scholarly journals Public Assistance Reception, Social Service Use, and Developmental Outcomes among Economically Disadvantaged Young People

2009 ◽  
Vol 15 (1-2) ◽  
pp. 103-120 ◽  
Author(s):  
Steven Sek-yum Ngai ◽  
Chau-kiu Cheung ◽  
Ngan-pun Ngai ◽  
Siu-ming To
Keyword(s):  
Young People ◽  
Social Service ◽  
Economically Disadvantaged ◽  
Service Use ◽  
Public Assistance ◽  
Developmental Outcomes

scholarly journals Engaging young people in the design of a sexual reproductive health intervention: Lessons learnt from the Yathu Yathu (“For us, by us”) formative study in Zambia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Melvin Simuyaba ◽  
Bernadette Hensen ◽  
Mwelwa Phiri ◽  
Chisanga Mwansa ◽  
Lawrence Mwenge ◽  
...  
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Iterative Process ◽  
Service Use ◽  
Service Providers ◽  
Peer Pressure ◽  
Post Exposure Prophylaxis ◽  
Community Based ◽  
Research Activities ◽  
Lessons Learnt

Abstract Background Meeting the sexual and reproductive health (SRH) needs of adolescents and young people (AYP) requires their meaningful engagement in intervention design. We describe an iterative process of engaging AYP to finalise the design of a community-based, peer-led and incentivised SRH intervention for AYP aged 15–24 in Lusaka and the lessons learnt. Methods Between November 2018 and March 2019, 18 focus group discussions, eight in-depth interviews and six observations were conducted to assess AYP’s knowledge of HIV/SRH services, factors influencing AYP’s sexual behaviour and elicit views on core elements of a proposed intervention, including: community-based spaces (hubs) for service delivery, type of service providers and incentivising service use through prevention points cards (PPC; “loyalty” cards to gain points for accessing services and redeem these for rewards). A total of 230 AYP (15 participated twice in different research activities) and 21 adults (only participated in the community mapping discussions) participated in the research. Participants were purposively selected based on age, sex, where they lived and their roles in the study communities. Data were analysed thematically. Results Alcohol and drug abuse, peer pressure, poverty, unemployment and limited recreation facilities influenced AYP’s sexual behaviours. Adolescent boys and young men lacked knowledge of contraceptive services and all AYP of pre and post exposure prophylaxis for HIV prevention. AYP stated a preference for accessing services at “hubs” located in the community rather than the health facility. AYP considered the age, sex and training of the providers when choosing whom they were comfortable accessing services from. PPCs were acceptable among AYP despite the loyalty card concept being new to them. AYP suggested financial and school support, electronic devices, clothing and food supplies as rewards. Conclusions Engaging AYP in the design of an SRH intervention was feasible, informative and considered responsive to their needs. Although AYP’s suggestions were diverse, the iterative process of AYP engagement facilitated the design of an intervention that is informed by AYP and implementable. Trial registration This formative study informed the design of this trial: ClinicalTrials.gov, NCT04060420. Registered 19 August, 2019.

scholarly journals Management aspects of care for the homeless mentally ill

1996 ◽  
Vol 2 (4) ◽  
pp. 158-165 ◽  
Author(s):  
P. Timms
Keyword(s):  
Mental Illness ◽  
Inner City ◽  
Severe Mental Illness ◽  
Social Service ◽  
Mentally Ill ◽  
Economically Disadvantaged ◽  
High Unemployment ◽  
People With Mental Illness ◽  
Homeless Mentally Ill ◽  
The Continuum

People with mental illness have always been marginalised and economically disadvantaged. Warner (1987) has shown that this is particularly true in times of high unemployment. Poor inner-city areas have excessive rates of severe mental illness, usually without the health, housing and social service provisions necessary to deal with them (Faris & Dunham, 1959). The majority of those who suffer major mental illness live in impoverished circumstances somewhere along the continuum of poverty. Homelessness, however defined, is the extreme and most marginalised end of this continuum, and it is here that we find disproportionate numbers of the mentally ill.

