially isolated, may receive only minimal support from other family members or friends and have no prenatal care. There are fathers who are frequently absent. Also some children have a strong chance of being born underweight, with neonatal damage. They may grow up malnourished and have untreated childhood illnesses or uncorrected early problems of hearing and vision, accidents, and injury. They may experience higher degrees of stress and violence in their social environment on a continuing, long-term basis. Many of their very early developmental or health problems will be unrecognised at home. In school, they may be observed as being underdeveloped in their social skills, emotionally troubled, and linguistically and cognitively well behind their peers who happen to be born into more fortunate circumstances. Once again, one notes that poverty is a profound and pervasive exacerbating factor in illness, disability, emotional distress and educational failure, especially in the early years. The period of adolescence, too, has its risks—especially in poverty-stricken families. Patterns of behaviour may be formed that could have lifelong significance. Some of these patterns are dangerous and need to be recognised. These include becoming alienated from school and dropping out; starting to smoke cigarettes or take alcohol and other drugs; not having a balanced diet or not exercising enough; risking early pregnancy and sexually transmitted diseases; and, in some cases, beginning to carry dangerous weapons. Initially, adolescents explore these new possibilities tentatively. Experimentation is typical of adolescents. But before damaging patterns become firmly established, intervention may be necessary to prevent lifelong casualties. Poorer families generally have fewer resources to assist them in this task. Depression and Socio-economic Status Epidemiological studies have shown that depression is related to socio-economic standing, often indirectly. The social causation hypothesis holds that those of lower status experience more – 174 – environmental stresses. For example, such persons are more exposed to unemployment, financial setbacks, poor health, and a variety of other stresses (Billings & Moose: 1979). A Cautionary Note A major problem when drawing conclusions about the role of sociocultural factors in the etiology of childhood psychopathology is that several predisposing factors tend to be interrelated (Farrington: 1986). Children from poverty stricken homes tend to have parents with low status, low pay, or no job at all. They tend to have many siblings, which may make peer influence more important relative to parental influence. Moreover, they tend to receive poor nutrition and medical care from conception onwards, and are more likely to be exposed to lax and erratic child-management practices. Interpreting research results that are interactional in nature becomes a complex process and has to be done with a good deal of caution. The Impact of Poverty on Learners For learners, poverty creates a variety of stresses. Learners living in poverty are more likely to experience serious illnesses in their immediate family and medical care is harder to obtain. Their families are more likely to move frequently either to find cheaper rent or to avoid harassment. Under the abovementioned conditions middle class teachers have a hard time convincing learners that learning pays off. They are likely to underestimate the chaos and frustrations of living in poverty and mistakenly assume that learners come from environments that are more conducive to studies than really is the case from landlords over payments. Learners living in very poor families are more likely to see their parents unemployed periodically or chronically, and they are more likely to conclude that jobs are unsatisfying even when available. By their late twenties many of them have already passed their peak earning years. Under normal conditions parents usually support the school and, in the preschool years, the children of these parents are prepared for school through attendance at nursery school. The teacher reinforces the value of the home and, in most cases, the child can reconcile the precepts that he gets from the home and the school. The parents of these children tend to come to school when they are invited to meetings, exhibitions of work, or entertainments. These parents discuss their children with the teachers, take an informed interest in their children’s progress and make every effort to send their children to school promptly and regularly—clean and well-fed, and provided with the necessary equipment for their school work. The children of parents who are poor and uneducated often have to do various chores at home before coming to school in the morning and after returning home in the afternoon. Overcrowding in the home may mean that he does not get enough sleep at night and cannot keep awake at school. Parent-teacher associations are often recommended as a way of bringing parents into the school setup, but the group of parents whom the teacher really needs to talk to and counsel do not turn up. – 175 – Holding Positive Expectations Teachers can make low income learners’ lives more comfortable and academic success more likely by holding positive expectations about learners’ achievement. Teachers must believe that learners can do well. Many research studies have found a marked tendency among teachers to reduce their academic expectation with poverty-stricken learners and even to regard their jobs as “babysitting”. Lowered expectations show up when teachers inadvertently regard problems displayed by low-income learners as “misbehaviour” and the same problems by high-income learners as “learning difficulties”. Language Children in South African schools, who begin the educational process with well-developed oral language skills in English, have a great advantage. Such children usually come from a middle-class or upper-class background. For many black children in particular, the situation is quite different. Such children, frequently from poverty-stricken backgrounds, have language difficulties that interfere with their learning in school. Often, school may be their first exposure to written or spoken English. Then again, there are those who learn an English dialect, sometimes insensitively referred to as “black English”, which has marked differences from the formal, middle-class standard English used in schools. Labelling Teachers need to be alert to the potential dangers of labelling. The labelling and categorising of learners has led educational services to focus on the inadequacies of learners rather than on barriers within the system, such as poor and stereotyped teaching methods. As a result “struggling” learners have been placed in “special schools” when, in fact, the problems within the learners’ environment should have been receiving attention (Ramphal & Ramphal: 1998). Overall, short-term stresses from poverty need not prevent children from learning but achievement can suffer seriously if they live in a chronic state of deprivation. Achievement is also lowered when children live amongst many other low-income families and attend school with many low-income classmates. An entire childhood in an urban poverty area makes educational success very difficult because of chronic stresses and the hopelessness that gradually develops about the usefulness of school. Conclusion Under the abovementioned conditions middle class teachers have a hard time convincing learners that learning pays off. They are likely to underestimate the chaos and frustrations of living in poverty and mistakenly assume that learners come from environments that are more conducive to studies than really is the case. In respect to wider issues, the African Nationalist Congress government in South Africa is taking constructive steps to address the problem of poverty and the inequities created by past policies. What is required is a mechanism to monitor the impact of recently-implemented policies very closely – 176 – so as to ensure that poverty and inequality reduction remains a high-priority need of both the central and the provincial governments. References Billings, A. and Moose, R. (1985). Psychosocial Stressors, Coping, and Depression. In Beckham, E. and Leber, W. (eds). Handbook of Depression: Treatment, Assessment and Research. Illinois: Dorsey Press. Carr, A. (1999). The Handbook of Child and Adolescent Clinical Psychology. London: Routledge. Farrington, D. (1986). The Sociocultural Context of Childhood Disorders. In Quay, H. and Werry, J. (eds). Psychological Disorders of Childhood. New York: John Wiley & Sons. Kaplan, H.; Saddock, B.; and Grebb, J. (1994). Synopsis of Psychiatry. New Delhi: Waverly. Ramphal A. and Ramphal R. (1998). Including Learners with Barriers to Learning and Development. In Kruger, N. and Adams, H. (eds). Psychology for Teaching and Learning. Sandton: Heineman. Report: State of the Nation’s Children. [2001]. National Program of Action for Children in South Africa. The Presidency. Government Printers, Pretoria. – 177 – ATELIER / WORKSHOP 203 LES REVENUS DE BIEN-ÊTRE SOCIAL CHEZ LES FAMILLES CANADIENNES EN 2001 P A R : D IANE R ICHARD , M . S C . C H E R C H E U S E ET C O N S E I L L È R E EN P O L I T I Q U E C O N S E I L N A T I O N A L DU B I E N - Ê T R E S O C I A L OTTAWA , O NTARIO , C ANADA Avant-propos Le rapport sur les revenus de bien-être social fait connaître les taux établis dans chaque province et territoire au Canada dans le secteur de l’assistance sociale pour quatre types de ménages en 2000 et 2001. Pour la présentation actuelle, nous nous attarderons seulement aux types de ménages avec enfants, soit la famille monoparentale avec un enfant âgé de 2 ans et la famille biparentale avec deux enfants âgés de 10 et 15 ans. Le Conseil national du bien-être social publie ce genre d’évaluation depuis 1986. Depuis que le Conseil suit l’évolution des revenus de bien-être social, nous avons sans cesse conclu que ceux-ci s’établissent bien en-dessous du seuil de pauvreté dans toutes les régions du pays et représentent une fraction minime des revenus moyens. Ce rapport montre des zones de progrès – et plusieurs reculs. Malheureusement, le budget fédéral du 10 décembre 2001 n’a pas offert beaucoup d’espoir de voir un changement positif. Le budget a annoncé plus de sept milliards de dollars en cinq ans pour la sécurité nationale et la lutte au terrorisme. Même si on peut être en accord avec une certaine augmentation des ressources au chapitre de la sécurité à la suite des attentats du 11 septembre 2001 aux États-Unis, on est en droit de s’indigner, aux côtés de plusieurs organismes, de n’avoir pas vu de nouveaux engagements au chapitre de la « protection sociale », notamment les soutiens de revenu aux personnes à faible revenu. Et si la récession se confirme, aux démunis actuels s’en ajouteront d’autres, auxquels nous devrons offrir un soutien économique supplémentaire. Du moins, le Programme de la Prestation fiscale canadienne pour enfants (PFCE) n’a pas été touché, pourrait-on dire, mais les investissements qui y ont été faits ne sont pas totalement transmis à ceux qui en ont le plus besoin. En effet, l’effet paradoxal de la disposition de récupération qui existe depuis juillet 1998 se poursuit dans 8 des 13 provinces et territoires : le gouvernement fédéral verse des fonds que les provinces et les territoires recouvrent. Cinq provinces font exception à cette tendance. Ce sont d’une part Terre-Neuve et Labrador ainsi que le Nouveau-Brunswick qui remettent les augmentations aux familles depuis juillet 1998 déjà et, d’autre part, trois provinces qui ont récemment modifié leur approche face à la PFCE : la Nouvelle-Écosse depuis août 2001, le Manitoba depuis juillet 2001 en ce qui concerne les enfants de moins de sept ans, et le Québec depuis juillet 2001 pour tous les bénéficiaires d’allocations familiales du Québec. Par ailleurs, un nombre de provinces et territoires ont effectué la revue de leur programme d’assistance sociale au cours de 2001 ou ont annoncé qu’ils le feraient dans le courant de 2002. – 178 – Le rapport des Revenus de bien-être social 2000 et 2001 démontre clairement que les gouvernements doivent faire mieux pour honorer leurs engagements de combattre la pauvreté et l’exclusion sociale. Définition du bien-être social Le bien-être social est le programme de revenu de dernier ressort au Canada. Il fournit de l’argent aux personnes et aux familles dont les ressources sont insuffisantes pour répondre à leurs besoins et qui ont épuisé les autres formes de soutien. Jusqu’au 31 mars 1996, les prestations de bien-être social étaient versées en vertu du Régime d’assistance publique du Canada (RAPC), lequel permettait le partage des coûts entre, d’une part, le gouvernement fédéral, et d’autre part, chacun des territoires et provinces. Le 1er avril 1996, on remplaçait le RAPC par le Transfert canadien en matière de santé et de programmes sociaux : le gouvernement fédéral réduisait les paiements de transfert aux provinces et aux territoires au chapitre de la santé, de l’éducation et des services sociaux. Depuis le 1er juillet 1998, la Prestation fiscale canadienne pour enfants (PFCE) couvre une partie des coûts de l’assistance sociale aux familles avec enfants. Bien qu’on parle habituellement d’un seul régime de bien-être social au Canada, il en existe 13 en réalité, soit un dans chaque province et territoire, y compris le territoire du Nunavut établi en 1999. Bien que chacun des 13 régimes soit spécifique, ces derniers partagent tout de même certaines caractéristiques. Des règles compliquées s’appliquent à tous les aspects des régimes, et notamment à l’admissibilité, aux taux des prestations, au montant des revenus d’autres sources admis et au mécanisme d’appel des décisions visant les demandeurs et les bénéficiaires. Admissibilité L’admissibilité au bien-être social dépend de certaines règles générales d’ordre administratif qui varient énormément à l’échelle du pays. Par exemple, les demandeurs doivent avoir un certain âge (habituellement entre 18 et 65 ans). Une fois les conditions administratives satisfaites, les demandeurs font l’objet d’une « évaluation de leurs besoins ». En général, une aide est accordée lorsque les ressources financières non exemptées sont inférieures au coût des besoins ordinaires jugés acceptables par le service social, par exemple la nourriture, le logement, les articles ménagers et personnels et les besoins spéciaux. L’examen vise d’abord les actifs liquides et immobilisés du demandeur. Les demandeurs doivent en général convertir en liquidités leurs actifs immobilisés non acceptés tels quels et utiliser leur actif liquide pour répondre à leurs besoins courants avant d’avoir droit à l’assistance sociale. Une fois l’examen de l’avoir liquide et immobilisé du demandeur achevé, on procède à l’établissement de toutes les sources de revenu du ménage. Certains genres de revenu, par exemple la Prestation fiscale canadienne pour enfants (le montant de base et non le supplément) et le crédit de taxe sur les produits et les services, font ordinairement l’objet d’une exemption totale dans le calcul des ressources du ménage. Quant au supplément de la PFCE, il est considéré différemment d’une juridiction à l’autre. Dans la majorité d’entre elles, le supplément est soustrait du montant du chèque d’assistance sociale, dans une minorité d’entre elles, le supplément est soustrait de – 179 – l’allocation familiale provinciale et dans seulement cinq provinces, il est désormais transmis aux bénéficiaires. Quant aux revenus de sources telles un emploi, une pension ou l’assurance-chômage, ils sont considérés disponibles en partie ou en totalité pour subvenir aux besoins du ménage. Cette évaluation des besoins représentait une étape essentielle à l’obtention d’une aide en vertu du RAPC. La loi autorisait l’administration fédérale à partager le coût de l’assistance sociale avec les provinces et les territoires à la condition que les ménages visés soient admissibles aux termes de l’évaluation des besoins. Depuis le remplacement du RAPC par le Transfert canadien en matière de santé et de programmes sociaux en 1996, les provinces et les territoires ne sont plus tenus d’utiliser l’évaluation des besoins pour être admissibles à une contribution fédérale à l’égard de leurs programmes de bien-être social. Jusqu’à maintenant, aucune juridiction n’avait pourtant éliminé cette étape d’évaluation des besoins. Taux d’assistance sociale Les provinces et territoires se servent tous de méthodes différentes pour établir le montant de base de l’assistance sociale, qui inclut habituellement la nourriture, les vêtements, le logement, les services publics et une allocation pour les besoins personnels et ménagers. À travers le Canada, les responsables du bien-être social jouissent d’une certaine latitude pour décider de l’admissibilité des ménages à une aide spéciale en vertu des règlements provinciaux ou territoriaux en vigueur. Ce pouvoir discrétionnaire est à la fois un point fort et une faiblesse du régime. D’une part, on reconnaît que des particuliers peuvent avoir, une seule fois ou de façon continuelle, des besoins spéciaux pour lesquels ils requièrent de l’aide. Par contre, une personne ayant des besoins spéciaux peut être jugée admissible à une aide supplémentaire par un agent du bien-être social mais non par un autre. Le tableau 2 présente les revenus estimés d’assistance sociale en 2001 au Canada. Les revenus s’appliquent aux besoins fondamentaux d’une famille monoparentale1 avec un enfant de 2 ans et une famille biparentale avec deux enfants âgés de 10 et 15 ans. Le calcul des revenus de bien-être social s’applique à un ménage qui a commencé à recevoir des prestations d’assistance sociale le 1er janvier 2001 et qui a continué à en recevoir pendant toute l’année civile. Il faut interpréter ces chiffres avec circonspection : il s’agit de montants estimés. Le système de bien-être social est un programme de soutien du revenu fortement personnalisé, chaque demandeur recevant une somme qui tient compte de sa situation personnelle. De plus, nos calculs prennent seulement en considération les revenus monétaires, car il nous est impossible de tenir compte de la valeur des services offerts par une province ou un territoire, si bénéfiques soient-ils, par exemple, le système québécois de services de garde d’enfants à un coût maximum de 5 $ par jour pour le(s) parent(s). Il importe de bien saisir ce que représentent les montants d’assistance sociale de la première colonne. Ces chiffres sont à la fois des maximums et des minimums, des maximums parce qu’ils représentent 1 Une famille monoparentale est une famille dirigée par une mère ou un père seul, qui est soit veuf ou veuve, soit séparé(e), soit divorcé(e), soit n’a jamais été marié(e). – 180 – le niveau le plus élevé d’assistance sociale qu’une province ou un territoire accorde à un ménage pour répondre à ses besoins fondamentaux. Ces montants peuvent être réduits pour plusieurs motifs. Ces chiffres sont également des minimums, parce qu’ils n’incluent normalement aucune des sommes auxquelles un ménage pourrait avoir droit pour répondre à des besoins spéciaux. Assistance sociale de base La première colonne du tableau représente le montant d’assistance sociale de base auquel ont droit les ménages admissibles. L’assistance de base comprend habituellement la nourriture, l’habillement, le logement, les services publics et les besoins personnels et ménagers. Lorsque c’est le cas, les chiffres traduisent la baisse qu’entraîne la récupération du supplément de la PFCE versé depuis juillet 1998. Nous avons posé plusieurs hypothèses dans le calcul de l’assistance de base, afin de permettre la meilleure comparaison possible des données. Ces hypothèses quant aux ménages bénéficiant de l’assistance sociale ont trait au lieu de résidence, à l’âge des enfants, à l’aptitude au travail du chef de ménage et au genre de logement. Les taux d’assistance sociale sont ceux versés dans la plus grande région municipale de la province ou du territoire en question. En effet, l’allocation maximum pour le logement varie d’une région à l’autre dans nombre de provinces et territoires. Les taux accordés aux familles sont fondés sur l’hypothèse que l’enfant de la famille monoparentale est âgé de 2 ans et que les deux enfants dans la famille biparentale ont 10 et 15 ans. Cette hypothèse est rendue nécessaire par le fait que des provinces et territoires varient le montant d’aide en fonction de l’âge des enfants. Dans le tableau 2, des taux d’assistance à court terme (habituellement moins élevés que les taux à long terme) ont été attribués aux couples avec enfants dans toutes les provinces et territoires. Les taux qui s’appliquent aux familles monoparentales sont fonction des classes d’employabilité de chaque province ou territoire. Nous supposons que les ménages vivent dans un logement non subventionné et ne sont ni propriétaires d’une maison, ni locataires d’un logement social. Nous avons aussi supposé qu’il n’y avait pas de partage du logement. Toutes les juridictions réduisent les prestations aux ménages qui vivent dans un logement social ou qui partagent leur logement. Lorsque l’allocation pour le logement ne comprend pas les coûts des services publics, nous les avons ajouté aux montants calculés. Nous avons utilisé l’allocation maximale dans tous les cas. Deux types d’aide sont accordés pour les besoins spéciaux. Il existe des allocations spéciales qui sont versées automatiquement à tous les bénéficiaires de certains groupes, par exemple les familles avec des enfants d’âge scolaire. Ces montants, qui figurent à la deuxième colonne du tableau 2, représentent par exemple les fournitures scolaires, les vêtements d’hiver et les primes de Noël. Seule l’assistance spéciale accordée automatiquement à certains bénéficiaires a été portée à la deuxième colonne du tableau 2. Lorsque l’assisté social devait motiver sa demande, le montant n’est pas compris dans nos calculs. – 181 – Prestation fiscale canadienne pour enfants Ces dernières années, les prestations fiscales pour enfants ont subi des modifications majeures. Les gouvernements fédéraux successifs ont réorienté leur soutien financier aux familles vers les moins nantis de la société. La colonne de la Prestation fiscale canadienne pour enfants (PFCE) renferme le montant de la prestation de base et du supplément, dont les hausses apportées le 1er juillet 2001. En 2001, dans la plupart des régions du Canada, le gouvernement fédéral a versé une prestation annuelle de base pouvant atteindre 1 117 $ par enfant de moins de 18 ans. À la demande de l’Alberta, le gouvernement fédéral a modifié le mode de calcul de son montant de base en fonction de l’âge de l’enfant. Dans toutes les juridictions, un supplément annuel d’un maximum de 213 $ est versé pour chaque enfant de moins de sept ans. À partir du 1er juillet 2000, le supplément versé par le gouvernement fédéral s’est chiffré à 977 $ par année, soit 81,42 $ par mois, pour une famille comptant un enfant, et à 1 748 $ par année, soit 145,67 $ par mois, pour une famille avec deux enfants. Enfin, à partir du 1er juillet 2001, le supplément s’est chiffré à 1 255 $ par année, soit 104,58 $ par mois, pour une famille comptant un enfant, et à 2 310 $ par année, soit 192,50 $ par mois, pour une famille avec deux enfants. Seuls les assistés sociaux habitant Terre-Neuve et Labrador, le Nouveau-Brunswick et dans une moindre mesure ceux du Manitoba2 ont joui d’une hausse de leurs revenus à la suite du versement du supplément à la PFCE en 2000, auxquels se sont ajoutés les assistés sociaux de la Nouvelle-Écosse, du Manitoba (ayant des enfants de moins de sept ans) et du Québec en 2001. Les autres provinces et les territoires ont récupéré cette somme de diverses façons. Dans la majorité des provinces et territoires, le supplément est traité comme un revenu, donc soustrait du montant du chèque d’assistance sociale. Dans certaines provinces, au lieu de considérer cette somme comme un revenu, on a réduit soit l’assistance sociale, soit l’allocation familiale provinciale versée aux familles d’un montant équivalent au supplément. Le procédé varie, mais le résultat est le même, c’est-à-dire une récupération par la province d’un montant significatif pour les familles moins nanties. Dans un premier groupe, à l’Île-du-Prince-Édouard, en Nouvelle-Écosse (jusqu’en août 2001), en Ontario, au Manitoba, au Yukon et dans les Territoires du Nord-Ouest, le supplément est considéré comme un revenu non exempté, ce qui entraîne une réduction de l’assistance sociale aux familles. Dans un deuxième groupe, c’est l’allocation familiale qui est réduite du montant équivalent au supplément. C’est le cas du Québec jusqu’en juillet 2001 et encore en date de parution de la Saskatchewan et de la Colombie-Britannique. Or, à mesure que le supplément augmente d’année en année, l’allocation familiale diminue et à un certain moment, la valeur de l’allocation familiale sera nulle. Quant à elle, l’Alberta a diminué les taux d’assistance sociale chaque année depuis 1998 simultanément aux augmentations du supplément. 2 Au Manitoba, après juillet 2000, les assistés sociaux se sont vus récupérés le montant du supplément de 1999, et donc ont eu accès à l’augmentation elle-même. – 182 – Les chiffres dans la colonne de la PFCE englobent la prestation fiscale de base et le supplément; les coupures sont à la colonne portant sur l’assistance sociale ou à la colonne des prestations provinciales/territoriales pour enfants, selon le cas. La disposition de récupération n’a fait que compliquer un régime déjà difficile à comprendre. Toutes ces nouvelles règles et variantes partout au pays rendent presque impossible de s’assurer qu’on reçoit bel et bien les prestations sociales auxquelles on a droit. Le Conseil national du bien-être social est très inquiet que les récupérations effectuées en vertu de la PFCE n’établissent des distinctions défavorables aux familles qui reçoivent une assistance sociale. Dans notre rapport de 2001, intitulé Profil de la pauvreté infantile, 1998, nous avons évalué que la PFCE n’a profité entre juillet 1998 et juin 1999 qu’à 66 % des familles pauvres au pays : 79 % des familles biparentales et 57 % seulement des familles monoparentales. Étant donné que la majorité des familles monoparentales ont une femme à leur tête, nous considérons que ce traitement représente une pratique discriminatoire basée sur le sexe. Prestations provinciales et territoriales pour enfants En 2001, huit juridictions ont un programme provincial de prestations pour les enfants, ayant une valeur mensuelle pour la famille monoparentale avec un enfant de deux ans de 204 $ à Terre-Neuve et Labrador et atteignant 1 925 $ au Québec, et, dans le cas du couple avec deux enfants, la prestation s’établit à 500 $ au Nouveau-Brunswick et atteint 1 250 $ au Québec. D’autre part, l’Ontario, l’Alberta, l’Ile-du-Prince-Edouard, le Manitoba et le Yukon n’ont aucun programme provincial de prestations pour les enfants. Les gouvernements de plusieurs provinces et territoires versent également des incitatifs aux travailleurs à faible revenu qui ont des enfants. Nous n’avons pas tenu compte de ces programmes dans nos calculs, parce que nous fondons nos estimations sur les revenus de bien-être social des parents qui ne gagnent pas de revenu. Crédit pour la TPS et crédits provinciaux La cinquième colonne indique le crédit fédéral remboursable pour la taxe sur les produits et services ou pour la partie fédérale de la taxe de vente harmonisée dans l’Atlantique. Le crédit pour la TPS est versé tous les trois mois. Les quatre versements reçus en 2001 ont respectivement totalisé 206 $ (deux versements à 205 $ et deux versements à 207 $) par année pour chaque adulte ou pour le premier enfant d’une famille monoparentale. Pour les autres enfants à charge, le maximum versé s’établit à 107 $ et 109 $ respectivement au 1er juillet 2000 et 2001 pour chaque enfant. Les crédits d’impôt figurant à la sixième colonne comprennent le remboursement de la taxe provinciale harmonisée à Terre-Neuve et Labrador, les crédits d’impôts fonciers et de taxe sur les ventes de l’Ontario et le crédit pour la taxe de vente de la Colombie-Britannique. – 183 – – 184 – Tableau 2 Estimation des revenus annuels d’assistance sociale pour 2001, selon le type de ménage – 185 – Note: Voir le rapport complet pour une description détaillée des différents montants Suffisance des prestations Les revenus inscrits au tableau 2 sont extrêmement faibles. Pour bien faire ressortir le tragique de la situation, nous mettons en parallèle ces chiffres et les seuils de faible revenu établis par Statistique Canada pour 2001. Chaque année, l’organisme fédéral calcule les seuils de faible revenu (SFR) des ménages de différentes tailles habitant des collectivités de tailles diverses. Ces seuils représentent les niveaux de revenu brut où les ménages doivent consacrer une partie disproportionnée de leurs revenus au logement, à la nourriture et à l’habillement. La présente publication utilise les SFR de référence de 1992. On les appelle SFR de référence parce qu’ils proviennent des données recueillies en 1992 sur les dépenses pour la nourriture, le logement et le vêtement. Le Conseil national du bien-être social considère ces niveaux de démarcation comme des seuils de pauvreté. Comme tout seuil de pauvreté, ils ont certaines limites, mais ils sont largement acceptés comme mesure de la suffisance des revenus au Canada. D’autres études de la pauvreté, notamment des enquêtes locales utilisant l’approche du panier de provisions, ont donné des résultats comparables. Comme l’indique le tableau 3, aucune province ne s’est rapprochée du seuil de pauvreté plus que les autres. Dans certaines provinces et territoires, les prestations d’assistance sociale sont bien en-dessous du seuil de pauvreté. Les revenus de bien-être social qui ne correspondent qu’au cinquième ou au tiers du seuil de pauvreté sont beaucoup trop faibles et devraient être augmentés dans les plus brefs délais. La première colonne du tableau 3 indique les revenus de bien-être social des différents types de ménages dans les dix provinces en 2001. Les territoires ne sont pas inclus, parce qu’ils ne font pas partie de l’enquête servant à établir les seuils de faible revenu. La deuxième colonne indique les seuils de pauvreté de la plus grande ville de chaque province. L’écart de pauvreté – ou la différence entre le revenu total et les seuils de pauvreté – est indiqué à la troisième colonne. La quatrième colonne représente le revenu de bien-être social total exprimé en pourcentage du seuil de pauvreté, c’est-à-dire le revenu de bien-être social divisé par le seuil de pauvreté. Les revenus de bien-être social des familles monoparentales ont varié d’un niveau le plus bas établi à 49 % en Alberta et 52 % au Manitoba à un niveau le plus élevé établi à 73 % à Terre-Neuve et Labrador pour 2001. Enfin, les revenus de bien-être social des familles biparentales avec deux enfants les plus bas en comparaison du seuil de pauvreté se retrouvent d’une part au Québec avec 48 % et, d’autre part, au Manitoba avec 50 %. Les revenus les plus élevés en comparaison du seuil de pauvreté se retrouvent pour ces familles à l’Île-du-Prince-Édouard avec un taux de 64 % en 2001. – 186 – Tableau 3 Suffisance des prestations de 2001 1 Données fondées sur le taux d’inflation de 2001, qui était de 2,6 p. cent. – 187 – Les revenus de bien-être social et les revenus moyens Lorsqu’on compare les revenus de bien-être social avec les revenus totaux moyens (après les transferts gouvernementaux, mais avant l’impôt), on constate de nouveau la faiblesse du soutien financier offert par les premiers. Les prestations de bien-être social ne correspondent qu’à une petite partie du revenu que la plupart des Canadiennes et des Canadiens considéreraient comme un revenu normal ou raisonnable. Le tableau 4 compare les revenus de bien-être social de nos quatre types de ménages avec les revenus moyens des ménages équivalents dans chaque province. Les revenus moyens pour 2001 ont été calculés sur la base des données recueillies par Statistique Canada lors de l’Enquête sur la dynamique du travail et du revenu, majorées de l’indice des prix à la consommation. Dans le cas des familles monoparentales, nous avons utilisé les revenus moyens des chefs de famille monoparentale âgés de moins de 65 ans avec des enfants de moins de 18 ans. Pour les familles biparentales, nous avons utilisé les revenus moyens des couples de moins de 65 ans avec des enfants de moins de 18 ans. Les revenus de bien-être social sont nettement inférieurs à la moyenne. Le revenu des familles monoparentales bénéficiaires de l’assistance sociale se situait entre 31 % et 58 % du revenu moyen en 2001. Il convient de signaler que le revenu moyen des familles monoparentales restait en général bien inférieur à celui des couples avec enfants. Les familles biparentales vivant de l’assistance sociale avaient un revenu se situant entre 21 % et 34 % du revenu moyen en 2001. Le graphique de la page 190 compare les revenus de bien-être social pour la famille monoparentale ayant un enfant de deux ans simultanément avec les revenus totaux moyens estimés (après les transferts gouvernementaux, mais avant l’impôt) pour les familles monoparentales de chaque province et avec les seuils de faible revenu (SFR) des ménages ayant deux membres et habitant dans la plus grande ville de chaque province. Comme nous l’avons expliqué dans la section précédente, nous considérons ces seuils de faible revenu comme des seuils de pauvreté. La situation des familles monoparentales illustre bien l’écart considérable qu’il y a en 2001 entre les revenus de bien-être social et les revenus totaux moyens estimés et les seuils de pauvreté. Comme on peut l’observer, les revenus de bien-être social sont tous inférieurs d’au moins 5 000 $ au seuil de pauvreté pour les familles composées de deux membres et habitant la plus grande ville de chaque province, et inférieurs d’au minimum 10 000 $ et d’au maximum 26 000 $ au revenu total moyen estimé pour l’ensemble des familles monoparentales de ces provinces. Le niveau tragiquement faible des revenus de bien-être social pour ces familles monoparentales le serait un peu moins si les gouvernements mettaient fin à la récupération du supplément de la PFCE. Dans la plupart des provinces et territoires qui récupèrent le supplément à la fin de 2001, le manque à gagner dans le budget annuel des familles monoparentales se chiffre à 1 116 $. – 188 – Tableau 4 Comparaison des revenus de bien-être social et revenus moyens – 189 – – 190 – Conclusion Le Conseil national du bien-être social suit l’évolution des prestations d’assistance sociale depuis 1986. Dès le début, le Conseil était préoccupé par le fait que les revenus d’assistance sociale soient si bas; en fait, ils n’ont jamais permis à aucune famille canadienne de franchir le seuil de pauvreté. Aucune mesure additionnelle allant dans ce sens n’a été annoncée dans le Budget 2001. De plus, l’effet de la disposition de récupération du supplément de la PFCE qui existe depuis 1998 se poursuit dans huit juridictions. Elle a réellement eu pour effet de geler les revenus de bien-être social. Maintenant que le gouvernement fédéral assume une part plus grande des coûts, il a également permis à ces huit juridictions de se dégager de leurs responsabilités à l’endroit des plus pauvres de la société. Cinq provinces font exception à cette tendance. Ce sont d’une part Terre-Neuve et Labrador ainsi que le Nouveau- Brunswick qui remettent le supplément complet aux familles depuis juillet 1998 déjà, et la Nouvelle-Écosse depuis août 2001, le Manitoba depuis juillet 2001 en ce qui concerne les enfants de moins de sept ans, et le Québec depuis juillet 2001 pour tous les bénéficiaires d’allocations familiales. Toutefois, aucune province ne s’est rapprochée du seuil de pauvreté plus que les autres. Dans certaines juridictions, les prestations d’assistance sociale sont bien en-dessous du seuil de pauvreté et devraient être augmentées dans les plus brefs délais. La pauvreté occasionne des coûts aux Canadiens et aux Canadiennes. En effet, il existe de nombreuses preuves que non seulement la pauvreté provoque une misère humaine personnelle, mais aussi qu’elle constitue un non-sens d’un point de vue strictement économique. La publication du Conseil, Le coût de la pauvreté, présente une série d’exemples qui montrent que la pauvreté nous occasionne à tous des coûts. La mise sur pied d’une prestation équivalente aux prestations parentales et de maternité pour les nourrissons et les parents non admissibles à l’assurance-emploi contribuerait dans une large mesure à aider à prévenir la pauvreté, le stress, la dépression et la désintégration familiale, et améliorerait les résultats qu’obtiennent les enfants. Cela pourrait être considéré comme une avance sur de futures cotisations à l’assurance-emploi, vu que la très grande majorité des jeunes mères d’aujourd’hui passeront des dizaines d’années sur le marché du travail au cours de leur vie adulte. D’après le Conseil, rien ne prouve que le fait de retirer aux familles pauvres l’argent qui leur était destiné motivera les parents à se trouver du travail. Ce qui, à notre avis, aide les parents à subvenir aux besoins de leurs enfants, ce sont les mesures d’aide à la famille comme la formation de la main-d’œuvre, de meilleurs salaires minimums et des politiques du travail qui aident les parents à atteindre un juste équilibre entre les responsabilités qu’ils ont envers leurs enfants et envers leur emploi. Pour que les politiques familiales soient efficaces et intégrées, elles doivent aussi prévoir des programmes d’aide au développement des jeunes enfants offrant à la fois la meilleure éducation possible et des services de garde fiables et abordables qui permettent aux parents de suivre des cours et d’accepter des emplois. – 191 – ATELIER / WORKSHOP 104 AN ECONOMIC, POLITICAL AND GENDER ANALYSIS OF TRAFFICKING OF GIRLS AND YOUNG WOMEN IN UKRAINE B Y : J ANE R UDD , P H . D . ASSOCIATE PROFESSOR , S OCIAL WORK DEPARTMENT SAINT JOSEPH COLLEGE WEST HARTFORD , C ONNECTICUT , U.S.A. Introduction This article analyzes the social, political, economic and gender perspectives that create an environment for trafficking of girls and young women in Ukraine. Since the dissolution of the Soviet Union and Ukraine’s separate statehood, the economy of Ukraine has suffered a serious blow. In reaction to loss of income, girls and young women in Ukraine have attempted to go abroad to work. All too often, they have ended up in a ‘trafficking’ situation. The elements of trafficking about which we are most concerned can be described as follows: “To traffic women means to work upon their desire or need to migrate by bringing them into prostitution under conditions that make them totally dependent on their recruiters in ways which also impair their rights” (Altink, 1995, p. 1). Along with the imposition of slave-like conditions, young women in trafficking situations almost never achieve the goal of gaining any significant income. There are innumerable accounts of young women who ‘disappear’ after going abroad. Since most families lack the resources to search for their wives, daughters or sisters, little is known of their final whereabouts and the young women are eventually presumed to have died. Typical destination countries for Ukrainian women include Italy, Greece, Turkey, and Germany as most common; United States, Poland, former Yugoslavia, Spain and the Czech Republic as somewhat frequent; and Japan and Sweden as the least frequent. While Ukraine has enacted a law against trafficking (Article 124-1 “Trade in People”), it is largely ineffectual. “Ukraine’s Parliament adopted an anti-trafficking law in March 1998, and since then there have reportedly been 17 cases brought before the courts. Only one of these has been prosecuted so far, and although it resulted in a guilty verdict, the punishment was inconsequential” (Brama: Current Social Issues in Ukraine, 1998). Commonly, girls and young women in Ukraine are recruited for trafficking through friends, sometimes relatives, chance acquaintances, tourism agencies, newspaper advertisements or even the Internet. One young woman related that she had been ‘sold’ to traffickers by a friend (Interview, Dnipropotrovsk Women for Women Center, October 2000). “On the whole Eastern European women seem to be recruited by accident, by people they meet by chance, for example in a café or on the street” (Altink, 1995, p. 132). They are most often recruited for what appears to be a position such as a domestic or an au pair, a waitress or an entertainer. At other times they are directly recruited to work in prostitution, a position that is described as glamorous and lucrative by the recruiters. Skotarenko suggests young women see the opportunity to leave the country as glamorous and a way to “break away from the authority of the family and old traditions” (personal communication, – 192 – October 1st, 1999). Having now been exposed to western glamour in a stereotypic way through television, they assume a similar lifestyle awaits them. Some families collude with young girls leaving home to be trafficked. “The mother, in particular, plays a central role in her daughter’s life decisions” (World Congress Against Commercial Sexual Exploitation of Children, nd). Having been pushed to the extreme limits by poverty, a family may see selling their young daughter as the only way out of poverty. An example given by Skotarenko (personal communication, October 1st, 1999) is of a young woman whose mother talked her out of going abroad; instead she found a job at home. It is widely believed that trafficking of girls and young women continues to increase in Ukraine. While there is no way of knowing the exact number of young women who go abroad, the number who return, or the number of those who simply disappear, the International Organization for Migration (IOM, 1998), estimates that 400,000 women have been trafficked from Ukraine in recent years. In Ukraine, women’s advocate groups put the number at 500,000, with 400,000 women who were under the age of 30 emigrating in the last 10 years. The Movement to Mothers (MOM) Ukraine Program estimates there are between 800,000—1.4 million young women who are at risk for trafficking (Syniuta, 1999). Most non-government organizations (NGO) will not give an estimate of the number of trafficked women because, according to one La Strada official, “It’s impossible to keep track of, because many of the young women who leave never come back, and those who do, often do not confess that they’ve been trafficked” (Interview by Skotarenko, 2000). The United Nations, based on recent data, estimates there are four million victims of trafficking worldwide each year (Caldwell, 1997). Girls and young women ages 11 to 21 years old are most at risk of trafficking. Most are single, have no children and are mainly schoolgirls or young college students. In a study conducted by IOM, among the at-risk group, half (50.6%) were students and many unemployed. According to the IOM (1998), 46% of the respondents in that age group are at risk of trafficking. Many young women continue to consider migrating if they have the means and resources to do so which traffickers are only too willing to provide (IOM, 1998). Winrock International is beginning to target women as young as 11 for their prevention efforts (2000). In the Pilot Study for this research project, young women ages 12-18 were seen as especially vulnerable to trafficking in Ukraine today due to poverty, violence and lack of opportunity in the future. Carter (1999) states there are at least 50 million children in poverty in Eastern Europe. Women as young as 13 are showing up as trafficking victims in the Netherlands (Altink, 1995). Nowadays, teens are less and less able to rely on their parents for support, as they struggle with the current poor economic situation. At all three Women for Women Centers (agency in Ukraine for prevention of trafficking of women), staff and participants related stories of teen women who were no longer living with their parents, of parents who would take what little money teens were earning for themselves, of teens living with grandparents who could not afford to support them financially, or who ignored them. According to one participant: My parents are divorced; neither of them wants me so I am living with my boyfriend. This isn’t working because he beats me up. He has also tried to get me to be a prostitute so he can have money. Interview, October 2000 – 193 – UNICEF (1997, cited in Foundation of Women’s Forum, 1998) reports a rising increase in the number of children placed in care at an early age, showing that child vulnerability is increasing from early years, which continues through adolescence when they are virtually on their own. Police state there are 20,000 children picked up on the street each year in Ukraine. In 1998, there were 19,500 registered orphans in Ukraine (Kozima, 2000). As of 1997, there were almost 4,000 female children living in Internats (TFIU, 1999, p. 225), or orphanages, in Ukraine. Children without parents or parental support are housed and go to school in Internat’s from ages 5 to 18. It is generally agreed that teen women from Internats are particularly vulnerable to trafficking, as they have less potential for employment and have been more exposed to violence. As they leave institutional care, trafficking may seem a promising step to a better life. In fact, traffickers target these children. While some children in Internats do have parents, many are without supportive parents or any support. As a result of parents going abroad to seek work, children end up in a further situation of poverty and neglect. According to the European Children’s Trust (2000), parents leave the country illegally and often do not return. They may have left their children in the care of a neighbor or family member but often the child ends up in an institution when the parent does not return. This is particularly true if the mother gets pulled into a trafficking situation. While the child herself may not be caught up in trafficking, because their mother is, the consequences of trafficking are severe for children of all ages. According to Carter, many children are abandoned by parents who have gone abroad (2000). The health risks of trafficking are obvious. Young women’s lives are at risk; physical, sexual and emotional abuses are commonplace. When and if women return, they and the Ukraine society are left having to deal with the social costs of their abuse. Numerous studies show lifelong physical and emotional aftereffects of trafficking on women, if they manage to escape the slave-like conditions in which they are held. A statement by the World Federation of Ukrainian Women’s Organizations (Brama: Current Social Issues in Ukraine, 1999) states the situation of women who have been trafficked graphically, Women, often not even treated as second-class citizens, are regarded as mere commodities to be bought, sold and finally discarded after use by traffickers. Healthcare… is non-existent. The risk of disease is borne by the woman, condoms are not permitted, and pregnancy is not even a deterrent as a woman is replaceable (p. 1). Currently, there is negative migration of people from Ukraine. Women may emigrate according “to the one-step pattern, that is directly from the rural areas to their foreign destination,” or the “twostep pattern involves women moving to cities and then to a foreign destination” (Altink, 1995, p. 55). Rural women come to the cities for work, to marry or to get an education. The “chain migration” pattern is also seen which consists of a friend or relative procuring a position and then inviting a woman to join her abroad. Certainly, the ability to travel outside of Ukraine has provided some opportunity that women, in their desperation, want to believe will help them improve their lives. In spite of strict immigration laws into Western Europe and the United States, tourist visas are easily available through traffickers. As well, “It is common practice for travel agencies in Eastern European countries to sell visas” (Altink, 1995, p. 124). Few women realize that a holiday visa does not entitle – 194 – them to work abroad. Once the traffickers take their passports, the women are in precarious positions. One Women for Women staff member mentioned a ‘cycle of trafficking’ in which women may go abroad once or twice for legitimate work but ultimately end up in a trafficking situation (Interview, Lviv, October, 2000). One million Ukrainians go abroad every year looking for temporary employment; 40% of families in the Lviv area have a member abroad working (The Family In Ukraine [TFIU], 1999). Because of a few ‘success’ stories of women earning money abroad, women still take the risk thinking ‘it can never happen to me.’ Organized crime groups are well prepared to take advantage of Ukrainian women’s vulnerability. “According to United Nations official Jean Fernand-Laurent, trafficking in women is more profitable than arms or drug smuggling” (Altink, 1995, p. 2). These groups “work with corrupt authorities, launder money, have contacts in both legitimate areas and the underworld and form a hierarchy” (Altink, 1995, p. 4). For the most part, “women are reluctant to talk because Eastern European gangs are extremely violent and use every kind of threat to intimidate them” (Altink, 1995, p. 125). The Economy According to numerous research studies and NGO workers, the main factor relating to Ukrainian women’s vulnerability to trafficking is the lack of economic opportunity they face (Belk, Ostergaard & Groves, 1998; IOM, 1998; Mihiova and Kiukova, 1999; Smolenski, 1995). The unemployment figure for women in Ukraine is estimated to be between 60 and 70% (Hunt, 1997; IOM, 1998). The Foundation of Women’s Forum (1998) attributes trafficking to “the world-wide feminization of poverty, women’s unequal rights and access to formal labor [and] women’ restricted abilities to gain power over their own lives in their home countries” (p. 1). How has the change from a communist regime to a market economy impacted the situation for women in Ukraine? Unfortunately, not very positively. Many government officials now strive for personal wealth rather than economic reform. The mafia shows little restraint in their involvement in trafficking of women. Few businesses in Ukraine are legal. Most are conducted in the shadow economy because the taxation system makes it “almost impossible to conduct business legally in Ukraine” (Cowley, 1994, p. 17). For the country as a whole, the fall in output has been as much as a 40% decline in gross domestic product (GDP), with industrial production overly effected (Jackman, 1994). Ukraine once produced 34% of the Soviet Union’s steel, and 46% of its iron ore, but these industries now lie dormant (Cowley, 1994). The Western markets are not yet available due to the poor quality of goods marketed. As a result, many of the newly independent states (NIS), “… can no longer sell what they produce, and they cannot yet produce what they will be able to sell” (Jackman, 1994, p. 341). In Ukraine, this has led to “long-term unemployment with the attendant risks of severe poverty or the development of illicit economic activities” (Jackman, 1994, p. 335). As their prospects for employment or reemployment remain dim, here is where we see women being drawn to trafficking. Each industry that collapses leaves many Ukrainians unemployed. Women are more readily unemployed as “employment decisions reflect a hierarchy dominated by male occupations…” (Jackman, 1994, p. 333). It is difficult to move to another part of the country to obtain work because – 195 – usually there is no work elsewhere and housing is not transferable. In spite of the problems in the former Soviet Union, there at least were social services, however inadequate. Now there are few social support systems; additionally, many people work and do not regularly receive payment. The economic situation is far worse for women in that the average wage for women was 72% of men’s average wage, as of 1999 (Vlasenko et al., 2000). Most women and some men agree that it is more difficult for women to obtain a job and easier for them to lose a job; their dismissal rate in 1999 was 63% (Vlasenko, et al., 2000). Furthermore, women constitute 75% of the population under the age of 28 who are unemployed (Vlasenko et al., 2000). This rate of unemployment is even greater in the rural regions of Ukraine. The United Nations currently sees four obstacles to full human development: HIV/AIDS, armed conflict and violence, increasing poverty and gender discrimination (Annan, 2000). Young women in Ukraine are faced with all four of these obstacles: HIV/AIDS, violence (even though there is no armed conflict), increasing poverty, and gender discrimination. While the United Nations sees the possibility of intergenerational patterns of poverty, violence, disease and discrimination as having the potential to be reduced within a generation, in Ukraine, the opposite is true. Poverty is increasing due to continued poor economic conditions. The effect of this is that “Ukraine continues to have the highest mortality rate and the lowest average life expectancy among the countries of Central and Eastern Europe” (Vlasenko, Vinogradova, & Kalachova, 2000 p. 12). The infant mortality rate in Ukraine is 18 deaths per 1,000 live births (UNDP, 2000). For developed countries it is 12 deaths per 1,000 live births. All these economic factors translate into real hardship for most Ukrainian families. In fact, “Subjective evaluations of family living standards in Ukraine show that 76% of families are constantly short of money, 23% live comfortably but cannot afford spending freely and must budget carefully, and only 1% are well off and can afford to live without budgeting” (United Nations Development Program [UNDP], 1999, p. 209). Carter (1999) describes 60% of families in Ukraine as living in poverty. As many as 75% of families in rural areas such as Stryi are without running water and an inside toilet (Carter, 2000). Unfortunately, the “standard of living of the majority of the population of Ukraine now corresponds to a level at the end of 1950’s” (TFIU, 1999, p. 143). In a survey conducted in the Lviv Women for Women Center (2000) among 41 women, over 50% had a monthly family income of between 50 and 200 gryvnas ($9-$36). “Women constitute almost 80% of the unemployed, and 72% of the unemployed who are graduates of professional or technical colleges” (UNDP, 1999, p. 139-140). While this percentage of unemployed women speaks to the poor economy in Ukraine, it also demonstrates women’s poor position in the society at large and the lack of the educational system in Ukraine to address the relevant needs of the economy in Ukraine. Despite images of Soviet women working in what most Americans would consider nontraditional jobs, sexual stereotyping and prejudice persisted until the final years of the Soviet Union (Silverman & Yanowitch, 1997). Now in an environment that feminists describe as “a postsocialist patriarchal renaissance,” women’s opportunities are even more scarce (Silverman & Yanowitch, 1997, p. 75). – 196 – Violence Against Girls and Young Women Along with a lack of power, women frequently experience physical or sexual abuse, either in their home environments or at their places of employment, that contributes to the number of women lured into trafficking (Farley et al., 1998; IOM, 1998; Nelson, 1996; Mihilova and Kiukova, 1999; Skolnik and Boontinand, 1999; Skotarenko, personal communication, October 1st, 1999;). Leidholdt holds a similar belief: “…voluntary entry into the sex industry was predicated on … earlier abuse and exploitation. Sexual trauma—with its hallmarks of denial and repetition compulsions—is the training ground of many subsequent prostitution “volunteers” (1993, p. 133). When Skotarenko interviewed women who had been trafficked, all of the women had some problems in their families, “usually abusive and/or drinking family members or young children to support” (personal communication, 1999). Silbert and Pines (1981) found “extremely high levels” of child abuse in a study conducted with 200 teen and adult women prostitutes in the United States (p. 407). Official statistics do not reflect the level of violence experienced by the various groupings of women, but by all accounts, it clearly affects all age groups. Fifty percent of adult women in this study have experienced violence and 20% remain in a violent situation. Medical attention is frequently needed. The Ukraine Ministry of Interior Affairs reported 1,227 women who were killed in 1999 (cited in UNDP, 1999). Currently, “assault on one’s wife does not fit into any category of criminal actions within the Ukrainian Criminal Code” (UNDP, 1999, p. 222). Women are often physically unable to work as a result of violence they experienced in the home (Shepard & Pence, 1988). According to the UNDP study, “Fifty percent of women suffer from some form of sexual harassment at work” (1999, p. 222). As an example of gender stereotyping, “48% of men and 36% of women think that a woman can provoke acts of sexual violence upon herself ” (UNDP, 1999, p. 223). Women are often forced to leave their place of employment due to harassment that “leads to double suffering-from mental and physical humiliation, and from material problems that are entailed in leaving a job” (Vlasenko et al, 2000, p. 30). The Dnipropetrovsk Women for Women Center (2000) conducted a study of 480 women between the ages of 15 to over 40 and found that 25% of the women had experienced violence as children; 79 women had experienced physical abuse; 67 women had experienced psychological abuse; and 7 women had experienced sexual abuse. In their current lives, women experienced psychological violence from friends and colleagues (34%), boyfriends (18%), and 17% experience violence constantly. Nineteen percent of the women experienced abuse by their employers, while 26% experienced discrimination by their employer. Fully 50% of women experienced violence from their husbands; 15% was physical, 4% was sexual, 24% was psychological and 8% was financial. Women also experienced domestic violence from father-in-laws, brother-in-laws, and other family members. Only 36% of women in this situation feel they can leave their homes; 54% of women want to stay but see the violence end. Most women did not seek help; of those who did, 89% did not receive adequate support and nothing changed in their situations. The 1999 Ukraine Women’s Reproductive Health Initiative (2000) indicated that 19% of respondents had experienced domestic abuse, with 8% currently experiencing domestic abuse. These incidences were 50% higher in rural than urban areas. While the staff at the Women for Women Centers believe – 197 – there is a connection between women experiencing violence and their vulnerability to trafficking, this has so far never been confirmed in Ukraine, but is addressed in this study. Sexual violence is common for teen women in Ukraine. Out of all instances of rape reported to police, 55% of victims were underage (that is, younger than 18 years); among these 40% of victims were minors (that is, less than 14 years old). While more than half of victims did not know their abusers, over 30% (of teen women) knew them well; 13% were victimized by their relatives, older brothers, fathers, step-fathers or guardians” (UNDP, 1999, p. 212). Persistent violence and poverty lead to desperate solutions for these teen women, of which going abroad is one. The Dnipropetrovsk Women for Women Center surveyed 783 teen women between the ages of 16 to 24 (1999) and found that 69% of teen women would accept an offer to work abroad, even though few of them knew information regarding the legalities of working abroad. Fifty-eight percent of the teen women would rely on acquaintances to help them obtain a position, an approach that has been shown to lead to trafficking situations. In this same sample of 783 teen women, 23% of the women had experienced physical violence, 62% had experienced psychological violence and 11% had experienced sexual violence. The violence was perpetrated by friends (26%), teachers (15%), and parents (8%). The violence was persistent in nature and 86% of the teen women currently lived in fear of the violence. In this present study, a group of teens that were interviewed acknowledged frequent violent episodes in the school setting along with the ready availability of drugs (Group Interview, October, 2000). Research Methodology This document provides a summary of the findings from two studies commissioned by Winrock International and funded by the United States Agency for International Development (USAID) to assess causes of and prevention efforts of trafficking of women in Ukraine. Conducted through the Trafficking Prevention Program in Ukraine, one study was carried out through the Women for Women Centers in Lviv, Donetsk, and Dnipropetrovsk, and the second study was conducted by the Ukraine Institute of Social Science (UISS), with the population-at-large. The study at the Women for Women Centers consisted of an evaluation of all girls and young women attending trainings for the first time at the three women for Women Centers during the week of November 13, 2000. The three centers were all in vastly different areas of the country, reflecting their own unique perspective that added to the credibility of the findings. The study evaluated existing programs for effectiveness in conveying anti-trafficking messages to participants. It also assessed participants’ vulnerability to being drawn into trafficking. The data was used to develop further prevention strategies against trafficking. A total of 327 women, ages 12-51, were administered questionnaires. Four groups of girls and young women were compared: 1) teens in Internats (85 girls); 2) teens in secondary schools (74 girls); 3) teens in technical schools (76 girls); and 4) adult women (93 women). Rather than representing a sample of all women in Ukraine from the ages of 12 to 30, the sample comprised women who were seeking help or where school personnel invited the centers’ staff into a classroom setting to – 198 – give trainings. Therefore, the findings cannot be generalized to women in the general population in Ukraine. The following circumstances influenced the study: ◆ Meetings were held with key agencies in Kiev involved in anti-trafficking to determine the magnitude of the problem of trafficking in Ukraine and the current objectives in the antitrafficking campaign. Meetings were conducted with USAID, Project Harmony, the International Organization of Migration, La Strada, and the United Nations Development Program. ◆ Participant-observation was conducted at the Women for Women Centers in Lviv, Dnipropetrovsk and Donesk. Discussions with staff were conducted at all three Women for Women Centers. The dialogues led to detailed knowledge of the trainings offered, populations served and agencies with whom the centers interacted. A sense of the mission of the centers and the complexity of the problems encountered was learned. ◆ Interviews and small group discussions conducted with participants led to detailed knowledge of the reasons women were attending the centers, feedback regarding the impact of the center’s trainings on the women, and discussions about the factors in the women’s lives in the current environment in Ukraine that lead to risks of trafficking. ◆ Meetings and round table discussions were held with community groups who were working with the centers in the area of trafficking prevention. They provided feedback on the impact of the Women for Women Centers in their communities. They also described their roles in the antitrafficking campaign in Ukraine. ◆ It proved impossible to meet with women who had returned to Ukraine having been involved in a trafficking situation. According to staff at the centers, women were reluctant to admit they had been involved in trafficking incidences, as women have been rejected by families and communities for doing so. Women were also fearful of the traffickers and often could not return home or reveal their identities in any way. The staffs at all three centers were able to relate detailed information about women’s situations that had been involved in a trafficking situation. Much of this information came from the women’s relatives, who had been in contact with center staff while the women were abroad. This research can be defined as “participatory action research” in which increasing the researchers understanding of the situation and increasing “the insight of the local people into what factors are the root causes” (Burkey, 1993, p. 60) of trafficking were both achieved. Burkey (1993) describes the necessity of researchers to immerse themselves in the reality they are studying. This includes extending empathy and friendship and an awareness “of the fact that he or she is working with certain values which may differ considerably” (p. 61) from those of the people participating in the research. Based on this belief, the researcher collaborated closely with center staff in the design of the questionnaires for the study. While the questionnaires elicit quantitative data, there is also an opportunity for qualitative responses as well. In addition, as a result of the dialogues at the centers with staff and informal groups with participants, there are also narrative findings. – 199 – The UISS study conducted a random sample of girls and young women from five different oblasks in Ukraine. Two thousand forty-eight girls and young women ages 12-30 years were interviewed. Four groups of girls and women are compared: 1) girls and young women from the general population (1,520 girls and young women); 2) teens in internats (315 girls); 3) businesswomen who travel abroad (primarily market women) (103 women); and 4) sex-workers (in Ukraine) (110 women). Semi-structured interviews were conducted. The questionnaire was especially developed for this study. It was initially designed for adult women, then adapted to teen women, and further adapted for teen women residing in Internats (see Appendix A for a sample of the Questionnaire). A Pilot Study was conducted at all three Women for Women Centers that served to refine the questionnaire as administered. It was conducted on October 20 and October 23, 2000. Findings from the study are in narrative, descriptive and empirical form. Empirical findings have been analyzed using correlation analysis and tables throughout the study indicate with a “yes” when there is a correlation analysis. The correlation analysis means the relationships are significant at the .10 level or better. This paper will compare and contrast findings from both studies and make recommendations for future trafficking prevention efforts. While both studies asked similar questions, due to the different nature of the two samples and some dissimilarity in questions asked, responses were not always comparable. A more in-depth understanding of the findings from both studies can be obtained in previously published reports through Winrock International or through their webpage (www.Winrock.org). The “profiles” of girls and young women are a compilation of many women’s stories from a particular group. All identifying information is disguised. The stories of the women, while disguised, are nevertheless a source of empowerment for the staff and women working at and attending the centers. This will enable research on this serious issue affecting women’s very survival to move away from what Carroll terms the “cult of power” [and] “the preoccupation with institutions, groups, and persons conceived to be powerful” (cited in Murphy, 1996, p. 527) and instead is research in which women are the topic of and voice of the discourse (see Appendix A). Findings And Recommendations A. Finding: One of the major findings in both studies was that girls and young women had minimal financial resources or support; with both study populations, lack of financial resources strongly influenced girls and women’s decisions to go abroad under conditions that leave them open to being drawn into trafficking. This was an expected finding and the most commonly believed reason girls and women choose to go abroad and risk a trafficking situation. The International Organization for Migration (1998), study also noted the relationship between poverty and the desire to go abroad. In fact, 76% of families in Ukraine do not have enough to support themselves (Gender Analysis of Ukrainian Society, 1999). More and more families must now rely on domestic production of food (which has soared from 29% – 200 – to 56% in recent years) in order to feed themselves (The Family in Ukraine, 1999). Sixty-two percent of the unemployed in Ukraine are women (Vlasenko, Vinogradova and Kalachova, 2000). In this study there were similar findings as to the level of poverty. With the population at large group, it was shown that 64% of girls and women live on or below the poverty level; 25% are hardly surviving. With the Women for Women Center population, two thirds do not regularly receive their salary and do not have enough to support themselves. They compensate for this lack of resources by working at two jobs and borrowing money. It is no surprise that girls and women will consider acting precipitously in order to obtain basic life necessities. The Women for Women Centers have a major goal of helping women to improve employment opportunities. The job skills trainings at the Women for Women Centers have been highly successful in introducing concepts of Western business practices to women attending trainings. Under the Soviet system, many women never had to look for employment and so are not used to describing their professional skills to a prospective employer. The Centers start with such issues as resume writing and interviewing techniques. Women then require training in current information technology capabilities, such as computer competency. The Centers provide it. The Centers have become so well known for their excellent training of women that potential employers now call the Centers when they have an open position. They do so because they will be assured of a competent prospective employee. Recommendation: Trainings for jobs skills need to be expanded. This is particularly critical for girls and young women graduating from secondary schools, Internats or technical schools. Trainings need to be offered on-site in secondary schools, Internats and technical schools, possibly as part of the curriculum. While some trainings are currently offered in the school setting, this effort needs to be greatly expanded. This is not possible with the current level of staffing in the Women for Women Centers. Recommendation: An additional staff member needs to be hired at each of the Women for Women Centers to work exclusively in the schools in an effort to greatly expand trainings in the schools. Having such a person would ensure consistent job skills trainings in secondary schools, technical schools and Internats. An employee with this singular, dedicated purpose would be especially helpful with developing and maintaining relationships with Internat staff, a key to providing access to Internet students. With approximately 4,000 female children living in Internats, this is a population that needs critical attention. B. Finding: In the Women for Women Center study, supportive relationships with grandmothers, parents and the emotional comfort of financial security were correlated with being a deterrent to considering going abroad to work. Unfortunately, emotional support was minimal for girls and women in both studies. Lack of emotional support was an issue for one fifth of the women in the UISS study. Anecdotal evidence abounds of parents who have gone abroad to work, leaving their children in situations far worse than if they had remained in Ukraine. – 201 – Recommendation: Parents need to be assisted in order to provide adequate emotional support to their children. Groups for parents, arranged through the Women for Women Centers, and in conjunction with a related family agency, could provide support and information and access to resources that would enable parents to maintain consistent involvement with their children, even in very difficult circumstances. These groups, once established, could become autonomous peer support groups, with minimal staff involvement and expense. Recommendation: For young girls whose parents are unavailable, a mentoring program is often cost effective and has been proven to assist teens to develop their potential, in spite of economic, familial and societal obstacles (United State Department of Education, 2000). There is anecdotal evidence that informal mentoring takes place with students in Internats and relatives from their extended families and even neighbors. Such mentors need to be recognized and supported in their efforts. In-country Peace Corps Volunteers may be a source for additional mentors. C. Finding: Another significant finding was that, in both studies, there was a high rate of current or previous emotional, physical and sexual abuse; there was a positive correlation between women experiencing abuse and the consideration to go abroad to work in situations that leave them vulnerable to traffickers. Fifty percent of adult women in the Women for Women Center study have experienced violence and 20% remain in a violent situation (see Table 1). The percentages of experienced violence were less in the population-at-large sample; nevertheless, they were high (see Table 2). Women are often physically unable to work as a result of violence they experience in the home; medical attention is frequently needed. The Ukraine Ministry of Interior Affairs reported that in 1999 alone, 1,227 women were killed; 1,215 women were the victims of premeditated grievous bodily harm; 1,256 women were sexually assaulted; and 6,522 women were the victims of sexual perversion (Vlasenko et al., 2000, p. 29). (No information is given on the perpetrators of these crimes.) Currently, “assault on one’s wife does not fit into any category of criminal actions within the Ukrainian Criminal Code” (Gender analysis of Ukrainian Society, 1999, p. 222). – 202 – Table 1 Violence Against Women and Teens: Women for Women Center Sample Table 2 Violence Against Women and Teens: Population-at-Large Sample The results of both studies demonstrate clearly that abuse is as serious a push factor as is lack of emotional or financial support. Research has shown that women who have experienced prior abuse are at risk for exposure to further abusive situations (Russell, 1986; Rudd & Herzberger, 1999). It is also known from previous studies in the United States that women and girls who have experienced previous abuse are disproportionately represented in the prostitute population (Schaffer & DeBlassie, 1984; Silbert & Pines, 1981; Simons & Whitbeck, 1991). Often this is related to young girls and women fleeing an untenable violent situation in their homes and finding themselves on the street with no means of financial support, thus ending up in prostitution. This phenomenon was confirmed among the population-at-large group. Women who are prostitutes in Ukraine (N110) had witnessed their fathers physically abusing their mothers (50%), and verbal abuse between their parents (51%); 69% experienced physical abuse from one or both parents and 25% of women prostitutes were threatened with being ejected from their family homes when they were minors. All of these parameters of abuse are at alarmingly high levels, more so than the other groups of girls and women (see Table 3). – 203 – Table 3 Levels of Familial Abuse: Population-at-large study Recommendation: Both the violence prevention trainings and access to lawyers needs to be continued and expanded upon. In an effort to educate women about violence prevention, women are brought together with other women and Women for Women Center staff to learn about commonalities in each other’s lives and to discuss issues in an open way that they may not have previously done. This discussion often takes place in trainings on human rights that lead many women to take clear and decisive positions regarding their domestic or employment abuse situations. Many of the women maintain contact with each other, once they have concluded using the services of the Centers. They even form ‘alumni’ groups that assist the Centers to help other women. Many women even become trainers at the Women for Women Centers. Providing peer-matched trainers who have first-hand experience of the situations of the women attending the Women for Women Centers enables the trainers to be empathic and the women to be highly receptive to their messages. It is known that “the facilitation of significant learning rests upon certain attitudinal qualities which exist in the personal relationship between the facilitator and the learner” (Rogers, 1971, p. 219, cited in Rappaport, 1981). The Women for Women Centers embody this concept. Beardsell (1994) believes the women’s ability to incorporate the messages of trainings depends on the personal qualities of the trainers. “Empathy, positive regard, genuineness, and concreteness may have more ‘prevention effects’ than the content of the trainings” (p. 12). The staff at the Women for Women Centers is extraordinarily dedicated. The commitment and long hours and creative outreach at all three Centers have meant that each Center provides help to women far outside of the cities in which the Centers are located. Their capacity to transform women’s lives from being participants in the trainings to actual leaders of the trainings ensures a domino effect in conveying the message that women are indeed better off staying in Ukraine. The general attitude that Ukraine has ‘little to offer’ changes as women see possibilities before them. For the most part, the teen and adult women that were interviewed for the Women for Women Center study wanted to stay in Ukraine, near their families and in their country and saw the Women for Women Centers as a way to successfully do so. Much of the lawyer’s time in the Women for Women Centers is in educating and supporting adult women to deal with domestic abuse. Access to lawyers and increased violence prevention trainings need to be funded. – 204 – Recommendation: A shelter system that would include both violence prevention and employment skills trainings is the next needed step in the process of providing an alternative to going abroad. Since fully 50% of adult women (Women for Women Center study) have experienced abuse, a need for a shelter system is critical in order to prevent women who are fleeing domestic abuse and teens who are escaping an untenable home situation from going abroad and likely ending up in another situation of violence. Shelters could also be used for women who are returning from a trafficking situation. Since the numbers of women who are considering or have already gone abroad (who are in contact with Women for Women Center lawyers) is increasing, this need continues to increase. At the moment, there are only two battered wives shelters in all of Ukraine. Winrock International, in concert with other NGO’s, is moving to remedy this situation and establish more shelters (personal communication, Ellie Valentine, December, 2000). Recommendation: Fund additional staff so that frequent, systematic trainings can be offered in the school settings. With teen women, the problem of abuse from family members and/or boyfriends is even more acute as they are more reluctant to discuss their abusive situation, and there are few resources available to them. Violence prevention trainings offered by the Women for Women Center staff are well attended by teens. Funding for these trainings needs to be increased, as there are waiting lists at all three centers. This is especially critical for students in Internats who lack ready access to the Women for Women Centers. While the Women for Women Center staff have worked diligently to provide trainings in the Internats, access is complicated by bureaucratic difficulties. With 27% of teens in Internats experiencing physical violence (Women for Women Center study), this is a heightened at-risk group in danger of being lured into trafficking. D. Finding: Women need to be educated as to what constitutes abuse and the overall deleterious effects of abuse, and the relationship between abuse and the increased potential to become involved in a harmful trafficking situation. There was evidence in both studies of lack of knowledge of abuse and its effects. Previous studies confirm that once a girl or woman has experienced abuse, they are more likely to be exposed to future situations of abuse. This phenomenon is related to a number of factors, including lack of knowledge of how to protect herself from abuse, general feelings of worthlessness and patterns of withdrawal and isolation (Russell, 1986; Rudd & Herzberger, 1999). Currently, there is a wide belief in Ukraine that women do not discuss abusive situations and just “put up with it.” The pervasive harmful effects are not so well known. Recommendation: Information regarding the relationship between the experience of abuse and the desire to go abroad needs to be widely disseminated. This may ultimately educate the government and the general public as to the seriousness of the problem and the deleterious effects of women and therefore the entire country. – 205 – Clearly, violence against women interrupts and delays the progression of development for all Ukrainians. “If within the definition of social development we accept that there is more to development than production and distribution of material goods…” (Carstens & Julia, 1999, p. 52), it becomes critical to address violence against women before the quality of life in Ukraine improves. Hunt (1997) makes the point succinctly: “Economic disparity [is] exacerbated by the exclusion of women from the core of society” (p. 4). Reanda (1991) feels the issue of trafficking will only be addressed when “less visible forms of coercion—economic, cultural, social, or psychological…” are attended to that will truly give women the choice of an alternative way of life (p. 226). While one can make the argument that violence against women increases in poor economic times, the alternative evidence is there that this abuse was, while hidden, also prevalent during the Soviet Union. It has become a ‘way of life’ that needs to be recognized as such, campaigned vigorously against and ultimately diminished. The kind of attitude and belief change regarding the potential to reduce violence against women “will not take place unless there is consensus among the group attempting to carry out the transformation” (Burkey, 1993, p. 48). This consensus needs to be consonant “with their own social framework. New ideas and new behavior cannot be imported unmodified” (Burkey, 1993, p. 48). For the most part, people will try to solve what they perceive as the most urgent of the issues in their lives and anyone who knows of Ukrainians’ woes would readily agree that the economic situation is most critical. It may be that until the economic situation improves, no other issue can be addressed. In order to change the ‘mindset’ of a population with regard to violence against women “…the question of central concern is one of how to empower the formation of alternate discursive structures and conditions…” (Carstens & Julia, 1999, p. 53). Such structures could enable women to view the phenomenon as one that could be contained. One way to do this is to let women in Ukraine know that women suffer from violence globally and that it is seen on an international level as an unacceptable condition that prevents women from living full lives. This would counter the beliefs coming especially from older women in Ukraine, from government and some social agencies and even from organized religion that women need to endure with their husbands, even if their lives include violence. We who attempt to bring change need to keep in mind that “social development policies and programs must structure the processes of empowerment to span gender and generations” (Carstens & Julia, 1999, p. 55). E. Finding: The effects of abuse impact girls and women’s ability to be employable. Not only are girls and women in Ukraine dealing with a lack of employment skills, but if they have experienced abuse, they may be more reluctant to put themselves in an employment situation (Shepard & Pence, 1988). This, along with women missing days at work due to current injuries, seriously compromises women’s employability in Ukraine. Being less able to enter the job market and having less awareness of potentially dangerous situations can lead to more potential to being drawn into a trafficking situation. Therefore, the issue of abuse urgently needs to be addressed as a trafficking prevention issue and as an impediment to women’s employment. – 206 – Recommendation: Educate women as to the linkage to current and past abuse and the heightened risk of being drawn into trafficking. Much of the discussion and prevention efforts around the issues of trafficking have focused on economic issues and the lack of employment for women in Ukraine. While the economic issues are validated in these studies, the issue of abuse, equally as serious, now needs to be related to women going abroad and risking involvement in trafficking. This message needs to be incorporated in future public service announcements about trafficking, along with information on where to receive services. The message needs to also be included in the Women for Women Center trainings. As Burkey points out, once the problem has been identified and accepted, “local initiatives for breaking the vicious circle” (1993, p. 22) could be promoted. F. Finding: The overall trafficking prevention effort has been effective in alerting girls and women to the dangers of trafficking. The trafficking prevention effort has been successful through the medium of general public service announcements, and, even more so, through the efforts of NGO’s. In the population-at-large study 38% of girls and women (general population) knew of dangers regarding trafficking. However, only 10% of students in Internats (population-at-large study) knew that you could not work abroad with a tourist visa, demonstrating a continued need for trafficking prevention information. G. Finding: Girls and women who are aware of NGO’s know more about the dangers of trafficking. In the population at large study, as few as 7% know about NGO’s that assist women who have experienced trafficking. Interestingly, those 7% knew more about the dangers of trafficking than did the general population. As well, the higher the educational level and the larger the geographic region, the more girls and women know about NGO’s (and hence the dangers of trafficking). H. Finding: Women and girls who actually come to the Women for Women Center trainings know even more of the dangers of trafficking (see Table 4), and there is a higher knowledge level of the dangers of trafficking following just one training. Table 4 Knowledge of Anti-Trafficking Messages: Women for Women Center Sample Recommendation: The first step is to develop an awareness of the Women for Women Centers. This can only come after expanding staff personnel, as the center staff is already working at full capacity. Women for Women Centers do not advertise for fear of being overwhelmed. Four more – 207 – centers have been established in Ukraine in Chernivtsi, Kherson, Rivne and Zhytomyr. These numbers need to continue to increase. Each of the centers does considerable outreach to the rural areas in their regions, a strategy that needs to continue and be expanded upon. I. Finding: There is now also a need to expand the information campaign to help women to incorporate the dangers of trafficking into their belief system. This was shown to be a critical issue because the adolescent girls who were part of the Women for Women Center study did not demonstrate a behavior change after one training. For example, after one training, technical school teens did not decrease their desire to go abroad and Internat and secondary school students actually increased their willingness to risk going abroad (see Table 5). Table 5 Would Consider Going to Another Country: Women for Women Center Sample There are several reasons for the teens’ responses: 1) when participants come to the trainings, they have a strong desire to go abroad; 2) some participants come to the trainings hoping to find safe ways to go abroad, rather than alternatives to going abroad which the trainings are trying to show participants; It may be that when students attach most of their hope to escaping abroad, information alone is not sufficient as a deterrent. It is well known in the field of health education that “information models neglect important parts of the equation, like what the behavior means to the person and how the behavior is socially reinforced” (Woodworth, 1995, p. 8); 3) while one training increases knowledge of the dangers of trafficking, several trainings may be required in order to effect attitude and belief changes, which in turn lead to behavior change. Greenberg (1976) states that increasing self-esteem, reducing powerlessness and social isolation are as important as the message when trying to help teens make hard choices. These concepts are an important part of the trainings. Staff also incorporate women or even teens into the trainings that have been successful in Ukraine, even graduates of Internats who have completed Women for Women Center trainings. Since most of the teens will attend four to five trainings, it is likely their behavior will gradually shift. Recommendation: Measure the desire to go abroad following a series of trainings. The trainings that were measured in this study are the first trainings teens and women attend. Since most teens and women attend four to five trainings, it would be helpful to measure the desire to go abroad following a series of trainings. This would demonstrate attitude and belief changes, not simply awareness of the dangers of trafficking. According to Carstens & Julia (1999), “attitudes and selfperceptions are more effectively addressed and potentially altered when people experience a new reality rather than when they are told that they ought to think and act differently” (p. 56). The – 208 – trainings are conducted based on this and other empowering perspectives, and demonstrate that, after the initial knowledge of the dangers of trafficking (through public service announcements and the initial training) a more effective means of influencing behavior is through subsequent trainings, where real connections are made and have the potential to endure and lead to change. The positive side to this finding is that almost every teen or woman who took the training wanted to return for another training. Additionally, very few women showed consideration of going abroad precipitously after the first training. J. Finding: For women who received an offer to go abroad, most offers came from friends or relatives. In the population-at-large study, 14% of the girls and women (general population) had received offers to go abroad, often in the restaurant and entertainment business, both occupations that can easily evolve into trafficking situations. Four percent of students in Internats, 47% of sex-workers, and 59% of businesswomen had received offers. For women who had actually worked abroad, most offers came from friends or relatives. Fifty-two percent came from friends or acquaintances; 18% came for relatives. Recommendation: Emphasize that offers to go abroad (that could result in a trafficking situation) come mainly from friends and relatives). While it is common knowledge among trafficking prevention staff that friends and family can draw women into a trafficking situation, the awareness of offers from friends, family and acquaintances to work abroad that could lead to a trafficking situation needs to be stressed in preventions efforts. K. Finding: Girls as young as 11 are vulnerable to trafficking. The population-at-large study demonstrated the highest risk of entering a trafficking situation was among girls ages 18 to 25. However, 38% of girls ages 12-17 desire to go abroad to work under conditions that could lead to a trafficking situation; while they may not have the wherewithal to get themselves situated abroad, they are in need of prevention efforts before the opportunity to go abroad presents itself. In the Women for Women Center study, 45% of teens in secondary schools, 39% of girls in Internats, 34% of teens in technical schools and 26% of adult women desired to go abroad. As stated, age was less of a factor than lack of emotional or financial support or presence of violence. The average age for adult women was 23, so certainly it is clear all ages from 11 to 30 are vulnerable. The older the person, the less vulnerable she is to being drawn into a trafficking situation. Recommendation: In order to achieve the most effective prevention effort, it is advisable to begin directing the trafficking prevention messages to girls as young as eleven. L. Finding: In the Women for Women Center study the numbers of successful job placements and violence prevention efforts were not consistently tracked. Recommendation: The centers need additional staff to track the level of success of their programs. – 209 – Some suggestions for tracking information are: a) How many women find employment following participation in a job skills training. b) How many employers contact centers for positions and how many of these positions are filled. c) What salary do women get following job skills trainings versus what they had been getting. d) How were the incidences of abuse decreased; how many legal actions were taken. e) How many women are deterred from going abroad and ending up in a trafficking situation. f) How many women are counseled regarding going abroad. g) How many family members are counseled while the woman is abroad or when she returns. h) How many women have been helped to resettle when they return to Ukraine from a trafficking situation. The development of a staff position that would gather this information at all three centers is imperative. M. Finding: In the population-at-large study, there were 14 women who acknowledged working abroad in the sex-business. It is difficult to trust this number, as few women would admit to having done so. In the Women for Women Center study, 18 adult women would consider going abroad to work in the sex-business, and only if they desperately needed income or were fleeing a violent situation (question was not asked of students). The only deterrent was a high educational level. That women want to go abroad for an ‘adventure’ is a commonly held belief among Ukrainians and funding organizations alike. From anecdotal sources and information gleaned from the questionnaires, it is clear the most teens and young women do not desire to go abroad at all and only do so out of desperation. Adult women who consider going abroad as sex-workers gave such reasons as, “If my children were starving” and “If I couldn’t find any work at all in Ukraine.” Conclusions The population-at-large study and the Women for Women Center study both confirm that girls and young women were more likely to consider going abroad and risk a trafficking situation if there was poverty and/or violence in their lives. The study demonstrates the success of the Women for Women Centers in violence and trafficking prevention and in increasing job skills. By all accounts, women who attend the Women for Women Centers are more able to find employment, decrease violence in their lives and stay in Ukraine with an improved quality of life for themselves and their families. The larger the number of girls and women that can be reached, the fewer will risk trafficking situations. Not only do the Women for Women Center staff teach trafficking prevention, they help improve girls and women’s overall quality of life, which in the end can enable girls and women to remain in Ukraine. – 210 – There is reason to believe that the prevention model used in Ukraine can be successfully applied in other Eastern European countries. Educating women about the dangers of trafficking through public service announcements and then providing more in-depth community based trainings through the Women for Women Center’s model has proven successful. Data from other Eastern European countries indicates serious economic and violence issues for women (Watson, 1993), similar to those in Ukraine. Hiring women who are leaders in the communities to administer and staff the centers leads to a dedicated, motivated, talented, and caring group who strive to ensure quality service to the girls and women who come in need. When further extending the initiative to prevent trafficking, it is strongly recommended that the connection between violence and vulnerability to trafficking as seen in this study will be a critical part of the plan. References Beardsell, S. (1994). Should wider HIV testing be encouraged on the grounds of HIV prevention? AIDS Care, 6(1), p. 5-19. Carstens, Carol, and Maria Julia (1999). Clitoridectomy, excision and infibulation: Implications for social development. Social Development Issues, 21(30), p. 51-59. Gender Analysis of Ukrainian Society (1999). United Nations Development Program. Kiev, Ukraine. Greenberg, J. (1976, March-April). Health education as freeing. Health Education, p. 20-21. International Organization for Migration (1998). Information campaign against trafficking in women from Ukraine. International Organization for Migration: Geneva, Switzerland. Rappaport, J. (1981). In praise of paradox: A social policy of empowerment over prevention. American Journal of Community Psychology, 4, p. 1-25. Rudd, J., & Herzberger, S. (1999). Brother-sister incest—father-daughter incest: A comparison of characteristics and consequences. Child Abuse & Neglect, 23:9, p. 915-928. Russell, D. (1986). The secret trauma: Incest in the lives of girls and women. New York: Basic Books. Schaffer, B., De Blassie, R. (1984). Adolescent prostitution. Adolescence, 1984, p. 689-96. Shepard, M. & Pence, E. (1988). The effect of bettering on the employment status of women. Affilia, 3(2), p. 55-61. Silbert, M., & Pines, A. (1981). Sexual child abuse as an antecedent of prostitution. Child Abuse and Neglect, 5, p. 407-dll. Simons, R. & Whitbeck, L. (1991). Sexual abuse as a precursor to prostitution and victimization among adolescent and adult homeless women. Journal of Family Issues, 12:3, p. 361-380. Vlasenko, N.S., Vinogradova, Z.D., and I.V. Kalachova (2000). Gender statistics for monitoring the progress in the area of equality between women and men: Ukraine (2000). Cabinet of Ministers of Ukraine; State Committee of Statistics of Ukraine; UNDP “Promoting Gender Equality” Project. Kiev: V.M. Koretsky Institute f NAS of Ukraine, 2000. P.1-52. Watson, Peggy (August, 1993). Eastern Europe’s silent revolution: Gender. Sociology, 27(3), 471-487. Winrock International and the NIS-US Women’s Consortium (April-June 2002). Fourth Quarterly Progress Report, Year Two: Trafficking Prevention in Ukraine for Grant Number 121-A-00-98-00621-00 from the U.S. Agency for International Development. Woodworth, Maria (1995). Re-thinking HIV prevention counseling: Women’s experiences. Master’s Thesis, San Francisco State University, p. 1-103. – 211 – Appendix A “Profile of Teens in Internats” Teens in Internats by definition have little support and therefore may be vulnerable to traffickers. However, there are differences among the teen women that would lead one teen more readily into the hands of traffickers than another. For example, one 13-year-old, T., has a friend who has been involved in trafficking. T. does not want to go abroad. When asked more specifically, she thinks she would go abroad to finish her education. She even thinks there may be honest work for her abroad. She thinks she could find ways to be safe as a sex worker, although she knows it’s possible to get tricked into sex work. However, even though she lives in an Internat, she has a family who provides some financial and emotional support. She has not experienced violence. In the same Internat, another 13-year-old, N., is clearly thinking of going abroad, a view that did not change after the training. Her reason for going abroad is to escape a violent situation. She wishes to go abroad to marry or to work as a housekeeper. She knows a lot of friends who have been in trafficking situations. She firmly believes there is honest work for her abroad, that she wouldn’t get tricked into sex work, and that if she did, she would still be safe. She doesn’t think her health will be damaged, nor her chances for marrying, or that her family will reject her if she becomes involved in sex-work. Currently, she has no financial or emotional support from her family and in fact feels that no one at all supports her financially or emotionally. She has experienced physical abuse with two different men and experiences emotional abuse from her employer. She has no understanding of the causes of the violence. She knew one of the dangers of trafficking before the training and three after the training. In contrast with T., N. clearly is more vulnerable to being deceived into trafficking. “Profile” of Teens in Secondary School L. is a 16-year-old secondary school student. She knows a lot about the dangers of trafficking but still wants to attend trainings at the Women for Women Center because “all my surroundings and my life is connected with such problems” as the centers try to address. L. knows about not having enough money to live and about violence and is hopeful the center can help her with both. First of all, she and her mother had to move out of their apartment and live with her sister and her husband. This was because she and her mother were being physically abused by her father. It is hard to live at her sister’s home because it is crowded and her sister’s husband doesn’t want her or her mother there. Last summer, her aunt took her to Poland where she worked (illegally) cleaning, and watching children. She made some money, most of which she gave to her mother and sister. Since she has been back, things are worse than before, she says. Her boss at work is mean and she hardly makes any money. On the way home from work the previous month (at 11 p.m.), she was attacked by a stranger. She was only now coming back to school after healing from her physical injuries. Now her brother tries to meet her after work to walk her to her sister’s. L. can’t wait until summer so she can go back to Poland and work with her aunt. In the meantime, she thinks maybe the Woman for Woman Center can help her. She is an optimist and hopes that “soon it will be here [in Ukraine] like it is abroad.” Then she won’t have to leave her country. – 212 – “Profile” of Teens in Technical Schools When O. saw the advertisement in the newspaper about a free training on how to get a job, she decided to go to the Women for Women Center. She is 18 years old and finishing her studies at the technical college and has no idea where she might find work. Right now she lives with her parents and they feed her but she really wants to move out because her father has been physically abusive to her and her mother for a long time (five years). The training was wonderful for O., she says. She learned a lot about what she needs to do to get a job. She also found out that the women at the center might be able to help her and her mother with her father. She plans to use the Trust Phone. She wishes she could attend another training but she lives in a small village and so far there has only been a single training in the area. O. said she talked to two women she went through the training with; she had known them before the training but not talked about the things they discussed in the training. Now they plan to meet at school and try to help each other. None of them want to leave the country to find work. All of them know how dangerous the situation is when one goes to another country without the right papers. There have been girls they knew who did so and they haven’t been heard from since. She said they hope they do not get so desperate but if they change their minds and decide to go, they will call the Trust Phone at the Women for Women Center and tell them where they are going. “Profile” of Adult Women M. is 25 years old, works in a state facility where she is regularly paid an amount that is barely enough to support herself in the city where she lives. Her husband also works and she works at another job to make ends meet on a total family income of 500 grivnas a month ($90). She is grateful to the Women for Women Center for helping her with “some domestic troubles” that include many years of physical and sexual abuse, first as a child and now in her marriage. This was the main reason she came to the center and she wants to use many of the services, including trainings that will help her to get better employment. She doesn’t want to leave her marriage, and her few friends, and go to another country to work but she has often felt desperate and depressed, to the point where, when someone who was a casual acquaintance offered her a job in the Czech Republic, she almost said yes, even though she had a feeling it was to work as a prostitute. A woman she went to university with ended up in that situation because she did not have enough money to feed her children. She has since returned and her life is in ruins. M. is glad she doesn’t have children, especially with her marriage a mess and not enough money to support them. She hopes with the help of the center to improve her marriage and get a better job, and not have to leave the country. Profile of Adult Women Considering Going Abroad as a Sex-Worker M., age 29, is an example of a women in this situation. She came to the Women for Women Center because she wants to feel better about herself. She works in a state facility and, together with her husband, earns 700 grivnas a month, not enough to support herself and her two children. Her parents help her from time to time and she has an agricultural garden. She has a few friends for emotional support. – 213 – She has experienced physical and emotional violence from her parents, husband and employer “for a long time.” She would consider going abroad to work in the entertainment business, even as a sexworker because she believes life could not get worse than it now is and it might get better if she had more money. She knows the dangers, has had three friends who were trapped into a trafficking situation but hopes it would be different for her if she decides to go. Right now, another friend told her about the Women to Women Center and she is hoping they can help her with her situation. She has already made appointments with the counselor and the lawyer. – 214 – SECTION 3 L’IMPACT DES CHOIX ÉCONOMIQUES, SOCIAUX ET POLITIQUES Dans les deux sections précédentes, des chercheurs, des experts éminents et des professeurs d’université nous ont présenté les multiples dimensions de la pauvreté et ses effets nuisibles sur la vie des enfants partout dans le monde. Dans la présente section, nous vous proposons une série de textes qui examinent ce qui peut et doit être mis en œuvre pour s’attaquer à ce problème et, par le fait même, améliorer les conditions de vie de millions de familles et de jeunes