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• 1. [Article] Family Connections Research Capsules

  Family Connections Oregon (FCO) was a three-year demonstration project funded by the Children’s Bureau in which a co-located coordinator provided a package of services - intensive family finding and engagement, ...

  Citation × Citation Citation Abstract Copy Title: Family Connections Research Capsules Author: Center for Improvement of Child and Family Services Year: 2015 Family Connections Oregon (FCO) was a three-year demonstration project funded by the Children’s Bureau in which a co-located coordinator provided a package of services - intensive family finding and engagement, family group conferencing, and follow-up - within the first 60 days of a child’s out-of-home placement. These practices are continuing in Oregon through a IV-E waiver demonstration project called Leveraging Intensive Family Engagement (LIFE). The Research Capsules associated with this project are included in this record. Title: Family Connections Research Capsules Author: Center for Improvement of Child and Family Services Year: 2015 Family Connections Oregon (FCO) was a three-year demonstration project funded by the Children’s Bureau in which a co-located coordinator provided a package of services - intensive family finding and engagement, family group conferencing, and follow-up - within the first 60 days of a child’s out-of-home placement. These practices are continuing in Oregon through a IV-E waiver demonstration project called Leveraging Intensive Family Engagement (LIFE). The Research Capsules associated with this project are included in this record. Close

• 2. [Article] Family Connections Research

  Family Connections Oregon (FCO) was a three-year demonstration project funded by the Children’s Bureau in which a co-located coordinator provided a package of services - intensive family finding and engagement, ...

  Citation × Citation Citation Abstract Copy Title: Family Connections Research Author: Child Welfare Partnership, School of Social Work at Portland State University, Cahn, Katharine Year: 2015 Family Connections Oregon (FCO) was a three-year demonstration project funded by the Children’s Bureau in which a co-located coordinator provided a package of services - intensive family finding and engagement, family group conferencing, and follow-up - within the first 60 days of a child’s out-of-home placement. These practices are continuing in Oregon through a IV-E waiver demonstration project called Leveraging Intensive Family Engagement (LIFE). Title: Family Connections Research Author: Child Welfare Partnership, School of Social Work at Portland State University, Cahn, Katharine Year: 2015 Family Connections Oregon (FCO) was a three-year demonstration project funded by the Children’s Bureau in which a co-located coordinator provided a package of services - intensive family finding and engagement, family group conferencing, and follow-up - within the first 60 days of a child’s out-of-home placement. These practices are continuing in Oregon through a IV-E waiver demonstration project called Leveraging Intensive Family Engagement (LIFE). Close

• 3. [Article] Family Connections Oregon

  The State of Oregon was an early implementer of family-centered practices to improve child welfare outcomes by effectively engaging families so that children avoid placement or spend less time in care. ...

  Citation × Citation Citation Abstract Copy Title: Family Connections Oregon Author: Center for Improvement of Child and Family Services Year: 2015 The State of Oregon was an early implementer of family-centered practices to improve child welfare outcomes by effectively engaging families so that children avoid placement or spend less time in care. Despite this promising history, statewide availability of such practices had not yet been attained. With the support of the Family Connections Grant, Oregon Department of Human Services (DHS) partnered with the Child Welfare Partnership at Portland State University’s (PSU) School of Social Work to address this need. Title: Family Connections Oregon Author: Center for Improvement of Child and Family Services Year: 2015 The State of Oregon was an early implementer of family-centered practices to improve child welfare outcomes by effectively engaging families so that children avoid placement or spend less time in care. Despite this promising history, statewide availability of such practices had not yet been attained. With the support of the Family Connections Grant, Oregon Department of Human Services (DHS) partnered with the Child Welfare Partnership at Portland State University’s (PSU) School of Social Work to address this need. Close

• 4. [Article] Finding Fit Between Work and Family Responsibilities When Caring for Children with ADHD Diagnoses

  Finding fit between work and family responsibilities is challenging for parents, especially when raising a child with mental health difficulties. The purpose of this study was to investigate the relationship ...

