The social inclusion of young people with serious mental illness: A narrative review of the literature and suggested future directions

2018 ◽  
Vol 53 (1) ◽  
pp. 15-26 ◽  
Author(s):  
Andrew Gardner ◽  
Kate Filia ◽  
Eóin Killackey ◽  
Sue Cotton

Background: Social inclusion involves objective participatory (e.g. education/employment) and subjective (e.g. sense of belonging/acceptance) elements across multiple domains. It has been associated with enhanced physical and mental wellbeing yet is a novel construct in the empirical literature (i.e. measures have not been sufficiently developed). Aims: Young people with serious mental illness are reported to be socially excluded. It is unclear whether this is reflected in the social inclusion/exclusion literature. The aim of this narrative review is to determine whether such literature permits a comprehensive (i.e. multi-dimensional, objective and subjective) understanding of social inclusion among young people with serious mental illness. Methods: Searches to identify studies related to the social inclusion and/or exclusion of young people with serious mental illness were conducted on 16 February 2016, 24 August 2016, 16 February 2017, 24 August 2017 and 16 February 2018 in PsycINFO, MEDLINE, the Cochrane Library, SCOPUS, Open Grey, Web of Science, Google and Google Scholar. Results: There is a paucity of research in the explicit social inclusion literature involving young people either with or without serious mental illness as participants. Literatures exist in related independent areas of research (e.g. employment, social networks), but such studies employ heterogeneous methodologies. Conclusion: Multi-dimensional measures of social inclusion incorporating objective and subjective indicators must be developed for young people with and without serious mental illness. This will enable the generation of normative and clinical data. Existing evidence for the social exclusion of young people with serious mental illness comes from objective indicators in isolated domains (e.g. unemployment). Subjective indicators continue to be under-researched. The above-described measures must be employed to further understanding of the apparent discrepancies between young people with serious mental illness and those without serious mental illness. This will elucidate the relationships between objective and subjective elements of social inclusion and the relationships between these elements and the psychological distress that young people with serious mental illness often experience. This has implications for intervention.

2020 ◽  
Vol 21 (2) ◽  
pp. 147-153
Author(s):  
Virgilio Abrahão Junior ◽  
Julia Alejandra Pezuk

Resumo Atualmente no Brasil é possível observar uma parcela da população jovens, principalmente nas classes sociais mais baixas, sujeitos a situações que acarretam maior susceptibilidade para se envolver com drogas, prostituição, crimes, gravidez e doenças sexualmente transmissíveis. Diversos fatores psicossociais são necessários para que os adolescentes passem pela adolescência sem a necessidade deste tipo de envolvimentos. A recreação e o lazer podem ser usados como instrumento para facilitar a inclusão social e ao mercado de trabalho de jovens marginalizados. O impacto emocional positivo do uso da recreação e do lazer favorece o bem-estar e auxilia na inclusão social de adolescentes, e possibilitam o uso dessas ferramentas para serem explorados em eventos e atividades recreativas. Nesse contexto, o presente trabalho tem como objetivo mostrar a importância do desenvolvimento de projetos sobre recreação e o lazer para a inclusão social de jovens. Para isso é relatada a experiência com o Programa Social realizado na cidade de Guarulhos/SP intitulado Programa Oportunidade ao Jovem, que busca a qualificação profissional dos jovens da cidade que se encontram em situação de risco e pobreza, e que estão em geral excluídos da sociedade. Mostramos aqui que a inclusão social por meio de programas sociais usando atividades recreativas facilita a inserção social de jovens marginalizados e devem ser consideradas nas políticas públicas. Pois ainda permitem que adolescentes em situação econômica precária tenham a possibilidade de exercer uma profissão na área de recreação ao término dos cursos dos programas, impactando significativamente na vida desses jovens.   Palavras-chave: Programa Social. Agente de Recreação. Políticas Públicas.   Abstract In Brazil it is possible to observe a portion of the young population, mainly in the lower social classes, who are subject to situations that cause greater susceptibility to get involved with drugs, prostitution, crimes, pregnancy and sexually transmitted diseases. Several psychosocial factors are necessary for adolescents to go through adolescence without the need for this type of involvement. Recreation can be used as an instrument to facilitate social inclusion and the labor market for marginalized youth. The positive emotional impact of recreation favors well-being and assists in the social inclusion of adolescents and enables the use of these tools to be explored in events and recreational activities. In this context, this paper aims to show the importance of developing projects on recreation for the social inclusion of young people. For this, the experience with the Social Program carried out in the city of Guarulhos / SP entitled Programa Oportunidade ao Jovem, which seeks the professional qualification of young people in the city who are at risk and poverty, and who are in general excluded from society, is reported. We show here that social inclusion through social programs using recreational activities facilitates the social insertion of marginalized youth and should be considered in public policies. Because they still allow adolescents in a precarious economic situation to have the possibility of exercising a profession in the area of recreation at the end of the program courses, significantly impacting the lives of these young people   Keywords: Social Program. Recreation Agent. Public Policy.