gens. Le professeur Garfield Brown d’Afrique du Sud émet l’idée que changer et façonner les attitudes des gens peut influer grandement sur leurs choix économiques, sociaux et politiques et contribuer, par le fait même, à modifier les conditions de vie qui engendrent la pauvreté. Gina Browne et ses collègues de l’Université McMaster examinent les effets ainsi que les coûts d’ajouter des programmes d’intervention proactifs et intégrés initiés par les prestataires de services aux services offerts aux chefs de famille monoparentale et à leurs enfants. Les résultats de leur étude démontrent clairement que de telles mesures produisent des gains financiers à court terme ainsi que des avantages sociaux à plus long terme pour les familles pauvres. Lola Fabowalé, chercheuse principale et conseillère en politique au Conseil national du bien-être social du Canada, met en valeur l’éducation continue et permanente comme stratégie fondamentale dans l’amélioration de la qualité de vie des gens qui vivent dans la pauvreté, notamment en ce qui a trait aux familles monoparentales. Elle conclut que l’assistance financière et l’accessibilité à des services de garde s’avèrent bénéfiques dans la mesure où elles permettent aux chefs de famille monoparentale d’intégrer le marché du travail et minimisent les risques de tomber dans la pauvreté. Mariangela Belfiore Wanderley et Mercedes Cywinski, deux chercheurs du Brésil, démontrent la viabilité du Programme de revenu minimum en tant que stratégie de lutte contre la pauvreté dans leur pays. Ce programme a procuré aux familles le moyen de soutenir le développement de leurs enfants et a donné lieu à une augmentation marquée du niveau d’intégration scolaire ainsi que du taux d’utilisation des services sociaux et de santé. La professeure Ritha Ramphal d’Afrique du Sud, dans sa présentation, réclame un accroissement des mesures préventives en matière de lutte contre la pauvreté. Elle argumente que, dans son pays, cela devrait inclure un système d’aide sociale exhaustif voué à la promotion des droits socio-économiques des personnes. Son texte donne un aperçu détaillé des actions que doivent entreprendre le gouvernement et ses divers partenaires pour s’attaquer efficacement à la pauvreté et en atténuer l’impact sur les familles et les enfants. Dans leur présentation, Catherine Montgomery, Annie Mailloux et Christopher McAll discutent du rôle des projets de soutien à l’emploi au sein de quartiers multiethniques et des défis particuliers qu’ils posent. Ils affirment que de tels projets constituent un outil important pour soutenir l’intégration sociale et professionnelle des jeunes à long terme. Ils notent cependant que plusieurs jeunes en marge du système sont souvent exclus ou profitent moins des programmes existants, faisant ressortir la nécessité de réévaluer les critères actuels de sélection et d’inscription à ces programmes. En matière d’éducation, Judi Varga-Toth et Lisa Thibodeau suggèrent que le renforcement de la cellule familiale par le biais de programmes en milieu scolaire améliore grandement les chances de succès des enfants d’âge scolaire considérés à risque. Le programme « Familles et Écoles Ensemble », selon elles, encourage les enfants à se surpasser et à surmonter les barrières que les circonstances ont – 216 – érigées contre eux. La professeure Jane E. Irons présente les résultats de l’évaluation du programme d’abstinence totale (SMART) du Dallas Independent School District qui s’adresse à des jeunes âgés de 12 et 13 ans appartenant à des groupes minoritaires vivant dans des quartiers pauvres – une population qui est souvent associée à la pauvreté chronique et à la marginalisation. Le texte discute des mérites du programme et souligne son impact positif sur la consommation de drogues et d’alcool ainsi que le comportement sexuel de ces enfants. Jean-Pierre Hétu et Manon Gasse, deux chercheurs du Québec, décrivent un programme de prévention gouvernemental (Naître Égaux – Grandir en Santé) qui s’adresse aux femmes enceintes et aux familles avec de jeunes enfants vivant en situation de pauvreté. Dans leur présentation, ils insistent sur la nécessité d’implanter un tel programme afin de dégager de réels bénéfices pour les jeunes mères défavorisées et leurs enfants. Du Québec également, Martin Goyette rend compte des avantages de maintenir un haut degré de collaboration entre un centre jeunesse (dont la fonction est la protection des enfants) et les organisations communautaires locales. La collaboration et le partenariat constituent des approches très efficaces pour œuvrer auprès des familles désavantagées et de leurs enfants. Finalement, Cristiana Mercadante Esper Berthoud, Maria de Fatima Camargo D. Ferreira, Eleonora Silva, Adriana Dias et Adriana Leonidas de Oliveira du Brésil présentent un projet pilote de recherche et de prévention connu sous l’acronyme INFAC (Enquête et Intervention Auprès des Familles de la Communauté) présentement en cours au sein d’une communauté à faible revenu de la ville de Taubaté, São Paulo, Brésil. Leur analyse démontre que la communauté souffre d’un manque de soutien à plusieurs niveaux ainsi que la nécessité de concevoir un modèle de programme d’intervention communautaire auprès des familles adapté aux réalités sociales brésiliennes et ayant pour objectif d’engager et d’habiliter les familles brésiliennes. – 217 – THE IMPACT OF ECONOMIC, SOCIAL AND POLITICAL CHOICES In the previous two sections, researchers, notable experts and university faculty members have illustrated for us the many dimensions of poverty and its deleterious effects on the lives of children throughout the world. In this section, we present to you a collection of papers that examine what can and needs to be done to tackle this problem and, in the process, improve the living conditions of millions of families and young people. Professor Garfield Brown from South Africa advances the notion that shaping and changing people’s attitudes can have an important impact on their economic, social and political choices which, in turn, can alter the conditions of life that give rise to poverty. Gina Browne and her colleagues at McMaster University examine the effects and expense of adding a mix of providerinitiated interventions to services provided to sole support parents and their children. The results of their study clearly indicate that such measures do produce significant short and long-term financial gains and social benefits to poor families. Lola Fabowalé, a Canadian senior researcher and policy advisor, emphasizes life long learning as a key strategy for improving the quality of life of those living in poverty, notably single parents. She concludes that financial assistance and accessible childcare facilities are very helpful in allowing these parents to attach themselves to the labour force and minimizing the risk of poverty. Mariangela Belfiore Wanderley and Mercedes Cywinski, two researchers from Brazil, provide an exposé of the Minimum Revenue Policy as a viable strategy in combating poverty in their country. This program has enabled families to support their children’s development and to encourage a much higher rate of school integration and use of health and social services. Professor Ritha Ramphal from South Africa calls, in her presentation, for increased preventive intervention in the fight against poverty. She argues that, in her country, this should include a comprehensive social security system that supports the achievement of socio-economic rights. Her paper includes a detailed outline of what government and its various partners must do to effectively tackle the problem of poverty, especially as it affects families and children. In their paper, Catherine Montgomery, Annie Mailloux and Christopher McAll discuss the role and challenges of preemployability projects in multi ethnic neighbourhoods. They claim that such projects constitute an important tool in helping youths with their long-term social and professional integration. Unfortunately, they note that many marginalized youths are often excluded or profit less from existing programs, prompting for the need to re-evaluate how youth are selected and motivated to enrol. With regards to the educational system, Judi Varga-Toth and Lisa Thibodeau suggest that supporting the natural strength of the family unit through school based programs greatly improves the outcome of at-risk school-aged children. The Families and Schools Together Program, they maintain, encourages children to be the best that they can and to overcome the barriers that their impoverished circumstances have built up against them. Professor Jane E. Irons presents the outcome of an evaluation made of an abstinence-only program (SMART) implemented by the Dallas Independent School District for 12- to 13-year old inner city minority youth, a population that is often associated with chronic poverty and marginalization. The results are discussed and its impact on changing, for the better, the use of drugs, alcohol and sexual behaviour are outlined. – 218 – Jean-Pierre Hétu and Manon Gasse, two researchers from Quebec, describe a preventive government program (Naître Égaux—Grandir en Santé) that’s predicated on working with pregnant women and families with young children living in the context of poverty. In their presentation, they emphasize that such a program needs to be implemented in order to have optimum impact on disadvantaged young mothers and their children. Also from Quebec, Martin Goyette reports on the positive benefits of maintaining a high degree of collaboration between a youth center (set up for the protection of children) and local community organizations. Collaboration and partnership is seen as a very effective approach when working with disadvantaged families and their children. Finally, Cristiana Mercadante Esper Berthoud, Maria de Fatima Camargo D. Ferreira, Eleonora Silva, Adriana Dias and Adriana Leonidas de Oliveira from Brazil present an ongoing pilot project of research and preventive intervention known as INFAC (Investigating and Intervening with Families in the Community) that is targeted at a low-income community in the city of Taubaté, São Paulo, Brazil. Their analysis shows that the community suffers from lack of support on many levels and points to the need for a Model of Community-Based Family Intervention Program that is designed specifically for Brazil’s social reality and aimed at empowering Brazilian families. – 219 – ATELIER / WORKSHOP 205 PROMOTING ATTITUDINAL CHANGE IN CHILDREN’S RIGHTS, POVERTY AND THE CHANGING FAMILY B Y : G ARFIELD A. B ROWN , M . A . SENIOR CLINICAL PSYCHOLOGIST D E P A R T M E N T OF C L I N I C A L A N D A P P L I E D P S Y C H O L O G Y M E D I C A L U N I V E R S I T Y OF S O U T H E R N A F R I C A MEDUNSA , S OUTH AFRICA Summary Human freedom of choice is a very powerful force on our planet. It is capable of frustrating or thwarting the desires that our parents, our teachers, our loved ones, our policy makers, or even our Creator has for us. Psychology is one of many fields, which makes an important contribution to the future of society by pointing out the limitations of certain lifestyles, which can manipulate individuals into an unhealthy way of using their human freedom. The development, shaping and changing of people’s attitudes is difficult and a lifelong process. A stable family life provides a context in which ongoing healthy attitudes are able to develop. 1. Introduction Poverty has many aspects or dimensions. Relevant to this presentation are the moral, psychosocial and family dimensions relating to poverty. In a global context the causes of poverty are very similar to the results of poverty. In other words, what leads to poverty often stems (comes) from poverty. For example: ◆ lack of employment ◆ lack of education ◆ lack of technical aid ◆ lack of sanitation or safe water ◆ lack of access to health services ◆ lack of access to transportation and communication ◆ lack of family stability In order to avoid terminological ambiguity in societies of a rapidly changing world, four concepts in the title of this presentation need to be defined or clarified, namely poverty, children’s rights, attitudes and the family. – 220 – 2. Definition and clarification of key concepts 2.1 Poverty in a society may be described as a loss of, or lack of economic justice in that society. Absolute poverty may be defined as “a condition of life so characterised by malnutrition, illiteracy, disease, high infant mortality and low life expectancy as to be beneath any reasonable definition of human decency” (Jenkins, 1992, p158) 2.2 Children’s rights refers to the just and fair privilege or immunity which a child is entitled to (The Concise Oxford Dictionary 1976) 2.3 An attitude is a like or a dislike of something or somebody that influences our behaviour towards that thing or person (Kalat 1996, p689) Or A relatively enduring organisation of beliefs, feelings and behavioural tendencies towards socially significant objects, groups, events or symbols (Jones 1997, p1) 2.4 Family. The Concise Oxford Dictionary (1976) ascribes the following meanings to a family: 2.4.1.1 Members of a household, which includes parents, children, servants, etc.; set of parents or children or of relations living together or not (Holy family, Royal family). 2.4.1.2 A person’s children. 2.4.1.3 All descendants of a common ancestor or house lineage. 2.4.1.4 A brotherhood of persons or nations united by political or religious ties. This paper will focus on the first three of the above descriptions. 2.5 The changing family refers to new patterns of family structure, for example, child headed families (as a result of AIDS) and single parent families (as a result of divorce, or death/abandonment by one parent). 3. A concern When we consider that as far back as 1992, worldwide, 450 million people were mentally or physically disabled, 800 million had no access to health care, and at least 15 million children died every year, it was apparent that an international group effort was required to help those in need (Jenkins 1992, p. 158). In 1999 Mayur (1999, p. 2-4) gave statistics, which were significantly higher. In 2002, the statistics surrounding poverty problems are still escalating. It would seem that the international group effort would include responsible and skilled individuals from the obvious influential professions such as, politicians, economists, jurists, theologians, engineers, architects, sociologists, anthropologists, psychologists, medical doctors, as well as many others. In South Africa, the effects of poverty manifest themselves in many psychological problems and psychiatric disorders. South Africa houses children who are exposed to First world, as well as Third world conditions. These conditions often exist only a few kilometres away from each other. When – 221 – working with individuals and families in these settings, it is firstly necessary to address their immediate physical and psychological needs, as described by Abraham Maslow (Adams, 1983). It is also however necessary to work pro-actively by making sensible suggestions to the authorities wherever possible. This suggests a new way of looking at social problems, a new mind set promoting attitudinal changes. 4. Ways of bringing about attitudinal change It is generally agreed that attitudinal change is brought about by some kind of interactional persuasion using both positive and negative forms of manipulation, like negotiation, supplication, intimidation, example and all the competing systems of psychotherapy. According to Plotnik, (1996) and Kalat, (1996) there are generally two routes to persuasion. (i) When information is presented with strong arguments, analysis, facts and logic, which is referred to as the central route for persuasion (ii) When the emphasis is on emotional appeal, the focus is on personal traits in which positive feelings are generated, which is referred to as the peripheral route for persuasion. Clinical psychologists remind us that people are especially open to influence or persuasion when they feel most vulnerable, easily suggestible, are determined to change, or are in trouble. Social psychologists find that influence or persuasion depends not only on what someone says, but who says it and what the listener thinks of that person. (Kalat, 1996, p688) The question arises whether attitudinal change is always easily translated into actions and which contexts create the best opportunities to foster healthy lifestyles. 5. The role of our attitudes in our decision making Because our beliefs, attitudes, thoughts, feelings, will and actions are inextricably related to each other, it is not always easy to understand our true motives when making choices. People are not always fully aware of the impact or the implications that their choices will have in the long term. Our attitudes have an impact on all spheres of our life including our economic, social and political choices. However, where and when we place our priorities depends on how our beliefs, attitudes, thoughts, feelings, will and actions influence our decisions at that particular point in time. In order to make a decision, we need to know what we are thinking and feeling before we can translate that into actions. The question of how rational or irrational some of our beliefs are, are often worked through in psychotherapy. Our values may be loosely described as a cluster of attitudes. For example, if I value a stable family life, then the cluster of attitudes relating to a stable family life (commitment, respect, dignity, integrity, freedom, individuality, amongst others) will be included in the value. To a very large extent what we strive for in life is influenced by what we believe in. – 222 – The workings of our minds are very powerful and not always understood. For example, the cornerstone of psychoanalysis is based on the belief that “… ideas can create and shape physical symptoms” (Loevinger, 1987, p. 19). 6. Do we believe in the following contributions to the future of society? 1. In the context of controlling diseases worldwide, former U.S. president, Jimmy Carter, states the following— “As we enter the 21st century we have wealth and technology unmatched in human experience … There are more than six billion of us on earth … Perhaps the most important challenge for the new century is to share wealth, opportunities and responsibilities between the rich and the poor ….The problems may seem insurmountable, but they are not. We have the tools; we have brilliant dedicated people to find answers. All we need is a sense of sharing and the will to change.” (National Geographic, February 2002, p. 2-3) 2. Addressing a meeting in Washington D.C., President George W. Bush stated the following – “Statistics tell us that children from two parent families are less likely to end up in poverty, drop out of school, become addicted to drugs, have a child out of wedlock, suffer abuse or become a violent criminal and end up in prison. Building and preserving families are not always possible, I recognise that. But they should always be our goal. So my administration will give unprecedented support to strengthening marriages. Premarital education programmes can increase happiness in marriage and reduce divorce by teaching couples how to resolve conflict, how to improve communication and, most importantly, how to treat each other with respect. Under the plan that I’m submitting, up to $300 million a year will be available to support innovation and to find programs which are most effective. You see, strong marriages and stable families are incredibly good for children. And stable families should be the central goal of American welfare policy.” President George W. Bush th (February 25 , 2002, meeting and speech at St. Luke’s Catholic Church, Washington D.C.) 3. In an advertisement in which the United Nations Development Programme features two of the world’s best-paid football players, the following message is given. “… We now live in a world where almost a quarter of the population live in absolute poverty? … For the first time ever, we possess the wealth, technology and knowledge to create a poverty free world in less than a generation? … We’re closer to ending world poverty than you might think…” (National Geographic, July 2001) 4. Referring to children’s rights, in 1959 the United Nations published: “…The Declaration on the Rights of the Child so that governments could make new laws or enforce existing laws enabling each child to have the following ◆ the right to an identity ◆ the right not to be discriminated against – 223 – ◆ the right to equal treatment ◆ the right to family life ◆ the right to education ◆ the right not to be abused or exploited.’’ (Jenkins, 1992, p. 136) 5. In one of the many proposals in his Plan of Action to identify key values in a new educational system, Rashmi Mayur, states the following— “For the sake of the full development required of children, it is fundamental that the present tyrannical education system is totally revamped. New educational systems should emphasise the development of intelligence, creativity, imagination, love, friendship, co-operation and universality—the values of the future.” (Mayur, R., 1999, p. 6) 6. Addressing a committee of the United Nations general assembly, in which activities relating to “… the Decade for the Eradication of Poverty, which started in 1997 and ends in 2006.” The Vatican’s nuncio to the United Nations, Archbishop Renato Martino, has called on the international community to recognise that— “… poverty is above all a moral problem … and that the poor should be thought of mainly as victims of injustice.’’ (The Southern Cross, October31st, 1999, p. 4) 7. Appearing in a Pastoral Statement issued by the South African Catholic’s Bishops Conference, with reference to economic justice in South Africa, the following two statements are relevant— “Poverty is neither an inevitable nor a necessary part of human life. It is ultimately a product of human decisions and actions and can therefore be eradicated through human decisions and actions” (Economic Justice in South Africa, May 1999, p. 6) “The greatest obstacle to change is the belief that ‘what is’ is ‘what shall be’, since such a belief simply plays into the hands of all those who profit from the many injustices in the world.” (Australian Catholic Bishops Conference “A new beginning: Eradicating poverty in our world” [1996, p. 9] as quoted in Economic Justice in South Africa, p. 10) 8. As far back as 1891 Pope Leo XIII issued the encyclical “Rerum Novarum” (The Workers Charter) in which he clearly spelled out the responsibilities of ◆ the individual ◆ the family ◆ the Church ◆ the state – 224 – ◆ ◆ the employers the employed in bringing about a just and charitable work ethic for all people. 9. As part of a wider effort to fight global poverty, Finance ministers meeting in Washington pledged to get 125 million children who are now denied primary schooling—two thirds of them girls—into classrooms. Britain’s Chancellor of the Exchequer, Gordon Brown, stated that— “ In a world where nearly one billion adults are illiterate, education is the very best anti-poverty strategy.” (Pretoria News, April 2002, p. 1) 10. The Universal Declaration of Human Rights, article 16, clause 3, reads as follows— “The family is the natural and fundamental group unit of society and is entitled to protection by society and the State.” (Cole, W.O,. 1992, p. 221) 11. The following statement is generally accepted by psychologists and sociologists— “The family is an important factor in the initial and ongoing socialization of children. It is through family membership and membership of larger organizations, such as the school that an individual learns to participate in a group, and to internalise and adhere to values, norms and practices which regulate a person’s conduct within the family and the larger society.” (McKendrick & Hoffmann, 1990, p. 6) 8. Promoting family unity in shaping attitudes towards social justice Brown (1999) is of the opinion that it is unanimously and universally agreed upon that family life is here to stay. As intimated previously in this presentation, attitudes, beliefs and values are often difficult to change. For example, values encompassing giving, sharing, love and enthusiasm are not easily taught through information and knowledge, but are caught through example and desire. At the same time, behaviours of non-sharing and non-giving may be reflected in the attitude of greed, fear or laziness. The stable family context provides a very favourable training ground in which attitudes, thoughts, feelings, values and behaviours can be experimented with. 9. Conclusion From the above discussion it is clear that there is sufficient worldwide concern for world leaders to sustain a committed effort to diminish and eventually eradicate poverty. Keeping in mind, that action without insight is likely to bring about temporary change, calls for an international group effort, which includes dedicated people from all walks of life. – 225 – Bibliography Adams, H.E. (1983) Abnormal Psychology. WMC Brown Publishers, Dubuque, Iowa. Brown, G.A. (1999) Family Unity and Conflict Resolution. Paper presented at the 4th International Conference on the Child, Montreal. Brown, Gordon (2002) Pretoria News. Monday, April 22nd, 2002. Bush, President George W. (February 25th, 2002, meeting and speech at St. Luke’s Catholic Church, Washington, D.C.). Carter, Jimmy. National Geographic. February 2002. Cole, W.O. (ed). (1991) Examining Religions: Moral issues in six religions. Heineman Educational, Oxford. Economic Justice in South Africa. A Pastoral Statement (1999). Published by the South African Catholic Bishops Conference: Pretoria. Jenkins, J. (1992) Contemporary Moral Issues. Heinemann Educational, Oxford. Jones, S. (1997) Information retrieved from the Internet on August 12th, 1997. szj@management.canberra.edu.au. Kalat J.W. (1996) Introduction to Psychology (4th Edition). Brooks/Cole Publishing Company, New York. Loevinger, J. (1987). Paradigms of personality. W.H. Freeman and Company. New York. Mayur, R (1999) An Eternal Child of the twenty-first Century. 4th International Conference on the Child, Montreal. McKendrick, B. & Hoffman, W. (ed). (1990). People and violence in South Africa. Oxford University Press, Cape Town. Plotnik R. (1996) Introduction to Psychology (4th Edition). Brooks/Cole Publishing Company, New York. “Rerum Novarum” The Workers Charter (1891). Pope Leo XIII, Rome. The Concise Oxford Dictionary (1976) University Press, Oxford. The Southern Cross. (October 31st, 1999). Issue no. 4125. Cape Town. United National Development Programme, Geneva, Switzerland. National Geographic. July 2001. – 226 – ATELIER / WORKSHOP 502 WHEN THE BOUGH BREAKS: PROVIDER-INITIATED COMPREHENSIVE CARE IS MORE EFFECTIVE AND LESS EXPENSIVE FOR SOLE-SUPPORT PARENTS ON SOCIAL ASSISTANCE B Y : G INA B ROWNE , P H . D . DIRECTOR S Y S T E M -L I N K E D R E S E A R C H U N I T O N H E A L T H A N D S O C I A L S E R V I C E U T I L I Z A T I O N F A C U L T Y OF H E A L T H S C I E N C E S C AROLYN B YRNE , M . H . S C . INVESTIGATOR S Y S T E M -L I N K E D R E S E A R C H U N I T O N H E A L T H A N D S O C I A L S E R V I C E U T I L I Z A T I O N A S S O C I A T E P R O F E S S O R , S C H O O L OF N U R S I N G MCMASTERS UNIVERSITY HAMILTON , O NTARIO , C ANADA Abstract This five-year study conducted in Ontario, Canada is designed to assess the effects and expense of adding a mix of provider-initiated interventions to the health and social services typically used in a self-directed manner by sole-support parents and their children receiving social assistance in a national system of health and social insurance. Results from a two-year interim analysis show that providing social assistance families with proactive comprehensive care (health promotion, employment retraining, and recreation activities for children) compared to allowing families to fend for themselves in a self-directed manner, results in 15% more exits from social assistance within one year and substantial savings to society in terms of social assistance payouts. It is no more expensive to provide health and social services in a comprehensive fashion, and equivalent reductions in parent mood disorder and child behavior disorders, as well as equivalent increases in parent social adjustment and child competence levels were also observed. This study presents clear evidence that providing comprehensive care to social assistance recipients produces tremendous short and long term financial gains and societal benefits. Key Words: single parents, social assistance, effectiveness, cost, provider-initiated Introduction Over the past decade, Canada has been challenged to maintain universally accessible programs in health care, social assistance, and childcare within the confines of economic restraint. Extensive reform initiatives have given rise to service cuts in a time of growing poverty and childhood problems. In the province of Ontario, provincial advisory groups emphasize the need to coordinate and target health and social assistance services based on evidence about the most beneficial and efficient mix of service strategies (Advisory Group on New Social Assistance Legislation, 1991; Premier’s Council on Health Strategy, 1991a, 1991b; Ontario Ministry of Health, 1992; Ontario Ministry of Community and Social Services, 1992). However, there is little information available to – 227 – inform policy makers as they attempt to restructure how health care, social assistance and childcare are provided. It is important to identify the various difficulties facing recipients of social assistance. Poverty and its deleterious consequences on adults and children have been well understood for some time (Premier’s Council on Health Strategy, 1991a; Reitsma-Street et al; 1993; Canadian Child Welfare Association et al., 1989; Child Poverty Action Group et al., 1990; McKay et al., 1996). Specifically, financial hardships associated with persistent social assistance use have been linked to poor health and lower personal competence levels (O’Campo and Rojas-Smith, 1998). Independent of poverty, unrecognized, untreated, and under-treated mood disorders (depression and anxiety) extract an inordinate human and economic cost despite the availability of an extensive array of effective pharmacological and clinical interventions (Reiger et al., 1988; Browne et al., in press). Mood disorders, estimated to be 33% of the general population (Michels and Marzuk, 1993), are two and one half times more likely in individuals who are separated or divorced, occur at twice the rate in women compared to men (Weissman, 1987; Klerman et al., 1985), and can affect a parent’s capacity to work, to parent, and to benefit from counselling or social assistance services. Single mothers on social assistance are particularly vulnerable. In comparisons between single mothers and mothers in two-parent families, recent studies have shown that single mothers are more likely to be poor, have worse health status, have a higher prevalence of psychiatric disorders including chronic depression, have a higher risk of mental health co-morbidity, and use more mental health services (Lipman et al., 1997; Brown and Moran, 1997; Hope et al., 1999; Burstrom et al., 1999). Poor children in single-mother households have increased risk of maladjustment in childhood, mental health problems, antisocial behavior, co-morbid emotional and behavior problems, and abuse by their mother (Patterson et al., 1990; Samaan, 2000; Gelles, 1989). Hall et al (1991) found that 59.6% of single mothers have depressive symptoms that predict parenting attitudes that in turn predict child behavior. In fact, increased levels of psychological distress in the single mother lead to greater psychological distress in the child (McLoyd and Wilson, 1990). It is clear that when both poverty and mood disorder are present in parents, the risk for children could be synergistic. The most appropriate way of providing health and social services to people who are experiencing the combination of financial hardship, mental health problems, and single-parenthood has not been previously studied using rigorous scientific methodology. Although, there is some promising evidence from studies conducted to evaluate different programs designed to support people living on social assistance in the areas of health promotion case management, employment programs, and subsidized recreation/childcare (Achenbach, 1991; Olds and Kitzman, 1990, Fries et al, 1993, Wasik et al., 1990, Halpern and Larner, 1988; Sweeny, 1988; The Canadian Council on Social Development, 1991; ARA Consultants, 1987; Ball and Houser, 1989; Opie and DeSantis, 1991; Doherty, 1991; Howes, 1988; 1990; Goelman and Pence, 1988; Frankish et al., 1998; Zoritich et al., 1998), there are methodological shortcomings in many of these studies. There is a lack of research that compares different approaches, documents the utilization of health and social services, or examines specific sub-groups of social assistance recipients who may be more vulnerable. – 228 – At the outset of this five-year study, families receiving social assistance in Ontario, Canada were provided with health and social services under a national system of health and social insurance. Recipients received income maintenance and/or subsidized childcare, plus they had self-directed use of other health and social services. While a full array of services was in place, funding cutbacks had resulted in rationing and huge waiting lists. In the neighbouring regions of Hamilton-Wentworth and Halton, 40% of adults living on social assistance were sole-support parents, 85% of these were women (Ewart et. al., 1992), and 45% were known to have a depressive disorder (Byrne et al., 1996). This study was designed to examine the comparative effects and expense of proactively offering different mixes of provider-initiated health and social service packages to single parents and their children on social assistance (designated as sole-support families). Although they were a minority (3.3% of sample), sole-support families headed by a father were also included. The utilization of health and social services by each sole-support family on social assistance was documented. Methods The income maintenance workers with the Hamilton-Wentworth and Halton Regional Departments of Social Assistance approached sole-support parents who were newly approved to receive social assistance (income maintenance and/or subsidized childcare) for their willingness to participate in this study and to have their name forwarded to the project coordinator. The project coordinator contacted willing parents to explain the study and to obtain their informed consent to participate in the study and to be interviewed annually during the following four years. The rationing of community public health and social assistance services was agency policy; therefore, no consent was required for the randomization to additional services. The sole-support parents were randomized to one of five treatment strategies using a computerized randomization schedule that blocked after every fifth or tenth subject (household) to ensure equal numbers in all treatment groups. Recruitment occurred over a 12-month period commencing in October 1994. The final stages of one-year interventions (health promotion and employment retraining) were completed by the end of year two, while the recreation component was available to families for the entire duration of the study. Income maintenance workers and childcare workers who interacted with the study participants were not informed of the allocation. Interviewers, blinded to the purpose of the study, obtained baseline and follow-up outcome assessments from the parents and children. The full period of follow-up included measurements at one year, two years, and four years after enrolment. A four-year follow-up was planned because it is known that the typical sole-support family remains on social assistance for approximately three or four years (Gorlick and Pomfret, 1991). This article documents the two-year effects and expense of the different approaches to the provision of social assistance to sole-support parents and their children. Study Population Study participants were drawn from two study centers located in the Departments of Social Assistance in the neighbouring regions of Hamilton-Wentworth and Halton in central Ontario, Canada. All new applicants who had been approved to receive social assistance and who were solesupport parents (i.e., single parents sharing their home with at least one child) were eligible to be included in the study. Potential study participants were excluded if they refused to give informed – 229 – consent, were unable to read/write English and an appropriate translator was not available, if they had plans to move outside the regions of Hamilton-Wentworth or Halton or if they were unwilling to participate for the entire five-year follow-up period. Study Design This was a five-armed randomized controlled trial of various mixes of provider-initiated services versus a self-directed approach to providing social assistance to the sole-support parent family. Provider-initiated services included health promotion (public health nurse case management), employment retraining, and recreation/childcare/skills development. A sample size of 765 households (153 adults per arm) was estimated to be sufficient to address the primary outcomes including an allowance of an additional 25% to offset drop-outs (one-tailed alpha = .05; beta = .20). Interventions All study groups received basic social assistance. In addition, Group 1 received a full package of services that included health promotion, employment retraining, and the recreation/childcare/skills development program (i.e., proactive, comprehensive, provider-initiated approach); Group 2 received health promotion; Group 3 received employment retraining; Group 4 received age-appropriate recreation/childcare/skills development programs; and Group 5 received no additional services (self-directed care). The interventions are described below. Basic social assistance: During the time of this study, social assistance in Ontario was defined as the receipt of income maintenance and/or subsidized childcare. Because of growing caseloads (ratio of 1:220 workers to clients at study start-up), there was minimal case planning available, infrequent social service followups, and only 3% of people living on social assistance received public health nurse visits (Browne et al., 1995b). Sole-support parents on social assistance were generally designated as unemployable, hence an employment retraining program was not offered to them and thus they were not eligible for subsidized childcare/recreation. The basic social assistance function consisted of a clientinitiated intake, eligibility assessment in person, and regular ongoing eligibility assessment. Clients had self-directed use of other health and social services available under the national health and social insurance system in Canada. Health promotion: An outreach public health nurse case manager visited the home to review the resources the family currently used, to assess their need for additional resources, and to build a relationship with the family using a problem-solving empowerment-enhancement approach (D’Zurilla, 1988). This oneyear intervention was designed to enable the parents to assess the 1) interplay of family stressors, 2) the underlying challenges, and 3) the usefulness and choice of a range of services. Intensive planning occurred during the initial two to three months, and specific six- and 12-month goals were outlined. – 230 – Employment re-training: Regional Employment Counsellors delivered the Municipal/First Nations Employment Program at a worker to client ratio of 1:50. The program consisted of one to six sessions during the initial sixmonth period including a needs analysis, employment preparation, and resource inventory brokerage, followed by six-month follow-up visits for up to 24 months. Recreation: This subsidized age-appropriate, after-school recreation/childcare/skills development program was a collaborative effort between the YMCA and 21 other youth-serving organizations. The basic components included active recruitment of children, the development of skills, integrating children into mainstream recreational programs, and parental involvement. This intervention was offered four terms per year (two encounters per week) and continued for the entire duration of the study (four years). Assessments Table 1 outlines the variables and their measures, followed below by a brief description of each. The sole-support parent was designated family respondent regarding measures of all members of the household. Parent Characteristics: Sociodemographic information describing the parent was obtained at baseline, including: gender, race, family constellation and size, first language, education, work history, prior social assistance applications, and employability status. Engagement rate (measure of dose of interventions): Attendance was considered compliance with and dose of each intervention. For health promotion and employment retraining, engagement was defined as at least one home or office visit equal to or greater than ten minutes. For the recreation intervention, engagement occurred when at least one child per family engaged in one age-appropriate program per year. The outreach approach used to promote engagement was similar for all provider-initiated interventions: an initial phone call was made to the consenting sole-support parent by the corresponding intervention caseworker with the purpose of arranging a home visit. If the participant did not have a phone or the caseworker was unable to make contact by phone, a letter was sent out. If the parent did not contact the caseworker in response to the letter, the caseworker made several attempts to contact the parent in person. Parental mood disorders: Parent mood (at baseline and at follow-up) was assessed using the University of Michigan Composite International Diagnostic Interview (UM-CIDI short form) (Kessler et al., 1994). The instrument uses a stem and branch structure that allowed those with mood disorder to proceed through the interview very quickly. This screening device is believed to be the best instrument to identify major – 231 – depressive episodes, dysthymia, generalized anxiety disorders, phobias, panic attacks, and alcohol and substance abuse/dependence. Adult social adjustment: The Social Adjustment Scale—Self-Rated (SAS-SR) (Weissman et al., 1978; Weissman and Myers, 1978) is a measure of social functioning over the previous two weeks on a five-point scale measuring three broad areas of work, family and leisure functioning. It was chosen as a measure of adult adjustment because of its applicability to the population, prior use in studies of adults with mood disorder, high degree of reliability, validity, and test use across all samples with varying levels of mental, social, and vocational competence. In support of its validity, the SAS-SR has been shown to distinguish between depressed versus non-depressed people and to have good internal consistency and test-retest stability (Kocsis et al, March 1988; August 1988). Childhood behavior disorders: The Survey Diagnostic Instrument (SDI) of the Ontario Child Health Survey (Offord et al., 1987a; 1987b) was developed from the Child Behavior Checklist (Achenbach and Edelbrock, 1983) which provided a basic pool of items to assess childhood psychiatric disorders: conduct disorder, hyperactivity and emotional disorder (neuroses) in children 4 to 16 years old, and somatization in adolescents 12 to 16 years of age. Child competence: Competence of school-aged children (ages six years and older) was introduced at the two-year followup visit using the Achenbach Measure of Competence (Achenbach, 1991). The total child competence score comprises the sum of three scale scores: activities (sports, hobbies, organizations, groups, jobs, or chores), social (number of friends, contact with friends), and academic (for ages six and older, performance in reading or English, history or social studies, arithmetic or math, science, and other classes); the higher the score (0-26), the more competent the child. A total competence score cannot be calculated for younger children because they are not in the academic setting and hence, they do not have an academic score. Childhood competence is thought to be a more discriminating measure of a population that is 75% to 80% non-disordered at baseline. Social independence: Social independence was defined as self-reported voluntary exit from social assistance for the previous 12 months. The percentage of participants who exited for 12 months was multiplied by the dollar value of 12 months of social assistance services. Expense: The Health and Social Service Utilization Inventory (Browne et al., 1990) was used to tally the frequency of self-reported use of all types of other health and social services by all members of the family in the previous two weeks. The two-week frequency was annualized and multiplied by the dollar value of the service and summed as a per family dollar measure of utilization compared between groups (Browne et al., 1995a). Savings were defined as expenditures averted due to a self– 232 – reported exit from social assistance for the previous 12 months or a reduced need for health and social services. Statistical methods Participants who completed the two-year follow-up assessment were compared to those who dropped out on baseline characteristics. Participants in each study group retained at two years were also compared on baseline characteristics. The direction and impact of any differences or biases on results were examined. The frequency of using different types of planned and unplanned health and social services in each group were described and quantified as a dollar value. The hypotheses of effectiveness and efficiency were tested in a five-group comparison of all sole-support parents who completed the two-year follow-up. Analysis of variance was used to determine if there were any important effects due to the type of family and type of treatment. Results Of the 1,739 sole-support parent families eligible to participate in the study, a total of 765 (44%) were successfully recruited and randomized (700 refusals; 274 unable to contact). The Study Flow Diagram (Figure 1) summarizes the disposition of participants throughout the study. As indicated, the loss of 404 families by the two-year follow-up resulted in a 53% drop-out rate (52% drop-out for single mothers; 72% drop-out for single fathers). Groups I and IV had significantly higher retention rates compared to Groups II, III, and V ((2 (4) = 21.10). A comparison on parent baseline variables was done contrasting drop-outs and the participants retained at the two-year follow-up (i.e., completers). Completers were similar to drop-outs (p( .05) in % intake from each geographical region (Halton and Hamilton-Wentworth), family size, prior use of social assistance, marital status, ethnicity, English speaking, religious orientation, health status, % worrying half or most of the time, % reporting pain or physical discomfort limiting activities, % with two or more mental health problems. Completers were different from drop-outs (p( .05) with significantly more women as the sole-support parent, more had previously received family benefits allowance, greater prior length of time on social assistance, fewer respiratory problems, more general anxiety disorders, more desire for job training, poorer work adjustment scores, better extended family adjustment, higher users of physiotherapy services, and higher recipients of other government transfers (e.g. family benefits assistance, unemployment insurance). Table 2 presents additional details on selected parent baseline variables. A comparison of the children who were retained at the two-year follow-up with those that dropped out revealed that they were similar in the proportion with behavior disorders at baseline (23.1% versus 18.0%, ((2 (1) = 2.98, p = .08) and the total direct expenditures for health and social services utilization (t = .51, p = .61). Group comparisons on baseline variables of sole-support parents retained at the two-year follow-up showed that parents in all groups were similar in most variables. As indicated in Table 3, compared to other groups, parents retained in group II were approximately three years older and had the – 233 – greatest number of children per family. Significantly more parents in groups II, III, and IV reported they worried more than half the time at baseline compared to groups I and V. Children of parents in groups II and V used significantly greater total direct per child per annum expenditures for health and social service utilization at baseline compared to the children in the other groups. The use of analysis of covariance using baseline expenditures as the covariates in testing the hypotheses adjusted for the imbalances at the onset of the trial. Due to multiple testing, these differences could be attributed to chance. Engagement rates: Engagement rates varied between 66% and 80% for health promotion, 74%-79% for recreation, with the lowest engagement rates (35%-38%) occurring in employment retraining (see Figure 1). Parental mood disorders: As indicated in Table 4, across the five study groups, 42%-52% of sole support parents were assessed with mood disorder (depression or dysthymia) at baseline. After two years, this was reduced to 17.6%-21% with no statistically significant differences in this reduction between groups. For the 45% to 55% across the five study groups who suffered from one or more anxiety disorders at baseline, there was a reduction ranging from 13% to 26% at two years with no statistically significant difference in the reduction between groups. Adult social adjustment: All five groups were similar with respect to improvements in the total social adjustment scores from baseline to two year follow-up (p = .39). Although there was no significant difference in the total improvement score between Group I and Group V specifically, there was a statistically significant improvement in the sub-score for parent’s economic adjustment at two years favouring Group I compared to Group V (p = .03). Childhood behavior disorders: The behavior of children in all five study groups improved over the two years with a concurrent reduction in the number of disorders per child. There was no statistically significant difference in the 8.7% to 25% of children that improved (reduction in the number of disorders per child) between study groups (see Table 5). Child competence: Children offered recreation experienced an increase in activities and skills (p = .03) compared to children not offered these recreation services, although this statistical difference is not viewed as clinically important (see Table 5). Of interest, children with any behavior disorder at baseline had higher competence rates if they received the recreation component compared to those who did not (p = .04). The favourable effect of quality recreation on the competence of children with a behavior disorder at baseline is documented in a separate article (Browne et al., 1999). – 234 – Social independence: As shown in Table 4, at two-year follow-up, a statistically significant greater proportion of parents who received comprehensive care (25%) reported that they had not used any form of social assistance in the entire previous 12 months compared to 10% in the self-directed care group (Group I versus Group V, (2 = 5.23, p = .02). Expense: The five study groups were similar at baseline in per parent annual expenditures for utilization of health and social services. Two years later, most groups had at least a 50% reduction in per parent expenditures except for Group III (employment retraining) which consumed statistically significantly more health and social services largely due to hospital costs (p = .04). When hospital costs are excluded, the five study groups were similar as illustrated in Figure 2 (p = 0.87). By two years, the cost of health and social services used by the self-directed group was equivalent to the cost of providing these services proactively to Group I. For children, at baseline there were differences in total direct annual per child expenditures for use of direct services; however, two years later, there was no statistical difference across study groups (p = .08). The provision of provider-initiated services to parents and children had no effect on changing (increasing or decreasing) children’s self-directed use of other health and social services at two-year follow-up. As expected, there were significant differences in the expenditures for the use of recreation services in Groups I and IV reflecting the cost of the recreation/childcare intervention. Discussion This is the first randomized trial to report on the effects and expense of adopting a proactive comprehensive approach to providing social assistance to sole-support parents and their children. The study predates the current social policy introduced by Ontario Works (Ministry of Community and Social Services, 2000) and it occurred at a time when single-parent mothers on social assistance were not required to work. The study was conducted to illustrate the effects of offering proactive comprehensive care in a system where it was not mandatory for a recipient of social assistance to actively participate in a program designed to move them as quickly as possible to a job. Intuitively, social assistance caseworkers have long recognized the linkages between poverty, mental health disorders, single parenthood and childhood problems. There is a general awareness that providing