scholarly journals 1676 Incorporating the voice of the child: feedback from looked after children on changes to community paediatric services during the COVID-19 pandemic

Author(s):  
Saskia Wills ◽  
Jaqueline Simmons ◽  
Sveta Alladi
2017 ◽  
Vol 16 (3) ◽  
pp. 122-133 ◽  
Author(s):  
Anne-Marie Day

Purpose The purpose of this paper is to assess the early findings of research which aims to hear the voice of looked after children about their pathways into offending and subsequent entry into the youth justice system, and the implications that this may have for policy and practice. Design/methodology/approach One-to-one semi-structured interviews have taken place with 19 looked after children, who are also subject to youth justice supervision. The interviews have been analysed to identify emerging themes, using broadly grounded approaches. Findings Three important findings arise from the interviews with the participants. First, children in care are being labelled and removed from the mainstream due to problematic behaviours, rather than searching for the underlying cause of the behaviour. Second, significant anger and frustration is expressed towards residential care staff and the child’s social worker, due to several reasons relating to the institutional environment within residential care, and a lack of trust for those professionals with whom control over the child’s life rests. Finally, the children describe feeling powerless whilst in care, and within this context, the peer group plays a crucial role within the lives of the children interviewed. Research limitations/implications The findings are based on the subjective views of 19 interviewees. The sample is not representative, and has not been compared with other forms of data. Rather, it provides the reader with the perspectives of some of the most challenging and vulnerable children in the youth justice system, and places their voice at centre stage. Practical implications This paper points to several challenges within current youth justice and social work practice which led to the interviewees feeling disempowered and ambivalent about their future. A number of recommendations for policy and practice are made in the concluding sections of the paper which may assist those in policy and practice. Originality/value The voice of the looked after child who is also subject to youth justice has not been given centre stage within research to date. The findings are based on this voice and offer a different perspective about a looked after child’s pathways into offending. A number of potential implications for policy and practice, which could be considered and implemented to deal with this problem, are then discussed.


1984 ◽  
Vol 15 (1) ◽  
pp. 51-57
Author(s):  
Sandra Q. Miller ◽  
Charles L. Madison

The purpose of this article is to show how one urban school district dealt with a perceived need to improve its effectiveness in diagnosing and treating voice disorders. The local school district established semiannual voice clinics. Students aged 5-18 were referred, screened, and selected for the clinics if they appeared to have a chronic voice problem. The specific procedures used in setting up the voice clinics and the subsequent changes made over a 10-year period are presented.


2019 ◽  
Vol 4 (4) ◽  
pp. 607-614
Author(s):  
Jean Abitbol

The purpose of this article is to update the management of the treatment of the female voice at perimenopause and menopause. Voice and hormones—these are 2 words that clash, meet, and harmonize. If we are to solve this inquiry, we shall inevitably have to understand the hormones, their impact, and the scars of time. The endocrine effects on laryngeal structures are numerous: The actions of estrogens and progesterone produce modification of glandular secretions. Low dose of androgens are secreted principally by the adrenal cortex, but they are also secreted by the ovaries. Their effect may increase the low pitch and decease the high pitch of the voice at menopause due to important diminution of estrogens and the privation of progesterone. The menopausal voice syndrome presents clinical signs, which we will describe. I consider menopausal patients to fit into 2 broad types: the “Modigliani” types, rather thin and slender with little adipose tissue, and the “Rubens” types, with a rounded figure with more fat cells. Androgen derivatives are transformed to estrogens in fat cells. Hormonal replacement therapy should be carefully considered in the context of premenopausal symptom severity as alternative medicine. Hippocrates: “Your diet is your first medicine.”


ASHA Leader ◽  
2014 ◽  
Vol 19 (2) ◽  
pp. 22-23
Author(s):  
Kellie Rowden-Racette
Keyword(s):  

1982 ◽  
Vol 27 (9) ◽  
pp. 690-692 ◽  
Author(s):  
Janet Pierrehumbert ◽  
Mark Liberman

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