Understanding How Young People Exit Homelessness in Australia: A Critical Realist Approach

2021 ◽  
pp. 1-18
Author(s):  
Brendan Pearl ◽  
Carol Harvey ◽  
Lisa Brophy
2019 ◽  
Vol 18 (2) ◽  
pp. 43-53 ◽  
Author(s):  
Paul Andell

Purpose County lines involving the exploitation of vulnerable children and young people by gangs have been described as a bigger threat than the exploitation exposed by the Rotherham scandal (The Times, 27 November 2017). The purpose of this paper is to explain the contingencies and drivers informing gang identities in the irregular economy of drugs and make some suggestions to address these. Design/methodology/approach The paper discusses the social reality (ontology) of UK gangs in the UK and the different theories of knowledge about gangs (epistemologies) that can both help and hamper gangs’ policy and practices. The paper is based on recent research and sets out strategic ideas for good community safety practice in order to develop multi-modal partnership interventions in gang-affected neighbourhoods. Recent policies are located within the broader political economy of crime, which raises questions of current policy direction to achieve safer neighbourhoods. Findings A critical realist approach to gangs (Pitts, 2016) assumes that unobservable structures (patterns of relations and roles) cause observable events (gang behaviour). This suggests a reality of gangs independent of theories about them. In this paradigm, the author’s theories about the world are historically, socially and culturally situated and always partial. Not only do gangs change in space and time, but also so do the author’s representations of them. Research limitations/implications Arguably, at this moment, the authors’ best ideas about the underlying causal forces which precipitate gangs involve social structures which have push and pull factors acting in conjunction with culturally enmeshed individuals with limited choices. The pushes of social exclusionary factors such as institutional racism and unemployment act in consort with pull factors of excessive consumerism. However, the author’s ideas about gangs are partial and fallible, and this demands a methodological pluralism that involves a range of stakeholders when researching and formulating appropriate interventions. Practical implications To address the impact of gang violence at the micro or neighbourhood level, Andell and Pitts (2009, 2013, 2017) developed an interactive model of action research which is inclusive of the experiences and knowledge of stakeholders. This knowledge can be valuable not only to build multi-modal strategies in gang-affected neighbourhoods, but can also be useful as a reflexive spur to provide feedback and direction on what works to reduce community harms. Earlier research experience (Andell and Pitts 2009, 2013, 2017) informs ideas that that single agency or “siloed” approaches to problems associated with gangs and drug markets can cause confusion and mistrust for other stakeholders and that more integrated approaches are needed. Social implications In order to assist young people to attain their potential with the assistance of institutions, both micro and macro changes need to take place. The social capital of community networks needs to be enhanced and the redistributive potential of economic policy needs to be enacted. Therefore, policy is needed which is founded on the belief that research is capable of understanding the mechanisms that produce material and cultural domination, and this analysis, in conjunction with stakeholder knowledge, could lead to a realistic program for collective actions in both the micro and macro spheres that reduce relative deprivation and curb the cultural mores for excess. Originality/value The paper suggests a critical realist approach to gangs (Pitts, 2016) and assumes that unobservable structures (patterns of relations and roles) cause observable events (gang behaviour). This imputes a reality of gangs independent of theories about them. In this paradigm, the author’s theories about the world are historical, socially and culturally situated and always partial. Not only do gangs change in space and time, but also so do the author’s representations of them.


Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_5) ◽  
Author(s):  
Simon Stones

Abstract Background Juvenile idiopathic arthritis (JIA) requires some form of lifelong management, with at least one third of children symptomatic in adulthood. Therefore, empowering children to competently self-manage their health and wellbeing across the lifecourse is logical, while supporting families in their shared-management role during childhood. However, there was a limited theoretical basis to the self- and shared-management of JIA across the lifecourse. The objective is to explore the factors facilitating the self- and shared-management of JIA using a realist approach to evaluation. Methods Guided by the Individual and Family Self-management Theory, a three-stage realist approach to evaluation was undertaken: 1) initial JIA self- and shared-management question theories were elicited from literature reviews and stakeholder insights [1]; 2) seven initial question theories were tested using teacher-learner cycle interviews with 20 participants; 3) findings were analysed using a theory-driven approach to thematic analysis, using deductive, inductive, and retroductive reasoning to extend or refute the initial question theories, in order to identify demi-regularities in the data. Results Six refined JIA self- and shared-management question theories emerged: 1) meaningful and bespoke self-management support across the life course for children and young people with JIA; 2) recognised and valued shared-management support for the families of children and young people with JIA, with autonomy in mind; 3) individual healthcare plans as a shared management communication tool to facilitate optimal management of JIA; 4) consistent recognition, value, and encourage of self- and shared-management support from the paediatric rheumatology multi-disciplinary team and associated professionals; 5) child, young-person, and family-focused paediatric rheumatology care and support services across the lifecourse; and 6) bespoke and inclusive approaches by education providers to enable children and young people with JIA to feel safe, supported, and able to fulfil their potential. Conclusion There is an increasing recognition of the importance of self- and shared-management of JIA and other paediatric-onset chronic conditions. However, there is a lack of an overall, cohesive approach to self- and shared-management between healthcare providers, education providers, and patient/parent organisations. The findings from this study illuminate the factors facilitating JIA self- and shared-management at individual, interpersonal, institutional and infrastructural levels, bearing relevance to individuals and organisations involved in caring for, and supporting children with JIA and their families.


Sign in / Sign up

Export Citation Format

Share Document