income support to sole-support families is, on its own, most often not enough to help them break out of the welfare cycle. Instead, addressing the multiple needs of the family to treat their whole circumstance is an alternative that needed to be investigated. The results of this study clearly demonstrate that compared to self-directed care, providing an upfront comprehensive, providerinitiated package of services to sole-support families receiving social assistance is more effective in terms of % exits from social assistance and dollars saved due to more exits. In addition, it is no more expensive to provide health and social services in a comprehensive fashion than to allow parents to access services in a self-directed manner. Furthermore, over a two-year period, compared to self-directed care, comprehensive care produces equivalent reductions in parent mood disorders and – 235 – child behavior disorders, as well as equivalent increases in parent social adjustment and child competence levels. We were also eager to identify any particular types of sole-support parents who benefited more from the comprehensive approach compared to self-directed care. We examined parent characteristics (e.g., age, gender, presence of mood disorder, number of children) that may have interacted with the approach to treatment. We found an across the board decrease in mood scores and a concomitant increase in social adjustment scores for all types of parents across all study groups. These results may have limited generalizability since this study took place in two well-developed urban regions in central Ontario which may not render the results transferable to recipients of social assistance living in rural areas or other environments. Although, our large sample size and the long-term follow-up were major strengths of this study, a major limitation was the large drop-out rate by the two-year follow-up. This loss of subjects was disappointing; however, this is typical of community trials involving social assistance populations with long-term follow-ups (Social Research and Demonstration Corporation, 1996). In this situation, a large number of participants became lost to follow-up because they moved and we were unable to locate them; some new addresses were identified, however we were unable to make contact by phone, letter or by randomly stopping by their homes. As the results show, the sole-support parents who were retained in the study at two-year follow-up were somewhat more disadvantaged and more entrenched in the welfare system in that they were higher recipients of other forms of government assistance. When comparing drop-out rates, we found that 72% (18/25) of sole-support fathers dropped out compared to 52% (381/733) of sole-support mothers. We were very interested to determine the reason for the higher drop-out rate in the small group of sole-support fathers who enrolled in the study; however, we were unable to locate the 18 fathers. Generally, the two highest retention rates were for the comprehensive package (58%) and the recreation package (55%). It seems that higher retention rates where achieved when the program involved recreation for the children. It may be that parents had more incentive to stay involved when they perceived that their children were benefiting. If comprehensive care actually makes any difference, it should really have been most evident when comparing the results of Groups I (comprehensive package) and V (self-directed care). Although the change in parent mood scores and total social adjustment scores were equivalent between these two groups, participants in Group I did have a statistically significant higher voluntary exit from social assistance compared to Group V (25% versus 10%). This 15% difference in exit rates between the two groups has major implications. Exiting social assistance earlier than the usual three-four years (Gorlick and Pomfret, 1991) results in substantial savings. In addition, over the two years from baseline to two-year follow-up, study results showed equivalent reductions in the use of other health and social services across groups commensurate with improvements in mental health. After including the cost of all proactive care, it was no more expensive to help them proactively than to rely on their on-demand use of more expensive hospital/physician services. In addition, due to the savings resulting from more rapid exits from social assistance, it can be argued that it is actually less expensive to society to provide comprehensive care. – 236 – Applying what was learned from our study results, we have developed a costing scenario (expressed in Canadian dollars) to estimate the savings that could be achieved by providing comprehensive care to social assistance recipients based on the following assumptions: ◆ There are approximately 8,000 sole-support families in Hamilton-Wentworth/Halton regions. ◆ It costs, on average, $20,000 per year to provide social assistance to a sole-support family ($12,000 in income support and $8,000 for benefits) resulting in a cost of approximately $160 million per year for 8,000 families. ◆ Study results show that it costs no more to proactively provide a comprehensive package compared to allowing parents to fend for themselves and to access services in a self-directed manner; therefore, it is not necessary to include the cost of the program in the costing scenario since from a cost perspective, it makes no difference to society how the services are delivered (Figure 2). ◆ Engagement rates might vary between 35.1% and 78.8% depending on the intervention. ◆ The retention rate, once engaged in a comprehensive package is 58%. ◆ 25% of parents receiving comprehensive care will not use social assistance in the previous year compared with 10% when parents direct their own care; therefore, we can expect a 15% difference (more) in exit rates due to comprehensive care. Using these assumptions, if providing comprehensive care triggers 100% engagement and causes 15% more families to exit social assistance, then we would expect 1,200 of 8,000 families to exit. This would result in a $24 million per year (1,200 ⳯ $20,000) reduction in social assistance payouts. Recent re-investment initiatives in Ontario have been introduced with the goal of providing low income families with support as they move into the workforce (Ministry of Community and Social Services, 1999). If current recipients of social assistance were to retain the benefits portion of their subsidy when they exited social assistance (approximately $8,000 per year), then the amount saved in social assistance payout would now be reduced to $12,000 per year instead of $20,000. If there was a 15% exit rate, the 1,200 exits would results in a $14.4 million (1,200 ⳯ $12,000) annual reduction in total social assistance payout. Therefore, even with continuing to provide benefits to the families exiting social assistance there would still be a $14.4 million annual savings to the system. Taking into account that we cannot expect that all 8,000 families will engage in the comprehensive service package or that all who engage will continue to participate in the program, we calculated how engagement and retention rates could affect the above estimations. Specific engagement rates in our study varied: 73.8%-78.8% for the recreation component; 66.2%-79.7% for the health promotion component; and 35.1%-38.4% for the employment retraining component. The lowest engagement rates for each component (73%, 66%, 35%) have been plugged into the costing scenario. Fifty-eight percent has been used as the retention rate since, of those who engaged in the comprehensive package, 58% were retained at two-year follow-up. If we assume an engagement rate of 73%, we would expect 5,840 of 8,000 families to engage in any given year. If 58% of these were retained, 3,387 families would receive the benefits of the comprehensive package. If 15% of these exit social assistance due to receiving the – 237 – comprehensive package, then 508 families would exit. Using the complete cost of providing both income maintenance and benefits ($20,000), if 508 families exit, we would expect an annual savings of $10.2 million. On the other hand, if those who exited social assistance retained $8,000 in benefits, there would still be a savings of $6.1 million (508 ⳯ 8000 = 4.1 million; 10.2 million – 4.1 million = $6.1 million). In comparison, an engagement rate of 66% would result in between $5.5 million to $9 million savings in social assistance payout depending on whether $12,000 or $20,000 in reduced social assistance was used in the calculation. Even an engagement rate as low as 35% (2,800 families) results in annual social assistance savings between $2.9 million and $4.9 million. Clearly, this costing scenario demonstrates the potential for major savings in social assistance payouts when sole-support families on social assistance receive a comprehensive package of provider-initiated services. These estimates are considered conservative given that there was a large drop-out rate and due to lack of evidence, we are forced to assume that all of those who dropped out of the study received absolutely no benefit from their participation, that they did not voluntarily exit social assistance as a result of the intervention, and that they did not have reduced utilization of health and social services. This may, in fact, not be the case and it is disappointing that we could not measure the impact that the interventions ultimately had on these drop-outs. Another interesting finding of this study is that, similar to the Canadian Self-sufficiency Project (Social Research and Demonstration Corporation, 1996), one-third of the sole-support parents who were offered employment retraining elected to attend at least one session. As a rule, social policy designates these parents as unemployable; however, if as seen in this study, sole-support parents are willing to attend retraining sessions and this accelerates their return to work, it seems a strategy that merits further examination. In summary, our study results demonstrate that a comprehensive package of care provided to solesupport parents receiving social assistance is both more effective and less expensive to society as a whole, in terms of more exits and dollars saved in reduced social assistance payouts. Furthermore, the returns on the investment with comprehensive care are greater than when individual services are offered in a diluted fashion. In fact, our findings suggest that under serving sole-support parents and allowing them to direct their own use of services is considerably more expensive since it results in a sustained reliance on social assistance by a greater number of parents over the long term. A comprehensive approach provides sustained support that addresses the needs of the entire family. Considering that it costs no more to provide services to social assistance recipients in a comprehensive fashion compared to a self-directed manner, that we can expect equivalent improvements in parent mood disorder and social adjustment, and that parents will make a quicker exit to the workforce, it is clear that comprehensive care provides tremendous short and long term financial gains and societal benefits. Lessons learned from this study have been enthusiastically endorsed by community stakeholders and are currently being used to inform municipal reinvestment strategies in an Ontario initiative to reduce child poverty and to promote employment for low income and welfare families by providing income supplements and essential benefits and services to families as the parent re-enters the workforce (Ministry of Community and Social Services, 1999). – 238 – Acknowledgements The study was conducted by The System-Linked Research Unit on “Health and Social Service Utilization” at McMaster University (Hamilton, Ontario, Canada) with funding from the National Health Research and Development Program (NHRDP), Health Canada’s Children’s Mental Health Division, and Hamilton’s Community Foundation. We would like to acknowledge and extend our thanks to the following System-Linked Research Unit collaborators: Bonnie Ewart, M.S.W. 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Soc Sci Med, 47:317-327. – 242 – Table 1 Variables and their measures – 243 – Table 2 Comparison of completers versus drop-outs on selected baseline variables – 244 – Table 3 Differences at two-year follow-up between groups on baseline variables – 245 – – 246 – Table 4 Group Comparisons of Parental Mood Disorders, Social Independence, and Adult Social Adjustment at baseline and two-year follow-up – 247 – Table 5 Group comparisons of Children’s Behavior Disorders and Children’s Competence at baseline and two-year follow-up – 248 – Figure 1 Study Flow Diagram Figure 2 Percent of Single Parents’ Exit From Social Assistance in the Previous 12 Months – 249 – ATELIER / WORKSHOP 401 POVERTY AND SINGLE-PARENT MOTHERS: DO TAXES AND TRANSFERS ACROSS CANADA MAKE A DIFFERENCE? B Y : L OL A FABOWALÉ , M . M . S . SENIOR RESEARCHER AND POLICY ADVISER N A T I O N A L C O U N C I L OF W E L F A R E OTTAWA , O NTARIO , C ANADA Introduction Policy discourse at all levels of government in Canada emphasizes life-long learning as a key strategy for improving the quality of life of all Canadians1. This strategy, if well implemented, has the potential to promote greater social inclusion of many households headed by single-parent mothers especially those who live in poverty or are dependent on social assistance. For contrary to popular belief, members of such households seek to exit poverty or social assistance by increasing their levels of education in order to obtain more secure employment2. It is well established that although education is not a full guarantee against poverty, households whose heads either have the highest levels of education, or are most strongly attached to the labour force, or both, face the lowest risks of poverty3. Yet, across all Canadian provinces, it is difficult if not outright impossible for single-parent mothers to receive financial assistance towards higher levels of education while on social assistance4. Although low-income families are more likely to qualify for childcare subsidies, inadequate funding both for child care architecture and for child subsidies has translated into an inadequate number of quality childcare spaces for both poor and non-poor families. Although Canada has more than three million children under 12 years of age, it has fewer than one million child care spaces to accommodate those living in poverty let alone all families with children5. Moreover, the quality of 1 Leroy O. Stone and Nathalie Deschênes with the assistance of Catherine Pelletier. Importance of Time and Money Poverty as Barriers to Education and Training, A Review of the State of Knowledge. Prepared for the National Council of Welfare University of Montreal and Statistics Canada (June 7, 2002:1). Knowledge Matters: Skills and Learning for Canadians. Human Resources Development Canada, 2002. 2 See Mothers and Children: One Decade Later Department of Community Services, Nova Scotia, (1991: 92-93). Also see Carolyne A. Gorlick, Taking Chances, Single Mothers and their Children Exiting Welfare. School of Social Work, King’s College The University of Western Ontario (1995: 16-17). 3 Poverty Profile, 1999. The National Council of Welfare (July, 2002). Mothers and Children: One Decade Later. Department of Community Services, Nova Scotia, (1991: 116, 122). In Women in Canada: Work Chapter Updates, Statistics Canada Catalogue no. 89F0133XIE (2002: 6), the authors report an almost direct relationship between levels of education and levels of paid employment even after adjusting for age. Among university graduates, 75 percent of the women and 79 percent of the men had paid employment in 2001. In contrast among those who did not complete Grade 8, the rate of participation in paid employment was 14 percent among women and 29 percent among men. Gender-based differences in employment tend to be more pronounced among persons with lower levels of education. 4 Carolyne Gorlick. Taking Chances: Single Mothers and their Children Exiting Welfare. School of Social Work, King’s College, The University of Western Ontario (1995). 5 Donna S. Lero. The Importance of child Care in Welfare-to-Work Initiatives and in a Broader Agenda to Support Families and Children, Paper presented to the National Council of Welfare Roundtable on Welfare-to Work Issues (June 7, 2002: 3). – 250 – nearly half of available regulated childcare spaces is in question6. At the same time, welfare reforms that seek to reduce supposed intergenerational dependence on social assistance increasingly mean that many single-parent mothers spend less time with their children to work longer hours at low wages with limited opportunities for life-long learning for parents and children alike 7. In a recent Adult Education and Learning Survey conducted by Statistics Canada, more than half of the respondents who have not engaged in continuous learning cited lack of time due to paid work and family responsibilities; about 40 percent cited lack of funding8. Such barriers are likely to be more daunting for single-parent mothers who experience greater poverty of time, wealth and income compared to the rest of the population. The challenges are even more acute for households whose single mothers either face long-term disability or illness, or have to care either for elderly parents or for other family members living with long-term disability or illness9. It comes as little surprise then that compared to the engagement of persons with university degree in continuous learning, the rate of participation in adult training is nearly five times lower among family heads who did not complete high school and who need further education and training the most10. This paper supplies quantitative and qualitative research evidence that shows that without adequate financial assistance and child care architecture, Canadian single-parent mothers are not likely to participate effectively in life-long learning initiatives that would promote meaningful social inclusion of all women (especially those with young children) in Canadian society. It demonstrates that efforts of public policy to address some of the time barriers to life-long learning and effective labour force participation that single-parent mothers face are largely uncoordinated across levels of government or target specific groups or are work-based11. Such efforts include provisions of childcare subsidies to help welfare recipients acquire short-term training and employment insurance benefits which include long-term training and income support. Unfortunately, such work-based and targeting approaches risk creating at least four types of poverty traps12. First, inadequate funding often means that not all targeted groups can access available childcare subsidies or spaces. Second, most child care spaces are available from nine to five even though many parents in low-wage jobs are required to do early morning or night shifts. Third, there 6 Donna S. Lero. The Importance of child Care in Welfare-to-Work Initiatives and in a Broader Agenda to Support Families and Children (June 2002: 3). 7 Donna S. Lero. The Importance of Child Care In Welfare-to-Work Initiatives and in a Broader Agenda to Support Families (June 7, 2002:2). 8 Leroy O. Stone and Nathalie Deschênes with the assistance of Catherine Pelletier. Importance of Time and Money Poverty as Barriers to Education and Training, A Review of the State of Knowledge. Prepared for the National Council of Welfare University of Montreal and Statistics Canada (June 7, 2002:5). 9 Donna S. Lero. The Importance of Child Care In Welfare-to-Work Initiatives and in a Broader Agenda to Support Families and Children Summary Points for a National Council of Welfare Roundtable Discussion on Welfare-to-Work Issues. Centre for Families, Work and Well-Being The University of Guelph (Canada June 7, 2002:2). 10 Leroy O. Stone and Nathalie Deschênes with the assistance of Catherine Pelletier. Importance of Time and Money Poverty as Barriers to Education and Training, A Review of the State of Knowledge. Prepared for the National Council of Welfare University of Montreal and Statistics Canada (June 7, 2002:5). 11 Wanda Wiegers, The Framing of Poverty as “Child Poverty” and its Implications for Women. Status of Women Canada (June 2002). 12 Wanda Wiegers, The Framing of Poverty as “Child Poverty” and Its Implications for Women. Status of Women Canada (June 2002). Terrance Hunsley, Lone Parent Incomes and Social Policy Outcomes. School of Policy Studies, Queen’s University Kingston (Canada 1997). – 251 – is evidence that training provided may not coincide with the qualifications or aspirations of the participant or with labour market needs. Finally, targeting usually means that the childcare needs of non-targeted groups such as non-poor single-parent mothers and working mothers in multiple-earner households are ignored. Yet targeted and non-targeted groups may share similar aspirations and characteristics despite differences either in income levels or in household status. Virtually all families with children need adequate care, regardless of their income levels. In many two-parent families where one parent is absent much of the time, the parent left behind often faces similar time pressures as any single-parent family. In addition, even families with no children but with the need to care for elderly or disabled members, may face similar time pressures. Policy Implications Ironically then, the solution to the higher levels of time poverty facing single-mother households may not be increased targeting, much as that may appear to save scarce state dollars in the shortterm. Rather, Canadian governments must ensure that the programs and services they deliver at all levels reflect a key reciprocity principle that to be the innovative, responsible and included citizens that Canadian governments desire, members of Canadian households need and are entitled to a fair share of state support and resources. There is strong research evidence both from Canada and other countries that an integrated familywork policy which includes adequate child care provisions eventually pays for itself as a majority of citizens improve their educational, work and income status and as poverty levels substantially decrease. The reciprocity principle is in fact only a variant of the equity principle underpinning the Social Union Framework Agreement (SUFA), which the federal government signed with the provinces and territories (except Quebec) on February 4, 199913. That underlying principle of equity means that the signatories agreed to ensure that social programs and services will be “delivered reasonably to all Canadians based on need no matter where they live or move”14. In this regard, this paper identifies direct government transfers, tax policy and non-cash transfers as three interrelated policy instruments to facilitate continuous learning and labour force participation for members of Canadian households, especially those headed by single-parent mothers. The paper assesses some of the trends and impacts of these three instruments on the well-being of households led by Canadian single-parent mothers relative to other Canadian households. It also evaluates differences in how the instruments are used in Canada and in other countries to promote the welfare of single-mothers. 13 Christian Dufour, “Restoring the Federal Principle: The Place of Quebec in the Canadian Social Union”. In Policy Matters, The Institute for Research on Public Policy, Canada (January 2002, Vol. 3 no. 1: 6, 11). 14 Martha Friendly, “Is this As Good As It Gets? Child Care As A Test Case for Assessing the Social Union Framework Agreement”. In Canadian Review of Social Policy, Issue Number 47 (2001: 77-82). – 252 – To these ends, the paper draws on: a. the pertinent literature up dealing with recent reforms to social policy architecture in OECD countries including Canada, especially as these impact on households headed by single-parent mothers; b. some of the special data the National Council of Welfare requested from Statistics Canada for use in National Council of Welfare publications on the incidence, depth and duration of poverty among Canadian households, and c. data from Statistics Canada’s Income Trends in Canada, 1980 to 1999 on comparative levels of direct government transfers, market income and total income among Canadian households. Key Findings The findings suggest that contrary to the principle underpinning the Social Union Framework Agreement, Canadian tax and transfer programs (including the Child Care Expense Deduction, the National Child Benefit Supplement, the Employment Benefits and Supports Measures and the Early Childhood Development Agreement) are being delivered neither reasonably nor equitably across Canada because of their work-based or targeted nature. For example, the Child Care Expense Deduction is a work-related expense. Parents must pay the caregiver first before claiming the expense on their income tax return. That is based on the assumption that a childcare space that is affordable, flexible, of high quality and acceptable to the parents exists. Many single-parent mothers who are currently unemployed and seeking to upgrade their skills before returning to work cannot afford the outlay of funds involved to claim this expense deduction. For parents who work, the expense translates into reduced income. Similarly, although the Employment Benefits and Supports Measures which the Federal Employment Insurance program offer a wide range of flexible child care arrangements such as sick leave for working parents and long-term training programs with income support for the newly unemployed15, those benefits are generally unavailable to single-parent mothers who work parttime, are self-employed, or are seeking to upgrade their skills. Moreover, some low-income families who work adequate hours to qualify may not exercise their claim because of the low levels of income support involved. Indeed, the employment insurance benefits in Canada pale in comparison with generous parental leaves coupled with universal child care infrastructure and high levels of income support which have promoted employment and life long-learning among single mothers in European countries such as Sweden and Belgium With the exception of Quebec where a universal $5 a day childcare program was instituted in 1997, only a patchwork of daycare services exists across Canada. Moreover, both in Quebec and elsewhere, low wages, growing levels of shift work and the availability of formal child care from only nine in the morning to five o’clock in the evening and only to non-ill children continue to constrain the lifelong learning aspirations, labour force participation and earnings of single-parent mothers. 15 Human Resources and Development Canada, Employment Insurance, 2001 Monitoring and Assessment Report (March 28, 2002). – 253 – Despite evidence that part of the $2.2 billion in federal funds recently allocated to the Early Childhood Development Agreement will be spent on child care, there are no federal standards to guide provincial and territorial allocations in this regard in ways that will promote life-long learning of both parents and children and the effective labour force participation of household heads. Moreover, the National Child Benefit Supplement, through greater income support to low-income families with children, could potentially subsidize part of the child care costs that parents assume to seek work or to improve their education. Yet, it is often clawed back from those who need it the most--families on social assistance. The research findings suggest that a bold redesign of the National Child Benefit Supplement, the Early Childhood Development Agreement, the Federal Employment Insurance program as key stepping stones towards an integrated family/employment policy. A key element of this would be to widen the options of single-parent mothers to provide effective care for their children, to participate in life-long learning or to engage in work that provide adequate incomes for both their own future and their current family needs. Demographic and Poverty Trends, 1980-1999 Between 1980 and 1999, at least three key shifts took place in Canada’s demographics and family structure. First, Canada’s population aged rapidly. Second, the number of households headed by single parents rose considerably. Third, the numbers of poor households with either children or single earners or both significantly increased. Table 1 at the end of the paper presents the growth rates of various age and household groups between 1980 and 1999. The table shows that over the two decades, whereas the number of all children grew by less than 5 percent, the number of those living in poverty grew by more than a quarter. In the opposite direction, although the number of seniors also rose, the number of poor seniors, especially men and couples, actually decreased. Though the number of senior women living below the pre-tax poverty line increased, this growth was less appreciable than the rise in the number of poor families with children, especially those headed by single-parent mothers. The disproportionate increase in the number of poor children can be traced to the dramatic growth in the number of families with children living in poverty, especially those led by single-parent mothers. As Table 1a shows, the total number of couples with children (both poor and non-poor couples) barely changed at all between 1980 and 1999. Yet, the number of poor couples with children rose by more than 13 percent over the same period. In the case of single parents, the numbers of both poor and non-poor families rose significantly. The total number of single-parent mothers under 65 with children under 18 grew by more than 50 percent from 360,000 in 1980 to 570,000 in 1999. Similarly, the number of single-parent mothers living in poverty increased by more than two-fifths over the same period. The growth rate of single-parent fathers was even more striking than that of the two other family types with children, almost doubling from 57,000 in 1980 to 108,000 in 1999. The number of poor single-parent fathers also grew significantly by about a quarter but was still more moderate than the growth rate of more than 40 percent recorded for single-parent mothers living in poverty over the – 254 – same period. Moreover, single-parent mothers constituted the majority of households headed by a single parent. The ratio of single-parent mothers to single-parent fathers in 1999 was 2.7 to one, much less than the ratio of 3.6 to one in 1980 but still quite high. Thus, by 1999, single-parent mothers headed fewer than a fifth of all families with children but were raising more than two-fifths of all poor Canadians under 18 years of age at the same time. Poverty Incidence As Figures 2, 3 and 4 show single-parent mothers have the highest poverty rates based on total income (including government transfers), before taxes. In Figure 2, they are the only group of families with children whose poverty rate surpassed 50 percent every year between 1980 and 1999. Figure 3 indicates that their 1999 pre-tax poverty rate was the highest of all family types in Canada. Poverty Duration Figure 4 further reveals that in at least one of the six years between 1993 and 1998, more than threequarters of single-parent mothers were exposed to poverty. The proportion of single-parent mothers that lived in poverty for more than three years exceeded each of the annual poverty rates between 1980 and 1999. Moreover, the proportion of single-parent mothers who lived in poverty for all of the six years between 1993 and 1999 was a striking two-fifths. This pattern remains consistent, regardless of the index of poverty incidence chosen. Although unattached individuals and singleparent fathers had poverty rates that were higher than the rates for two-partner families, no other poverty rate approached the very high rates for households led by single-parent mothers. Depth of Poverty Not only are households led by single-parent mothers more likely than any other family type to live in poverty, they also live in deep poverty. Between 1980 and 1999, a low-income household led by a single-parent mother in Canada needed, on average, more than $8,000 dollars just to get to the poverty line. This is virtually the same amount of income that a low-income two-parent family needed to escape poverty. Yet single parent mothers face greater time poverty than two-parent families. Additionally, in 1999, the average pre-tax income of a single-parent mother was only 65.8 percent of the poverty line—several points below the comparative figure of 72.2 percent for two-parent families with children16. Moreover, in 1999, single-parent fathers, two-partner families (both with and without children) and unattached individuals under 65 years of age are half to 2.5 times more likely than single-parent mothers to have incomes that exceeded 125 percent of the poverty line17. Unattached senior women are only 3 percentage points less likely than single-parent mothers to have incomes over 125 percent of the poverty line. Even then, more than half of unattached senior women had average incomes that varied from 75 percent to 125 percent of the pre-tax poverty line whereas more than half of singleparent mothers had incomes below 100 percent of the pre-tax poverty line18. 16 National Council of Welfare, Poverty Profile, 1999 (2002: 93). 17 National Council of Welfare, Poverty Profile, 1999 (2002: 100-102). 18 National Council of Welfare, Poverty Profile, 1999 (2002: 100-102). – 255 – Poverty Predictors Why is the risk of income poverty so high for single-parent mothers relative to other family types in Canada? The incidence of poverty is generally lower among households whose major income earners are of the prime working age of between 35 and 44 years, are men, have graduated from high school, worked at a job or business, report earnings as a key source of income, have no children under 18 years of age or have secondary earners19. Such families are also less likely to live in poverty for longer than a year and to have average incomes higher than the poverty line. In contrast, single-parent mothers in addition to being women, sole earners and parents and therefore more prone to poverty, are also over-represented among major income earners whose level of education, main activity, employment status, sources of income and children’s age predispose them to high risks of poverty. Among households headed by single-parent mothers non-poor family heads are nearly twice as likely as single mothers living in poverty to have obtained a bachelor’s degree or better and are more than twice as likely to have worked at a job or business in 1999 (Figures 6a to 6d). The Effects of Gender, Sole Earner Status and Parenthood on Poverty among Single-Parent Mothers However, even after controlling for various predictors of poverty such as age, level of education, main activity, employment status, sources of earnings and age and number of children, Canadian singleparent mothers still face substantially higher levels of poverty compared to either unattached individuals or two-partner families with or without children. The higher risk of income poverty that households headed by single-parent mothers face relative to other households reflects but also belies the greater incidence of time20 and wealth poverty that single-parent mothers face as sole-income earner, as sole parents and as women combined. Single-parent mothers are more likely than single fathers and women in two-parent families not to own their own homes, to live in houses needing minor to major repairs, to face housing affordability problems due to having to pay rent, not to have their own vehicles, and to lack devices such as home computers and internet services, automatic washing machine, clothes dryer, dishwasher, freezer, microwave oven, video cassette recorder, gas barbecue, air conditioner, fire extinguisher or computer21. This means that there is far less time available for other activities such as child development, learning and employment and that the security of the households is also compromised. 19 National Council of Welfare, Poverty Profile, 1999 (2002: 53-72). 20 Single parents in general and low-income single parents in particular are the sole or primary income earner as well as primary caregiver. Child support default rates in Canada are still quite high and for low-income families, there is often simply not enough income to meet the children needs following separation and divorce. Single-parents on welfare usually get little or no benefit from support and welfare cheques are often reduced according to the amount of child support received. See also Clair Vickery, The Time Poor: A New Look at Poverty, The Journal of Human Resources, (XII, 1: 27-47). In her analysis, Vickery notes that parents invest not only income but also time in nurturing their children. Families with two-parents generally have more time and income, given the presence of two adults. Counting the shortfalls of parenting time that single parents face in addition to having only one major source of income would lead to higher poverty rates than is generally reported. 21 Marcia Almey, “Housing and Household Facilities” in Women in Canada: A Gender-Based Statistical Report, Statistics Canada (2000: 159-162). – 256 – About 45 percent of single-parent mothers reported that their main economic activity is to keep house, care for family members or deal with a long-term illness (Figures 7a to 7b). This is twice the comparative proportion of heads of two-partner families with children under 18 and more than twice the proportion of heads of two-partner families with no children under 18 or of unattached individuals under 65 years of age. Clearly, the higher levels of time deprivation that single-parent mothers face constrain their ability to benefit from initiatives aimed at developing their skills and abilities and their effective participation in the labour force22. As Figure 7a to 7b show, in 1999 only one third of single-parent mothers, compared to more than two-fifths of the major income earners of two-parent families worked at a job or business and only a tenth of single-parent mothers, compared to more than twofifths of unattached individuals were either at school or looking for a job. Poverty Impacts of the Canadian System of Taxes and Transfers Most pre-tax poverty statistics are based on total income before taxes but after taking government direct transfers into account. The foregoing discussion suggests that the market system and the system of direct government transfers have generally been less than adequate for reducing the incidence, depth and duration of poverty among households led by single-parent mothers in Canada. Using current pre-tax dollars, a single-mother household with no earner had less than $5,000 from the Canadian market23. After government transfers, this amount increased by about $10,00024. However, the overall amount is still substantially lower than what a single-parent family with only one child needed to escape poverty between 1980 and 1999. Yet, when considered in real dollar terms, the average transfers to single-parent mothers actually declined between 1980 and 199925. Available post-tax data provide an insight into the extent to which the Canadian income tax system mitigates poverty rates among single-parent mothers. This is because compared to pre-tax measures, post-tax statistics are more geared towards the concept of “disposable” income--what is actually available to spend after taking income taxes into account. However, post-tax measures are limited even in this respect because they do not factor in the effects of sales or payroll taxes which may constrain the actual amount of income available for household use. Across all family types, post-tax poverty rates were generally lower than pre-tax poverty rates. However, the post-tax measures were significantly lower for some family types than for others. Among the different categories of individuals, seniors had the largest difference in annual and long-term poverty rates after taxes were considered. Among families with children, single-parent mothers saw the greatest percentage reduction in poverty rates. Nonetheless, they still had the highest post-tax poverty rate of all family types. 22 “Executive Summary”. In Knowledge Matters: Skills and Learning for Canadians: Canada’s Innovation Strategy, Human Resources Development Canada (2002:2). 23 Income Trends in Canada, Statistics Canada (1980 to 1999). 24 Ibid. 25 Ibid. – 257 – In addition, in 1999, using post-tax measures, the average income of single-parent mothers went up to 73.8 percent of the poverty line from 65.8 percent while that of two-parent families with children increased from 72.2 percent to 77.4 percent26. Moreover, the average post-tax poverty gap for singleparent mothers in 1999 was more than $5,000. What this suggests is that the Canadian tax system has some moderating and positive effects on the disposable incomes of single-parent mothers but certainly has the potential for more improvement. The Impact of Non-Cash Transfers In many Canadian provinces and territories, non-cash transfers such as child care subsidies and housing subsidies are generally targeted towards low-income families especially those headed by single-parent mothers27. One would expect that after factoring the effect of such non-cash subsidies, the poverty rates among single-parent mothers relative to other household types would substantially decrease from the perspective of general living standards. There are few studies that have looked into the impact of such non-cash transfers on the living standards of single-parent mothers beyond 1992. A Statistics Canada study found that in 1992, Canada’s total spending on health, education and housing relative to European countries placed Canada higher than those countries in terms of total non-cash subsidies, implying that Canada’s total spending on non-cash subsidies significantly improved the living standards of single-parent mothers and thereby decreased their poverty rates28. However, the study was inconclusive as to how Canada ranked when both cash and non-cash transfers and taxes were taken into account. Existing research suggests that Canada’s ranking relative to that of many European countries on poverty measures has worsened. While virtually all countries in the European Union plan to boost their family/employment through more generous parental leaves, higher levels of income support to children, flexible day-care arrangements and opportunities for continued training and education, Canada has not kept pace or has restricted access to many social benefits that would reduce barriers to effective labour force attachment and continuous education, with particularly serious implications for low-income households headed by single-parent mothers29. International Comparisons In a recent report, using the post-tax low income measure (LIM) or half of the national median income, the United Nations Children’s Fund found that among the 23 countries it examined, the poverty rate among single-parent families was considerably higher than that of two-parent families as well. The UN-calculated poverty rate for single-parent mothers in Canada was about 51.6 percent, however, while for Sweden, the comparable rate was only 6.7 percent. Canada was still ahead of the 26 National Council of Welfare, Poverty Profile, 1999 (2002: 100-102). 27 Donna S. Lero, The Importance of Child Care in Welfare-to-Work Initiatives and in a Broader Agenda to Support Families and Children Summary Points for a National Council of Welfare Roundtable Discussion on Welfare-to-Work Issues, Centre for Families Work and Well-Being, The University of Guelph (Canada, June 7, 2002: 2). 28 Terry Hunsley, Lone Parent Incomes and Social Policy Outcomes Canada in International Perspective (1997: 51-52). 29 Wanda Wiegers, The Framing of Child Poverty as Child Poverty and its Implications for Women, Status of Women, Canada (June 2002). – 258 – United States by about three percentage points but it lagged behind the United Kingdom by about five percentage points30. Demographic differences appear to account only minimally for higher poverty rates among singleparent mothers in Canada than in Nordic countries. In most OECD countries, poverty rates are generally higher among women who had children in their teens compared to women who had children later on in life. Such women are more likely to have low levels of education and a narrower range of skills, with more constrained life chances due to early parenthood. Canada’s higher poverty rates among single-parent mothers may thus be partly explained by its eighth ranking among 28 OECD countries in order of the highest teenage births. Other Anglophone countries including the United Kingdom and the United States had even higher teenage pregnancy rates31. In contrast, teenage births are generally lower in Nordic countries and so too are the poverty rates of singleparent mothers. Nonetheless, while the demographics of low-skilled single-parent mothers who had their children in their teenage years must not be ignored, young teenage mothers currently account for less than a fifth of all single-parent mothers. Moreover, the majority of households led by single-parent mothers are products of divorce, separation or death of spouses. Therefore, it would be hasty to simply conclude that Canadian single-parent mothers are poor because of the higher rate of teenage births among them relative to other OECD countries. Research shows that many women’s life chances would be hurt, regardless of the age at which they get pregnant because of lack of educational and training opportunities, poor housing and inadequate nutrition. Moreover, teenage births and poverty risk factors such as substandard housing, unstable family life, lack of educational supports and a low-income background are highly linked. It is significant that poverty rates are highest in those national jurisdictions that have rigorously pursued welfare reforms that ignore entitlement to social support as an inalienable human right. This is especially true in Canada, the United States and the United Kingdom32. Out of the 10 countries examined in one study including Australia, the United States, Netherlands, Germany, Luxembourg, Italy, United Kingdom, Sweden and France, Bradshaw (cited in Hunsley, 1997: 44-45) found that before taking taxes and transfers into account, Canada had the best poverty rate out of 10 countries. The same study found that using post-transfer and post-tax measures, Canada had the second highest poverty rate among single-parent families33. International research shows that differences in the level of direct government transfers, in tax policies and in the integration and quality of social services account for the differentials in poverty levels among single-parent mothers between Canada and Nordic countries. Countries such as Sweden recognize the value of non-market labour in raising pre-school children through high levels 30 A League Table of Child Poverty in Rich Nations, Innocenti Report Card, United Nations Children’s Fund, Innocenti Research Centre (Florence, Italy) 2001: Page 10. 31 A League Table of Teenage Births in Rich Nations, Innocenti Report Card, United Nations Children’s Fund, Innocenti Research Centre (Florence, Italy) July 2001: Page 7. 32 Wanda Wiegers, The Framing of Poverty as “Child Poverty” and Its Implication for Women, Policy Research Status of Women Canada, June 2002: 7. 33 Terrance Hunsley, Lone Parent Incomes and Social Policy Outcomes: Canada in the International Perspective,1997: 53. – 259 – of direct government transfers to families with children under six years of age, state support to assist care-giving parents to collect child support payments from the non-custodial parent, flexible child care arrangements and generous parental, family and sick leaves to enable parents to take care of family members while remaining strongly attached to the labour force combined with continuous education systems that enable citizens to upgrade their skills on an on-going basis and at a high minimum wage level. Direct government transfers in these countries are based on need, are highly integrated and are often geared to lift both parents and children out of poverty34. There is strong research evidence both from Canada and internationally35 confirming that a comprehensive family/labour force policy which includes generous parental leaves, availability of child care spaces and high levels of income support are key to promoting life-long learning and effective attachment of parents to the labour force. While Canada also has relatively generous parental and maternity leaves in its employment insurance schemes, such leaves are generally restricted to parents of new-born children rather than children of all ages. Sick leaves and related income support are generally available to full-time employees working in the private sector. Most leave provisions are unavailable or unattractive to part-time or low-wage workers depending on sector and employer. Federal/Provincial Context in Canada In Canada, constitutional jurisdiction for many programs affecting family and civil rights, including post-secondary education, income support and child care lie primarily with provincial and territorial governments rather than with the federal government. Due to its key constitutional spending power and jurisdiction on civil issues such as divorce, the federal government has always been able to influence and provide leadership in the development of social policy. It first exercised this high profile federal power in the passing of the Unemployment Insurance Act in 1941 following assent by the provinces36. Over the years, the employment insurance program has provided income support often coupled with training and job-search strategies to individuals with some history of labour force attachment that are unable to work for reasons related to parenthood, illness, disability or unemployment. To assist individuals faced with long-term unemployment, through generous transfers on a shared-cost basis, the federal government initially provided funding for income support and social services to Canadians on the basis of need through the Canada Assistance Plan. Increased emphasis on debt and deficit reduction in the previous two decades led to the gradual erosion of the Canada Assistance Plan and to its eventual replacement with the Canada Health and 34 Wanda Wiegers, The Framing of Poverty as “Child Poverty” and Its Implication for Women, Policy Research Status of Women, Canada (June 2002: 18). 35 Terrance Hunsley, Lone Parent Incomes and Social Policy Outcomes: Canada in the International Perspective (1997:100). Gina Browne et al. “Benefiting All the Beneficiaries of Social Assistance: The Two-Year Effects and Expense of Subsidized versus Nonsubsidized Quality Child Care and Recreation”, In National Academies of Practice Forum, vol. 1, no. 2 (April 1999). “When the Bough Breaks: Provider-Initiated Comprehensive Care Is More Effective and Less Expensive for Sole-Support Parents on Social Assistance” In Social Science and Medicine, 53 (2001: 1697-1710). New Results Affirmed Positive Effects of Financial Work Incentives for Long-Term Welfare Recipients: Innovative Program Increased Employment and Reduced Poverty. Report on the Impacts of the Self-Sufficiency Project Prepared for the National Council of Welfare Roundtable Discussion on Welfare-to-Work Issues, Social Research and Demonstration Corporation, June 7, 2002. 36 Employment Insurance 2001 Monitoring and Assessment Report, Human Resources and Development Canada (March 2002). – 260 – Social Transfer. Unlike CAP, the CHST provides block grants to the provinces to provide social and health services to Canadians. On February 4, 1999, the federal government in concert with the provinces and territories (with the exception of Quebec), signed a Social Union Framework Agreement (SUFA) to govern the delivery of social programs and services across Canada. A key principle underpinning SUFA was that Canadians should have reasonable access to social programs and services regardless of where they live or move to within the country. However, as a post-CAP initiative, SUFA devolves considerable discretionary power to the provinces on how federal funds received for social programs would be spent. The result has been that few national standards govern the delivery of social programs and services such as childcare and social assistance support across Canada. With respect to childcare, what actually exists is a patchwork of social programs and services rather than one cohesive and integrated system. The lack of a national integrated family-work policy translates to policy contradictions across different programs. For example, recipients of the General Welfare Assistance and Family Benefits Program under the Ministry of Community and Social Services in Ontario are not allowed to continue receiving benefits to help meet their children’s needs if they receive grants or loans for education from the Ontario Student Assistance Plan (OSAP) under the Ministry of Colleges and Universities or the Federal Canada Student Loans Program. This is the general situation across Canada and means that single parents are forced to withdraw from school for lack of resources or assume extremely high debt loads. While child care subsidies are generally targeted towards low-income families especially households headed by single-parent mothers in order to assist them to exit social assistance, inadequate funding and lack of policy integration have resulted in insufficient child care spaces that are inflexible to meet the needs of targeted and non-targeted groups alike. In 1992, only about 36 percent of regulated childcare spaces in Canada were subsidized. That proportion dropped to about 31 percent in 1995 and has either fallen or remained constant because means-tested eligibility rules were tightened in seven provinces. Moreover, the quality of the available regulated and subsidized childcare spaces did not meet criteria essential for effective early childhood development37. In 1995, only about 27 percent of Canadians under 12 years of age had access to regulated child care spaces38. Thus, in 1999 only an estimated 131,300 of Canadian children had access to subsidized and regulated child care spaces. Yet, in 1999 alone, more than one million Canadians under 18 years of age lived in poverty. These statistics suggest that there is a gap of more than one million subsidized childcare spaces, assuming targeted social services and programs. The gap is wider if a universal childcare program is envisaged. 