  Citation × Citation Citation Abstract Copy Title: Finding Fit Between Work and Family Responsibilities When Caring for Children with ADHD Diagnoses Author: Sellmaier, Claudia, Leo, Michael C., Brennan, Eileen M., Kendall, Judy, Houck, Gail M. Year: 2016 Finding fit between work and family responsibilities is challenging for parents, especially when raising a child with mental health difficulties. The purpose of this study was to investigate the relationship of children’s problematic behaviors to maternal employment and difficulty combining work and family obligations. Data were analyzed from 174 mothers parenting a child with a diagnosis of attention deficit hyperactivity disorder who completed child problem behavior (child behavior checklist), family functioning, and employment measures at baseline and 12 months later. Results from logistic regression analysis indicated that children’s problematic behaviors predicted maternal employment. Structural equation modeling showed that children’s higher baseline scores on the child behavior checklist internalizing scale were related to difficulty combining work and family at 12 months, even after controlling for difficulty of combining work and family at baseline. Children’s externalizing scores were not found to predict difficulty combining work and family responsibilities. Further analysis did not confirm mediation between children’s externalizing and internalizing behaviors, family conflict, and difficulty combining work and family. Given these results, service providers need to more comprehensively address the intersection of children’s mental health difficulties and work–family fit in order to better support caregivers as parents and employees. Title: Finding Fit Between Work and Family Responsibilities When Caring for Children with ADHD Diagnoses Author: Sellmaier, Claudia, Leo, Michael C., Brennan, Eileen M., Kendall, Judy, Houck, Gail M. Year: 2016 Finding fit between work and family responsibilities is challenging for parents, especially when raising a child with mental health difficulties. The purpose of this study was to investigate the relationship of children’s problematic behaviors to maternal employment and difficulty combining work and family obligations. Data were analyzed from 174 mothers parenting a child with a diagnosis of attention deficit hyperactivity disorder who completed child problem behavior (child behavior checklist), family functioning, and employment measures at baseline and 12 months later. Results from logistic regression analysis indicated that children’s problematic behaviors predicted maternal employment. Structural equation modeling showed that children’s higher baseline scores on the child behavior checklist internalizing scale were related to difficulty combining work and family at 12 months, even after controlling for difficulty of combining work and family at baseline. Children’s externalizing scores were not found to predict difficulty combining work and family responsibilities. Further analysis did not confirm mediation between children’s externalizing and internalizing behaviors, family conflict, and difficulty combining work and family. Given these results, service providers need to more comprehensively address the intersection of children’s mental health difficulties and work–family fit in order to better support caregivers as parents and employees. Close

• 5. [Article] IV-E Waiver Evaluation – Leveraging Intensive Family Engagement (LIFE) Program Evaluation

  In partnership with Oregon’s Department of Human Services, we are conducting qualitative and quantitative research to document the implementation and outcomes of the LIFE program. LIFE is an innovative ...

  Citation × Citation Citation Abstract Copy Title: IV-E Waiver Evaluation – Leveraging Intensive Family Engagement (LIFE) Program Evaluation Author: Furrer, Carrie Jeanne, Duong, Thuan, Cross-Hemmer, Amanda, Green, Beth L. Year: 2016 In partnership with Oregon’s Department of Human Services, we are conducting qualitative and quantitative research to document the implementation and outcomes of the LIFE program. LIFE is an innovative approach to reducing time in out of home placement by providing intensive, multi-modal interventions that integrate Family Finding, Family Meetings, Parent Mentors, and a focus on family and youth voice in reducing the time spent in care for youth at high risk for long term foster care placements. Title: IV-E Waiver Evaluation – Leveraging Intensive Family Engagement (LIFE) Program Evaluation Author: Furrer, Carrie Jeanne, Duong, Thuan, Cross-Hemmer, Amanda, Green, Beth L. Year: 2016 In partnership with Oregon’s Department of Human Services, we are conducting qualitative and quantitative research to document the implementation and outcomes of the LIFE program. LIFE is an innovative approach to reducing time in out of home placement by providing intensive, multi-modal interventions that integrate Family Finding, Family Meetings, Parent Mentors, and a focus on family and youth voice in reducing the time spent in care for youth at high risk for long term foster care placements. Close

• 6. [Article] North Douglas County Community Needs Health Assessment (Phase 1)

  Beginning in February 2016, the North Douglas County (NDC) communities of Drain, Elkton, and Yoncalla, Oregon engaged in a Community Health Needs Assessment (CHNA) planning process, focusing on children ...