scholarly journals Mental health provision for young offenders: service use and cost

2006 ◽  
Vol 188 (6) ◽  
pp. 541-546 ◽  
Author(s):  
Barbara Barrett ◽  
Sarah Byford ◽  
Prathiba Chitsabesan ◽  
Cassandra Kenning
Keyword(s):  
Mental Health ◽  
Criminal Justice ◽  
Young People ◽  
Health Services ◽  
Criminal Justice System ◽  
Depressed Mood ◽  
Justice System ◽  
Service Use ◽  
Young Offenders ◽  
The Relationship

BackgroundThe full costs of accommodating and supporting young people in the criminal justice system are unknown. There is also concern about the level of mental health needs among young offenders and the provision of appropriate mental health services.AimsTo estimate the full cost of supporting young people in the criminal justice system in England and Wales and to examine the relationship between needs, service use and cost.MethodCross-sectional survey of 301 young offenders, 151 in custody and 150 in the community, conducted in six geographically representative areas of England and Wales.ResultsMental health service use was low despite high levels of need, particularly in the community Monthly costs were significantly higher among young people interviewed in secure facilities than in the community ($4645 v. $ 1863; P < 0.001). Younger age and a depressed mood were associated with greater costs.ConclusionsYoung people in the criminal justice system are a significant financial burden not only on that system but also on social services, health and education. The relationship between cost and depressed mood indicates a role for mental health services in supporting young offenders, particularly those in the community.

scholarly journals Mental Health Service Use by Young People: The Role of Caregiver Characteristics

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0120004 ◽  
Author(s):  
Petra C. Gronholm ◽  
Tamsin Ford ◽  
Ruth E. Roberts ◽  
Graham Thornicroft ◽  
Kristin R. Laurens ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Young People ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Health care and social service use and cost in depressed african american elders: Results from the beat the blues randomized clinical trial

2013 ◽  
Vol 16 (3) ◽  
pp. A62
Author(s):  
L.T. Pizzi ◽  
E. Jutkowitz ◽  
K.D. Frick ◽  
D.C. Suh ◽  
K.M. Prioli ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
African American ◽  
Randomized Clinical Trial ◽  
Social Service ◽  
Service Use

scholarly journals Specialist inpatient services for people with learning disabilities across the four countries of the UK

2016 ◽  
Vol 21 (4) ◽  
pp. 220-225 ◽  
Author(s):  
Chris Hatton
Keyword(s):  
Learning Disabilities ◽  
Northern Ireland ◽  
Young People ◽  
Length Of Stay ◽  
Service Use ◽  
Inpatient Service ◽  
Content Type ◽  
Inpatient Services ◽  
Trends Over Time ◽  
The Uk

Purpose The purpose of this paper is to compare data from national censuses on specialist inpatient service use by people with learning disabilities across England, Scotland, Wales and Northern Ireland. Design/methodology/approach National statistics (England, Scotland, Wales, Northern Ireland) reporting inpatient service censuses including people with learning disabilities were accessed, with data extracted on trends over time, rate of service use, young people and length of stay. Findings The number and rate of people with learning disabilities in specialist inpatient services varied across the UK: 230 people in Scotland (rate 4.88 per 100,000 population); 3,250 people in England (5.48); 183 people in Wales (5.90); 144 people in Northern Ireland (7.82). The number of people in inpatient services in Northern Ireland halved over four years, in other areas reductions were modest. Between 5 and 8 per cent of people in inpatient services were children/young people. Median length of stay in the person’s current inpatient service varied: 19 months in England; 33 months in Scotland; three to five years in Northern Ireland. Social implications Different parts of the UK vary in the scale of their specialist inpatient services for people with learning disabilities. With the exception of Northern Ireland, which may still be in the last stages of completing a “regular” deinstitutionalisation programme, strong policy prescriptions for substantial reductions in specialist inpatient services are currently only resulting in modest reductions. Originality/value This paper is a first attempt to compare national inpatient service statistics across the UK. With increasing divergence of health and social service systems, further comparative analyses of services for people with learning disabilities are needed.

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