37 The Health of Canada’s Children, Canadian Institute of Child Health (Third Edition, 2000: 61–63). 38 In her discussion paper, The Importance of Child Care in Welfare-to-Work Initiatives and in a Broader Agenda to Support Families and Children Summary Points for a National Council of Welfare Roundtable Discussion on Welfare-to-Work Issues, June 7, 2002: 3) Donna S. Lero reported a slightly higher but still inadequate 158,000 subsidized child care spaces out of the 516,734 child care spaces in regulated centres and family day care homes…to meet the needs of 3,323,000 children age 0-12 with mothers in the labour force”. – 261 – Housing is also an important issue for families with children. Prior to the 1990s, many single-parent mothers were able to access housing-geared-to-income because of the involvement of the Canadian Mortgage and Housing Corporation in social housing across Canada (CMHC). However, the withdrawal of CMHC from social housing led to a collapse of national standards in housing. Some provinces have reduced funding for new social housing units, privatized existing units and restricted eligibility for housing subsidies, despite high levels of demand for affordable housing. This has reduced the number of housing subsidies available to low-income single-parent mothers, putting them at greater risk of homelessness or poor housing compared to other family types. Abject housing conditions are hardly conducive to effective learning. Policy Directions The move towards increased targeting of government transfers and programs in Canada to lowincome families has not significantly reduced the incidence, duration and depth of poverty among single-parent mothers. Rather, every year between 1980 and 1999 more than half of single-parent mothers lived in poverty, with incomes that barely approached three-quarters of the poverty line, with an average pre-tax poverty gap that exceeded $8,000 and a post-tax poverty gap that was more than $5,000. In the 1970s, single-parent mothers were more likely to be employed compared to women in two-parent families. Yet, although the numbers of single-parent mothers who were in paid employed grew by 16 percentage points between 1995 and 2001, in 2001, single mothers were about five percentage points less likely to be employed than mothers in two-parent families39. Available data suggest that due to inadequate funding, the targeting of non-cash transfers such as child care subsidies and housing subsidies to single-parent mothers have not resulted in significant improvements to their living standards either. Rather, tighter eligibility and clawback rules for income support programs such as the National Child Benefit, the lack of a comprehensive national child care program, increasing costs for post-secondary education and exit of many provincial governments from housing are making it difficult for many single-parent mothers to exit social assistance and benefit from education, training and labour force participation. The solutions to the dilemma of poverty for single-parent mothers are more likely to be found in universal programs of direct transfers, non-cash transfers and social programs and services that are available to support families in meeting the time and income needs of their children in a variety of diverse circumstances. The example of many European countries show that generous parental leaves, high levels of direct government transfers and good social infrastructure for child care and eldercare pay dividends in keeping poverty rates of single-parent mothers low and keeping them attached to the labour force while ensuring the effective early childhood development of their children. Canadian direct government transfers, tax structure and social programs and services fall short of the European model in achieving these results, despite a great deal of state rhetoric about tackling family and child poverty, improving labour force participation and developing our human resources through life-long learning. 39 Women in Canada: Work Chapter Updates, Statistics Canada Catalogue no. 89F0133XIE (2002: 6). – 262 – Towards the development of a more effective family-work policy for Canada, the findings highlighted in this paper suggest that a bold redesign of the Social Union Framework Agreement is needed, along with changes to the National Child Benefit system, setting national standards to govern the implementation of the Early Childhood Development Agreement and greater coordination among bodies implementing the federal government’s innovation and skills strategy with provincial and territorial ministries responsible for the delivery of social assistance and post secondary education. The federal government needs to reinstitute the National Child Benefit as a universal child support program that reflects the variety of family circumstances in Canada. The NCB supplement should not be clawed back from families on social assistance who are already far below the poverty line and often face multiple barriers to combining employment and child-rearing. Rather the NCB should reflect the costs not only of feeding, clothing and sheltering children, but also of caring for them. This change places appropriate value on the non-market labour of parents and recognize that even though they may not currently vote, children are our future. The increase for childcare should also reflect the higher care costs of children under six years of age especially in the first year. However, it must also reflect the growing costs of recreational activities for older children. Finally, federal and provincial governments must work in concert to ensure that single parents are enabled to pursue post-secondary education and supported in the work of raising a family while they study rather than penalizing them. Social assistance recipients may be in greater need of the long-term employment training and education programs, compared to beneficiaries of employment insurance, the majority of whom under the new rules already have strong and only temporarily broken attachment to the labour force. Second, the federal government needs to work with the provinces to put in place labour force policies and necessary supports active training and educational programs that will promote meaningful employment both of employment insurance beneficiaries and of recipients of social assistance support. Of course, the success of this essential policy change is premised on the availability of childcare spaces for both types of recipients. Finally then, governments need to put in place national standards through the Social Union Framework Agreement to ensure that all provinces and territories consult with families with children on their service priorities to ensure effective delivery of the Early Childhood Development Agreement in all the four critical areas identified. The federal government’s key role would be to allocate additional funding to promote effective delivery of a national and flexible childcare program. In essence, Canadian governments should establish, through the ECDA, a national child care policy, based on public consultations, that would increase child care spaces in provinces and territories outside of Quebec at a minimum rate of percent per year over the next five years to address the present gap of about 70 percent. Such a policy must make provisions for adequate infrastructure, training and remuneration of child care givers to promote quality in early childhood development across Canada40. Since the proven expected results are more educated Canadians, better quality of 40 Cleveland and Krashinsky cited in Martha Friendly and Laurel Rothman “Early Childhood Development Services: How Much Will They Cost?”, prepared for the Canadian Association of Family Resource Program’s Play and Parenting Connections (Fall 2000). – 263 – life overall and a competitive economy, these changes should be top among the priorities in the next Federal Speech from the Throne. – 264 – – 265 – Source: Population estimates and Pre-Tax Poverty Rates: Custom Tabulations Prepared by Statistics Canada for the National Council of Welfare, 1999 Table 1 Population and Poverty Trends in Canada Figure 2 Poverty rates for families with children, 1980-1999 Figure 3 Poverty Rates by Family Type in Canada, 1999 – 266 – Figure 4 Duration of Poverty by Family Types, 1993-1998 Figure 5 Depth of Poverty Among Families with Children in Constant 1999 – Dollars, 1980 to 1999 – 267 – Figure 6a Distribution of Single Mothers by Level of Education Completed, 1999 – 268 – Figure 6b Single Mothers Who Graduated High School by Level of Education, 1999 – 269 – Figure 6c Distribution of Heads of Two-Parent Families by Level of Education, 1999 – 270 – Figure 6d Distribution of Heads of Two-Parent Families Who Graduated High School by Highest – 271 – Figure 7a Distribution of Single Mothers by Main Activity, 1999 – 272 – Figure 7 b Distribution of Heads of Two-Parent Families by Main Activity, 1999 – 273 – ATELIER / WORKSHOP 101 LE PROGRAMME DE REVENU MINIMUM DE SANTO ANDRÉ : UNE STRATÉGIE DE COMBAT CONTRE LA PAUVRETÉ P A R : M ARIANGEL A B ELFIORE WANDERLEY , D . S . W . DIRECTRICE , P ROFESSEURE ASSOCIÉ I N S T I T U T D E S É T U D E S S P É C I A L I S É E S D E L ’U N I V E R S I T É P O N T I F I C A L E C A T H O L I Q U E M ERCEDES M ANCHACO C IWYNSKI , M . S . W . PROFESSEUR , T RAVAIL SOCIAL I N S T I T U T D E S É T U D E S S P É C I A L I S É E S D E L ’U N I V E R S I T É P O N T I F I C A L E C A T H O L I Q U E S ÃO P A U L O , B R É S I L DE S ÃO P A U L O DE S ÃO P A U L O Notre exposé a comme objet l’analyse des Programmes de Revenu Minimum (PRM), comme une stratégie pour affronter la pauvreté au Brésil, dans le cadre de la protection sociale brésilienne. Nous vous présenterons également l’expérience du PRM de Santo André, sa proposition et ses contributions qui illustrent les considérations présentées dans la première partie de cet exposé. Nombreuses sont les analyses qui étudient la crise du « Welfare State », depuis les années 80, vécue de manière et d’intensité différentes dans plusieurs pays du monde entier, et qui est devenue une crise structurelle, et non conjoncturelle comme on le croyait à cette époque-là. Comme tout le monde le sait, les progrès technologiques et leur conséquente réduction d’offre d’emploi ont mis en question les systèmes de protection sociale qui étaient, surtout dans les pays centraux, associés à l’existence des liens d’emploi. Or, dans les pays où il y avait une situation d’emploi, on voyait une sécurité sociale ayant des caractéristiques universalistes. Le monde a commencé, donc, à vivre avec le chômage structurel. La croissante mondialisation économique a réduit la capacité de régler, à l’intérieur de chaque État-nation, et a augmenté la compétitivité. Cette mondialisation a également conduit à la recherche de solutions (l’augmentation des technologies réductrices de postes de travail; la réduction du coût de la main-d’œuvre) qui ont eu des conséquences, parmi lesquelles la réduction des sources de financement du « Welfare State ». Les anciens systèmes de protection sociale n’étaient plus fonctionnels dans le nouveau contexte économique et social qui se dessinait à l’époque et qui est devenu de plus en plus consolidé. Des pays qui n’avaient ni même atteint l’État de Bien-Être Social, comme le Brésil, ont subi des conséquences de la restructuration productive et ont accentué les (mauvaises) conditions de reproduction, qui étaient déjà précaires, de la plupart de la population. La pauvreté et l’exclusion sociale, amplifiées par les énormes inégalités sociales, continuent à figurer parmi les principaux problèmes que le pays doit affronter. Le débat politique contemporain souligne l’affirmation que la citoyenneté et la démocratie ne peuvent pas vivre dans une situation si précaire. De cette façon, la question du combat contre la pauvreté gagne une place centrale. – 274 – 1. Pauvreté et exclusion sociale La pauvreté comme expression d’un lieu social Nous partons du postulat que la violence de la pauvreté, ainsi que les multiples faces de l’exclusion font partie de l’expérience quotidienne dans la société brésilienne et que les impacts destructeurs du système laissent leur marque sur la population appauvrie, marques qui se manifestent par : ◆ l’abjection du travail; ◆ le chômage, la dégradation de la santé; ◆ le manque de confort, la précarité et l’insalubrité du logement; ◆ l’insuffisance de l’alimentation; ◆ l’ignorance et la fatigue, la résignation. Tous ces éléments sont des indices qui mettent souvent en évidence les limites des conditions de vie des exclus de la société. Mais ces indices, s’ils sont révélateurs, peuvent également occulter la résistance et la capacité de cette population à combattre pour survivre. Et ils peuvent également démontrer combien la société peut supporter la pauvreté sans tenter d’intervenir pour la minimiser ou même l’éradiquer. Ainsi la première question à se poser est la suivante: Les pauvres et les exclus, qui sont-ils dans la société brésilienne? Pénétrer dans l’univers de la pauvreté, même de manière élémentaire, n’est pas chose aisée! Cela suppose, au contraire, un chemin long et pénible, où l’on constate les multiples effets d’une pauvreté matérielle et morale qui doivent être compris dans la trame constitutive des rapports sociaux, et qui caractérisent la société brésilienne contemporaine. Voyons maintenant quelques données générales qui permettront d’ébaucher le profil de la situation de la pauvreté au Brésil. ◆ La population brésilienne est de 169 800 000, selon le IBGE (Institut Brésilien de Géographie et Statistique) en août 20001. Les données révèlent une croissance de la population brésilienne, au XXe siècle, de quasi 10 fois. Classé comme l’une des 10 premières économies du monde, le Brésil est le pays le plus riche parmi ceux ayant le plus grand nombre de personnes misérables. D’après les données de l’IPEA (Institut de Recherche Économique Appliquée), 54,4 millions de brésiliens sont considérés comme « pauvres », c’est-à-dire : « ceux qui arrivent à manger le minimum nécessaire, mais qui ne gagnent pas assez ni pour se loger ni pour s’habiller ». 1 Données extraites de l’IBGE, Recensement Démographique 2000, et du Rapport de l’IPEA. – 275 – Par ailleurs, il y a 13,6 millions d’indigents : « ceux qui n’arrivent pas à gagner suffisamment pour satisfaire leurs besoins alimentaires élémentaires ». Les personnes âgées de 15 ans et moins représentent 30 % de la population. Les enfants et les jeunes représentent 45 % de l’univers des Brésiliens misérables. Source: Fundação Getúlio Vargas (Fondation Getulio Vargas) Il y a dans le pays environ 11 % de personnes de 10 ans ou plus, non alphabétisées, ce qui représente l’un des plus grands pourcentages d’analphabétisme de l’Amérique Latine. De 10 à 14 ans, le taux est de 7,2 %2. En ce qui concerne la réduction de la misère, le Brésil a si peu avancé qu’il maintient un grand système d’inégalité sociale. D’ailleurs, notre pays est le champion mondial de la concentration du revenu et de la richesse. D’après des indices sociaux/1999, 1 % de la population détient 13,8 % du revenu total et 50 %, parmi les plus pauvres, ne détiennent que 13,5 %. 2 De telles données montrent nettement la priorité des politiques sociales vers les enfants et les adolescents, comme nous le discuterons pendant cet exposé. – 276 – Source : IBGE ( Institut Brésilien de Géographie et Statistique) Une autre manière d’exprimer cette inégalité, c’est de prendre 10 % des plus riches : ceux-ci concentrent ensemble 50 % du revenu national. Un riche gagne la même somme que 50 individus pauvres Le tableau ci-dessous montre la distance entre le revenu de 20 % des plus pauvres et 20 % des plus riches dans certains pays : Source: IPEA Dans les dernières années, l’économie brésilienne présente de bas indices de croissance par rapport aux modèles historiques et par l’augmentation de la population. – 277 – Dans les années 90, plus exactement depuis 1995, il y a eu une chute de la croissance économique. Bien que le Plan Real3 (introduit en 1994) ait mis fin aux indices élevés d’inflation et ait causé une amélioration de revenu relatif aux couches les plus pauvres, le ralentissement de l’économie a commencé à détruire ces gains (Lesbaupin, 2000). Le salaire minimum (US 754, à peu près) est l’un des plus bas du monde. D’après plusieurs études, la perte de sa valeur réelle est un autre signe de l’appauvrissement de la population. 51,9 % des brésiliens (PEA) gagnent jusqu’à deux salaires minimum. 2,6 % seulement gagnent plus de 20 salaires minimum. Durant les dernières années, l’économie brésilienne a présenté des indices infimes de croissance par rapport aux taux historiques et par rapport à l’augmentation de la population. Pourtant, la pauvreté contemporaine ne se traduit pas seulement par des indices économiques. Il s’agit d’un phénomène multidimensionnel qui atteint les pauvres traditionnels (des indigents, des analphabètes...) et aussi d’autres secteurs de la population appauvrie par la précarité du marché du travail et les difficultés d’insertion qui en résultent. Ainsi la pauvreté n’est pas imputable uniquement au manque de revenus, mais à d’autres facteurs, comme la difficulté d’accès aux services publics et, particulièrement, l’absence de pouvoir. Dans ce sens, le concept de pauvreté est lié à celui d’exclusion, tout en s’en distinguant. L’un et l’autre sont rattachés à des inégalités existantes, et spécialement à la privation du pouvoir d’action et de représentation. L’un et l’autre doivent être également compris en fonction des relations sociales d’une société donnée. Ainsi nous voyons que pauvreté et exclusion sociale se profilent comme les indicateurs d’un lieu social, d’une condition de classe, qui expriment les rapports existants dans la société. Elles sont les fruits de ces rapports, produisant et reproduisant à l’infini l’inégalité dans les domaines sociaux, politiques, économiques, définis quant à eux pour donner aux pauvres une place dans la société. 3 Plan de stabilisation économique, introduit au Brésil en 1994. Real, c’est le nom de la nouvelle monnaie qui a été, alors, adoptée dans le pays. 4 On a pris comme référence les taux du dollar américain, par rapport à la monnaie nationale – le Real – avril 2002. – 278 – Cette question sociale est récurrente depuis la colonisation latino-américaine. Il s’agit d’un processus d’appauvrissement historique et social, dont les déterminants économiques, politiques et culturels tendent à se reproduire par le biais de mécanismes qui renforcent et étendent cet appauvrissement. Il importe aussi de faire ressortir deux autres aspects du phénomène de l’exclusion, tels que sa banalisation ainsi que son rôle stigmatisant, qui, dans le cas de la société brésilienne, contribuent au cycle de reproduction de l’exclusion, représenté par l’acceptation et/ou la résignation, quel que soit le niveau social, et montrent ainsi la fragilité du lien social. Cette fragilisation du lien social amène à une mutation du concept de droit. Ainsi pour la société et pour les exclus, les actions entreprises ne relèvent plus de la logique du droit, mais de celle de la faveur! Et cette transformation du droit en faveur devient un facteur renforçant du processus d’exclusion. Voyons maintenant quelle est la logique sur laquelle s’appuie l’État brésilien pour élaborer sa politique sociale de lutte contre la pauvreté. 2. La politique sociale au Brésil : l’effet peu significatif des investissements dans le champ social Compte tenu de la dynamique même de la pauvreté et de l’exclusion, l’intervention de l’État brésilien se révèle inopérante et incapable de changer le profil d’inégalité qui caractérise notre pays. De cette façon, l’ensemble des politiques sociales brésiliennes établies pendant les dernières décennies ont très peu contribué à diminuer les conditions de pauvreté et d’exclusion de la population. Au contraire, les manques s’accumulent et se superposent défiant de possibles solutions. Les limites d’ordre structurel, comme le manque de travail et la mauvaise distribution des revenus, sont des facteurs aggravants de la crise avec laquelle les politiques sociales s’affrontent. Crise qui, dans le domaine de la restructuration du capitalisme mondialisé, s’explique et se construit par le biais des politiques conservatrices néolibérales. Et ceci dans un contexte de précarisation du marché du travail et de démembrement des droits sociaux et des droits du travail, qui configurent et expriment la question sociale brésilienne avec de nouvelles caractéristiques et de nouvelles manifestations, parmi lesquelles nous pouvons citer: le manque de sécurité et la vulnérabilité au travail, ainsi que la pénalisation des travailleurs qui ne possèdent aucune protection sociale. La proportion de travailleurs brésiliens embauchés sans bulletin de salaire dans l’industrie, et donc, sans avoir aucune des garanties du système de protection sociale, a doublé dans la dernière décennie. Aujourd’hui, 20 travailleurs sur 100 n’ont pas de contrat de travail signé. Ce phénomène empire encore à São Paulo, principal pôle industriel du pays, où l’informalité, qui atteignait 9 % des travailleurs embauchés au début de la décennie, atteint aujourd’hui 22 %. Il convient également de signaler que plus de 50 % de la population économiquement active est hors du marché formel de travail. La réduction de l’action régulatrice de l’État ainsi que la rupture du pacte social et politique font également partie de ce cadre. Ce qui, en tout état de cause, aboutit à un état de crise permanent des politiques sociales, à leur redéfinition et à leur subordination aux politiques de stabilisation de l’économie avec leurs cortèges de restrictions de dépenses publiques et de leur perspective de privatisation. – 279 – Dans le cas particulier de l’Assistance Sociale – qui, grâce à la Constitution de 1988, peut s’affirmer comme un droit social – comme politique publique de combat de la pauvreté, il est prévu que la population participe à la gestion décentralisée de cette politique. Au Brésil, le passage de l’Assistance Sociale de type philanthropique à une politique de Sécurité implique une redéfinition de la manière d’affronter la pauvreté, passant de l’Assistance au champ de la Politique Sociale qui replace la question de la pauvreté et de l’exclusion sociale à leur juste place, c’est-à-dire dans le domaine de la responsabilité publique. L’implantation de ce système est un processus en devenir. Ainsi, qu’il s’agisse d’Assistance ou d’autres politiques comme celle de la Santé par exemple, on voit naître dans le pays des Forums et des Conseils qui comptent sur la participation du gouvernement, de la société civile, et de ceux-là même qui en sont les usagers! Ces Conseils constituent des espaces de représentation et de négociation des intérêts collectifs et du contrôle social. Il convient toutefois de souligner que ce n’est pas par les voies des politiques socio-assistantielles que les abîmes d’inégalité et les distances sociales pourront être affrontés dans notre pays. Pourtant nous savons qu’elles sont nécessaires, qu’elles doivent être de qualité, mais également, impérativement associées à d’autres mesures structurelles. Bien que l’on sache que ce n’est pas possible d’affronter ni la pauvreté ni l’exclusion sociale seulement par le travail des gouvernements locaux (municipaux), c’est par le biais de ce plan que les actions pour l’inclusion sociale ont plus de résultats concernant la promotion de la redistribution du revenu et de la démocratisation des relations entre l’État et la société civile. C’est dans ce contexte que se trouve le PRM de la Municipalité de Santo André, située dans la région métropolitaine de l’État de São Paulo, sur lequel nous parlerons à la fin de cet exposé. Les PRM, dans le cas brésilien, ont comme cible les enfants/adolescents et leurs familles. Nous ferons, tout de suite, une brève réflexion sur la place occupée historiquement par la famille, l’enfance et l’adolescence dans la politique sociale brésilienne. 2.1 La famille, l’enfance et l’adolescence dans les politiques sociales et dans les programmes brésiliens de Revenu Minimum Le trait commun des politiques sociales publiques dans l’histoire brésilienne est de traiter les conséquences de la pauvreté dans le sens de la minimiser au lieu de l’éliminer en affrontant les causes structurelles responsables de sa production et de sa reproduction sociale. Dans la perspective de minimiser la pauvreté et de contrôler ses conséquences – surtout celles qui menacent l’ordre social – les politiques sociales au Brésil ont pris la famille comme objet principal d’intérêt au cours des années 30 à 50, l’ont oubliée pendant les années 60 à 80 – quand on a centré l’attention sur l’individu qui devrait être développé avec l’aide de l’État et du travail –, et l’on a repris la famille depuis les années 80-90, avec la perspective des Programmes de Revenu Minimum5 qui 5 Selon un sondage réalisé par le « Núcleo de Seguridade e Assistência Social da PUC-SP » (Centre de Sécurité et d’Assistance Sociale de la PUCSP), en septembre 1997, il y avait à cette époque-là 76 propositions de Revenu Minimum dans le pays, 1 proposition nationale, 13 de l’État et 62 des Municipalités. – 280 – mettent la famille, l’enfance et l’adolescence comme les principaux destinataires des politiques d’Assistance Sociale, quand la réflexion est tombée de nouveau sur la famille pauvre brésilienne : « [la famille] apporte plusieurs désavantages : ses adultes ont des emplois de qualité inférieure, « de mauvais emplois » qui n’offrent pas de conditions d’ascension sociale et ... ses enfants s’insèrent, dès leur enfance et adolescence, dans le marché du travail, contribuant pour le budget familial. » ... (Fonseca, 2001). Le coût pour que la famille pauvre puisse maintenir le fils dans l’école est trop élevé, puisque l’on considère ce que l’enfant ou l’adolescent renonce à gagner s’il travaillait dans le marché informel. C’est-à-dire que les enfants et les adolescents pauvres commencent à travailler tôt, sortent tôt de l’école et, comme adultes, s’engagent dans des travaux peu qualifiés et sans avoir des perspectives professionnelles. Certainement, ils deviendront des adultes pauvres et qui reproduiront, dans l’avenir, des familles pauvres. Cette compréhension renforçait les propositions qui envisageaient de supplémenter le revenu des familles pauvres, en leur offrant, donc, de réduire le prix (le coût) si leurs enfants étudiaient et, ce faisant contribuer à rompre le cercle de la production et de la reproduction de la pauvreté. Pourtant, d’ailleurs, c’était nécessaire également d’optimiser d’autres services d’appui à la famille. L’enfant et l’adolescent sont le public cible des programmes de revenu minimum brésiliens. D’une manière générale, la famille, dans les programmes de revenu minimum, est l’intermédiaire par lequel on évite que l’enfant et l’adolescent, à cause de la pression provoquée par le bas revenu, s’engagent de façon précoce et mal qualifiée dans le marché du travail, en quittant l’école prématurément. Lorsque l’on appuie et renforce la famille en lui offrant un complément de revenu et, dans certains programmes de RM, un ensemble de supports socio-éducatifs, on souhaite garantir à la famille des instruments qui puissent l’aider dans son effort d’être le groupe de base, l’intermédiaire de la croissance et du développement des enfants et des adolescents. La famille est désormais revalorisée par les politiques sociales. Sa fonction protectrice est récupérée, c’est-à-dire celle de construire des liens relationnels et de socialiser les enfants, les adolescents et les jeunes. Les Programmes de RM sont envisagés comme des instruments qui leur donnent de l’appui et de la force, en contribuant, à court terme, au soulagement de la pauvreté et, à moyen terme, en conduisant vers la rupture de l’un des liens forts de la pauvreté, soit les conditions éducationnelles des nouvelles générations. Le potentiel des programmes de revenu minimum, comme des stratégies d’affrontement contre la pauvreté est relatif, si les causes structurelles du phénomène de la pauvreté ne sont pas combattues. Cependant, leur capacité de la diminuer et de confronter certains mécanismes qui renforcent la pauvreté et qui contribuent à ce qu’elle soit reproduite socialement semblent exister si les politiques sociales, les programmes et les actions n’objectivent pas la perspective individualisée de la supplémentation de revenu et de l’inclusion des enfants et des adolescents dans l’école, mais développent également les actions collectives avec ces groupes qui renforcent des politiques publiques et élargissent leur citoyenneté et leur inclusion sociale. – 281 – 3. Le Programme de revenu minimun à Santo André6 Santo André, ville qui se trouve dans la région métropolitaine de São Paulo, a environ 676 000 habitants. Parmi d’autres villes de la région, elle a été l’un des plus importants pôles du processus d’industrialisation brésilien et elle a connu une situation de développement avancé après les années 50. De cette façon, elle a souffert aussi, d’une façon accrue, du processus de restructuration productive depuis les années 80. Elle compte environ 8 500 familles qui ont 120 $ US comme revenu mensuel parmi des groupes familiaux ayant, en moyenne, 5.1 membres. La plupart de cette population appartient à un groupe de 75 000 personnes qui, pendant les 20 dernières années, ont constitué et augmenté les 140 noyaux de favelas qui existent dans la ville. Parmi les priorités politiques de l’administration municipale, il y a, depuis 1997, le combat contre l’exclusion sociale et la pauvreté. Ayant compris l’exclusion sociale par son côté multidimensionnel et par rapport à la pauvreté, l’administration municipale a préféré développer des actions sur place, dans certains noyaux de favelas, qui intègrent à la fois des actions urbaines – infrastructure, des améliorations de logement; des actions économiques – complément de revenu et des actions de réinsertion sur le marché de travail – et des actions sociales – l’éducation, la santé, des appuis socio-économiques et la participation communautaire. Le Programme de Revenu Minimum de Santo André, ici présenté comme une expérience brésilienne de PRM, est attaché aux politiques économiques et sociales de la ville, concernant la pauvreté et l’inclusion sociale. Le Programme développé depuis 1998 s’est occupé jusqu’à la fin 2001 de 950 familles et 4 874 personnes. Nous allons résumer, tout de suite, certains des aspects signifiants du programme, pour que nous puissions recueillir quelques caractéristiques et, plus tard, faire certains commentaires. 3.1 Qu’est-ce que le Programme? C’est une stratégie de la politique de l’assistance sociale de la municipalité qui est basée sur une allocation de revenu minimum destinée aux familles vivant en dessous d’un certain seuil de pauvreté, de façon à complémenter leurs revenus, accompagné d’un ensemble d’actions socio-éducatives. Le programme complémente le revenu de la famille de façon à ce que chaque membre reçoive 0,5 fois le salaire minimum par mois. L’allocation mensuelle moyenne pour chaque famille, en 2000, était de 90 $ US. 3.2 ◆ 6 Quels sont ses objectifs spécifiques? Garantir la permanence des enfants et des adolescents dans l’école publique et le succès progressif de leurs résultats scolaires; Les données et réflexions sur le Programme de Revenu Minimum de Santo André, présentées ici, ont été développées d’après l’article élboré par Cywinski, M.M., « Le Programme de Revenu Minimum à Santo André, présenté au Forum de mercocidades – Unité Thématique de Développement Social – Des Politiques Sociales : des Stratégies de la Participation Citoyenne, à Montévideo, Uruguay, août 1998 », et de recherche des documents de la Mairie de Santo André sur les Programmes : Intégré de l’Inclusion Sociale (PIIS) et « Mais Igual » (plus égalitaire). – 282 – ◆ réintégrer les jeunes et les adultes des familles dans le système éducatif et des programmes d’alphabétisation et de formation professionnelle; ◆ inclure des adultes dans des programmes locaux de promotion de l’emploi et de formation de coopératives de travail; ◆ favoriser la consolidation du groupe familial, au niveau de l’estime de soi et des conditions de gérer son processus de développement et d’inclusion sociale; ◆ garantir l’accès des familles aux services publics de santé. 3.3 Quelle est la population-cible du Programme? Elle est constituée de familles ayant un revenu per capita inférieur à la moitié du salaire minimum, soit 40 $ US par mois. Ces familles ont des enfants et des dépendants, de 0 à 15 ans, en situation de risque personnel et social. En plus, elles doivent habiter à Santo André depuis trois ans ou dans les microrégions des noyaux de favelas concernés par le Programme. La conception de la famille adoptée par le Programme est celle d’un groupe constitué par un ou plusieurs adultes (les parents, le père ou la mère, la grand-mère, la tante ou un autre adulte responsable), par des enfants et des adolescents, et/ou des handicapés qui vivent sous la responsabilité des adultes. Il s’agit de familles, monoparentales en majorité, qui se trouvent en situation de pauvreté et d’exclusion sociale, dont les membres adultes sont au chômage ou engagés dans des services précaires, ayant pourtant des potentialités, dans le sens de réagir de façon satisfaisante aux stimulations et aux services du programme, pour qu’ils soient intégrés dans un processus d’autonomisation du programme, après un certain temps d’intervention d’au maximum 18 mois. 3.4 Qui fait la gestion du Programme et comment fonctionne-t-il? C’est le Secrétariat d’Inclusion Sociale et d’Habitation qui se charge d’élaborer les consignes, les normes, les critères et les procédés opérationnels des équipes qui exécutent le Programme et qui sont formées par des assistants sociaux, des psychologues et des stagiaires. Au-delà des actions spécifiques de complément du revenu et des actions auprès des groupes de familles, le Programme procure l’intégration d’un ensemble d’actions et de services publics et des réseaux de la communauté. Les partenaires sont stimulés à travailler ensemble et les familles sont invitées à participer à ces réseaux de services et d’activités, selon leurs besoins, par exemple : ◆ des activités socio-éducatives complémentaires à l’école, pour les enfants et les adolescents (Programme Enfant Citoyen). ◆ service d’assistance médicale aux familles (le Programme de la Santé de la Famille). ◆ des actions de prévention de la violence familiale; ◆ l’alphabétisation des jeunes gens et des adultes; ◆ formation professionnelle (des cours qui qualifient et requalifient des jeunes gens et des adultes au travail). – 283 – ◆ des actions pour la formation des entrepreneurs populaires (soutien aux petites et aux microentreprises); ◆ la Banque du Peuple (une concession de micro-crédits pour l’ouverture et le développement d’activités qui peuvent engendrer des revenus); ◆ des incubatrices de Coopératives (des soutiens nécessaires aux groupes de travail); ◆ des services d’urbanisation des favelas (mesures en vue d’améliorer le logement local et les conditions de vie dans les favelas dans le cadre de la politique urbaine). Des résultats et des considérations sur le Programme de Revenu Minimum de Santo André7 L’Institut des Études Spécialisées a travaillé en partenariat avec la Municipalité, et d’après un ensemble d’indicateurs qui ont été débattus ensemble (et qui ne sont pas encore tout à fait au point), quelques résultats peuvent être observés auprès des familles. ◆ L’insertion (et réinsertion) des enfants et des adolescents dans l’école : Le premier résultat vient des élèves et des adolescents. Tous vont à l’école depuis le début de l’insertion des familles dans le Programme. L’école est une valeur pour la population en général et, surtout, pour les familles pauvres, qui l’envisagent comme une possibilité de changement des conditions précaires de vie. ◆ L’amélioration de la part de l’adulte de sa propre image : L’augmentation de l’estime de soi des adultes est la manifestation la plus visible et la plus rapidement perceptible, soit par des manifestations extérieures (façon de s’habiller, par exemple), soit par des attitudes, des réactions envers la famille, le groupe, etc. ◆ L’inclusion des jeunes et des adultes dans les services d’éducation et de formation professionnelle : La recherche des actions de capacitation/qualification s’exprime de plusieurs manières : par l’insertion des jeunes et des adultes dans les cours offerts (l’alphabétisation, les cours « supletivos » équivalents au lycée et des cours de formation variés); par l’insertion des personnes responsables ou d’autres membres des familles en coopératives et autres actions collectives de travail. ◆ L’inclusion dans le marché de travail et dans les opportunités de production de revenu aux jeunes gens et des adultes, par rapport à cela : Le profil de la situation/occupation de ces familles montre qu’elles sont éloignées du marché formel du travail; il est possible d’observer des mouvements dans ce cadre, mais il est vrai que la transformation de cette situation ne sera pas atteinte par le Programme, car il s’agit de questions structurelles qu’il n’est pas possible de transformer simplement au niveau local. 7 Les résultats présentés ici ont été extraits de l’article élaboré par Belfiore-Wanderley, M. et Blanes, Denise. « Monitorando a implatação de um programa social », publié dans Barreira e Carvalho (org.). Tendências e Perspectivas na Avaliação de Políticas e Programas Sociais, São Paulo, IEE/PUC-SP, 2001. – 284 – ◆ La qualité des rapports et des liens dans les familles et l’élargissement des rapports des membres de la famille avec d’autres groupes : Les répercussions sur la qualité des liens sociaux sont nettement exprimées par les évaluations techniques et par les bénéficiaires, ayant un reflet dans la vie quotidienne. Le renforcement des rapports conjugaux et familiaux est dû, d’une part, à l’accès des femmes (qui sont la majorité des titulaires du Programme) aux ressources financières, en leur donnant une nouvelle qualité concernant leur position familiale. La nouveauté est que les femmes ont la possibilité d’élargir leur univers culturel, par l’ensemble de connaissances acquises qui permettent de développer le sens critique, le goût, le jugement. ◆ L’insertion des membres de la famille dans le réseau de services publics de protection sociale : Le programme stimule l’augmentation du nombre de familles dans d’autres services et programmes du réseau de protection sociale, d’après le résultat des sondages concernant leurs besoins, et en les conduisant aux ressources existantes. Comme le Programme travaille la notion de droit, il développe également de nouvelles demandes chez la population, surtout en ce qui concerne les services et, de façon plus éloignée, la participation sociale. ◆ L’amélioration des conditions de logement et de la qualité de vie : La concentration des actions sur un même terrain, avec la participation de plusieurs secrétariats du gouvernement, potentialise l’ensemble des actions vers l’amélioration des conditions de vie. Par exemple, concernant l’amélioration des conditions de logement, souvent les familles épargnent le bénéfice reçu afin d’acheter des matériaux de construction ou pour payer les services d’un maçon afin d’améliorer les conditions de la maison. En outre, l’amélioration de l’environnement, des services de ramassage des ordures, de l’hygiène et autres ont contribué à améliorer l’environnement où ces familles habitent; l’articulation de ces actions est, pourtant, un processus en cours. Le Programme contribue à fortifier ces actions, crée des conditions pour la réflexion sur les conditions de vie dans la communauté et favorise l’acquisition et l’échange des expériences de vie. Considérations finales Le Programme de Revenu Minimum de Santo André fait partie d’une politique publique locale qui cherche le développement économique et la lutte contre l’exclusion sociale de façon à en fournir des réponses simultanées et multidimensionnelles. Le Programme a pour but d’intégrer de manière stratégique un ensemble d’actions et de services originant de plusieurs politiques de secteurs. Pourtant, c’est là encore sa plus grande faiblesse, car, pour développer une gestion dont les politiques sont vraiment articulées, il faut rompre avec toute une culture politique encore très fragmentée et tournée vers les programmes de chaque secteur. En privilégiant, par ses actions, les adultes des familles et leurs enfants et adolescents, le Programme parie sur deux choses : a) sur la récupération de la capacité des adultes de protéger et de s’occuper de leurs enfants, au fur et à mesure qu’il offre des conditions matérielles et affectives pour qu’ils puissent se développer de façon salutaire; – 285 – b) sur l’inclusion des enfants et des adolescents dans les écoles, sur des services complémentaires et sur l’accès aux services de santé, en élargissant et en renforçant un réseau de protection sociale, nécessaire pour affronter des conditions vulnérables et des risques sociaux dans lesquels ces enfants et ces adultes se trouvent et, dans un moyen terme, contribuer, surtout par l’éducation, à réduire l’un des principaux facteurs de production et de reproduction de la pauvreté. Les Programmes de Revenu Minimum, certainement, n’éliminent pas la pauvreté. Pourtant, s’ils sont des stratégies d’une politique locale/régionale qui cherche le développement économique et l’inclusion sociale, ils peuvent contribuer à des changements des conditions de vie de ces populations. Pour atteindre ces objectifs, il faut que le montant du soutien monétaire destiné aux familles soit significatif et, aussi, soit suivi d’actions socio-éducatives. Il faut aussi leur procurer un ensemble de services publics qui leur donne les conditions pour qu’elles développent soit leur autonomie, en tant que capacité et possibilité comme des citoyens de remplir leurs besoins, ainsi que leurs conditions d’inclusion sociale. – 286 – ATELIER / WORKSHOP 402 CHILDREN AND POVERTY IN SOUTH AFRICA: A CALL FOR PREVENTIVE INTERVENTION B Y : R ITHA R AMPHAL , P H . D . PROFESSOR AND DIRECTOR , S CHOOL U N I V E R S I T Y O F D U R B A N -W E S T V I L L E DURBAN , S OUTH AFRICA OF SOCIAL WORK Poverty Defined Poverty, for the purpose of this paper, can be defined as the inability of individuals, households or entire communities to command sufficient resources to satisfy a socially acceptable minimum standard of living. The poor are disadvantaged in various ways e.g.: the inability to provide sufficient or good quality food for the family; crowded homes; lack of safe and efficient sources of energy and piped water; lack of employment opportunities, low wages, lack of job security; and fragmentation of the family. In many poor households fathers are absent or children live apart from their parents. Poverty is a very useful predictor of the direction a person’s future life is likely to take. The negative impacts of poverty tend to accumulate through a person’s lifetime. Considerable vulnerability results from poverty in youth as a consequence of continuous exposure to various risks such as unemployment, ill health, disability. This traps people and their dependents in a cycle of poverty (New Agenda: 2002). Poverty in South Africa Poverty is not a new phenomenon in South Africa. What is new and significant for South Africa is the rapid rate of urban growth, which has resulted in major crises in terms of provisional services, shelter and employment in the urban centres. This has been compounded by poor economic performances in recent years and declining rates of productivity in all the key sectors of the economy. South Africa has suffered from a legacy of over-centralisation of government, which has resulted in many municipalities having very little or limited powers over resource allocation. Therefore addressing poverty requires a restructuring of centre-local relationships in such a way that they bestow adequate powers and autonomy. Another major problem arising from South Africa’s past was the designation of a responsible ministry or agency with a responsibility for poverty reduction. This was a major weakness, because poverty reduction can only be achieved in the long term through mainstreaming with the ongoing government programs and projects. Under the old dispensation the poor and low income residents in most large cities were mostly abandoned and they had to look after themselves. Poverty in South Africa today is very much an issue of inequality of resources and inappropriate service delivery. Poverty in our country is characterised by: – 287 – ◆ Gender: Female-headed households are more likely to be poor than those headed by a resident male. ◆ Race: 61% of Africans and 38% of Coloureds are poor, compared with 5% of Indians and 1% of Whites. ◆ Unemployment; and ◆ Education: Anything less than a high school education increases the probability of being poor. With the change of government in 1994, followed by a new constitution (with a Bill of SocioEconomic Rights) in 1996, there has come some hope of alleviating poverty and deprivation in the country. Poverty alleviation is at the core of the country’s social security system (Report: State of the Nation’s Children, 2001). Economic globalisation is yet another factor changing the labour market scene. Full time regular employment is being displaced. Most new jobs being created are in the “informal sector” or of a parttime, casual, temporary, or home-based nature. Thus there are growing numbers of unemployed people and this is increasing poverty, social polarisation, job insecurity and crime. What Needs to be Done to Reduce Poverty There is a need to develop a more effective and comprehensive social security system that supports the achievement of socio-economic rights. The emphasis should be on reducing poverty and deprivation; reducing income and social inequality; and increasing access to basic services. In order to meet these challenges, the 1998 Presidential Job Summit—comprising government, labour, business and community—agreed to implement a comprehensive social security system aimed especially at those living in poverty and at the unemployed. The envisioned social protection “end state” has the following goals: ◆ drastically reducing poverty; ◆ managing crises and immediate needs as they arise; ◆ greater administrative simplicity. Shortcomings in the South African Social Security System The following categories are not covered by social assistance: ◆ Children—75% of poor children below seven years of age do not get the child support grant. All children over seven do not get any support. Finally, all children without primary caregivers, and child-headed households do not get any grant. ◆ Disabled—Those with a chronic illness but who do not meet the strict medically-based criteria are excluded. Thus if the disability is not medically complete, but it prevents that person from carrying out his trade, he would not qualify for a grant. ◆ Unemployed—The UIF covers only 5% of the unemployed. Therefore, excluding those unemployed getting disability and childcare related grants, about five million unemployed people are without any form of income support from the social security system. – 288 – ◆ The Poor—Currently about 60% of all those with incomes below the poverty line (i.e. 11 million people) are without any social security transfers. Women are particularly disadvantaged. The United Nations Commission for Social Development [1998-6] has stressed: “.... Many women are still barred from paid employment because of their home making and childcare duties. Inferior access to health, education and training places them in a disadvantageous position in the labour market where many women predominate in low-pay lowstatus part-time or contract work, which offers limited opportunities for social security coverage.” These gender barriers aptly describe the plight of the greater proportion of women in South Africa. The Impact of Poverty on Children When South Africa’s democratic government was elected in 1994 it was faced with the formidable task of finding ways to nurture, develop and protect children whose growth environments had been distorted by the political, social and economic policies of apartheid and colonization (Report: State of the Nation’s Children, 2001). Children’s growth, development, well-being, welfare and safety depend largely on the ability of their parents to provide for them. In South Africa, 6 out of every 10 children live in poverty, with children in rural areas more likely to be poor than those in the urban areas (Central Statistical Services, 1998). Economic stress is a major contributor to family problems and breakdown. Unemployment rates are generally high especially for African women. Female-headed households are the poorest in South Africa (Report: State of the Nation’s Children, 2001). South Africa is experiencing a rapidly growing HIV/AIDS epidemic. In 2000, 24.5% of women at anti-natal clinics were HIV positive. AIDS mostly affects the economically active generation and places added financial and time costs onto already strained households. This can cause children to drop out of school. Under these circumstances children can be forced onto the streets into criminal activities or exploitative forms of child labour. Child-headed households are appearing. The key departments responsible for social services—social development, health and education— have developed HIV/AIDS policies. Breastfeeding mothers are counselled on the dangers of HIV transmission through breast milk. A national integrated plan for children, infected and affected with HIV/AIDS has been developed. Cabinet has allocated an amount of R 450 million for the plan. The four main components are community/home-based care, voluntary counselling and testing, life-skills programmes and community outreach programmes (Department of Social Development, 1996). Poor children in South Africa suffer and die from diseases such as tuberculosis, measles, typhoid and diarrhoea. The department of heath has introduced a strategy to improve the quality of care of children. This strategy includes dealing with HIV/AIDS. Maternal Healthcare is being strengthened through the introduction of the peri-natal education programme for all health-care workers (Department of Health: Health Strategies Plan, 1998). A South African National Drug Masterplan focuses on youth. Objectives include provision of counselling, treatment, rehabilitation services for young people who are at risk of misuse or drug – 289 – dependency. However, the emphasis is on prevention through awareness-raising and education of youth, their parents and teachers. Children whose circumstances place their survival, protection and development at risk form a category in need of special protection. In South Africa, this includes children who have been abused, neglected and abandoned, street children, children with disabilities, refugee children, immigrant children, children in conflict with the law, children involved in labour, and children exposed to violence. Children living in conditions of poverty are particularly susceptible to abuse (South African Participatory Poverty Appraisal, 1997). Projects for street children range from street outreach, soup kitchens and drop-in centres to shelters and children’s homes. Programmes include therapeutic drama, health and personal welfare, basic literacy and numeracy, job skills, bridging education, music, arts and crafts. Re-entry in to mainstream society is facilitated through school placements and family reunification. Overall, health and health care for children is high on the government’s list of priorities. Many preventable illnesses and diseases are being addressed by improving basic health conditions such as water and sanitation and access to health resources. Policies to improve maternal and child health care include free healthcare of pregnant women and children under six, the Integrated Nutrition Programme, the Expanded Programme of Immunisation, Integrated Management of Childhood Illnesses, policy on child and adolescent mental health and decentralisation in delivery of health services through the district health system. Clinic upgrading and building programmes are addressing the needs in under-serviced areas (World Health Organisation Report, 1998). Tackling Poverty on a Broader Front Towards the end of the apartheid era, rapid urbanisation and high rates of urban growth precipitated a crisis for many municipal governments whose planning and management capacities were weak, and had a high degree of dependence on central government for resources. One major problem was that while municipal governments recognised the existence of poverty