  Citation × Citation Citation Abstract Copy Title: North Douglas County Community Needs Health Assessment (Phase 1) Author: Lambarth, Callie H., Reid, Diane, Green, Beth L. Year: 2016 Beginning in February 2016, the North Douglas County (NDC) communities of Drain, Elkton, and Yoncalla, Oregon engaged in a Community Health Needs Assessment (CHNA) planning process, focusing on children ages birth-to-8 and their families. The purpose of this process was to explore, understand, and integrate linkages between early learning and young child and family health; identify health-related resources currently available and accessible to NDC families; and prioritize health areas of interest to be explored during the CHNA. The North Douglas County CHNA builds on community partnerships already established in the region through initiatives that aim to coordinate and align early learning and K-12 systems. The work of Yoncalla Early Works (“YEW”, initiated in 2012 with funding from The Ford Family Foundation and Children’s Institute) and North Douglas P3 (“NDP3”, initiated in 2014 with funding from the Oregon Community Foundation) demonstrate community commitment to supporting young children and families. The work of community members through these initiatives laid the foundation for the region’s readiness to engage in a Community Health Needs Assessment (CHNA) planning process Ultimately, this first planning phase of the CHNA resulted in recommendations to conduct Phase 2 of the CHNA in North Douglas County, and is expected to get underway in summer/fall 2016 in collaboration with community members. The Community Health Needs Assessment will seek to answer the following questions: 1. What does health look like for children ages birth-to-8 and their families in North Douglas County? 2. What health services are available and accessible to children and families in North Douglas County? 3. What health services do families in North Douglas County need and want? 4. What needs to happen for health services to be available and accessible for North Douglas County children ages birth-to-8 and their families? Title: North Douglas County Community Needs Health Assessment (Phase 1) Author: Lambarth, Callie H., Reid, Diane, Green, Beth L. Year: 2016 Beginning in February 2016, the North Douglas County (NDC) communities of Drain, Elkton, and Yoncalla, Oregon engaged in a Community Health Needs Assessment (CHNA) planning process, focusing on children ages birth-to-8 and their families. The purpose of this process was to explore, understand, and integrate linkages between early learning and young child and family health; identify health-related resources currently available and accessible to NDC families; and prioritize health areas of interest to be explored during the CHNA. The North Douglas County CHNA builds on community partnerships already established in the region through initiatives that aim to coordinate and align early learning and K-12 systems. The work of Yoncalla Early Works (“YEW”, initiated in 2012 with funding from The Ford Family Foundation and Children’s Institute) and North Douglas P3 (“NDP3”, initiated in 2014 with funding from the Oregon Community Foundation) demonstrate community commitment to supporting young children and families. The work of community members through these initiatives laid the foundation for the region’s readiness to engage in a Community Health Needs Assessment (CHNA) planning process Ultimately, this first planning phase of the CHNA resulted in recommendations to conduct Phase 2 of the CHNA in North Douglas County, and is expected to get underway in summer/fall 2016 in collaboration with community members. The Community Health Needs Assessment will seek to answer the following questions: 1. What does health look like for children ages birth-to-8 and their families in North Douglas County? 2. What health services are available and accessible to children and families in North Douglas County? 3. What health services do families in North Douglas County need and want? 4. What needs to happen for health services to be available and accessible for North Douglas County children ages birth-to-8 and their families? Close

• 7. [Article] The Role of Surrogate Family Dynamics in Youth Gang Recruitment and Involvement

  47 pages. A thesis presented to the Department of Family and Human Services and the Clark Honors College of the University of Oregon in partial fulfillment of the requirements for degree of Bachelor of ...

  Citation × Citation Citation Abstract Copy Title: The Role of Surrogate Family Dynamics in Youth Gang Recruitment and Involvement Author: Mahoney, Grace-Ellen Year: 2014 47 pages. A thesis presented to the Department of Family and Human Services and the Clark Honors College of the University of Oregon in partial fulfillment of the requirements for degree of Bachelor of Arts, Spring 2014. Title: The Role of Surrogate Family Dynamics in Youth Gang Recruitment and Involvement Author: Mahoney, Grace-Ellen Year: 2014 47 pages. A thesis presented to the Department of Family and Human Services and the Clark Honors College of the University of Oregon in partial fulfillment of the requirements for degree of Bachelor of Arts, Spring 2014. Close

• 8. [Article] Using Administrative Data to Evaluate the Effectiveness of the Healthy Families Oregon Home Visiting Program: 2-year Impacts on Child Maltreatment & Service Utilization

  The present study used state administrative databases to examine the 2-year outcomes of a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) home visiting program. 2727 eligible ...