in their geographical areas of jurisdiction, they still lacked both the procedural and substantive means to generate effective poverty action plans and means to implement them. Most continued to view poverty reduction in simplistic welfarist which means dealing with the absolute poor, the beggars and street children. This narrow vision of urban poverty resulted in the establishments of welfare departments whose task was geared only to provide relief and assistance to the desperately poor. Most such efforts, which attempted to alleviate poverty, did not systematically contribute to the reduction of urban poverty. With the installation of the ANC government, the capacities of municipal governments have been strengthened so that they can address the challenge of poverty in a comprehensive way. Existing institutional frameworks for management, the promotion of policies and programmes which promote the generation of new employment, improved access to basic services and social integration are in the process of being reviewed and revitalised. Partnerships are being forged involving the government, municipalities, civil society and the private sector. Each of the major stakeholders accepts that it has a role to play, but more fundamentally, the people who live in poverty are being empowered so that they can participate in the decisions that affect their lives. – 290 – Government, for its part, acknowledges that poverty-reducing development has five crucial ingredients: ◆ a foundation of law; ◆ a benign policy environment, including macro-economic stability; ◆ investment in people and infrastructure; ◆ protection of the vulnerable; ◆ protection of the national environment. These ingredients constitute the fundamentals on which good policies can develop. A summary of some important undertakings and actions taken to tackle poverty and its accompanying problems are listed below. ◆ The Government acknowledges that economic inequality results in considerable suffering for poor people. Poverty is closely linked to racism, sexism and crime. Seen in this light the need for getting rid of poverty becomes even more urgent. We need to move away from just crisis management to crisis prevention. ◆ A Local Economic Development Fund has been set up, allowing municipalities to stimulate local economic development. The fund is already giving hope—and an income—to unemployed people. ◆ Several improvements have been made to the Government’s Public Works Community Programmes, which have improved the quality of life of rural people by providing roads, piped water and other forms of infrastructure. The Government has also recently launched its Integrated and Sustainable Rural Development Programme. This will ensure there are sustainable programmes for each rural community or district by the year 2010. ◆ The Government is getting rid of bottlenecks that slow down the distribution of poverty relief funds. ◆ Decisions from the 1998 Jobs Summit, such as the joint ventures with the business sector to promote tourism, are being implemented. The response from all quarters—to the call to transform ourselves into “a nation at work”—has been very positive. The earlier view that it is the Government’s responsibility to create jobs is, happily, changing. ◆ In addition, the government is speeding up the growth of small and emerging businesses by reviewing the functions of its small-business development agencies and revising regulations that hamper small business. ◆ In order to promote continued economic growth the Government has set up a high-profile International Investment Council that will play a crucial role in attracting more foreign companies to South Africa. Some of the world’s most successful and respected business leaders serve on the council. – 291 – The Government is also introducing measures to make sure that the economy continues to be well managed. This includes setting inflation targets, phasing out foreign exchange controls, and encouraging people to save money. ◆ An AIDS-related problem that is causing concern is the slow progress that bureaucracy is making in adjusting to orphan households. There is, for instance, a big backlog with child support grants. The Social Development Minister has acknowledged this and strenuous efforts are being made to streamline the process so that this very important aspect functions more efficiently. Owing to their relatively recent implementation, it is difficult to accurately assess the impact of the actions and undertakings mentioned above. However, the trends suggest a general movement in the positive direction. South Africa still faces formidable challenges in addressing the rights and needs of her children. The legacy of apartheid, inherited national debt and budget deficits has posed many challenges for the democratic government. Despite policy interventions by the government, prevailing socio-economic conditions do not support the normal, healthy development of many of the country’s children. In a climate of high unemployment, limited resources and a population which is growing younger, children and families live with the stresses of hunger, overcrowded and unhealthy accommodation, a lack of recreational facilities, and unacceptably high levels of violence and crime, including high rates of sexual abuse especially of girls. The impact of HIV/AIDS is beginning to be felt and will profoundly affect family structures and the economy. The breakdown of traditional family life is reflected in the high incidence of single parents and the lack of parenting support from fathers, either financial or physical. Women, who take most of the responsibility for child-rearing, are themselves vulnerable to poverty and violence (Report: State of the Nation’s Children, 2001). References Department of Social Development, National (1996) Government Printers, Pretoria. Department of Health (1999). Health Strategic Plan. Government Printers, Pretoria New Agenda (2002). South Africa Journal of Social and Economic Policy. Edit Omotoso R. Issue 5. Institute for African Alternatives. Cape Town. Report: State of the Nation’s Children (2001) National Programme of Action for Children in South Africa. The Presidency. Government Printers, Pretoria. South African Participatory Poverty Appraisal (1997). Government Printers, Pretoria. UNAIDS/UNDP (1998). HIV/AIDS and Human Development in South Africa. Government Printers, Pretoria. – 292 – ATELIER / WORKSHOP 504 DEVELOPING TOOLS FOR THE FUTURE: THE ROLE AND CHALLENGES OF PRE-EMPLOYABILITY PROJECTS IN MULTIETHNIC NEIGHBOURHOODS B Y : C ATHERINE M ONTGOMERY , P H . D . RESEARCHER , R ESEARCH AND TRAINING CENTER C L S C C Ô T E - D E S -N E I G E S A NNIE M AILLOUX , M . S . W . SOCIAL WORKER , Y OUTH PROGRAM C L S C C Ô T E - D E S -N E I G E S MONTREAL , Q UEBEC , C ANADA We are often reminded, whether in the media, in academia or in intervention circles, of the sometimes difficult life situations faced by some segments of the youth population. Young immigrants, for instance, have been identified in various policy papers as having particular needs. Figures provided by the Canadian Council for Social Development provide a rather alarming portrait of this population. According to this study, the number of immigrant youth between the ages of 15 and 24 living below the poverty line is almost the double (41%) of that of Canadian youth in general (21%) (CCDS, 1998). It is also to some extent this image of poverty which was at the origin of two recent studies in Montreal, which examined the role of community youth organisations, for the 13 to 18 age group, in the struggle against youth poverty in two multiethnic neighbourhoods.1 Establishing Poverty Profiles Paradoxically, it is not an image of ‘poverty’ strictly speaking which we found. It is important to note that the notion of poverty itself is an ambiguous one. In its most widely circulated form, it is often reduced to statistical categories based, for the most part, on economic indicators such as revenue. In and by themselves, such indicators are insufficient for understanding the complexity and heterogeneity of the life situations of youth. Despite the widespread acknowledgement of this fact in academia and in social policy (CPJ, 1993; Gauthier & Mercier, 1994; Montgomery, McAll, Tremblay, Seminaro, 2000), the use of economic indicators nonetheless remains predominant. There is a risk, however, that such indicators become objectified as representing ‘the’ reality of populations faced with difficult life situations, when in fact they reflect only one aspect of their life experiences. Statistical categories may also be used simply as labels for establishing population profiles. This way of naming populations can be highly stigmatizing for those who, despite themselves, have been placed in pre-constructed categories and, consequently, have become ‘poor’ by ascription. This process of stigmatization is well illustrated in our studies of the youth organisations. According to statistical descriptions, the neighbourhoods in which the organisations are located are amongst the most underprivileged in Montreal, some sectors being labelled as ‘poor’ and others as ‘very poor’ 1 Montgomery, C., Mailloux, A., Fournier, G. Jeunes, immigration et pauvreté : vers une citoyenneté inclusive. Centre de recherche et de formation, CLSC Côte-des-Neiges; McAll, C., Montgomery, C., LeGall, F., Felices, M., Vanbremeech, M., Henry, L. (2002) « Stratégies de lutte communautaire contre la pauvreté », Centre de recherche et de formation, CLSC Côte-des-Neiges, internal document. – 293 – (Ferland, Pageau, Choinière, 1997). Most of the youth participants in the organisations live in these sectors, which are also the target of other stigmatizing labels equating poverty and multiethnicity, such as ‘ghetto’ and ‘Bronx’. Yet, this image of extreme poverty does not correspond to the perceptions of the youth themselves, who tend instead to emphasise the positive aspects of their neighbourhoods such as the ethnic diversity of their residents, the number of parks and the community resources in their area. Nor does this image correspond to the perceptions of the practitioners who work with them (Montgomery, Mailloux, Fournier, in press). Some commented on the dramatisation of this portrait which is imposed on the youth by decision and policy makers. In so doing, they were not negating the fact that some youth and their families are confronted by very difficult living situations, but rather wanted to draw attention to the great strengths of the population, the heterogeneity of the youth experiences and the insertion of many in existing support networks. The sole use of statistical categories as descriptors of youth poverty may also have the effect of masking the real basis of poverty as a form of social exclusion. Some prefer the notion of precarity, rather than poverty, when describing the situations experienced by youth, because it opens the field for identifying forms of exclusion which are not always economic in character (René, 1994; Gauthier, Molgat, Saint-Laurent, 1999). In addition to marginalisation in the job market, other forms may include inadequate housing conditions, limited access to post-secondary education, absence of significant social links and barriers to civic participation and spheres of decision-making (Secrétariat de la jeunesse, 2000; Molgat, 2000; Gauthier, Molgat, Saint-Laurent, 1999). For immigrant youth more specifically, language barriers, discrimination, immigration status and lack of established networks have been identified as some of the obstacles which may contribute to their exclusion in these same spheres of activity (Aubert, Tripier and Vourc’h, 1997; Potvin, 1999, 2000; Montgomery, 2002). While some of these forms of exclusion apply more specifically to ‘older’ youth who have already left home, they can be defined more specifically in terms of the possibility of future access to these sectors of activity for those who are under 18 years of age. An analysis of the barriers faced by immigrant youth, however, should not be limited to the expression of their exclusion, but also to the modalities of their inclusion; that is, the capacities of youth themselves to negotiate the constraints with which they are confronted (Simard, 1999; Roulleau-Berger, 1999). Insertion in support networks, use of existing resources and the development of skills and abilities are among the capacities which underlie inclusionary practices. Youth policies and programmes in the 1990s have placed increasing emphasis on the role of the community sector in developing these capacities. In 1991, the report entitled Un Québec fou de ses enfants, recommended the creation of a coordinated service for community-youth programmes whose objective would be to “contribute to the prevention of youth marginalisation by enabling a useful and gratifying form of social integration” (MSSS, 1991). More recently, in 2000, the plan of action of the Youth Summit places emphasis on participation as a central element of youth policy, expressed in the vocabulary characteristic of recent years, “active citizenship” (Secrétariat de la jeunesse, 2000). These declarations remain nonetheless ideals and it is worthwhile to reflect on the way in which an ‘active citizenship’ is translated into practice for young immigrants. – 294 – The present paper examines more specifically the role of community youth resources in the realisation of this objective and their capacity for constituting spaces of inclusion for youth in multiethnic neighbourhoods. For purposes of illustration, we have limited the discussion here to a single type of youth resource: employability projects. The choice of this type of resource reflects an increasing preoccupation for youth employability in social policy and programmes in recent years. This focus represents a significant shift in orientation from the 1960s when youth programmes tended to be structured around leisure as a principal form of social participation. The increasing emphasis on employability reflects the poor economic climate of the past decade and the perceived urgency for measures addressing the integration of youth into the job market (Dagenais, 1996). The projects, which we have included here, are in fact pre-employability projects in that their mandate is to prepare youth aged 13-18 for their eventual entry into the job market. Unlike regular employability programmes, their immediate objective is not job placement, but rather to offer a significant learning experience and, in so doing, to encourage the development of skills and capacities which will facilitate social and professional integration in the long term. The four projects on which this illustration is based are all situated in multiethnic areas of the city. For the most part, employment takes the form of odd jobs and services to the community, such as house cleaning and painting, gardening and car washes. One of the organisations also created a small business that sells sports equipment and accessories in a local arena. The illustration draws principally on interviews with the project coordinators and, in one organisation, complementary interviews with the youth participants. Inclusion through employability The four projects define themselves in opposition to other forms of youth employment in the private sector, such as fast food restaurants, gas stations, clothing boutiques, food stores and telemarketing firms. In part, this opposition can be traced to the origins of the projects. Three of the four projects belong to a structured network of youth cooperatives, which regroup close to a hundred such organisations across Quebec. Rather than a project developed by policy planners for youth, the cooperatives emerged instead from within the local community, as an initiative set up by and for youth (RQCCT, 1998). The model draws on a community-based philosophy, which places emphasis both on alternative forms of employment and on the empowerment of collectivities. As for the fourth project, it was also initiated by a group of youth who wanted to do something with their summers, but who weren’t interested in the types of employment they could find elsewhere. Like the others, this project is also strongly grounded in the community network of the neighbourhood. Thus, in all cases not only were youth involved in initiating the organisations but, unlike the private sector, the objectives which underlie them are both social and economic. These projects also differ from other forms of youth employment by the skills which are acquired. They do not only provide jobs, but rather constitute learning experiences. The emphasis on learning is well expressed in the following account by one of the organisation coordinators: We help them to have rich experiences of all sorts. Rich, that’s a big word… Financially, it gives them a certain wealth in their minds. Then there is the diversity of the tasks that have to be performed, that’s another type of wealth. – 295 – […] If the youth is open enough, information is stocked up and, with time, it creates something. It creates strengths. It is a good trampoline. The skills acquired are essentially of four types. First, youth develop work and organisational skills. In addition to the more manual skills related to the tasks being performed (i.e. painting, gardening, distributing pamphlets), they also learn how to communicate with clients, evaluate the quality of their work and manage their time. In the cooperative projects more specifically, the youth are also involved in the management of the projects and learn how to draw up budgets, set up marketing campaigns and organize work schedules. For the participants, this type of work is much less routine than in private sector jobs. Second, these projects encourage the development of autonomy and the capacity of youth to make their own decisions and choices. As one participant noted, “Sure we’re guided [by the coordinator], but we have to decide ourselves to do things. When you work anywhere else, you have a boss who tells you to ‘do this’ and you do it. [The project] enables us to have sense of initiative”. Third, the participants learn the importance of teamwork. Although they do have some individual contracts, all the projects encourage collective contracts which reinforce group solidarities. Organizing neighbourhood festivities, holding car washes and working for the local recycling centres are among some of the examples. In the cooperatives, the participants must also work as a group in order to ensure the internal functioning of the projects. The construction of solidarities, however, goes beyond the work-related tasks. For the participants, the team spirit that emerged during the summer was one of the most positive aspects of their experience, as the following comment suggests: “What I liked was the team. We had a super solidarity. Anyway, we cried at the end, it was so good”. Finally, a greater awareness of the community and its resources were among the forms of knowledge acquired by the youth. The development of a social consciousness was part of the explicit mandates of some of the organisations which specifically look for contracts which will benefit the local community, such as drives to collect old clothing and furniture for distribution among the aid organisations in the neighbourhood, painting a community centre and doing clean-up in local parks. For immigrant youth more specifically, the projects provide other types of tools which can facilitate their access to societal resources. With the exception of one project, the composition of the groups reflects the diversity of origins within their respective neighbourhoods. Generally speaking, this diversity is highly valorized and, in itself, is considered to be a form of protection for the youth. Since diversity is the norm in these projects, the participants in the study suggested that do not feel singled out for being different, whether because of language, skin colour, immigration status or country of origin. This perception is well expressed by one participant who commented that “one of the advantages is that you find yourself with people from all sorts of different cultures and you don’t feel alone. For example, if I go to an area where there are just ‘québécois’, people look at me differently”. However, while diversity is valorized, one of the project coordinators emphasised that they do not attempt to “artificially maintain differences” within the group. That is, intervention strategies are not necessarily adapted along ethnic lines. Instead, participants are considered first and foremost as youth and only secondly as immigrant youth (Montgomery, Mailloux, Fournier, in press). Another coordinator commented on two of the principal challenges of intervention in a multiethnic context: the isolation of some immigrant youth and the tendency for others to group together in ‘cliques’ comprised of individuals from the same origin. In either case, the project creates a common space for – 296 – interaction intended to break the solitude of the first and, for the latter, to promote opportunities for contacts with youth from other origins. In this sense, the project becomes a sort of pretext for encouraging interaction between youth from different origins: “There is also an objective related to the group dynamic itself. [T]hrough the pretext of an economic activity [it] brings together youth from different milieu, different cultures, different origins, different socio-economic strata”. For youth who do not have a full command of either French or English, the contacts with other youth create an ideal context for immersion. This was the case, for instance, of two participants who had been in Quebec for less than a year. In both cases, the youth believe that the organisation was instrumental in improving their language skills. One commented more specifically on the fact that his participation in the project enabled him to put into practice what he had learned only in books at school: I remember the first meeting [of the project]. I didn’t understand […] I learned French at school, but I didn’t know how to speak with people. I just learned French in general. But when I am at work or in a group it is so different. It is a very serious thing. It is very good, because at school we talk about how to talk, easy things like how to borrow a book […] at school I will just learn a bit of French. The development of work-related skills, autonomy, group solidarities, social consciousness, tolerance and language skills all constitute forms of power for the immigrant youth who frequent these projects. It is in this sense too that these projects can be considered as spaces of inclusion; that is, spaces in which they acquire the abilities necessary for exercising a greater degree of control over their life situations. These abilities form part of what is commonly referred to as the process of empowerment (Ninacs, 1995). The practitioners in the studies were reluctant to use this term, suggesting that it has been appropriated by decision and policy makers and, consequently, has lost much of its grounding in practice. Despite the differences in terminology, however, there was a general consensus as to the role of the projects in better equipping youth for negotiating barriers which they might encounter in the access to diverse resources, whether in terms of employment or other domains of activity. The Other Side of Inclusion The line of demarcation between inclusion and exclusion, however, is sometimes a fine one. Those who benefit from the projects, as would be expected, are those who participate in them. An analysis of the recruitment strategies, however, reveals some systemic barriers which limit the participation of some youth. For instance, although the origins of the youth in three of the employability projects were representative of the composition of their respective neighbourhoods, the fourth organisation was comprised almost exclusively of young ‘French Canadians’, despite important concentrations of Haitian and Italian youth in the sector. In this project, the recruitment is done by the participants themselves. While this role is an important one in terms of the acquisition of decision-making skills and group autonomy, the findings reveal a tendency towards an auto-selection which reinforces the homogeneity of the group. Those selected to participate belong to already constituted networks – 297 – formed for the most part at school. In the explanation given by the coordinator for the absence of these youth, the process of selection is not called into question. Instead, the coordinator invokes cultural and familial reasons. On the one hand, it is suggested that it is not part of the cultural universe of these youth to participate in this type of organized activity and, on the other, that these youth need to earn more money than the project can offer because they have to complement poor family revenues. Given the fact that youth from these two origins are active in the other projects, however, it would appear that this explanation stems more from stereotyped images projected on these youth, rather than from objective facts. In another organisation, one of the youth animators commented on the difficulties in working with youth who have significant language barriers. In her recommendations at the end of the summer, she wrote that “one of the characteristics of the youth should be the requirement that they be bilingual, given the presence of English and French in the neighbourhood”. Although this point of view was opposed to that of the project coordinator, it nonetheless illustrates the way in which exclusionary practices can seep through even despite the valorization of diversity on a discursive level. The exclusion of some youth from the projects is not only expressed in terms of ethnic origin or language skills, but also in terms of other types of differences. For instance, the coordinator of the project in which recruitment was a responsibility of the youth, noted that the group tended to select ‘strong’ participants: “At the moment, I have very strong personalities […]. When someone arrives who is a bit slower, it doesn’t work, it creates conflicts. I have names on a list, but they know each other at school. ‘Ah! That one isn’t very swift. We won’t take him’. That’s the way it is. Because they are very strong, they are pretty well at the same level.” This tendency to select strong candidates was also noted in the other organisations. When asked about the profiles of their participants, they used such descriptors as “those who are better equipped”, “easier youth”, youth who are “pretty well oriented in what they want to do”. Also, youth who are experiencing difficulties at school or who have abandoned it altogether are not allowed to participate in one of the organisations. We are thus confronted by a dilemma. On the one hand, the underlying objectives of youth employability programmes are to give a helping hand to youth in precarious living conditions. While it is true that the participants in these projects all live in sectors which have been designated as ‘poor’ or ‘very poor’, the findings suggest that it is not necessarily those whose life situations are the most difficult who are benefiting the most from the projects. This is not to say that the projects are not worthwhile. On the contrary, the studies suggest that those who do participate do acquire skills and abilities which can facilitate their social and professional insertion. In this sense, the projects do play an instrumental role in the neighbourhoods where they are situated. The question that should be addressed is rather how to facilitate the access of youth who are confronted with more significant integration barriers, whether because of their origins, language skills or other characteristics. The reflection around this question proved a very rewarding part of the second study. In fact, two of the project coordinators had acknowledged themselves that the composition of the groups was directly linked to intervention practices and that, unconsciously, these practices tended to produce a certain type of group. During the summer, both experimented with new ways of integrating youth in more precarious situations. One organisation, for instance, adopted a strategy of ‘non-selection’, as they called it. This strategy consisted in publicizing the activities of the organisation early in the year – 298 – and letting anyone interested participate. In this way, there was no pre-selection of the youth by the organisation itself. Instead, the selection was done by the youth themselves who chose to stay or to leave by their own accord. As for the second organisation, it began doing more outreach in the schools in order to reach a greater range of potential participants. Social workers in the schools were also contacted to help identify youth with special needs. In terms of recruitment, these methods did enable the coordinators to change the profiles of their groups, which became more a mix between ‘easier’ youth and those confronted with more difficulties. Despite the commitment and enthusiasm to integrate these youth, it became clear that other factors related more specifically to internal interaction dynamics also contributed to the marginalisation of these youth within the groups. The other participants, for instance, were highly critical of the lack of motivation and maturity of those considered to be ‘different’ from the group norm. When asked to give their opinion on the integration of youth facing more significant difficulties within the organisation, the responses of the participants were divided. For some, it was a categorical no. Others were more discrete in their answers and acknowledged the role that the organisation could play for them, but at the same time were hesitant about letting them participate in ‘their’ organisation. Their reaction can be illustrated by two incidents which occurred in one of the projects. In the first, the participants had a contract to animate activities for children during a neighbourhood festival. One of the participants, whose job was to supervise the games, got bored and left without telling anyone and the group had to replace him at the last minute. This youth had already been ‘spotted’ by the others as being problematical. They accused him of undermining the reputation of the organisation with regards to the client and, after reflection, decided to expulse him from the project for an indeterminate period of time. In the second example, the group reacted negatively to two participants who had very significant language barriers. According to the other participants, the presence of these persons created significant communication barriers for the group as a whole, both in internal interaction within the group and in contacts with clients. Despite the general respect for diversity within the project, in which all of the participants are from different origins and speak with accents, some of the youths’ accounts displayed in fact very little compassion for these particular individuals. The following comment, for instance, demonstrates the distance that can exist between the ideal of tolerance and its application: What I didn’t like was that there were some persons…. There were some who didn’t really speak French or English. When you’re with them, you don’t really know what to do to speak with them. Because they don’t speak French or English, they can’t really do anything, because if you ask them to do something they will answer ‘I don’t know [understand]’. That’s what I really didn’t like, because there were two-three who were with us. That’s the problem. They hardly do anything. On the one hand, these examples illustrate the way in which groups may act as a block to protect their interests, for instance, the reputation of the organisation. On the other hand, they also demonstrate the limits of inclusion for those who are perceived as being a threat to the cohesion of the group. – 299 – Conclusion The four employability projects examined in the present paper do constitute important tools in the preparation of youth for long term social and professional integration. In addition to providing an opportunity to acquire valuable knowledge and skills, in most cases they create a significant space for interaction between youth from a wide diversity of origins. As the findings suggest, however, this role seems to benefit most those who are already reasonably well ‘equipped’ for realising their personal projects and dreams. In the field, the integration of youth facing more serious barriers of integration—whether because of language skills, origin or other factors of ‘difference’—is more complex. Although an unintended consequence, there appears nonetheless to be a tendency for these projects to select ‘easier’ youth who are more likely to adapt to the group dynamic. Meanwhile, the experimentation of new methods of recruitment in two of the organisations demonstrates the importance of a certain reflexivity in intervention and a willingness to constantly rethink actions in order to better attain their objectives with respect to those in more precarious situations. The internal youth dynamic remains a significant barrier to the inclusion of youth who do not ‘fit’ into the group image. Who does, and does not, correspond to this image cannot be defined solely in terms of ethnic origin, since most of the projects are multiethnic in composition. Despite this fact, however, they are not completely immune to prejudicial stereotypes. In the day-to-day operation of the projects, exclusionary practices do exist, which may reinforce the marginalisation of those considered to be outside of the group ‘norm’. It is possible too that this marginalisation is reinforced by the mandate of employability in these projects. Despite the social objectives (i.e. integration, services to the community, development of a critical consciousness) which accompany the economic objectives, the projects must ‘sell’ their services in a ‘market’. Granted, this ‘market’ is largely within the local community, which is perhaps more accepting than private sector employment for youth. Nonetheless, market imperatives such as reputation, quality, and client satisfaction did seem to come into play in the group dynamic. These pressures of employability, by which the group acted in reaction to client accountability, also brings the group to sanction those who they perceive as posing a threat to the success of ‘their’ business. Youth with significant communication barriers and those described as ‘lacking motivation’ are thus caught up in a double constraint. Singled out for their ‘difference’ from the group norm, they are also considered by the other youth participants to be obstacles to the collective effort. Due to the small number of employability projects in the samples, these findings must be taken with some degree of caution. They do nonetheless illustrate the limits of inclusion and the challenges with which these projects are faced in the struggle to combat the precarious living situations of some categories of youth. Acknowledgements The presentation is based on two research projects funded by the Conseil québécois de la recherche sociale: Jeunes, immigration et pauvreté : vers une citoyenneté inclusive (directed by C. Montgomery) and Stratégies de lutte communautaire contre la pauvreté (directed by C. McAll). The study was made possible by a great number of persons. We would like to thank in particular Georges Fournier, Juan Perez, – 300 – Sylvie Sylvain and Roger Côté, all community organizers. Their input in the early stages of the project and throughout the fieldwork was indispensable. We would also like to thank the numerous practitioners and participants in the community projects who participated, directly or indirectly, in the study. Biographical Notes Catherine Montgomery, Ph.D., is a Social Researcher at the CLSC Côte-des-Neiges and Adjunct Professor in Sociology at McGill University. Specialized in questions relating to immigration and social inequalities, her recent research work examines more specifically the difficulties faced by young refugees and immigrants in the process of integration. Annie Mailloux is a Social Worker at the CLSC Côte-des-Neiges. She works primarily in neighbourhood schools where there are important concentrations of young immigrants. In addition to her responsibilities in the schools, she was involved in the fieldwork for one of the research projects on which the presentation is based (Jeunes, immigration et pauvreté : vers une citoyenneté inclusive). Christopher McAll, Ph.D., is a Professor in Sociology at the Université de Montréal. His recent research work has focussed particularly on social inequalities and poverty. He also directed the second project on which this presentation is based (Stratégies de lutte communautaire contre la pauvreté). References Aubert, France, Maryse Tripier, François Vourc’h. (1997). Jeunes issus de l’immigration. De l’école à l’emploi. Paris: l’Harmattan. Conseil permanent de la jeunesse. (1993). « Dites à tout le monde qu’on existe… ». Avis sur la pauvreté des jeunes. Quebec: Gouvernement du Québec. Dagenais, Lucie France. (1996). « La jeunesse, une construction du discours sociopolitique canadien de 1965 à 1989 ». Sociologie et sociétés, vol. XXVIII, no. 1, p. 89-105. Direction de la santé publique. (1998). Les inégalités sociales de la santé. Rapport annuel 1998 sur la santé de la population. Montreal: Direction de la santé publique. Direction de la santé publique. (2000). Les 29 CLSC d’un coup d’œil. Document Internet: www.santepub-mtl.qc.ca. Ferland, Marc, Michel Pageau, Robert Choinière. (1997). La pauvreté au Québec : situation par région sociosanitaire et district de CLSC. (Collection: données statistiques et indicateurs, #33). Ministère de la Santé et des Services sociaux. Gauthier, Madeleine, Lucie Mercier. (1994). La pauvreté chez les jeunes. Précarité économique et fragilité sociale. Quebec. IQRC. Gauthier, Madeleine, Marc Molgat, Louise Saint-Laurent. 1999. Lien social et pauvreté: repérage et profil des jeunes précaires qui vivent seuls en milieu urbain. Quebec: INRS-Culture et société. Hanvey, L., Jean Kunz. (2000). Les jeunes immigrants au Canada. Ottawa: Conseil canadien de développement social. McAll, Christopher. (1995). « Les murs de la cité : territoires d’exclusion et espaces de citoyenneté », dans Lien social et politiques – RIAC, 34, automne, p. 81-92. Ministère de la santé et des services sociaux. (1991). Un Québec fou de ses enfants. Quebec: Publications officielles. Montgomery, Catherine, Christopher McAll, Andrea Seminaro, Julie-Ann Tremblay. (2000). « Profils de la pauvreté et de l’immigration à Côte-des-Neiges ». Interaction, vol. 4, no. 1, p. 77-95. – 301 – Montgomery, Catherine. (2002). “The ‘Brown Paper Syndrome’: Unaccompanied Minors and Questions of Status”. Refuge, vol. 20, no. 2, p. 56-67. Montgomery, Catherine, Annie Mailloux. (Accepted) “The Politics of Inclusion in a Context of Poverty: Young Immigrants and Community-based Youth Programs”. Article for publication in the Canadian Review of Social Policy. Ninacs, William. (1995). « Empowerment et service social : approches et enjeux » dans Service social, vol. 44, no. 1, p. 69-93. Potvin, Maryse. (2000). « Racisme et citoyenneté chez les jeunes Québécois de la deuxième génération haïtienne ». L’individu et le citoyen dans la société moderne. Montreal: Les Presses de l’Université de Montréal Regroupement québécois des coopérateurs et coopératrices du travail (RQCCT). 1997. CJS. Pour la promotion de la santé et du bien-être. Montreal: RQCCT. René, Jean-François. (1994). « Jeunes adultes et vie précaire : la place grandissante des ressources intermédiaires » dans Lien social et politiques – RIAC, 32, p. 151-161. Roulleau-Berger, Laurence. (1991). La ville intervalle. Jeunes entre centre et banlieue. Paris: Méridens Klincksieck. Roulleau-Berger, Laurence. (1999). « Pour une approche constructiviste de la socialisation des jeunes » dans Définir la jeunesse? D’un bout à l’autre du monde. (Gauthier, M. et J-F. Guillaume, dir.) Quebec: IQRC, p. 147-159. Secrétariat du Sommet du Québec et de la jeunesse. (2000). Vers une politique jeunesse québécoise. Document de consultation. Quebec: Gouvernement du Québec. – 302 – ATELIER / WORKSHOP 103 FAMILY AND SCHOOLS TOGETHER CANADA PROGRAMME DESCRIPTION B Y : J UDI VARGA -T OTH , M . A . NATIONAL PROGRAMMES MANAGER FAMILY SERVICE CANADA OTTAWA , O NTARIO , C ANADA Introduction The rise in child poverty in Canada has been well documented and has developed as an area of particular social concern over the past several years. As a society, we all want what is best for our children and want to see them live a happy, healthy and fulfilling life. However, for families living in poverty, such a future might not seem so optimistic or attainable. Fortunately our publicly funded school system is ideally suited to partner with organizations which offer academic and social skills training to children and families in need. As a way of enhancing positive social skills and helping families in need, Family Service Canada, a national non-profit voluntary organization which represents the concerns of families and family serving agencies, has worked with schools and communities to implement a family strengthening and community-building programme called Families and Schools Together Canada (F&ST). F&ST is a research-based approach with roots in family therapy and family stress theory and was originally developed by Dr. Lynn McDonald at a local family service agency in Madison, Wisconsin in 1988. Family Service Canada partnered with the Alliance for Children and Families in the United States to deliver this American-developed model in 1996. Hundreds of school-based F&ST teams have been systematically trained and evaluated in 43 states, Canada and five other countries with a variety of federal, state, foundation and local funding supports. What is F&ST? Families and Schools Together is a school-based, collaborative, family focused programme designed to increase the self-esteem and improve the outcomes of at-risk pre-school, elementary and middle years children and youth by supporting the natural strength of the family unit. A benefit of the model is its multi-disciplinary approach. A trained team that includes a community health partner, a school partner, an addictions partner, and a parent partner lead the programme. The Middle Years Programme has an additional three team members to help facilitate the programme: another parent partner, a youth partner and a youth advocate partner. Family profile data collected over five years of programme operation in Canada shows that nearly 20% of families that participate in F&ST receive some form of social assistance and approximately 44% have a family income of less than $20,000. Families and Schools Together aims to: I. Enhance family functioning. ◆ Strengthen the parent-child relationship in specific and focused ways. – 303 – ◆ Empower the parents to help them become the primary prevention agents for their own children. II. Prevent the at-risk child from experiencing school failure. ◆ Improve the child’s behaviour and performance in school, both short-term and long-term. ◆ Empower the parents in their role as partners in the educational process. ◆ Increase the child’s and family’s feelings of affiliation toward their school. III. Prevent substance abuse by the child and family. ◆ Increase the family’s knowledge and awareness of substance abuse, and the impact of substance abuse upon child development. ◆ Link the family to appropriate assessment and treatment services, as needed. IV. Reduce the stress that parents and children experience from daily life situations. ◆ Develop on ongoing support group for parents of at-risk children. ◆ Link the family to appropriate community resources and services, as needed. ◆ Build the resilience and social networks of each family member. As a prevention and early intervention programme, Families and Schools Together works to support and encourage children in poverty by focussing on healthy family functioning to help reduce risk factors associated with living in poverty such as: social isolation, disorganized neighbourhoods, lack of job opportunities, alcohol and substance abuse and depression. By providing the skills to enhance family functioning and increase family bonds, families and children in poverty can come together in times of stress/crisis rather than letting the stress run their lives, breaking down the family unit and putting all members at risk for anti-social behaviour. Furthermore, because it is a community building programme as well as family building programme, parents and children develop social support networks that help alleviate the feelings of isolation and hopelessness often associated with living in poverty. Results of Winnipeg, Manitoba Two-Year Follow-Up Study The Family Centre of Winnipeg and the Children and Youth Secretariat of the provincial government have been collaborating on a two-year, comprehensive evaluation of the overall impact of the programme in the Winnipeg area. Over the first two years of this study, F&ST has been delivered at five schools in Winnipeg (Machray, Margaret Park, Lavalee, Wellington, and Glenwood). Combined, these schools have hosted twelve eight-week cycles of F&ST for 88 families, with a combined total of over 400 individuals graduating from the programme. In general, recruitment and attrition issues are common barriers to parental involvement in any family-based intervention. Prior research documents that approximately 30% of families that begin an 8-12 week intervention are likely to drop out prior to completing the programme. – 304 – Despite these difficulties, 98% of families invited to participate in F&ST attended and 94% graduated by attending at least six of the eight weekly sessions. Comparable national data show a consistent 92% retention rate for F&ST across Canada. Results after one year of the study give the following results. Family profile data in Winnipeg show that approximately 60% of mothers and fathers have finished high school education; 37% of women and 49% of men have some education beyond high school. Fifty-six percent of families have annual incomes of less than $20,000. Twenty-four percent of families derive some portion of their income from social assistance. The Winnipeg study used the same instruments to evaluate the impact of the programme as other sites across Canada and the USA. However, in addition, the Children and Youth Secretariat extended their evaluation to follow families for two years after completion and included a supplementary scale to measure family coping. One of the primary instruments used is the Revised Behaviour Problem Checklist—RBPC (Quay & Peterson, 1987) to measure the programme’s impact on conduct disorder and three other behaviour scales associated with poor child outcomes: attention, anxiety, and motor excess. Using the RBPC, both teachers and parents rate target children prior to programme participation and immediately after as well as six months, one year and two years after completion. Parent Ratings The differences between pre-F&ST and post-F&ST scores on all four scales were statistically significant after programme completion. While subsequent scores were not significantly different from previous ratings, the overall direction of change, over time, indicates that the positive behaviour changes are maintained after one year (results of the two-year follow up are not yet analysed). Teacher Ratings Similarly, teacher ratings on all four behaviour scales also decline over time. With respect to the Conduct Disorder scale, the changes in scores from baseline are not statistically significant until compared to the scores at one year. The same is true for the Attention scale. However, the differences between pre-F&ST and post-F&ST scores on Anxiety and Motor Excess scales are significant. Comparable national data show that there is a highly consistent and statistically significant overall decrease in problems as measured by the RBPC of 25% as reported by both parents and teachers. – 305 – Connections to Community Services, Supports and Resources All participants in this F&ST study completed a questionnaire that measures families’ involvement in a series of activities and organisations. The results indicate that following F&ST, a substantial percentage of families that previously were not participating in the listed activities have subsequently become involved. The percentage of families involved in church, voluntary organisations, further education and employment have notably increased. Thirty-six (36%) percent of families that were not employed at baseline have either part-time or full-time work six months after F&ST and one year later the percentage has increased to over forty-five (45%) percent. Identification and Referral The school’s teachers complete screening protocols to identify children with problematic behaviours who are considered to be at-risk for serious future academic, health and social problems. For students who are referred to the programme, the F&ST school partner will contact the parents to obtain permission for other F&ST team members to conduct a home visit to explain the programme. A family’s introduction to F&ST consists of a home visit by a community health professional and a F&ST parent graduate. They explain the programme and issue an invitation. F&ST partners are sensitive to different family needs and work with the parent to identify and resolve any potential barriers to participation such as: transportation, childcare, scheduling and employment conflicts. Programme Design/Activities/Strategies Families and Schools Together brings 10-15 families together for a series of 8 or 11 weekly sessions in the evening at their local school. They participate in activities that have been specifically designed, based on research, to build parents’ confidence and to give them new tools for effective parenting. All family members, from the youngest to the oldest, are encouraged to attend each session. The F&ST curriculum follows the same routine every week. This structure and routine is modeled for chaotic families to help them develop structure in their own home and family life. Although the curriculum is consistent from week to week, the specific activities vary and are structured in age-appropriate ways to provide different types of stimulation for the families and to meet the different developmental needs of the at-risk children. The following is a basic agenda for F&ST: 1. F&ST ‘Hello’ ◆ A simple greeting that involves the introduction of each individual family member and a general greeting from the other F&ST families. – 306 – 2. 3. Family Meal ◆ Families eat dinner as a unit at separate tables, thus providing members with the opportunity to sit down and share a meal together as a family ritual which they may not otherwise be able to do. ◆ Each week, one of the families prepares the meal for the rest of the F&ST group. F&ST Song/Music ◆ 4. Family Time ◆ 5. For 15 minutes, all F&ST families get together and sing the F&ST theme song or ‘I Think You’re Wonderful’ and various other songs as selected by different families. A 30-minute period in which each family gets together as a unit and participates in a variety of games and activities, such as Feeling Charades and Scribbles Parent Buddy Time and Parent Group ◆ Parents and children/youth are separated for 55 minutes. While the children go off for supervised recreation, parents participate in one-on-one discussion with another adult. If a parent is at the session with his/her partner, the parent must spend the 15 minutes talking with his/her partner. If the parent is a single-parent or a partner is not present for that session, then the parent is paired up with another adult for adult interaction. ◆ The following 40 minutes are dedicated to parent group discussion. Parents are given the opportunity to share experiences and coping strategies with regard to handling conflict, addiction and other issues they might be experiencing at that time. F&ST Club/Kids’ Play 1. ◆ Following Family Time, the children/youth are separated into two groups: one with only the at-risk F&ST children/youth and one with the remaining children/youth. ◆ Children/youth participated in activities designed to build their self-esteem and socialization skills and reinforce positive behaviours. One-to-One Time/Special Play ◆ The at-risk child/youth receives one-to-one quality time with his/her primary caregiver for 15 minutes. One-to-one time is designed for youth in the Middle Years Programme and the Special Play time is designed for the children at the elementary school level. During the One-to-One time, youths and their parents engage in structured conversation with specific rules about various issues that they have been experiencing recently. Special Play involves child and parent engaging in some sort of game, sport or other activity together where the child gives instructions on what to do and how to do it. ◆ The parents and children/youth are instructed to participate in one-to-one time at home daily as well as during the weekly sessions. – 307 – ◆ 2. 