  Citation × Citation Citation Abstract Copy Title: Using Administrative Data to Evaluate the Effectiveness of the Healthy Families Oregon Home Visiting Program: 2-year Impacts on Child Maltreatment & Service Utilization Author: Green, Beth L., Sanders, Mary Beth, Tarte, Jerod Year: 2017 The present study used state administrative databases to examine the 2-year outcomes of a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) home visiting program. 2727 eligible first-time mothers were randomly assigned to either the HFO program or to a community services-as-usual control group. Outcomes for the current study were tracked for 2 years post-random assignment for all study participants through administrative data linkages to Oregon's statewide child welfare system, self-sufficiency services, and substance abuse treatment programs. Results indicated that families assigned to HFO program were no more or less likely to have a substantiated child abuse report than were controls (6.3% vs. 6.0%), but were significantly more likely to have an unsubstantiated report (9.7% vs. 7.9%). Among HFO families who were reported to the child welfare system, 86.2% (94 children) were reported after they had exited the program, while 13.8% (15 children) had a report while enrolled. However, 50.5% of children with unsubstantiated reports were reported while families were receiving HFO services, suggesting a surveillance effect for unsubstantiated reports. HFO families, compared to controls, were also significantly more likely to have been enrolled in Temporary Assistance for Needy Families (TANF) services for the first time, to have received more days of Supplemental Nutrition Assistance Program (SNAP), and to be enrolled in publically-funded substance abuse treatment services. Results suggest that early effects of home visitation on outcomes that can be measured through administrative data are small to modest, and that findings related to documented child welfare systems involvement may require more nuanced data than are typically used and/or available from state agency systems. © 2017 Elsevier Ltd Title: Using Administrative Data to Evaluate the Effectiveness of the Healthy Families Oregon Home Visiting Program: 2-year Impacts on Child Maltreatment & Service Utilization Author: Green, Beth L., Sanders, Mary Beth, Tarte, Jerod Year: 2017 The present study used state administrative databases to examine the 2-year outcomes of a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) home visiting program. 2727 eligible first-time mothers were randomly assigned to either the HFO program or to a community services-as-usual control group. Outcomes for the current study were tracked for 2 years post-random assignment for all study participants through administrative data linkages to Oregon's statewide child welfare system, self-sufficiency services, and substance abuse treatment programs. Results indicated that families assigned to HFO program were no more or less likely to have a substantiated child abuse report than were controls (6.3% vs. 6.0%), but were significantly more likely to have an unsubstantiated report (9.7% vs. 7.9%). Among HFO families who were reported to the child welfare system, 86.2% (94 children) were reported after they had exited the program, while 13.8% (15 children) had a report while enrolled. However, 50.5% of children with unsubstantiated reports were reported while families were receiving HFO services, suggesting a surveillance effect for unsubstantiated reports. HFO families, compared to controls, were also significantly more likely to have been enrolled in Temporary Assistance for Needy Families (TANF) services for the first time, to have received more days of Supplemental Nutrition Assistance Program (SNAP), and to be enrolled in publically-funded substance abuse treatment services. Results suggest that early effects of home visitation on outcomes that can be measured through administrative data are small to modest, and that findings related to documented child welfare systems involvement may require more nuanced data than are typically used and/or available from state agency systems. © 2017 Elsevier Ltd Close

• 9. [Article] Testing the Effectiveness of Healthy Start-Healthy Families Oregon: Outcomes and Cost-Benefits

  Objectives. This study was designed to achieve several specific objectives: (1) to conduct a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) program, a home visitation program ...