3. The activity opens communication to help build the child’s self-esteem, reinforce positive parent-child ties and increases the child’s resilience. It also increases the child’s sense of power in the family unit and bonding between parent and child. Door Prize draw ◆ Involves a draw for a basket of prizes worth approximately $35 that usually includes something for each family member, a household item, and a family game to continue supporting and strengthening family togetherness. ◆ The draw is rigged so that each family wins. The children and youth do not know that the draw is rigged. The parents know that the draw is guaranteed and random but they do not know what week their family will win. Closing Circle and “Rain” ◆ Family members are invited to share any recent special events (i.e. birthdays), accomplishments, experiences, etc. with the entire F&ST group. After each announcement, the entire group claps. ◆ “Rain” is a nonverbal, meditative exercise that makes everyone feel special and fosters a sense of closeness. It works to help end the evening with families feeling calm and positive as they depart. Given that F&ST is a research-based programme, it is important to discuss the reasoning behind the various programme activities. The following are some of the key components of the F&ST programme and their research foundations: Research Foundations Carl Dunst, a developmental psychologist who has done tremendous research on children and their families, explored various ways of encouraging the participation of families and building the empowerment of parents in various social programmes. In his research he explains the importance of the universal cultural rule of reciprocity: if you receive, then you want to give back. Accordingly, Dunst suggests that structuring opportunities for reciprocity, rather than only giving to parents, increases their self-esteem, and also diminishes their feelings of helplessness and dependency. It is essential to the empowerment of parents who are low-income to exchange, barter, and reciprocate. To only receive and not expect giving in return is often offensive. So in a given F&ST session, the family that won the door prize package during the previous F&ST session provides the meal for all of the other F&ST families. Thus, in exchange for being the winners, they become the hosts for the next week. The goal is that parents will feel a sense of accomplishment and pride in providing a meal for everyone. Research identifies that in a family at-risk for alcohol involvement, such as families under stress, family activities without alcohol strengthen the likelihood of children not becoming alcoholics. Rituals that are shared together as a unit and that do not include the presence of alcohol, build family resistance to transmission of alcohol and other drug abuse. All of the F&ST activities focus on – 308 – respect, honesty, communication and fun and provide the necessary tools to engage in family activities without alcohol. Findings by Egeland at the University of Minnesota suggest that high stress combined with social isolation can increase the likelihood of child abuse and neglect. She argues that activities that promote group cohesiveness and reduce social isolation are an antidote for highly stressed families. The verbal and nonverbal components of all F&ST activities shared by everyone at a Families and Schools Together session help build feelings of affiliation and group cohesion and thus help reduce the impact of stress. Similarly, research on childhood resiliency in the face of adversity suggests that relationships and support enhance the child’s ability to cope with various stressors. Time with peers in age-appropriate activity, while knowing where there parents are and that they are safely busy, facilitates the child’s (or youth’s) own peer network with other children from the same neighbourhood and school. In families experiencing multiple stressors, including poverty and unemployment, Reuben Hill found that two protective factors stood out: social support and the perception which the family had about the stressors. According to Hill, perception was about optimism and the family’s ability to reframe a perceived disaster into an opportunity for growth and change. Families and Schools Together addresses negative perceptions with the weekly selection of a “winning family”. The designation as ‘winners’ places focus on the winning family and merits the applause of the F&ST group. The experience of winning as a family and being at the center of attention helps instil hope in the family and build self-esteem. Deborah Belle’s research of mothers suffering from poverty and depression showed that these mothers interacted with their children in negative ways: neglecting them when they were preoccupied, hostility, anger, and sometimes potentially abusive interactions when the child tried to engage with their mothers. Belle found that when these mothers had a supportive, intimate, daily, adult relationship, interactions with their children were not as harmful. Each week in Families and Schools Together, the Buddy Time activity allows the parents to have a taste of the supportive one-toone time they each need to build intimate relationships with other parents. Parent Buddy Time helps parents reduce stress, change their perceptions of stress and curb any negative and potentially harmful reactions to stress that can affect the health of their children. Similarly, Werner and Smith conducted a 25-year study of over 600 children of families in Hawaii who had multiple problems, including living in poverty. They analyzed the data to identify the resilient survivor children of these unfortunate circumstances. One of their major findings was that the mother needed to have other adults supporting her parenting and sharing with the burdens of parenting. Such social support helped to produce a child who, during his/her developmental years, could and did survive the isolation, oppression, illnesses, and poor housing conditions characteristic of their impoverished lifestyle. In this case, developing a parent support network that shares the impact of raising children under stressful circumstances, proved to increase the resilience and the mental and physical health of children at-risk. This ideology is exemplified in F&ST’s 40-minute Parent Group and 15-minute Buddy Time activities. – 309 – Programme Evaluation Since the first implementation of F&ST, there has been a commitment to both process evaluation and outcome evaluation of each new site-based implementation. The success of the F&ST programme has been documented through ongoing evaluation of these programme outcomes at sites throughout Canada, the United States and Australia. Evaluation reports of the F&ST programme include measurements of specific indicators (including The Revised Behaviour Problem Checklist, Quay & Peterson 1987 and The Family Adaptability and Cohesion Scale, Olson, Portner & Lavee, 1982, 1986) as well as narrative responses by participating parents and children. By using an openended questionnaire, parents and children are able to provide feedback regarding their thoughts on the program and the changes F&ST has introduced into their lives. Programme Effectiveness Statistically and anecdotally, the impacts of the F&ST programme are profoundly positive. Thus, the value of the F&ST programme can be stated in two words: It works! Results after the 8-week programmes show clear improvements in the child’s classroom behaviours, home behaviours, self-esteem, and in family closeness, parent involvement in school and social support. Follow-up data suggest that children continue to improve and many parents self-refer for counselling and substance abuse treatment, get part-time or full-time jobs, go back to school and attend community events (as seen in Winnipeg study). Conclusion Essentially, the Families and Schools Together programme is structured to reduce feelings of loneliness, of defectiveness or dysfunction, of failure, and to increase feelings of connectedness, competence, and of victory. Families and Schools Together recognizes the central importance of providing support for parents and schools in order that they may encourage their children to become the best they can be and to overcome the barriers that their impoverished circumstance has built up against them. Working together in a comprehensive partnership, families, schools and community-based professionals join together to help reduce risk factors and improve outcomes for children. Given the current academic and governmental interest in the emerging field of Social Capital, the F&ST approach is a timely and proven vehicle to further examine the multi-faceted and complex role that social capital plays in the lives of Canadian families. In the context of increasing child poverty, and thus family poverty, in Canada, it is all the more important that such approaches be thoroughly evaluated and examined in order to determine its applicability to realities faced by Canadian families with children, living in poverty. – 310 – ATELIER / WORKSHOP 202 PROJECT SMART—A PROGRAM EVALUATION: A HEALTH EDUCATION PROGRAM FOCUSING UPON TEENAGE PREGNANCY AND SUBSTANCE ABUSE ABSTINENCE B Y : E. J ANE I RONS , E D . D . A S S O C I A T E P R O F E S S O R OF T E A C H E R E D U C A T I O N EXTERNAL PROGRAM EVALUATOR TEXAS WOMAN ’S UNIVERSITY DENTON , T EXAS , U.S.A. P HYLLIS S IMPSON , P H . D . DIRECTOR , P ROJECT SMART D I R E C T O R OF H E A L T H E D U C A T I O N DALLAS INDEPENDENT SCHOOL DISTRICT DALLAS , T EXAS , U.S.A. Abstinence Only: Education for 12-Year-Old Urban Minority Youth The reported use of drugs and alcohol at younger ages, high numbers of teen pregnancies in the early 1990s, and heightened awareness of Acquired Immune Deficiency Syndrome (AIDS) precipitated national concern for the health of children. In 1996 welfare reform legislation provided funding for abstinence only programs nationwide (Brown, 1997; Coles, 1999a; Kato, 1998), and Public Law 104-193 funded over 700 abstinence-only grants to education agencies and community-based organizations by 1999 (Rabasca, 1999). Although abstinence-only programs existed in the 1980s, published evaluation results focused primarily on white, middle-class, high school students who may have been less at risk for pre-marital sexual activity than low income minority students (Christopher & Roosa, 1990). Project Students Making Abstinence Real Today (SMART) is an abstinence-only program developed and implemented by the Dallas Independent School District. This paper discusses preliminary results of a longitudinal program evaluation of Project SMART, which focuses upon 12- to 13-year-old inner-city minority youth. The framework for the paper includes the following topics: abstinence-only programs, Project Students Making Abstinence Real Today (SMART), evaluation results, and implications. Abstinence Only Programs From the 1960s into the 1980s, there was public opposition to any form of sexuality education within the public school curriculum and only two states and the District of Columbia maintained sex education programs in the public schools (Bailey & Piercy, 1997). With the rapid rise in teen birth rates during the 1980s public concern generated initiatives for reducing teen births and by 1989 two-thirds of the states had initiated policies for AIDS and sexuality education (Blinn-Pike, Berger, & Rea-Holloway, 2000). Public Law 104-193 specified that abstinence-only programs must offer mentoring, counseling, adult supervision, and promote abstinence from sexual activity until marriage without use of birth – 311 – control methods (Coles, 1999b). Funding for abstinence only programs required the states to provide a 75% cost match (Gough, 1997). During the first two years of funding most of the states applied for and received abstinence-only funds using different approaches for matching fund requirements. Over 90% of the states funded abstinence-only programs in local public school districts. About one-third of the state programs targeted children under age 10, while over half targeted children ages 10 to 14 and 15 to 17. Finding appropriate and approved abstinence-only education curriculum was problematic (“Abstinence Education in the States,” 2001). Project SMART SMART is an abstinence-only education program that teaches the importance of attaining self-sufficiency before engaging in sexual activity. The application of a social learning theory approach to abstinence integrates factual abstinence information and training. Project SMART is designed to trigger healthy behaviors by integrating mentoring with persuasion and encouragement tactics and providing incentives and praise as reinforcement of the abstinence message. Males and females enter SMART in grade 6 and continue the curriculum and activities through high school. Participants engage in more than 110 hours of knowledge and skills activities each year through 8 different components. SMART has adopted the FACTS curriculum. A FACT is taught by a campus liaison who is trained to use the curriculum. This curriculum addresses dating, self-respect, decision-making, alcohol abuse, drug abuse, physical fitness, nutrition, AIDS, and abstinence. Other activities include community partners from the Urban League or other agencies who meet with the SMART participants once or twice a semester to discuss goals, leadership skills, and decision-making. Each girl identifies a faculty member to serve as her mentor. Mentors meet with the girls at least twice a month for 30 to 45 minutes. The physical education faculty or a community partner conducts weekly fitness or dance instruction. A National Service Learning Coordinator assists the campus SMART program liaison with implementing a service learning community caring project once each year. Cultural events are provided through collaboration between the City of Dallas Office of Cultural Affairs and the Dallas Public Schools ARTS partners where music, dance, and theater opportunities are provided. An annual awards ceremony recognizes the achievement of students and celebrates the commitment of mentors, liaisons, administrators, and parents. Parents are invited to participate in workshops. The parent workshops are conducted by trained facilitators of a nationally recognized parent program sponsored by the National Education Association and Centers for Disease Control and Prevention. SMART Student Participants Dallas Independent School District is classified as a large urban district. The ethnic composition of students is 49.4% Hispanic, 39.4% African American, 9.2% White, 1.6% Asian, and 0.4% American Indian. The SMART program targets both male and female students, grade 6 through grade 10. The elementary schools for initial participation were selected by Dallas County Health Department zip code information regarding the number of sexually transmitted diseases in the adolescent population below 19 years of age. The second criteria used for selection was the number of reported cases of unintended pregnancies recorded by school nurses in each school. Students at each of the – 312 – eight campuses were selected by administrators, recommended by teachers, and approved to participate by parents. About 50 students per campus were selected each year of the program with an initial group of about 350. Selection criteria included the desire to participate, commitment to complete the program activities, and a parental involvement commitment. Project SMART is now in the third year of implementation. Student and parent data were not analyzed during start-up because instruments were being developed and field-tested. During the second year data were collected during both fall and spring semesters from student participants and from a comparison group during the spring. A discussion of differences found between spring semester SMART students and comparison group student responses and results of a parent perception survey follow. Characteristics of Student Respondents Two hundred and eighty-nine students completed a student risk survey developed for project SMART. The majority of the sample were 12-year-old females in the sixth grade. Ethnic composition was 50% African American and 46% Hispanic. Of the total 289 students, 204 participated in project SMART and 85 completed the survey who did not participate in project SMART, the comparison group. Survey responses were analyzed using the chi-square statistic at the .05 level of significance. Results of interest follow. Results of Student Risk Survey—Significant Differences SMART participants (N=204) Comparison Group (N=85) The mother was rated as the individual with whom 50% of all respondents stated they would discuss sexual abstinence. X2 (8, N = 261) = 15.71, p< .05 suggests some differences in responses between SMART participants and the comparison group with almost twice the percentage of comparison students discussing sexual abstinence with their brother and more than three times the percentage discussing sexual abstinence with their sister. None of the comparison group would discuss sexual abstinence with their teacher in contrast to about 4% of the SMART group. X2 (8, M = 264) = 18.34, p<. 05 suggests different responses to whom is considered the most important person to talk to about the importance of abstinence from the use of alcohol, tobacco and other drugs. The majority of SMART (47%) and comparison (39%) would discuss substance use with their mother. Almost twice the percentage of the comparison group to their brother. Conversely, more than twice the percentage of the SMART group talk to their sister than the comparison group do. Few members of the SMART group discuss substance abuse with their boy or girl friends, while none of the comparison group reported doing so. Seven times the percentage of the SMART group reported talking to their teacher in contrast to the comparison group and about twice the percentage of the SMART group reported talking to the school counselor about the importance of abstinence from tobacco, alcohol and other drug use. X2 (1, N = 288) Fishers Exact Test, p< .05 suggests a significant difference in the response to the question “Have you ever had a drink of alcohol, other than a few sips?” A significantly higher percent of the comparison group (67%) report having never had a drink of alcohol other than a few sips (no) in contrast to 54% of the SMART group responding no. The large difference between group sizes of – 313 – the SMART and comparison groups may account for the percentage of the comparisons groups no response being larger than the percentage of no responses of the SMART group. X2 (1, N = 289), Fisher’s Exact Test, p< .05 suggests a significant difference in responses to the question “Have you ever used any other drugs?” More than two times the percent of the comparison group (12%) responded yes to this question in contrast to 5% of the SMART group. X2 (1, N = 288), Fisher’s Exact Test, p< .05 suggests a significant difference in responses. Three percent of the SMART group in contrast to 9% of the comparison group responded that they had been sexually involved within the past 30 days. Significant gender differences among SMART Participants Girls N = 130 and Boys N = 72 A significant gender difference emerged when SMART respondents were asked to respond to the question “Have you ever smoked a cigarette even one or two puffs?” X2 (1, N = 199) Fisher’s Exact Test, p< .05 shows that 44% of the boys in contrast to 29% of the girls responded yes to the question. X2 (1, N = 197), Fisher’s Exact Test, p< .05 shows gender differences for the age participants began smoking. Boys (14%) show they were 8 years old or younger when they began smoking while another 10% indicated they began smoking at age 11. Girls (6%) indicated they began smoking at 10 years of age with another 7% beginning at 12 years. X2 (1, N = 201) Fisher’s Exact Test, p< .05 shows that a significantly higher percentage of boys (56%) in contrast to 40% girls report having a drink of alcohol. A significantly higher percentage of SMART boys (14%) in contrast to 3% of the girls admitted sniffing glue other substances. Similarly a significantly higher percentage of boys (8%) than girls (2%) reported using other drugs. X2 (1, N = 202), Fisher’s Exact Test, p< .05 suggests that a significantly higher percentage of boys (20%) in contrast to 12% girls admitted having sex within the past 30 days. Results of Parent/Guardian Surveys A parent survey was sent to each parent of SMART participants. Only 29 parents completed and returned the survey. Characteristics of the parent respondents showed 76% female and 17% male. Sixty-two percent were African American and 24% were Hispanic. Forty-eight percent indicated free or reduced lunch eligibility and 24% indicated eligibility for Medicaid. About 41% of the parent respondents attained high school equivalency. About 14% attended high school and about 10% attained a two-year college degree. Three percent attained a bachelor’s degree and 3% had vocational training. Sixty-two percent reported being the child’s mother and 10% reported being the father. About 7% of the respondents stated they were the child’s stepfather. In general, 60% of the parent respondents agreed that project SMART had been an improvement for their child. About 28% felt that their child’s home behavior had remained the same. About 35% felt there was no impact on the completion of homework. About 80% of the parent respondents agreed that their child was better able to make good decisions about alcohol and drug use because of participation in project SMART. – 314 – Conclusion In conclusion, preliminary results of the evaluation of the SMART program are positive. The impact of teaching the FACTS abstinence curriculum suggests that participants are aware of the need for abstinence concerning the use of drugs, alcohol, and sexual behavior. However, the majority of the sample were females between 12 and 13 years of age. As participants become older, peer pressure and opportunity for socialization at teen parties and activities where abstinence-only approaches are not valued becomes greater. Follow-up studies of project SMART through 10th grade will provide valuable information concerning the impact of the project over time. Each campus will need to encourage more parent participation as only a few parents responded to the parent survey and some campuses did not provide parent training. The parents who responded were positive about their child’s awareness of drugs, alcohol, and cigarette use. Sexual behavior of their child was not addressed. The parents stated that it was easier to discuss abstinence issues with their child and they felt their child’s self-concept had improved since participating in project SMART. References Abstinence education awards project summaries. (1999, January). Retrieved October 20, 2001 from the Texas Department of Health website: http://www.tdh.state.tx.us/abstain/summ99.htm. Abstinence education in the States. (2001, November 1). Association of maternal and child health programs. Retrieved November 1, 2001 from the World Wide Web: http://www.amchnl.org/news/abstin-edu.htm. Bailey, C. E., & Piercy, F. P. (1997). Enhancing ethical decision making in sexuality and AIDS education. Adolescence, 3(128), 989-999. Blinn-Pike, L., Berger, T., & Rea-Holloway, M. (2000). Conducting adolescent sexuality research in schools: Lessons learned. Family Planning Perspectives, 32(5), 246-253. Brown, S. (1997). Sex education and abstinence program: Why don’t we know more? Children and Youth Services Review, 19(5/6), 455-463. Christopher, F. S., & Roosa, M. W. (1990). An evaluation of an adolescent pregnancy prevention program: Is “Just Say No” enough? Family Relations, 39, 68-72. Coles, A. D. (1999a). Report on abstinence funds raises question. Education Week, 18(31), 61. Coles, A. D. (1999b). Surveys examining sex education programs. Education Week, 19(16), 13. Gough, R. (1997, October 5). Critics aside, abstinence programs make sense. Ventura County Star. Retrieved July 14, 2001 from the World Wide Web: http://www.geocities.com/_professorgough/colarc/10-01-97.htm. Kato, D. (1998, March 30). Newest programs for teens switch the pitch from “safe-sex” to “no-sex.” The Seattle Times. Retrieved June 7, 2001 from the World Wide Web. Rabasca, L. (1999, December). Not enough evidence to support “abstinence-only.” APA Monitor Online. Retrieved May 15, 2000 from the World Wide Web: http://apa.org/monitor/dec99/pil.html. Teaching fear: The Religious Right’s campaign against sexuality education. (1996). People for the American Way. Retrieved June 5, 2001 from the World Wide Web: http://pfaw.org/issues/right/teachingfear96.shtml. – 315 – ATELIER / WORKSHOP 103 NAÎTRE ÉGAUX ET GRANDIR EN SANTÉ P A R : M ANON G ASSE , B . S C . I N F I R M I È R E EN P E T I T E E N F A N C E J EAN -P IERRE H ÉTU , M . P S . ORGANISATEUR COMMUNAUTAIRE CLSC L E PARTAGE DES EAUX R O U Y N -N O R A N D A , Q U É B E C , C A N A D A Préambule Ce qui a motivé notre présence à ce colloque intitulé « Les enfants et la pauvreté » est que nous n’intervenons pas, à prime abord, directement auprès des enfants mais auprès des familles dans son ensemble. Cependant, nous savons très bien que si un enfant vit dans la pauvreté, c’est que ses parents, frères, sœurs sont également victimes de cette pauvreté. Nous avons choisi le programme Naître égaux – Grandir en santé car il nous donnait l’opportunité de rejoindre les familles dans leur milieu de vie. Avant l’avènement du programme, on ne voyait ces familles qu’en situation de crise car elles n’utilisaient pas les services mis en place pour la population en général (ex. : les rencontres prénatales, les visites médicales, etc.). Nous croyons que plus nous sommes présents tôt auprès des familles, c’est-à-dire dès l’attente d’un enfant (début de l’intervention entre 18 et 20 semaines de grossesse), plus nous avons l’opportunité d’établir avec la famille un lien de confiance envers l’intervenante, mais également envers le réseau et assurer ainsi une utilisation des services avant que la situation de crise se produise et ainsi avoir un impact sur la qualité de vie des familles, donc des enfants. Naître Égaux – Grandir en Santé ou comment utiliser l’empowerment dans une perspective d’approche écologique NÉGS est un programme de promotion de la santé et de prévention de problèmes de santé auprès des femmes enceintes et de familles avec de jeunes enfants vivant en contexte de pauvreté. Il vise par une stratégie d’empowerment à redonner aux familles le pouvoir d’agir, c’est-à-dire de faire reprendre le goût à l’action de ces personnes et les encourager dans leur capacité à exercer un plus grand contrôle sur ce qui est important pour elles, leurs proches et leur communauté. Les objectifs du programme sont formulés en terme d’empowerment et se définissent ainsi : ◆ reconnaître, soutenir et renforcer la capacité des femmes, des hommes, des enfants et de leurs réseaux immédiats d’accéder à des conditions favorables à la santé et au bien-être de leur famille (renforcement du potentiel individuel); ◆ reconnaître, soutenir, renforcer la capacité des différents milieux de répondre efficacement aux besoins des enfants et de leur famille sur le plan de la santé et sur le plan social et économique (renforcement du milieu); – 316 – ◆ amener les décideurs à élaborer des politiques visant l’équité dans l’accès à des conditions de santé adéquates pour les personnes, les familles et les communautés en situation d’extrême pauvreté (stratégie d’influence). Cependant, l’empowerment des familles et des communautés en situation d’extrême pauvreté va de pair avec l’expérience d’un processus d’empowerment par l’intervenante elle-même, ce qui implique : une grande capacité à remettre en question son bagage de valeurs sociales et d’attitudes, tant personnelles que professionnelles, beaucoup de créativité et d’engagement dans l’action afin de surmonter son sentiment d’impuissance face à la lourdeur de la misère que l’on côtoie, l’acquisition de nouveaux modes d’organisation du travail et de nouvelles responsabilités, ce qui entraîne le dépassement des frontières professionnelles habituelles et l’intégration systématique de l’interdisciplinarité dans le travail d’équipe (même implication au niveau de l’intersectoriel). Pour atteindre les objectifs du programme, on doit entrer en contact avec les familles visées. L’intervention individuelle est le premier pas vers le changement; cependant cette intervention, pour être significative, doit être intense et prolongée donc nécessite un lien privilégié = intervenante privilégiée. Cette dernière est soutenue par une équipe interdisciplinaire qui a le souci d’aider l’intervenante privilégiée à aider sa cliente/famille. L’accompagnement communautaire vient appuyer cette intervenante et permet d’assurer le renforcement du milieu par une action collective et finalement l’intersectorielle permet de tenir compte de toutes les conditions environnantes et politiques qui ont une influence sur la pauvreté et ses impacts et peut par la force du nombre et l’expertise de tous ses acteurs faire valoir la stratégie d’influence. Il s’agit ici de l’approche écologique qui vise plusieurs cibles, déterminants et stratégies. Elle tient compte de l’environnement comme déterminant majeur de la santé et du bien-être des personnes et des familles en situation d’extrême pauvreté, comme cible de plusieurs activités (réseau, milieu de vie, environnement politique, etc.) et comme points d’ancrage de plusieurs stratégies (renforcement du milieu, influence). Parce que : « Les problèmes individuels et collectifs sont influencés par la façon dont la société est organisée. » « La pauvreté a un impact sur les problèmes sociaux. Il faut considérer les causes structurelles des problèmes sociaux (pauvreté systémique, accès inégal aux ressources collectives, etc.). » Et que : « Pour faire changer les choses, l’énergie se justifie par des actions collectives. » « L’approche centrée sur le développement du pouvoir d’agir force la prise en compte simultanée des conditions structurelles et individuelles du changement. » Pour redonner le pouvoir d’agir comme intervenant, il faut d’abord être convaincu : ◆ que nos familles veulent comme tout le monde accéder au bonheur; ◆ que la situation où ils se trouvent présentement fait partie d’un non-choix. Ils n’ont pas choisi volontairement la pauvreté et ses impacts, ils la vivent et y survivent. On fait nos choix en fonction du sens qu’ils ont pour nous. – 317 – Les prémices qui nous ont guidé dans le choix de ce programme sont les suivantes : ◆ la pauvreté qui est bien souvent associée à d’autres problématiques a des conséquences directes sur la nutrition des femmes et des bébés, sur l’état de santé à la naissance, sur l’environnement psychologique et la relation parents-enfants; ◆ un enfant né dans une famille vivant en situation importante de pauvreté a un risque plus élevé de prématurité ou de poids insuffisant et une probabilité accrue d’avoir un retard de croissance intra-utérine (ce qui a un impact important sur le potentiel de l’enfant); ◆ les enfants qui présentent une santé précaire risquent d’être soumis à une relation parents-enfants difficile (lien d’attachement compromis) ainsi que de vivre des problèmes de développement psychomoteur, d’apprentissage et d’adaptation scolaire et sociale (décrochage, Bien-être social ou emploi précaire) et ainsi devenir de futurs suivis NÉGS si rien n’est fait pour arrêter la roue. Comment aider les bébés (à venir) à naître égaux et nos familles à grandir en santé (eux qui n’ont pas eu la chance de naître égaux)? Et bien, grâce aux principes d’intervention qui suivent. Avant d’intervenir, il faut : 1. Connaître les spécificités du contexte de pauvreté en particulier (basé sur les propos de Monique Tremblay, psychologue au secteur familial du Centre St-Pierre, Montréal). Vivre dans la pauvreté, c’est perdre sa sécurité de base, la perspective de s’en sortir et de ne pas perdre ce qu’on a déjà. C’est être confronté, chaque jour, à choisir quel besoin essentiel ne sera pas comblé. À cela s’ajoute souvent la précarité du cadre affectif (rupture de couple, violence). Tout ceci génère de l’angoisse, de l’anxiété qui oblige la famille à se couper de ses émotions, de ce qui fait mal pour survivre, avec tous les impacts que cela peut avoir sur leur capacité à être à l’écoute de ce qui est bon pour eux, pour la famille, les bonnes et les moins bonnes émotions. 2. Apprendre à cerner la capacité de débrouillardise des personnes qui vivent en situation de survie « système D ». Reconnaître que s’ils sont toujours en vie et pas complètement fous, c’est qu’ils ont une capacité extraordinaire de se débrouiller dans un contexte aussi difficile. Nous n’avons qu’à nous référer à notre sentiment d’impuissance lorsque nous sommes confrontés à leurs difficultés. Dans l’intervention, il faut : 1. Faire confiance. Confiance dans leur capacité de changer des choses. Être à l’écoute, les valider. Reconnaître que leurs choix, leurs décisions ont du sens dans leur contexte, ceci libère de l’énergie pour apprendre, créer des liens, faire des choix. 2. Se faire confiance. Dans ma capacité à aider l’autre, en étant moi. Accepter de ne pas tout savoir, de demander de l’aide à mon équipe interdisciplinaire ou intersectorielle. Accepter de donner. 3. Partir des forces, du potentiel de la cliente/famille. Miser sur ce qu’elle fait de bien. – 318 – 4. Travailler avec la cliente/famille, non pour elle (support, accompagnement). 5. Approche bio-psychosociale et familiale (approche globale). 6. Partir du « ici et maintenant », ce qui préoccupe aujourd’hui, de façon à répondre avec elle à son besoin immédiat pour en arriver à aller plus loin avec elle et pouvoir agir de façon efficace sur les facteurs de risque. 7. Respecter le rythme de la cliente/famille. Théorie des petits pas. Se réjouir des petites victoires. 8. Implique un travail important sur nos valeurs. Se référer à nous, nos expériences, à nos valeurs de société. – 319 – ATELIER / WORKSHOP 302 LES COLLABORATIONS ENTRE UN CENTRE JEUNESSE ET LES ORGANISATIONS DU MILIEU : VERS UNE VALEUR AJOUTÉE À L’INTERVENTION1 P A R : M ARTIN G OYETTE , M . S C . COORDONNATEUR , R ECHERCHE SUR LES PRATIQUES PARENTALES D A N S L E S C E N T R E S J E U N E S S E DE M O N T R É A L I N S T I T U T DE R E C H E R C H E P O U R LE D É V E L O P P E M E N T S O C I A L D E S J E U N E S ( I R D S ) N ICOLE D ALL AIRE , P H . D . P R O F E S S E U R E , D É P A R T E M E N T DE S E R V I C E S O C I A L U N I V E R S I T É DE S H E R B R O O K E J EAN PANET-R AYMOND , M . S C . P R O F E S S E U R , É C O L E DE T R A V A I L S O C I A L U N I V E R S I T É DE M O N T R É A L R O U Y N -N O R A N D A , Q U É B E C , C A N A D A Introduction À partir du constat que la diversification des problèmes sociaux et l’avènement de nouvelles formes de pauvreté et d’exclusion sociale ne peuvent être contrés que par une action ancrée dans une analyse globale des facteurs individuels, organisationnels et sociétaux, plusieurs interventions en collaborations sont apparues au cœur des politiques de certaines institutions. Ainsi, aujourd’hui, aucune organisation ne peut prétendre à elle seule avoir les ressources et les compétences pour se mesurer aux problèmes sociaux complexes de la jeunesse. Dans cette perspective, plusieurs recherches se sont intéressées à comprendre la construction des interventions en collaboration. La recherche, dont nous présentons ici quelques résultats, émane des réflexions d’intervenants, de gestionnaires en centres jeunesse et de chercheurs universitaires s’intéressant aux collaborations développées dans le cadre du virage milieu. Notre recherche a pour objectif principal de comprendre le processus de structuration de six projets d’intervention développés en collaboration par un centre jeunesse et une diversité de partenaires. L’analyse que nous présentons dans ce texte aborde simultanément deux dimensions. En plus de reconstituer la structuration des projets, nous analysons les interactions entre les intervenants partenaires qui construisent l’intervention auprès des jeunes et des familles. C’est cette dernière dimension qui témoigne de l’originalité de cette étude. Après avoir situé le contexte du partenariat, nous rendons compte du cadre d’analyse développé et des considérations méthodologiques inhérentes à notre démarche de recherche. Ensuite, l’analyse transversale des projets étudiés permettra de dégager d’une part, les étapes auxquelles se rattachent des enjeux importants pour l’évolution des projets à l’étude, et d’autre part, les collaborations dans le cadre des interventions auprès des jeunes en difficulté. 1 Ce texte est une version remaniée et augmentée d’une communication présentée le 24 mai 2002 au Congrès international Les enfants et la pauvreté : l’impact des choix économiques, sociaux et politiques organisé par l’Organisation pour la Sauvegarde des Droits des Enfants (O.S.D.E.). Il présente certains résultats d’une recherche financée par le Conseil québécois de recherche sociale (RS-3365). – 320 – 1. Le partenariat : effet de mode ou stratégie durable d’intervention Au Québec, depuis 20 ans, l’appel au partenariat se traduit pour le réseau de la santé et des services sociaux par des réductions de services qui entraînent la désinstitutionnalisation et la privatisation, ainsi que par la sous-traitance à des entreprises privées ou communautaires (Mayer et Goyette, 2000; Vaillancourt, 1997). Outre cette perspective néolibérale de décroissance de l’État, le partenariat et les collaborations s’inscrivent également dans une démarche progressiste de décloisonnement des interventions et de modes de gestion plus démocratiques. Dans ce contexte, le développement des partenariats s’inscrit de fait dans une forme de paradoxe. En reconnaissant les multiples déterminants sociaux de la santé (White et al., 2002), le partenariat appelle donc à une lecture de la complexité comme constituante d’une approche globale, ce qui n’est pas sans difficulté. En effet, lors de restructurations des institutions, il semble difficile de « choisir un modèle d’action complexe lorsqu’on est dans l’incertitude et que les fondements (identitaires, technologiques, etc.) (…) des structures d’action sont ainsi ébranlés. » (Dhume, 2001 : 149). Cette stratégie partenariale a été particulièrement utilisée dans la santé (surtout la santé publique) et les services sociaux, s’inscrivant dans la continuité des Rapports Harnois (Québec, 1987) et Rochon (Québec, 1988) qui en faisaient l’apologie. Dans le domaine de l’intervention jeunesse, divers documents d’orientation ministériels viennent baliser les transformations vers de plus grandes collaborations (Québec 1991 a et b; Québec, 1992 a et b, Québec, 1994). Les constats majeurs de ces documents « ont trait à la nécessité de renforcer le maintien du jeune dans son milieu, d’agir de façon plus préventive, de miser sur les forces et les capacités des personnes et des communautés, d’agir en complémentarité et en concertation avec les partenaires dans le réseau de services et avec les institutions et les organismes présents dans la communauté » (Larivière et al., 2000 : 6). Les centres jeunesse ont été influencés par ces orientations. Les changements entrepris dans les centres jeunesse répondent à la fois à des impératifs budgétaires et à une nécessité de revoir les pratiques de gestion et d’intervention. Pour ce faire, des intervenants provenant de cultures et de professions différentes ont été regroupés tant dans la mission de protection que dans la mission de réadaptation de l’organisation afin de concrétiser ce qui a été nommé le virage milieu (Goyette et al., 2000b). Pour autant, si les acteurs publics et communautaires font souvent la promotion du « travail ensemble », en collaboration, en partenariat ou en intersectorialité, les termes donnent lieu à plusieurs interprétations et définitions selon la position sociale de l’acteur (Dhume, 2001; White et al, 2002). Dans ce texte, le terme collaboration est utilisé de manière générique pour définir toute forme d’échange entre acteurs individuels ou institutionnels, échange pouvant être plus ou moins structuré ou formalisé et d’une durée plus ou moins déterminée (Goyette et al., 2000; PanetRaymond, 1994b). La notion de partenariat constitue une forme particulière d’échange parmi bien d’autres pratiques de collaboration dans le monde des organisations et de l’intervention (maillage, arrimage, concertation, gestion de cas). Le partenariat désigne à la fois un processus et un résultat (le produit de la collaboration, l’intervention auprès du jeune par exemple). Le partenariat se distingue des autres modes de collaboration parce qu’il est plus exigeant que la concertation, plus formalisé, plus circonscrit. Il engage habituellement moins d’acteurs (partenaires) et ceux-ci sont indépendants (Bilodeau, 2000; Goyette, 1999; Lamoureux, 1994; Lebeau et al., 1997; Panet-Raymond et Bourque – 321 – 1991). Ces derniers visent des objectifs concrets et pratiques qui sont au cœur de leur mission et mandats. Ils mettent en commun des valeurs, des visions, des intérêts, mise en commun que Bilodeau (2000) nomme la convergence. En bref, le partenariat comporte des rapports de pouvoir, une reconnaissance et un respect de la contribution de chacun, des accords basés sur des concessions ainsi qu’un apport mutuel de services (Billette et al., 1995; Bilodeau, 2000). Le partenariat représente une opportunité de confrontation d’idées pour parvenir à une nouvelle vision commune axée sur le changement : changement de paradigmes d’intervention « fondé à la fois sur une critique de l’approche sectorielle et sur un processus de mutation sociale » (Dhume, 2001 : 66). Le partenariat dans ce contexte représente donc une opportunité de réintroduire la complexité dans nos structures sectorisées et cloisonnées, ou plus justement de créer de nouvelles interventions (White et al., 2002). Deux précisions s’imposent donc d’emblée. D’abord, pour réintroduire la complexité, il faut qu’il y ait différence au départ entre des acteurs indépendants favorisant la prise en compte de cette complexité (Bilodeau, 2000; Dhume, 2001). Ainsi, de façon stricte, une ressource intermédiaire ne peut être un « partenaire » puisqu’elle émane ou est subordonnée à une institution (Dhume, 2001; Goyette, 1999; Panet-Raymond, 1994). De la même façon, deux services d’une même institution ne peuvent « partenarier ». « La notion de partenariat “institutionnel” n’a donc pas de sens entre services de l’État » (Dhume, 2001 : 133), pas plus que celle de partenariat interne puisque la différence est essentielle pour reconstituer la complexité et vaincre la sectorisation. Ces collaborations ont une pleine légitimité mais ne forment pas de partenariat. Dans ces cas, Dhume observe que « (…) les acteurs ont finalement privilégié le travail en réseau (qui organise ce qui existe déjà) à un travail de partenariat (qui conduit à changer l’organisation et les pratiques) » (Dhume, 2001 : 148). Le partenariat est plus qu’une simple stratégie de coordination administrative et organisationnelle. Ensuite, on ne peut réduire le partenariat à un « cofinancement, à une codécision initiale ou à la seule mise en œuvre partagée » (Dhume, 2001 : 128) et ceci afin de maintenir une coresponsabilisation. Dans cet esprit, l’association d’un organisme avec un bailleur de fonds qui limite son action au financement, ne peut être considérée comme un partenariat. « Il s’agit d’agir ensemble, quasiment “de A à Z”, sans pour autant que chacun fasse la même chose » (Dhume, 2001 : 110). Enfin, et c’est un élément essentiel, le partenariat doit donner lieu à une nouvelle intervention et ne pas simplement s’ancrer dans une réflexion sur la sectorisation ou la production d’un guide (Dhume, 2001; Goyette, 1999; White et al., 2002). La définition d’un partenariat idéal de Panet-Raymond et Bourque (1991) donne l’esprit du défi de la contribution, certes inégale, mais perçue comme également importante par chaque partenaire. Ceci dit, cette relation implique des tensions voire même des conflits, habituellement préalables à la formalisation de l’entente, formalisation sans laquelle la relation partenariale devient impossible. Il faut donc que les acteurs acceptent que l’engagement dans un processus partenarial exige une ouverture à la transformation de soi, une cocontamination étant préalable à la coconstruction. « On attend du partenariat qu’il change la relation sans qu’il nous change? On attend donc surtout un changement de l’autre plus qu’une construction d’un travail ensemble » (Dhume 2001 : 148). Ainsi, « s’il est une constante, au travers des multiples théorisations et analyses des processus de – 322 – changement, c’est bien que celui-ci trouve son ressort dans le conflit » (Dhume, 2001 : 158). Le partenariat constitue donc un processus exigeant et « celui qui ne se trouve pas confronté aux affres du doute construit tout sauf du changement… et ce qu’il construit n’est sans doute pas du partenariat. » (Dhume, 2001 : 158). Mais, au-delà de ces définitions, la compréhension des différentes collaborations exige de s’inscrire dans un cadre d’analyse de l’action. 2. Le cadre d’analyse 2.1. Entre acteur et structure Retenant d’abord la théorie de l’acteur et du système de Crozier et Friedberg (1993) et l’apport ultérieur de Friedberg (1993), les différentes formes de collaborations sont envisagées de manière dynamique à partir de concepts élaborés par ces auteurs et repris dans les analyses sur le partenariat (Billette et al., 1995; Dhume, 2001; Panet-Raymond et Bourque, 1991). Dans cette perspective, l’individu a une capacité d’agir, de réfléchir et de contrôler une partie de ses interactions, même dans un contexte institutionnel restreignant (Dhume, 2001; Friedberg, 1993). Il a une participation critique à l’organisation (Friedberg, 1993) et profite de l’instabilité organisationnelle pour initier de nouvelles pratiques de collaborations silencieuses voire délinquantes, mais qui pourraient être éventuellement reconnues par son institution d’appartenance (Goyette et al., 2000b). La question de la marge de manœuvre des individus au sein de leur organisation et dans l’espace de collaboration nous apparaît ici essentielle (Friedberg, 1993). Elle peut être variable et limiter ses initiatives ou le forcer à développer une pratique partenariale pour rendre sa pratique plus efficace. Par ailleurs, au sein même du système de collaboration, l’asymétrie des ressources dont disposent au départ les partenaires pressentis risque déjà de créer des tensions à plusieurs niveaux. Les différences personnelles, professionnelles et institutionnelles créent de véritables « chocs de culture » (Guay, 1991 dans Panet-Raymond et Bourque, 1991). Des espaces de négociation sont donc essentiels, espaces dans lesquels tensions, conflits, stratégies et compromis construisent la relation de pouvoir. Ainsi, la « coopération conflictuelle » (Dommergues, 1988) ou la « participation contradictoire » (Maclouf, 1985) deviennent des choix stratégiques pour qui veut demeurer dans le processus partenarial axé sur le changement. Or, là encore dans cette nécessaire rencontre avec les autres, les acteurs doivent négocier une marge de manœuvre (Friedberg, 1993) qui dépend à la fois de leur mission et mandat légal, de leurs ressources, des alliances externes et du contexte (socio-économicopolitico-administratif) de l’intervention et du partenariat. De ce point de vue, il est évident que la construction d’un acteur collectif (et pas seulement d’un collectif d’acteurs) conduit à dépasser ses bornes habituelles, à transgresser des règles de l’habitude (et parfois de l’institution), pour produire du sens ailleurs, autrement. L’équilibre à trouver entre le fonctionnement des institutions et du cadre construit pour le partenariat génère des tensions qui reposent en grande partie sur les acteurs (Dhume, 2001 : 144-145). – 323 – Finalement, les concepts de double allégeance (Lavoie et Panet-Raymond, 2002) et de médiateur (Bilodeau, 2000) nous semblent ici essentiels, puisqu’ils rappellent la double position sociale des acteurs. L’individu qui s’inscrit dans une relation partenariale doit allégeance à son organisation d’origine mais aussi à ce nouveau système qu’est le projet de collaboration, ce qui exige qu’il précise sa « posture ». Chaque acteur devra, dans le cadre du partenariat, être à la fois représentant de son institution et des enjeux de celle-ci, être professionnel en apportant sa compétence et en défendant une déontologie, et trouver sa place en tant que personne porteuse de valeurs et d’éthique (Dhume, 2001 : 155). L’exemple des organisateurs communautaires en CLSC illustre cette double allégeance, ceux-ci devenant médiateur et facilitant la communication et la négociation entre le CLSC et les organisations communautaires qui incarnent souvent les demandes du milieu. 2.2. Le produit du partenariat et la collaboration dans l’intervention La mise en commun des visions et des ressources que représente le processus de partenariat se traduit le plus souvent dans les projets à l’étude par la production d’une nouvelle intervention. Deux concepts sont retenus pour envisager globalement ce nouveau produit : la pratique en réseau (Dhume, 2001, Goyette, 1999) et le travail en transinstitutionnalité (en partenariat). La pratique en réseau équivaut à une pratique multidisciplinaire réalisée à l’image d’une course à relais où chacun se transmet des informations ou un dossier afin de mieux servir les clients dans une perspective de continuum ou de réseaux intégrés de services, tout en se cantonnant aux pratiques traditionnelles institutionnelles qui ciblent l’individu et son réseau. On travaille parallèlement (OPTSQ, 1996). Le case management et le plan de services individualisés constituent des dimensions fréquentes de la mise en place d’un réseau de services intégrés. Si ces pratiques contribuent à assurer une continuité des soins et leur complémentarité pour répondre aux besoins des personnes, elles ne permettent pas toujours de sortir de « la logique fragmentée de la sectorisation » (White et al, 2002 : 26) même si elles font appel à des organismes communautaires. On parlera de coordination administrative et de rapprochement intrasectoriel. La pratique de transinstitutionnalité s’apparente à la fois au partenariat tel que défini plus haut et à l’interdisciplinarité. À la différence de la multidisciplinarité, l’interdisciplinarité exige que les intervenants d’une même équipe travaillent tous « vers » un même objectif. « Sans perdre l’identité qui lui est propre, chaque discipline s’influence mutuellement et se transforme réciproquement » (OPTSQ, 1996 : 3). Dans cette perspective « transinstitutionnelle », les partenaires ont des interactions les uns avec les autres de même que des interactions bilatérales/interactives avec les sujets vus dans leur globalité, leur environnement et leur communauté. Cette conception des pratiques partenariales implique donc qu’il y ait, au sein d’un projet d’intervention, des collaborateurs en mesure d’intervenir sur plusieurs sous-systèmes de l’environnement. (Goyette, 1999). Elle implique également que soit prise en compte la complexité (Dhume, 2001; White et al., 2002). Les interventions dans ce contexte laisseront plus de place au travail ensemble auprès du client mais aussi auprès des autres composantes de ses problèmes. – 324 – 3. Les aspects méthodologiques La complexité de notre objet d’étude oriente notre stratégie méthodologique vers l’étude de cas multiple (Yin, 1994). L’étude de cas est privilégiée lorsque les relations ou les processus à l’étude sont trop complexes pour des stratégies usuelles (entrevues individuelles, questionnaire). De plus, l’étude de cas permet d’étudier un objet qu’il est difficile de distinguer de son contexte. Ainsi, l’étude de cas vise à rendre compte du caractère évolutif et complexe d’un phénomène social pris dans son contexte. Six projets ont été identifiés comme porteurs de pratiques exemplaires de collaboration par les membres du centre jeunesse. Chacun des projets à l’étude représente tantôt un segment ou une étape du processus vers le partenariat, tantôt une illustration complète de la démarche. Voici une description très sommaire des projets. 1. Le projet « Groupe support aux parents », une initiative dans le domaine des gangs qui veut sensibiliser les parents face au phénomène des gangs auquel leur jeune est confronté. Cette intervention veut associer le service de police de la communauté urbaine de Montréal (SPCUM) et les CJM. 2. Le projet « Atelier du Sud-Ouest » entre le Service de Développement de l’Employabilité et de l’Animation de Milieu (SDEAM) des CJM, la Corporation des Ateliers des CJM, le Programme d’Initiation au Travail de la Région Est de Montréal (PITREM) et Opération Placement Jeunesse (OPJ), qui vise à offrir aux adolescents de l’institution un parcours d’insertion à l’emploi cohérent (préemployabilité, employabilité, intégration en emploi), à partir d’une seule demande d’inscription faite auprès des conseillers en employabilité du SDEAM 3. « RAPVIH » est un projet fondé sur la philosophie des pairs aidant impliquant des jeunes de Montréal-Nord dans la prévention des MTS/VIH et de la violence dans les relations amoureuses. RAPVIH est également un projet d’insertion puisqu’il contribue au développement de l’employabilité des jeunes pairs aidant issus de la communauté. Au cœur de ce projet, se trouvent le Centre des jeunes L’Escale 13/17 de Montréal Nord, les CJM ainsi que des organismes locaux de Montréal-Nord. 4. Le projet « Guide d’accompagnement et d’intervention sur l’usage et l’abus de drogues » a pour premier objectif de sensibiliser et soutenir l’ensemble des intervenants des CJM en matière d’intervention en toxicomanie. En plus de la DRD des CJM, le Centre Dollard-Cormier, ASPA (Approche sécurisante des polytoxicomanes anonymes) et le Foyer de groupe contractuel Gilles Lalande ont participé à ce projet. 