  Citation × Citation Citation Abstract Copy Title: Testing the Effectiveness of Healthy Start-Healthy Families Oregon: Outcomes and Cost-Benefits Author: Green, Beth L., Tarte, Jerod, Sanders, Mary Beth, Waller, Mark S. Year: 2016 Objectives. This study was designed to achieve several specific objectives: (1) to conduct a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) program, a home visitation program using the Healthy Families America model, on child welfare system involvement, access to self-sufficiency resources, and use of preventive and other medical services; (2) to conduct a comprehensive and detailed cost-benefit study of the HFO program; and (3) to develop and disseminate a web-based tool to support home visiting program managers, funders, and others to better understand and develop readiness for conducting program cost analysis and cost-benefit research. Approach. 2,727 eligible first-time parents were randomly assigned to receive the HFO program or a community services-as-usual control group. The research team obtained 2 years of postenrollment follow-up data on all study participants from Oregon’s child welfare system, selfsufficiency services, and medical assistance programs. Additionally, a 1-year post-enrollment telephone interview was conducted with a random sample of 803 study participants (403 program, 400 control). Analyses were also conducted to examine whether program impacts varied for subgroups of families with different demographic and baseline risk characteristics, and to explore the relationship of program fidelity and dosage to outcomes. Finally, a detailed program cost analysis was conducted and administrative data outcomes were used in a cost-benefit analysis. Results/Benefits. 1-year follow-up interviews with parents found that HFO families were significantly more likely (compared to controls) to read to their young children frequently, to provide developmentally supportive activities, and to report lower parenting-related stress as measured by the Parent Stress Inventory (PSI). These effects appeared to be strongest for families with four or more risk factors (two factors more than the threshold for “at risk”). Administrative data outcomes at 2 years post enrollment found that families were no more likely to have a founded child abuse report than were controls (6.3% vs. 6.0%), but were significantly more likely to have an unfounded report (9.7% vs. 7.9%). HFO families, compared to controls, were also significantly more likely to have been enrolled in TANF services for the first time, received more days of Supplemental Nutrition Assistance Program (SNAP), and were more likely to be enrolled in substance abuse treatment services. There were no significant differences between groups in terms of use of or access to publicly funded health insurance or health-related services. Consistent with other cost-benefit analyses of home visiting and early childhood programs, results of the cost-benefit analyses did not support short-term cost savings associated with receipt of the HFO program. A web-based tool, The Home Visiting Cost Tool, was posted to the following web address: www.homevisitcosts.com. Title: Testing the Effectiveness of Healthy Start-Healthy Families Oregon: Outcomes and Cost-Benefits Author: Green, Beth L., Tarte, Jerod, Sanders, Mary Beth, Waller, Mark S. Year: 2016 Objectives. This study was designed to achieve several specific objectives: (1) to conduct a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) program, a home visitation program using the Healthy Families America model, on child welfare system involvement, access to self-sufficiency resources, and use of preventive and other medical services; (2) to conduct a comprehensive and detailed cost-benefit study of the HFO program; and (3) to develop and disseminate a web-based tool to support home visiting program managers, funders, and others to better understand and develop readiness for conducting program cost analysis and cost-benefit research. Approach. 2,727 eligible first-time parents were randomly assigned to receive the HFO program or a community services-as-usual control group. The research team obtained 2 years of postenrollment follow-up data on all study participants from Oregon’s child welfare system, selfsufficiency services, and medical assistance programs. Additionally, a 1-year post-enrollment telephone interview was conducted with a random sample of 803 study participants (403 program, 400 control). Analyses were also conducted to examine whether program impacts varied for subgroups of families with different demographic and baseline risk characteristics, and to explore the relationship of program fidelity and dosage to outcomes. Finally, a detailed program cost analysis was conducted and administrative data outcomes were used in a cost-benefit analysis. Results/Benefits. 1-year follow-up interviews with parents found that HFO families were significantly more likely (compared to controls) to read to their young children frequently, to provide developmentally supportive activities, and to report lower parenting-related stress as measured by the Parent Stress Inventory (PSI). These effects appeared to be strongest for families with four or more risk factors (two factors more than the threshold for “at risk”). Administrative data outcomes at 2 years post enrollment found that families were no more likely to have a founded child abuse report than were controls (6.3% vs. 6.0%), but were significantly more likely to have an unfounded report (9.7% vs. 7.9%). HFO families, compared to controls, were also significantly more likely to have been enrolled in TANF services for the first time, received more days of Supplemental Nutrition Assistance Program (SNAP), and were more likely to be enrolled in substance abuse treatment services. There were no significant differences between groups in terms of use of or access to publicly funded health insurance or health-related services. Consistent with other cost-benefit analyses of home visiting and early childhood programs, results of the cost-benefit analyses did not support short-term cost savings associated with receipt of the HFO program. A web-based tool, The Home Visiting Cost Tool, was posted to the following web address: www.homevisitcosts.com. Close

• 10. [Article] Fathers Caring for Children with Special Health Care Needs: Experiences of Work-Life Fit

  Research about employed fathers of children with special health care needs (SHCN) is still limited, leaving fathers without the necessary workplace and community supports to better integrate work and life. ...