5. Le projet « Répit transit » vise à maintenir des élèves ayant des difficultés de comportement dans la classe régulière de leur école de quartier. Il s’appuie notamment sur des liens de collaboration entre le regroupement cinq de la CSDM, plusieurs CLSC (Hochelaga-Maisonneuve, Rosemont, Villeray et Petite Patrie), des intervenants de plusieurs territoires (T2, T3, T4) de la Direction des services à la jeunesse des CJM et enfin des intervenants de la Direction de la protection de la jeunesse et de l’Accès. – 325 – 6. Le projet « Comment éduquer nos enfants sans utiliser la correction physique? » a été initié devant le nombre élevé de signalements pour abus physiques chez les familles d’origine haïtienne par la Direction de la protection de la jeunesse (DPJ) des CJM et la Maison d’Haïti « … afin d’offrir aux parents, qui sont volontaires et qui ont reconnu la gravité de leurs gestes, l’opportunité de trouver d’autres moyens pour exercer leur autorité parentale qui correspondent aux normes de la société québécoise » (Maison d’Haïti, 1998 : 4). Un choix important en termes méthodologiques a été de dépasser le point de vue des concepteurs des projets et de ceux qui les ont mis en place, car il peut en ressortir une lecture un peu idéalisée de la collaboration, comme de ses résultats. Ainsi, dans le choix des interviewés, nous avons ainsi accordé une place importante aux intervenants partenaires qui construisent l’intervention auprès des jeunes et des familles. Ces études de cas ont été complétées à partir de plusieurs sources de données (analyse documentaire, entrevues semi-dirigées, entrevues informelles). La collecte de données a eu lieu entre septembre 1999 et septembre 2000. Pour chacun des six projets, les documents fournissant des informations sur les organisations partenaires ont été colligés et dépouillés afin de comprendre les objectifs, la mission, le fonctionnement, les valeurs, les liens avec la communauté, etc., de chacune des organisations partenaires. Ces portraits constitués de données plus « statiques » sur le fonctionnement interne des organisations et leurs ressources ont été une étape préliminaire essentielle à la compréhension des différentes dynamiques de collaboration et aux relations des acteurs. Ensuite, les documents (des projets d’implantation, des rapports d’évaluation ou d’activités, procès-verbaux de réunions, ententes administratives, documents marketing, etc.) ont été analysés en tentant de retracer la genèse, la structuration, le fonctionnement et les différentes relations entre les intervenants dans l’intervention. À partir de l’analyse de ces données, un portrait préliminaire de la collaboration a été soumis à un informateur-clé, concepteur ou idéateur afin de corroborer ou corriger les informations et de bonifier ce portrait. À partir de ce portrait préliminaire, de trois à six entrevues (entre 1 h 30 et 3 h) enregistrées et retranscrites intégralement auprès d’informateurs-clés ont été réalisées. Ces informateurs-clés étaient sélectionnés avec le souci de recueillir une diversité de points de vue sur les relations, tout en privilégiant des intervenants jouant un rôle dans l’action auprès du jeune et provenant d’organisations différentes (lorsque cela était possible). Ces entrevues ont permis d’explorer les dynamiques (tensions, conflits, compromis dans l’action, etc.) au cœur de la structuration de la collaboration et de l’action en partenariat auprès du jeune. Chacune des entrevues a fait l’objet d’une analyse thématique verticale afin de comprendre comment les différents projets se font et se défont. Afin de procéder à la construction de l’étude de cas, une triangulation des données a été réalisée. Pour compléter certaines informations nécessaires, des entrevues téléphoniques informelles ont été réalisées avec divers informateurs-clés. Enfin, un long processus de bonification/validation auprès de plusieurs informateurs-clés a permis de corriger les biais et d’enrichir les aspects négligés dans les monographies des projets (Huberman et Miles, 1991). – 326 – Les étapes de développement des projets Plusieurs catégorisations des étapes de structuration des projets ont été développées ces dernières années. Lors de la rédaction des monographies des six projets, la typologie de Lebeau et al. (1987) a été utilisée : 1) la conception et l’émergence d’une idée pour rallier des collaborateurs (idéation); 2) l’élaboration et la construction du projet avec les acteurs collaborateurs; 3) l’implantation et 4) le maintien et le suivi de l’intervention. La présente analyse a d’abord voulu s’ancrer dans une lecture transversale inductive de la structuration des projets. Ce travail nous a amené à peaufiner la catégorisation précédente mais en ne faisant ressortir que les étapes-clés. Ainsi l’idéation, la mobilisation et la convergence, terminologie empruntée à Bilodeau (2000), sont des sous-étapes de la conception et de l’émergence du partenariat qui ont contribuées au raffinement de notre analyse. L’idéation correspond à l’identification initiale du besoin/problème à l’origine du processus de collaboration. La mobilisation est l’étape de l’intéressement des acteurs au projet qui suit généralement l’idéation. La mobilisation est souvent réalisée par un porteur de dossier/chargé de projet qui peut parfois être l’idéateur. Quant à la convergence, elle transcende les étapes mentionnées et désigne le processus par lequel les acteurs parviennent à un accord. L’étape du suivi correspond au moment où le dispositif partenarial a élaboré et implanté l’intervention. Le suivi d’un projet et son adaptation continuelle sont souvent assurés par une structure de suivi ou une table de concertation locale. Ces espaces de dialogue permettent une rétroaction interactive des différents partenaires autant en ce qui concerne le fonctionnement de l’instance de suivi que l’intervention développée, son fonctionnement, son bien-fondé, sa pertinence. Une telle structure peut ainsi contribuer à une évaluation participative du processus et du résultat de la collaboration 4. Les résultats À partir d’une lecture transversale des projets à l’étude, les résultats sont organisés autour des deux grandes dimensions d’analyse soit la structuration des projets à l’étude et le partenariat dans l’intervention et sa valeur ajoutée. L’analyse des résultats permet de mettre en lumière la façon dont des processus de développement d’un projet en collaboration peuvent favoriser l’émergence de pratiques favorisant un décloisonnement et une prise en compte de la complexité. 4.1 La structuration des projets à l’étude L’analyse transversale des projets à l’étude a révélé que certaines étapes de leur processus de développement étaient centrales dans certains cas pour la survie du projet et dans d’autres pour favoriser une intervention (en collaboration ou non) qui comporte une valeur ajoutée. Nous présentons ici seulement les étapes-clés2. 2 Les études de cas complètes ont été publiées dans le rapport final de la recherche (Dallaire et al., 2003). – 327 – 4.1.1 L’idéation, étape centrale de la définition du problème Dans la plupart des projets à l’étude, l’étape de l’idéation a été réalisée essentiellement par des individus rattachés administrativement au centre jeunesse (sauf un, développé au sein du milieu scolaire). Il s’avère que le projet d’une intervention en collaboration est d’abord et avant tout une histoire d’individus. Il s’agit le plus souvent d’individus convaincus, persévérants et fonceurs qui se trouvent des alliés pour combler des besoins leur apparaissant criants ou pour développer des modalités d’intervention nouvelles. Les projets s’inscrivent directement ou en continuité avec le mandat de protection ou de réadaptation du centre jeunesse3. Ces idéateurs/porteurs de dossiers négocient sans cesse avec des environnements changeants et parviennent à saisir des opportunités et ce, même dans un contexte organisationnel difficile (climat de travail, tension syndicale, charge de travail importante, etc.4). Dans le contexte de l’actualisation de collaborations dans le cadre d’une approche-milieu, on aurait pu s’attendre à retrouver des projets dont l’idée initiale émane de la communauté et des milieux de vie des jeunes, le centre jeunesse étant mobilisé par la suite et jouant alors plutôt un rôle de soutien dans l’atteinte du bien-être des enfants en général et non pas seulement en vue de leur protection ou de leur réhabilitation. À ce titre, le projet « Comment éduquer nos enfants sans utiliser la correction physique? » se distingue des autres à l’étude puisque l’idéation a été coconstruite par un organisme communautaire et par le centre jeunesse, la diminution du nombre élevé de signalements pour abus physiques chez les familles d’origine haïtienne et de façon ultime, la création d’une alternative au placement pour les jeunes de ces familles étant au cœur des préoccupations des deux partenaires initiaux. Si l’idéation est le plus souvent le fait d’un individu appartenant au centre jeunesse, cela ne signifie pas pour autant que les projets qui verront le jour ne constituent pas des démarches partenariales. Pour cela, il s’agit de constater comment ces idéateurs/porteurs de dossiers sont parvenus à mobiliser différents partenaires autour de leurs préoccupations institutionnelles. 4.1.2 La mobilisation, étape-clé de la recombinaison des paradigmes Les porteurs de dossiers assument le rôle important de mobilisation des nouveaux collaborateurs. Dans les projets à l’étude, l’idéateur/concepteur est souvent la cheville ouvrière de la mobilisation des partenaires, il est le porteur de dossier5, l’idéateur-porteur. Selon sa conception initiale du problème, sa formation et ses expériences professionnelles, il instaurera une dynamique de participation qui varie « quant à son étendue (représentativité des acteurs intéressés ou concernés, mobilisation large ou auprès d’acteurs prédéterminés) [et] quant à son niveau (mobilisation pour l’élaboration de l’action ou pour la mise en œuvre) » (Bilodeau, 2000 : 312). 3 Ce constat doit être mis en perspective, dans la mesure où désignés par les membres du centre jeunesse, les projets retenus pour l’étude regroupent davantage des collaborateurs institutionnels qui complètent directement la mission du centre jeunesse. 4 Si la littérature récente identifie clairement le rôle de névralgique de ces porteurs de dossier pour l’émergence de partenariat (Bilodeau, 2000; Goyette et al., 2000b), la particularité des résultats de notre recherche est d’avoir analysé le travail de différents porteurs de dossiers placés dans le même contexte organisationnel d’appartenance. Or, nous verrons ultérieurement qu’ils n’ont pas tous connu le même succès. 5 Dans le cadre de l’étude d’autres projets, il arrive souvent que l’idéateur ne soit pas nécessairement le porteur de dossier au sens où nous l’entendons. – 328 – Dans le cadre des projets à l’étude, la mobilisation initiale par l’idéateur/porteur est restreinte aux organisations déjà en lien avec lui ou ayant des relations directes avec le centre jeunesse. Le démarchage est limité à certains acteurs prédéterminés. Il n’y a que dans le projet « RAPVIH » et dans une moindre mesure dans le projet « Guide toxicomanie » où la mobilisation est plus large et dépasse une certaine sectorisation que le partenariat voulait enrayer. Le cas du projet « Groupe support aux parents » est exemplaire. Ce projet, qui concerne la prévention de l’embrigadement de jeunes dans les gangs, n’a associé que le centre jeunesse et le service de police. Problématique sociale complexe s’il en est une, sa résolution paraît exiger la participation de l’ensemble des acteurs sociaux favorisant le bien-être et l’intégration des jeunes dans leur milieu. Si l’étendue de la mobilisation est restreinte, quatre des six projets ont été élaborés conjointement par les différents collaborateurs. Pour les acteurs des projets, c’est d’ailleurs cette deuxième étape de travail en commun qui témoigne de la réalité du partenariat, alors que les autres étapes du projet sont surtout réalisées en silo, de façon unilatérale, et que le leadership du projet demeure entre les mains de l’institution (centre jeunesse ou milieu scolaire). Étant donné que l’étendue de la mobilisation est restreinte dans les projets à l’étude, les différences idéologiques sont assez ténues puisque les partenaires proviennent pour la plupart de cultures professionnelles et organisationnelles semblables. Considérant cette forme de filiation observée entre les collaborateurs, entre institutions appartenant à un même secteur ou entre institutions ayant un lien organique ou de subordination, la coopération conflictuelle caractéristique du processus partenarial est quasi inexistante. Si cette filiation facilite, dans certains cas, un bon fonctionnement organisationnel, il a été constaté par exemple pour « l’Atelier du Sud-Ouest », elle ne favorise pas une recombinaison des logiques d’action, ni une reproblématisation, mais le maintien d’une vision sectorisée des problèmes. Quoi qu’il en soit de la qualité de la mobilisation, plusieurs des projets à l’étude ont donné lieu à l’implantation d’une intervention et certains projets se sont maintenus en place. Or cette dernière étape du suivi comporte des enjeux importants. 4.1.3 Le suivi des projets, étape-clé pour la survie La moitié des projets à l’étude ont développé une structure de suivi, la plupart ayant un regard autant gestionnaire et administratif que clinique et d’intervention. Dans tous les cas, un sous-comité de cette structure forme en quelque sorte un exécutif. Pour les projets, ces instances de suivi ont contribué à consolider les alliances politiques nécessaires à la négociation de ressources pour le maintien et la poursuite du projet et permis une certaine adaptation de l’intervention. Plusieurs participants de ces structures considèrent que celles-ci constituent un chien de garde essentiel contre la dérive du projet vers des intérêts corporatistes. Pour d’autres, le comité de suivi constitue l’âme du projet, cristallisant ainsi les expériences et la mémoire institutionnelle. Or, la conservation de la mémoire institutionnelle est un enjeu de taille quand, comme nous l’avons observé à maintes reprises, les intervenants des organisations publiques autant que communautaires sont contraints à s’adapter à un fort roulement de personnel. Des trois projets sans structure de suivi, deux d’entre eux sont morts, l’un en cours d’implantation de l’intervention et l’autre au terme de sa période pilote. Pourtant dans les deux cas, les institutions – 329 – qui y collaboraient ont mis de l’avant la réalisation de ces projets sur la place publique, dans des conférences de presse par exemple. Le dernier projet sans structure de suivi fonctionne bien et depuis quelques années déjà. Ainsi pour l’Atelier du Sud-Ouest, le suivi du projet et son adaptation sont réalisés, de façon directe et personnalisée, par les deux idéateurs du projet qui ont réussi à inscrire l’insertion socioprofessionnelle dans les priorités organisationnelles du centre jeunesse, donnant ainsi accès à des ressources humaines et matérielles de l’institution. Cette formalisation dans les priorités de l’institution et l’omniprésence des idéateurs/concepteurs compensent jusqu’à un certain point pour l’absence de structure de suivi et favorise un fonctionnement organisationnel adéquat pour la survie de l’intervention. L’analyse de la structuration des projets permet de constater que la création d’une structure de suivi est primordiale pour un projet de collaboration qui veut poursuivre son développement dans une perspective partenariale. Ces structures sont une condition nécessaire, mais non suffisante d’un fonctionnement organisationnel adéquat, d’une consolidation des alliances entre les acteurs, de la nécessaire coopération conflictuelle et de la prise en compte de la complexité. En l’absence de cette structure qui le formalise, le projet est menacé et repose uniquement sur les épaules d’individus. L’analyse transversale de la structuration des projets a également permis de constater que les projets qui ne parvenaient pas à s’inscrire dans les priorités organisationnelles d’une grande institution étaient soit menacés, soit morts. Dans cette recherche, la survie du projet dépend en majeure partie d’une institution, le centre jeunesse. Encore une fois, ce constat démontre la place centrale que l’institution occupe dans le développement des collaborations. Si le projet développé est soutenu organisationnellement, ses idéateurs/porteurs auront une reconnaissance symbolique et matérielle qui permettra d’assurer sa survie pour un temps. Dans le cas contraire, le projet repose sur les épaules d’individus et est à la merci du déficit de la mémoire institutionnelle lorsqu’un porteur du dossier quitte son poste. Par ailleurs, bien que cette formalisation soit essentielle, elle doit être réalisée avec discernement dans la mesure où si elle limite la marge de manœuvre des intervenants du terrain, elle risque de réduire d’autant le potentiel d’innovation de l’intervention et la motivation de ces idéateurs ou porteurs. C’est le paradoxe de la formalisation dégagée par l’analyse de nos résultats. Dans cette perspective, une entente écrite claire permet de favoriser l’inscription du projet dans les priorités organisationnelles de chacun des partenaires. Cependant, le regard processuel sur les pratiques permet également de constater que cette formalisation n’est primordiale qu’à partir de l’étape du suivi, plusieurs projets n’ayant pas bénéficié de formalisation ont pu poursuivre leur développement sans trop de reconnaissance officielle jusqu’à cette étape. Dans ces cas, les individus ont construit la collaboration en plus de leur charge de travail habituelle de manière quasi délinquante, en utilisant leur marge de manœuvre dans l’organisation. C’est donc dès après l’implantation que la reconnaissance organisationnelle est primordiale à la survie des projets et des pratiques. La prééminence (inattendue) du thème de la survie lors de la reconstitution des processus de collaboration nous montre l’importance de la consolidation des collaborations notamment avec des partenaires de soutien et de relève (CPLT, 2001). L’absence de ces partenaires de soutien peut expliquer en partie la disparition d’un projet comme RAPVIH. Ce projet a fait l’objet de campagnes médiatiques, il a suscité l’intérêt des chercheurs et pourtant sa disparition n’a pas été décriée – 330 – publiquement, faute d’appui de la part de décideurs ou d’acteurs détenant un pouvoir d’influence. Cette connaissance de l’environnement externe et de ses dynamiques est d’autant plus indispensable lorsqu’un projet de partenariat s’inscrit dans une perspective de changement tel que nous l’avons défini. 4.2 Le produit des projets : l’intervention Bien que situés localement et d’envergure modeste en termes de défis, les projets à l’étude témoignent d’une bonification de l’action grâce aux collaborations inter-organisationnelles. Les retombées positives sont variées : instauration d’un dialogue interculturel (« Comment éduquer nos enfants sans utiliser la correction physique »), meilleur soutien des enfants présentant des problèmes de comportement et leur famille (« Répit Transit »), meilleur suivi des jeunes en difficultés face à la consommation de substances (« Guide toxicomanie »), élargissement de la capacité d’action des CJM dans la préparation et l’insertion des jeunes au marché du travail (« Ateliers du Sud-Ouest ») et enfin, apport collectif à l’insertion socioprofessionnelle des jeunes de Montréal-Nord et à la prévention des MTS, du VIH et de la violence dans les relations amoureuses (« RAPVIH »). Toutes ces réponses sont des inventions nées de la conscience de besoins et de la présence d’organisations et d’acteurs construisant collectivement, avec les connaissances, les idéologies, les ressources et la marge de manœuvre dont ils disposent, des réponses variées, fruits de trajectoires uniques. Cette section examine le produit des partenariats, soit l’intervention. La cible de l’intervention, la collaboration dans l’intervention et le niveau de la valeur ajoutée sont abordés successivement. Nous pourrons ensuite tenter d’identifier si les pratiques correspondent à des pratiques de réseau, à l’image du case management et de la multidisciplinarité, ou à des pratiques de partenariat qui fondent leur action sur l’interdisciplinarité en agissant sur la complexité des facteurs contribuant aux problèmes sociaux. 4.2.1 Les cibles de l’action Dans le cadre des projets à l’étude, la plupart du temps l’objectif principal est tributaire de la mission du centre jeunesse, ciblant d’abord le jeune et dans une moindre mesure les parents. On veut soutenir l’individu ou le système familial en favorisant l’acquisition de compétences qui favoriseront leur développement. Par exemple, l’Atelier du Sud-Ouest vise le développement de l’employabilité, le Groupe support aux parents, un meilleur encadrement du jeune, et le projet Guide toxicomanie, une consommation éclairée. Enfin, le projet Repit transit, par plusieurs interventions simultanées, s’efforce d’améliorer le comportement en classe du jeune et intervient sur la famille afin que le jeune soit mieux encadré. Encore une fois, le projet RAPVIH se distingue puisqu’il intervient simultanément sur les individus dans une perspective décloisonnée et sur le contexte local. Ainsi les pairs aidants, une fois formés, ont été actifs dans la communauté de Montréal-Nord à plusieurs niveaux. Ils ont travaillé de façon non sectorisée, en gardant en tête des préoccupations concernant plusieurs problématiques (toxicomanie, violence dans les relations amoureuses, prévention du VIH). Ils favorisaient ainsi un décloisonnement de l’action auprès des jeunes, objectif important pour bien des protagonistes d’une approche-milieu. L’action des pairs aidants peut aussi être analysée sous l’angle de la contribution effective et potentielle de RAPVIH à l’amélioration du milieu de vie des jeunes, autre aspect essentiel – 331 – d’une approche-milieu. À cet effet, il faut d’abord préciser en quoi consiste un milieu de vie de qualité. La présence, la visibilité et la disponibilité des ressources pour les jeunes, la qualité des rapports intergénérationnels, l’image que les institutions du milieu reflètent aux jeunes, les opportunités de développer des compétences et des habiletés et les possibilités de participation sociale sont tous des aspects pouvant traduire cette qualité d’un milieu de vie (Dallaire et al., 2003). Or il s’avère qu’un projet comme RAPVIH peut renforcer la présence de telles caractéristiques de plusieurs façons. Par ailleurs, RAPVIH et le Guide toxico s’inscrivent dans une réflexion et des actions régionales pour contrer la transmission du VIH/Sida et des MTS contribuant ainsi à l’inscription de ces actions locales à des politiques plus larges au plan régional et national. Nous avons déjà souligné que la mobilisation des partenaires a été plutôt restreinte dans le cadre des projets étudiés, limitant de ce fait l’ampleur de la reproblématisation. Nous pouvons supposer que la présence accrue de partenaires provenant entre autres du secteur communautaire ou de l’employabilité aurait favorisé l’élargissement des cibles de l’intervention. On aurait pu s’attendre en effet à rencontrer davantage des pratiques reconnaissant l’importance accordée au territoire, aux rapports du jeune avec les institutions, à la construction sociale des problèmes (ex. violence), aux relations véritables qui s’inscrivent dans la reconnaissance du Sujet en visant d’une part, à changer les modes d’interaction du jeune avec l’environnement social – dimension individualisée de la médiation et d’autre part, à agir sur l’environnement social du jeune en contribuant à la mobilisation des ressources locales (Bondu, 1998: 150). 4.2.2 La collaboration dans l’intervention L’analyse des interactions entre les acteurs impliqués directement dans les interventions montre que peu d’interventions sont réalisées en collaboration. Les acteurs travaillent très peu ou pas ensemble, en même temps avec les personnes concernées. Dans la majorité des cas, l’intervention est réalisée par un seul partenaire, les autres ayant soit un rôle de référence (Répit transit, Comment éduquer nos enfants sans utiliser la correction physique, l’Atelier du Sud-Ouest) soit un rôle statique de soutien (Groupe support aux parents). Par contre, l’intervention des projets à l’étude correspond davantage (pour trois projets) à une pratique d’intervention multidisciplinaire où chacun des partenaires travaille parallèlement, en silo, avec des objectifs qui tiennent au mandat, dans une perspective de complémentarité et de continuité. Si les espaces de dialogues que sont les comités de suivi permettent d’échanger les informations dans une optique de coordination des services et dans une perspective de case management, les intervenants ne travaillent pas ensemble auprès des jeunes et des familles. Par exemple, dans le cadre du projet Comment éduquer nos enfants sans utiliser la correction physique, le partenaire communautaire a développé l’intervention de groupe pour les parents, celle-ci étant animée essentiellement par son personnel. L’institution réfère certains « cas » à l’organisme et une rétroaction intervient au terme de l’activité de groupe à laquelle le parent a participé. En somme, si plusieurs projets ont été conçus ou élaborés en collaboration dans le cadre d’une mobilisation limitée, l’intervention, pour sa part, se réalise au mieux dans une perspective multidisciplinaire où le case management occupe une place importante. – 332 – 4.2.3 La valeur ajoutée de l’intervention À partir des constats présentés concernant la cible des projets à l’étude, l’inscription des projets dans une dynamique plus globale et le travail en collaboration, il est possible de situer les pratiques à travers trois niveaux de valeur ajoutée de l’intervention (atteinte d’objectifs organisationnels (administratifs), rapprochement intra-sectoriel (continuité, accès), décloisonnement des interventions (recombinaison des logiques d’action). La plupart des projets ont été développés afin d’atteindre d’abord des objectifs organisationnels devenus impérieux en raison du contexte organisationnel du centre jeunesse (la réduction du personnel, l’augmentation de la tâche des intervenants, l’augmentation de la clientèle et l’agravation de leurs problèmes étant au cœur de la justification de la construction de l’action). L’un de ces projets avait pour objectif de favoriser le passage à la vie adulte des adolescents placés en centre jeunesse, élargissant quelque peu le mandat de protection. Ces projets contribuent à leur façon à gérer les restructurations constantes des organisations. Quelques projets contribuent à un rapprochement sectoriel. Dans une perspective de continuum de services issue de la culture planificatrice en santé publique, ces projets facilitent l’accès et la continuité des services, mais demeurent sectorisés. Cette valeur ajoutée est importante dans la perspective institutionnelle et s’inscrit dans la continuité des pratiques en réseau. Enfin, un seul projet est parvenu à développer des actions concrètes au niveau local qui soient réellement décloisonnées. Ce projet a misé sur une mobilisation large; celle-ci a donné lieu à une reproblématisation et à une recombinaison des logiques d’action. Conclusion L’analyse globale des données, fondée à la fois sur les constats de la structuration des projets et de la construction des interventions, nous porte à croire que le développement d’un partenariat qui parvient à un décloisonnement des interventions et à une désectorisation des actions se réalise que lorsqu’il y a une mobilisation large des partenaires qui donne lieu à une recombinaison des logiques d’action. Ces résultats confirment ceux d’une étude portant sur le partenariat dans le secteur de la santé publique (Bilodeau, 2000). Ainsi, si l’idéateur/concepteur ne parvient pas à formuler la problématique de départ de manière suffisamment large et à interpeller des acteurs d’horizons divers, les actions qui en découleront s’inscriront au mieux dans une perspective multidisciplinaire de case management. Les pratiques étudiées correspondent davantage à des rapprochements des secteurs publics du domaine de la santé et des services sociaux, avec quelques ouvertures sur l’éducation, l’emploi et la police; mais très peu d’ouverture sur l’action communautaire autonome. Au-delà de la mobilisation, plusieurs insistent sur la nécessité d’une renégociation des statuts des partenaires afin de parvenir à une égalité à l’intérieur de ce cadre spécifique qu’est le projet (Bilodeau, 2000; Dhume, 2001). Nous voulons simplement souligner ici l’importance, dans un processus de collaboration, de la période de définition du problème qui doit se poursuivre au-delà de l’idéation. Ainsi, pour Bilodeau (2000) le choix de la problématique est une étape cruciale du processus de partenariat, exigeant l’implication de partenaires différents, la reconstruction des rapports sociaux inégalitaires entre les partenaires et une contribution de tous les partenaires à l’identification de la problématique et de ses – 333 – solutions. Or, pour qu’il y ait confrontation de plusieurs paradigmes et la possibilité de recombinaison, il faut déjà au départ que la mobilisation des partenaires ait été large et soit parvenue à intéresser plusieurs partenaires différents. Un tel processus de structuration de la collaboration peut donner naissance à des pratiques complémentaires autour d’une problématique identifiée par une organisation. En outre, dès les premières phases du processus de collaboration, le fait de s’associer à des organisations « représentant la diversité des interventions réalisées au sein d’une localité, contribue à ce que les actions futures d’un partenariat soient ancrées dans le milieu, à l’écoute du besoin exprimé ou perçu de la communauté » (Goyette et al., 2000 : 31). La manière dont la problématique est posée oriente toutes les autres étapes du processus de partenariat, notamment la détermination de la solution à ce problème. L’analyse transversale des pratiques à l’étude confirme la pertinence de l’approche partenariale pour actualiser les approches-milieu. Or, devant les discours politiques et gestionnaires faisant largement appel au partenariat, le risque d’une dilution conceptuelle manifestant une dérive est certain. Ainsi, l’appel au partenariat peut contribuer à justifier de façon subtile certaines compressions budgétaires donnant lieu à une réduction de la taille des institutions tout en participant à la reproduction d’interventions sectorisées (Dhume, 2001). L’utilisation du concept de partenariat peut aussi permettre de justifier une grande responsabilisation des individus, des familles et des communautés, au détriment d’une responsabilité partagée où l’État, de concert avec les acteurs locaux, participent à la revalorisation des communautés (René et al., 2001). Or, pour parvenir au développement du partenariat, il est primordial que les promoteurs s’inscrivent en médiateurs. Pour jouer ce rôle, il est nécessaire que les acteurs ne s’inscrivent pas seulement dans les objectifs organisationnels, mais également dans ceux des nouvelles entités de concertation et de partenariat auxquels ils participent. Pour ce faire, il est incontournable que ces acteurs bénéficient d’une autonomie et d’une marge de manœuvre suffisante pour pouvoir par exemple contribuer à rétroagir sur l’institution avec une perspective critique de l’intervention. Il y a donc une question de volonté et de compétences individuelles de ces médiateurs, mais également une question d’organisation du travail et d’ouverture de l’institution au regard des partenaires. Considérant que l’organisation du travail dans les centres jeunesse est centrée sur les stricts objectifs organisationnels où les énergies sont orientées vers la réduction des listes d’attente, réduction rendue plus urgente par les évaluations externes (Bartkowiak, 2000), l’autonomie et la marge de manœuvre nécessaire à ces porteurs de dossier pour jouer leur rôle de médiateur sont ténues, voire absentes (Goyette et al, 2000b). Ceci a pour conséquence d’abord de restreindre le soutien organisationnel du centre jeunesse aux collaborations qui s’inscrivent directement dans le mandat de protection ou de réhabilitation et ensuite de favoriser un très haut roulement des porteurs de dossiers de collaboration ayant des mandats d’intervention, ceux-ci se voyant, au gré des urgences, retirer les dossiers de collaboration au profit d’une augmentation de la charge de cas. Or, ce roulement de personnel est accentué par les très nombreuses réorganisations de la structure de services du centre jeunesse ces dernières années (Lapierre, 2000). Dans ce contexte, les intervenants mentionnent un déficit de cette permanence qui est nécessaire au développement de liens de confiance desquels émergent les collaborations fructueuses. Par ailleurs, l’allégeance envers la structure de collaboration, l’acteur collectif, pouvant être en péril, certaines tensions issues de l’éthique individuelle, professionnelle et organisationnelle (ou – 334 – institutionnelle) confrontent les médiateurs. Les enjeux de la définition des rôles de ces médiateurs s’inscrivent dans la continuité de la notion de double allégeance et de conflits éthiques. « Suis-je le miroir, le porte-parole de l’organisation ou un agent de changement » : les valeurs et les balises éthiques viennent toujours aider à définir la marge de manœuvre et les frontières de la participation critique, au travers desquelles le médiateur devra naviguer pour arriver à son objectif, sachant que les balises éthiques, la marge de manœuvre et les objectifs sont mouvants, en constante progression. C’est dans ce contexte que les acteurs considèrent acceptables « des conditions de coopération et les termes de l’échange » (Friedberg, 1993 : 133) qu’ils n’accepteraient pas autrement. Ces compromis interviennent puisque l’atteinte de l’objectif supra-organisationnel associé au partenariat dépend de la « survie collective » du partenariat lui-même et des organisations partenaires. Or, les tactiques utilisées pour assurer cette survie ou attendre le mandat d’une organisation peuvent parfois s’éloigner trop des balises éthiques (professionnelles et organisationnelles ici) d’un acteur collectif et être considérées comme une forme de compromission incompatible et inacceptable. Ainsi, un centre jeunesse ou une école ne pourront risquer de compromettre leur existence en débordant de leur mandat légal, même si l’intérêt ultime de l’enfant pourrait en profiter. Un intervenant ne voudra pas plus risquer son renvoi par son employeur en allant bien au-delà de son mandat et de celui de son organisation, malgré des collaborations négociées patiemment avec des représentants d’autres organisations, malgré la valeur ajoutée importante dans l’intervention auprès des enfants et de leur famille. Le développement de pratiques partenariales est donc confronté aux enjeux de la double allégeance. Or, mettre de l’avant la double allégeance constitue un changement de paradigme d’intervention majeur. Ainsi, comme le soulignent Larivière et al. (2000), le poids des contraintes juridiques et sécuritaires limite l’élasticité des pratiques (du centre jeunesse notamment), une évolution des mentalités s’opère graduellement, celle-ci appuyée par des changements structurels. Dans cette perspective, chacun des projets à l’étude a permis d’éclairer une étape du processus partenarial. L’enjeu réside dans le passage d’une vision organisationnelle et sectorisée du partenariat à une modification des paradigmes d’intervention que constitue leur recombinaison dans une reconnaissance de l’importance des actions sur les réalités complexes. Dans le cadre de cette recherche, nous avons voulu porter un double regard sur les projets de partenariats qui étaient soumis à l’analyse : d’abord un regard sur le processus de structuration des projets en collaboration ainsi que sur la coconstruction des interventions développées par l’instance partenariale; ensuite nous avons analysé les liens entre ces deux dimensions d’analyse. Cette manière novatrice d’envisager les collaborations permet d’abord de dépasser les lectures idéalistes des concepteurs; elle contribue de plus à une lecture plus dynamique, au-delà des conditions de réussite et elle facilite un regard plus rigoureux sur comment ces projets ajoutent à l’intervention auprès des jeunes et de leur famille. Références bibliographiques Bartkowiak, J., Bouchard, M., Lebon, A., Lirette, B. (2000). L’inspection ministérielle des Centres jeunesse de Montréal. Montréal. Billette, I., White, D. & Mercier, C. (1995). Les rapports dynamiques du processus partenarial. Un regard dans le domaine de la santé mentale. Montréal : Groupe de recherche sur les aspects sociaux de la prévention. Université de Montréal. – 335 – Bilodeau, A. (2000). Les conditions de qualité de la planification participative de l’action en partenariat en prévention/promotion de la santé et du bien-être, une question d’innovation sociale. Montréal : Université de Montréal. Thèse de doctorat en sciences humaines appliquées. Bondu, D. (1998). Les nouvelles pratiques de médiation sociale. Paris : ESF Éditeur. CPLT (2001). Développer la concertation en toxicomanie, Guide pour les intervenants et gestionnaires. Québec: Gouvernement du Québec, MSSS et CPLT. Crozier, M. & Friedberg, E. (1977). L’acteur et le système. Les contraintes de l’action collective. Paris : Seuil. Dallaire, N., Goyette, M. & Panet-Raymond, J. (2003). Le partenariat dans les Centres jeunesse de Montréal à l’aube des approches-milieu. Montréal : rapport de recherche. Institut de recherche pour le développement social des jeunes. Dhume, F. (2001). Du travail social au travail ensemble. Le partenariat dans le champ des politiques sociales. Paris : éditions ASH. Doomergues, P. (1988). La société du partenariat. Anthropos : Paris. Friedberg, E. (1993). Le pouvoir de la règle. Dynamique de l’action organisée. Paris : Seuil. Goyette, M. (1999). L’analyse de pratiques partenariales dans le domaine de la santé mentale : Réflexions autour de l’équipe-itinérance-outreach du CLSC des Faubourgs. Montréal : École de service social. Université de Montréal. Goyette M., Bouffard, B., (Sous la direction de), Larivière, C. & Lapierre, J. (2000b). La concertation et le partenariat aux Centres jeunesse de Montréal : des pratiques à soutenir. Montréal : IRDS. Goyette, M., Bouffard, B. & Larivière, C. (2000). La concertation et le partenariat aux Centres jeunesse de Montréal: des pratiques à soutenir. Défi jeunesse, VI, 29-35. Huberman, A.M. & Miles, M.B. (1991). Analyse des données qualitatives, Recueil de nouvelles méthodes. Bruxelles : De Boeck Université. Lamoureux, J. (1994). Le partenariat à l’épreuve. Montréal : Éditions Saint-Martin. Lapierre, J. L’analyse du changement organisationnel. Larivière, Claude, Bernier, Diane, et Lapierre, Jacques. Les transformations des Centres Jeunesse de Montréal et de Québec. 11-106. 2000. Québec, Institut de recherche pour le développement social des jeunes. Larivière, C., Bernier, D. & Lapierre, J. (2000). Les transformations des centres jeunesse de Montréal et de Québec. Montréal : Rapport de recherche IRDS. Lavoie, J. & Panet-Raymond, J. (2002). Les étapes du processus d’intervention communautaire. In La pratique de l’action communautaire, eds. 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Les conditions du partenariat entre les CLSC et les organismes communautaires dans le contexte de la loi 120. Hull, Regroupement québécois des intervenants et intervenantes en action communautaire en CLSC et en Centre de santé/PUQ. 19-31. Panet-Raymond, J. (1994). Les nouveaux rapports entre l’État et les organismes communautaires à l’ombre de la Loi 120. Nouvelles pratiques sociales, 7, 79-95. Panet-Raymond, J. & Bourque, D. (1991). Partenariat ou Pater-nariat? La collaboration entre établissements publics et organismes communautaires oeuvrant auprès des personnes âgées à domicile. Montréal : groupe de recherche en développement communautaire. – 336 – QUÉBEC (1991a). La protection sur mesure : un projet collectif. Québec: MSSS, Direction générale de la prévention et des services communautaires, rapport du Groupe de travail sur l’application des mesures de protection de la jeunesse. QUÉBEC (1991b). Un Québec fou de ses enfants. Québec : Québec, MSSS. QUÉBEC (1992a). La politique de la santé et du bien-être. Québec : Gouvernement du Québec. Ministère de la Santé et des Services sociaux. QUÉBEC (1992b). La protection de la jeunesse : plus qu’une loi. Québec : Québec, MSSS. QUÉBEC (1994). Vers un continuum de services intégrés à la jeunesse. Répertoire provincial des solutions de rechange au placement des jeunes. Québec : Comité consultatif sur le développement de solution de rechange en matière de placement d’enfants. QUÉBEC. (Rapport Harnois) (1987). Pour un partenariat élargi. Rapport du comité d’étude sur la santé mentale. Québec : Les Publications du Québec. QUÉBEC, R.R. (1988). Rapport de la Commission d’enquête sur les services de santé et les services sociaux. Québec : Les Publications du Québec. René, J.F., Goyette, M., Bellot, C., Dallaire, N. & Panet-Raymond, J. (2001). L’insertion socioprofessionnelle des jeunes : le prisme du partenariat comme catalyseur de la responsabilité. Lien social et politiques – RIAC, 125-140. Vaillancourt, Y. (1997). Vers un nouveau partage des responsabilités dans les services sociaux et de santé. Rôles de l’État, du marché, de l’économie sociale et du secteur informel. Montréal : LAREPPS/SAC-UQAM. White, D., Jobin, L., Mccann, D. & Morin, P. (2002). Pour sortir des sentiers battus. L’action intersectorielle en santé mentale. Québec : Les Publications du Québec. Yin, R.K. (1994). Case Study Research: Design and Methods. Beverly Hills : Sage Publications. – 337 – ATELIER / WORKSHOP 501 INVESTIGATING AND INTERVENING IN FAMILIES: A BRAZILIAN PROJECT WITH A LOW INCOME COMMUNITY B Y : C RISTIANA M ERCADANTE E SPER B ERTHOUD , P H . D . PROFESSOR M ARIA DE FATIMA C AMARGO D. F ERREIRA , M . A . PROFESSOR E LEONORA S ILVA P R O F E S S O R , P S Y C H O L O G I S T —F A M I L Y T H E R A P Y A DRIANA D IAS P R O F E S S O R , P S Y C H O L O G I S T —A N A L Y T I C P S Y C H O L O G Y A DRIANA L EONIDAS DE O LIVEIRA , M . A . PROFESSOR NUCLEUS FOR FAMILY RESEARCH U N I V E R S I T Y OF T A U B A T É S ÃO P A U L O , B R A Z I L Abstract The purpose of this paper is to present an ongoing pilot project of research and preventive intervention, known as INFAC (a Portuguese abbreviate for “Investigating and Intervening with Families in the Community”). The project is targeted at a low-income community and was designed to be developed in two phases. The first phase is constituted of a research survey applied to eight hundred families living in a chosen neighbourhood in the city of Taubaté, São Paulo, Brazil. The objectives of the investigation were to draw a profile of the characteristics of the families and to determine the demands for further intervention. The families were recruited through a public school, and the instrument, a questionnaire, was created to gather data about the characteristics of the families in regards to: (1) quality of life, (2) life style, (3) social and economic conditions and (4) access to community resources. The analysis showed that the community suffers from lack of support on many levels; that the patterns of family communication regarding the relationship between family members should be improved, and that the families could benefit from educational and preventive interventions. Based on the results, the second phase was initiated, and it consisted in designing educational and preventive programs to be implemented and tested within the target community. Some of the programs were, or are currently being conducted, and others will be implemented during the second semester of this year. Considering the lack of preventive programs specifically designed for our social reality, a continuous evaluation of the strategies adopted, as well as of the results obtained, are being performed during the process in order to allow, in the future, the design of a Model of Community-based Family Intervention Program aiming for the empowerment of the Brazilian families. Keywords: family intervention, prevention, family education, families at-risk – 338 – Introduction As mental health professionals, one of the greatest challenges we face in Brazil today is how to efficiently intervene with low-income families, in both educational and preventive levels, considering the lack of research and the lack of instruments and programs designed to fulfill the specific needs of those populations. Therefore, the NPF (Nucleus for Family Research) designed a research-based program called INFAC (Investigating and Intervening with Families in the Community) that is being developed in the University of Taubaté. The NPF is part of the Research Laboratory of the Bachelor Course of the Psychology Department. It was created in 1995, with the objective of assisting students and professors in the elaboration of academic scientific projects and researches. Throughout the years, the NPF has been amplifying its activities and, nowadays, it develops and technically supports projects within teaching, research, and extension areas. The most recent teaching programs are being conducted in the School Clinic of the University, which attends to low-income families from different surrounding cities. Regarding the research and extension areas, the most recent project is the INFAC, which was born with the objective of amplifying the attendance of our work to families from low-income communities. The overall goal is to elaborate a future Model of Community-based Family Intervention Program that could be used in similar communities to improve the quality of life of the families. The theoretical basis of the project relies on a systemic-constructionist approach for the understanding of the family system. The concepts of social network (Sluzki, 1997) and The Human Ecological System Theory developed by Bronfenbrenner (1979) have been used as a theoretical framework for the project design and implementation. The Human Ecological perspective explains the possible levels of relationship between the family and the broader cultural context, and how each system influences the other, interfering in the well-being of individuals and families. To better understand, and to effectively improve the quality of life of the families, we have to be able to understand the micro, the mesa and the macro systems within which people are constantly navigating through, and the relations between them. Under this perspective, any intervention program should focus on different levels within the different systems, in order to promote a healthier network for the families. The concept of social network has been adapted by many scholars that work in the Family Field (see, for example: Elkain, 1998; McCarthy, 1995; Waldegrave, 1994; Korin, 1997 and Minuchin, 1999), and many recent researches have proven that, especially in the work with low-income populations, it is important to take into consideration all available sources of support and to mobilize the network surrounding the family system. Finally, the LFI (Levels of Family Involvement) training theoretical model, developed by Doherty (1995), was used to guide the supervising program conducted with the undergraduate students that were assigned to facilitate the different models of intervention. The Project The project was designed to be developed in two phases, during the years 2001 and 2002. – 339 – ◆ First Phase: Research Survey Participants The sample was composed of 800 families from a low-income community in the city of Taubaté, São Paulo, Brazil. The participants were recruited through a public school attended by their children and, considering that the school adopts social standards to accept the enrolment of only low-income families, no further criteria were adopted to constitute the sample. An invitation letter was sent to all of the 950 families served by the school, and those willing to participate were included in the project. Instrument The instrument used was an innovative questionnaire, the Life Conditions and Family Necessities Investigation Questionnaire, specially designed for this project, which investigated the following areas: 1. Social-economic Conditions; 2. Life Quality in regards to: (1) health; (2) education; (3) leisure and (4) social network; 3. Community resources available to the families; 4. Family Structure and Dynamics: (1) ways of organization and functioning; (2) conflict resolution resources; (3) self-evaluation performed by the family; and (4) expectations about the improvement of the family functioning. Data Analysis Quantitative and qualitative analysis were applied, and the software SPHINX was used as a tool for the analysis processes. ◆ Second Phase: Intervention Programs Objective: to develop educational and preventive interventions capable of improving the quality of life of the individual, by empowering the families of a target low-income community. Participants: individuals and families that accept the invitation to participate in the programs offered either at the School Clinic of the University or at a community facility. Strategies: the interventions are conducted by a professor and/or by trained undergraduate and graduate students, under the supervision of the professors responsible for the Project – 340 – Results and Discussion A. Presenting the Results of the Survey In relation to “health”: ◆ There is a significant complaint referring to the few community resources available and the regular quality of the service offered. ◆ The population indicates a wish to attend lectures and orientation programs, however the emphasis still remains on the necessity of taking remedial measures rather than preventive ones. In relation to education: ◆ The population is conscious about the importance of talking to children about different subjects, with drugs and cigarettes being the subjects that cause the most preoccupation. ◆ They consider “family” the most important forming and socializing agent of the individual and attribute to “school” a complementary role in the development, with the emphasis being given on the informative role. In relation to leisure: ◆ Leisure is very restricted due to the financial condition of the population. – 341 – ◆ Although the community shows conformism in relation to the few leisure options offered, they suffer from the lack of cultural programs (theatre, movies, dancing, etc), which could provide them with global development. In relation to family dynamics: ◆ Although the most important problem identified by the families has to do with the children’s behaviour, adopting a systemic perspective within a clinical approach with low-income families, we can identify that the complaint verbalized by the parents makes evident other problems that are present in the family dynamics in general. B. Designing and Conducting the Intervention Programs Considering the purpose of the Project, which is to develop a model of family intervention within communities, the design of the pilot programs obeyed the following criteria: 1. The most relevant demands revealed by the research 2. Human resources available 3. Material resources available 4. Possibilities for testing and evaluating the intervention, while being conducted Intervention Conducted in 2001: 1. Parents’ Support Group (six groups conducted at the School Clinic) 2. Parent’s Educational Group (six groups conducted at the School Clinic and four groups conducted at the Community) 3. “The importance of body language”—helping mothers and children to improve their relationships through corporal activities (eight groups conducted at the School Clinic) 4. Support Group for Families with Alzheimer patients 5. Discussion group with community members (with teachers and staff from the public school) Ongoing Intervention: 1. Parents’ Support Group 2. Parent’s Educational Group 3. “The importance of the body language”—helping mothers and children to improve their relationships through corporal activities 4. Training facilitators—workshops and supervised activities with undergraduate and graduate students Intervention to be Conducted Next Semester: 1. Parents’ Support Group 2. Parent’s Educational Group – 342 – 3. “Building a better community”—discussion groups target to adults and adolescents, aiming to plan how to optimize the resources offered in the community Conclusion The INFAC Project is an ongoing research and intervention program that was created with the overall objective to develop a Model of Community-based Family Intervention Program adapted to the characteristics of a Brazilian community. The most important contribution of the project is to be an initiative rarely found in our country, due to lack of resources for research and preventive programs. Although Clinical Psychology, in general, is very well developed in Brazil, as well as the field of Family Therapy, mental health prevention is poorly developed and conducted. Therefore, most of all, the INFAC Project aims to be the first of many other initiatives to develop a better understanding of the needs of low-income families of our community that can lead to an efficient planning of preventive intervention. To empower the families, by giving parents and children cognitive and emotional tools to build better relationships within the micro, mesa and macro systems they live in, is a great way of improve the quality of life of the people, and that is our desire. References Berthoud, C. M. E. (2000). Re-significando a parentalidade—desafio para toda uma vida. Tese de doutoramento. São Paulo: PUC. ______. (1999). What does the family mean to children, adolescents, adults and the elderly at the end of the century?—A Brazilian study. In: Advances in Qualitative Methods The First International Conference in Research Methods, 1, Canada. ______. (1999). The desire for parenthood: a qualitative study about the intent to parent among Brazilian college graduates. 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