  Citation × Citation Citation Abstract Copy Title: Fathers Caring for Children with Special Health Care Needs: Experiences of Work-Life Fit Author: Sellmaier, Claudia Year: 2015 Research about employed fathers of children with special health care needs (SHCN) is still limited, leaving fathers without the necessary workplace and community supports to better integrate work and life. Caregivers with exceptional caregiving responsibilities report greater levels of work-family conflict and considerable caregiver strain, as well as negative employment and financial consequences related to their caregiving responsibilities. These caregivers often struggle to access community supports such as childcare, after-school care, and support from friends and neighbors. This study provides insights into the types of job, home, and community resources that are relevant for fathers of children with SHCN in order to better integrate work and family. The exploratory cross-sectional design employed an online survey to collect the data, with 122 fathers meeting the study criteria of living at least part-time with a child with SHCN under the age of 18 and being employed at least part-time. The fathers had a mean age of 42 and most of them identified as Non-Hispanic White. The majority stated holding a college degree and over 90% reported being married or partnered. Fathers indicated having on average two children and Autism Spectrum Disorder was the most cited diagnosis for the child with SHCN. Regression analyses were conducted to analyze the study's research questions. Access and use of workplace flexibility were significant job resource measures predicting difficulty combining work and family, and spillover. Family flexibility to handle work issues was a significant predictor across all dimensions of positive and negative spillover. The availability of community services was found significantly related to negative family to work spillover and support from friends/neighbors was a significant predictor for both difficulty combining work and family, and spillover. Regression analyses with interaction terms of job and home resources showed buffering effects of resource ecologies on spillover. The study's findings illustrate that, fathers of children with SHCN struggle to integrate work and family even if they are not considered primary caregivers. Community, home, and job resources were salient for these fathers to mitigate a lack of resources across ecologies. This lack of resources tended to reinforce traditional gender norms for both mother and father. Resources within and across the three different ecologies were found to have direct and compensatory effects. Community resources were identified as the most important resources for both positive and negative spillover. The study also highlights the positive spillover effects related to employment and family care for fathers of children with SHCN. Organizations are called to reduce flexibility stigma and decrease barriers to using workplace flexibility to improve work-life fit for fathers caring for children with SHCN. Social services like childcare, or after school care, and social support are of critical relevance and need to better support these fathers and families. Considerations for future research are presented. Title: Fathers Caring for Children with Special Health Care Needs: Experiences of Work-Life Fit Author: Sellmaier, Claudia Year: 2015 Research about employed fathers of children with special health care needs (SHCN) is still limited, leaving fathers without the necessary workplace and community supports to better integrate work and life. Caregivers with exceptional caregiving responsibilities report greater levels of work-family conflict and considerable caregiver strain, as well as negative employment and financial consequences related to their caregiving responsibilities. These caregivers often struggle to access community supports such as childcare, after-school care, and support from friends and neighbors. This study provides insights into the types of job, home, and community resources that are relevant for fathers of children with SHCN in order to better integrate work and family. The exploratory cross-sectional design employed an online survey to collect the data, with 122 fathers meeting the study criteria of living at least part-time with a child with SHCN under the age of 18 and being employed at least part-time. The fathers had a mean age of 42 and most of them identified as Non-Hispanic White. The majority stated holding a college degree and over 90% reported being married or partnered. Fathers indicated having on average two children and Autism Spectrum Disorder was the most cited diagnosis for the child with SHCN. Regression analyses were conducted to analyze the study's research questions. Access and use of workplace flexibility were significant job resource measures predicting difficulty combining work and family, and spillover. Family flexibility to handle work issues was a significant predictor across all dimensions of positive and negative spillover. The availability of community services was found significantly related to negative family to work spillover and support from friends/neighbors was a significant predictor for both difficulty combining work and family, and spillover. Regression analyses with interaction terms of job and home resources showed buffering effects of resource ecologies on spillover. The study's findings illustrate that, fathers of children with SHCN struggle to integrate work and family even if they are not considered primary caregivers. Community, home, and job resources were salient for these fathers to mitigate a lack of resources across ecologies. This lack of resources tended to reinforce traditional gender norms for both mother and father. Resources within and across the three different ecologies were found to have direct and compensatory effects. Community resources were identified as the most important resources for both positive and negative spillover. The study also highlights the positive spillover effects related to employment and family care for fathers of children with SHCN. Organizations are called to reduce flexibility stigma and decrease barriers to using workplace flexibility to improve work-life fit for fathers caring for children with SHCN. Social services like childcare, or after school care, and social support are of critical relevance and need to better support these fathers and families. Considerations for future research are presented. Close