2014 ◽  
Vol 2 (2) ◽  
pp. 17-27 ◽  
Author(s):  
Liudmila Kirpitchenko ◽  
Fethi Mansouri

This article explores migrant young people’s engagement, participation and involvement in socially meaningful activities, events and experiences. This type of social participation is approached in the social inclusion literature using the notions of social capital and active citizenship (Bourdieu, 1986; Coleman, 1988; Putnam, 1993; Putnam, 2000). A key objective, therefore, is to explore the attitudes, values and perceptions associated with social participation for young people. They include the meanings that social engagement has for migrant young people, along with drivers and inhibitions to active participation. The article focuses on both the motives for being actively engaged as well as perceived barriers to social engagement. It is based on a large study conducted among migrant young people of African, Arabic-speaking and Pacific Islander backgrounds in Melbourne and Brisbane, and presents both quantitative and qualitative (discursive) snapshots from the overall findings, based on interviews and focus groups. While many studies have centred on the management of migration and migrants, this article draws attention to the individuals’ active position in negotiating, interpreting and appropriating the conditions of social inclusion. Accounting for the multidimensional and multilayered nature of social inclusion, the paper highlights the heuristic role of social engagement in fostering the feelings of belonging and personal growth for migrant youth.


2020 ◽  
Vol 10 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Maria Liegghio

While globally advances have been made to recognize children as social actors in their own right, for psychiatrized young people their experiences of distress are often seen as a limitation and thus used as a justification for denying their meaningful participation in matters of concern to their lives. However, what would it mean if ‘mental illness’ was not seen as a ‘limitation’, but rather as an ‘epistemological position’ from which the social world is experienced, understood and acted upon? What would it mean if our theories about ‘distress’ and ‘helping’ were premised on the subjugated knowledges of psychiatrized children and youth? The consumer/survivor-led research movement has made significant gains in answering these questions for the adult, but not necessarily for the child and youth mental health field. The purpose of this article is to critically examine the significance of psychiatrized young people setting and executing their own research and, ultimately, practice agendas. Presented are the outcomes of an evaluation of a participatory action research project examining the stigma of mental illness conducted with seven psychiatrized youth, 14 to 17 years old. The outcomes suggest our roles as practitioners and researchers need to shift from being ‘agents’ working on behalf of to ‘allies’ working in solidarity with young people to change the social conditions of their marginalization. The article concludes with the limits of consumer/survivor-led research for addressing adultism and, instead, ends with a call for decolonizing children’s mental health.


2020 ◽  
Vol 1 (2) ◽  
pp. 146-165
Author(s):  
José González-Monteagudo ◽  
Alberto De la Portilla ◽  
Mario León-Sánchez

The article begins with an introduction to the Spanish context, focusing on migration, diversity, and the specific profile and needs of immigrant minors arriving alone in Spain, which raises the new professional roles of social educators working in intercultural diversity contexts. The second section of the article deals with educators' training of immigrant minors and young people, a relatively neglected and under-served field. Sections three and four are dedicated to present two training experiences we have carried out, on a four-month online course for under-age educators and a short-term face-to-face course on the same topic


2020 ◽  
Vol 222 (Supplement_5) ◽  
pp. S401-S409
Author(s):  
Monica Adams ◽  
Catlainn Sionean ◽  
Dita Broz ◽  
Rashunda Lewis ◽  
Cyprian Wejnert ◽  
...  

Abstract Background Data on behavioral correlates of mental illness among young people who inject drugs (PWID) are limited. We examine injection risks and healthcare use among young PWID with probable serious mental illness (PSMI). Methods People who inject drugs were recruited and interviewed in 20 US cities for 2015 National HIV Behavioral Surveillance. Probable serious mental illness was assessed using the Kessler-6 screening scale. Bivariate analyses using log-linked Poisson regression with generalized estimating equations adjusted for design covariates were conducted to examine associations between PSMI and behaviors among PWID ages 18–29 years. Results Of 1769 young PWID, 45% had PSMI. Compared to those without PSMI, PWID with PSMI were more likely to report injecting more than once a day, receptive syringe sharing, sharing of other injection equipment, and unmet needs for medical care and substance use disorder (SUD) treatment. Those with PSMI were less likely to use syringe services programs than those without PSMI. Conclusions Approximately half of young PWID had PSMI. People who inject drugs with PSMI engaged in high-risk injection behaviors and encountered barriers to healthcare. Human immunodeficiency virus prevention programs such as Syringe Services Programs (SSPs) could benefit from screening for mental illness among young PWID and strong linkage to healthcare, including mental health and SUD treatment.


2019 ◽  
Vol 65 (7-8) ◽  
pp. 631-642
Author(s):  
Andrew Gardner ◽  
Sue Cotton ◽  
Brian O’Donoghue ◽  
Eóin Killackey ◽  
Peter Norton ◽  
...  

Aims: Young adults with serious mental illness (SMI) are thought to be socially excluded. However, psychometric measures of social inclusion have not been employed to examine group differences relative to peers from the general community. The aim of this study was to employ such a measure to determine differences in social inclusion between young adults with SMI and peers from the general community. Methods: A cross-sectional hierarchical logistic regression was conducted to identify which dimensions and individual indicators from the Filia Social Inclusion Measure (F-SIM) discriminated between n = 152 young adults aged 18–25 from the general community ( M = 21.36, SD = 2.16) and n = 159 young adults aged 18–25 with SMI ( M = 21.13, SD = 2.21). Results: Group membership was accounted for by Interpersonal Connections (Nagelkerke R2 = .32), Vocational & Financial Security (Nagelkerke R2 = .32) and Healthy Independent Lifestyle (Nagelkerke R2 = .08) dimensions of the F-SIM. Relative to young adults from the general community, those with SMI were five times less likely to feel they had friends who would call on them in a crisis, odds ratio (OR) = .19 (95%CI = .04, .53), p = .04, almost five times more likely to live with their parents, OR = 4.79 (95%CI = 1.98,11.15), p = .004, almost four times less likely to have worked/studied any time over the past 12 months, OR = .27 (95%CI = .11,.64), p < .001, and three-and-a-half times more likely to report unstable accommodation, OR = 3.58 (95%CI = 1.14, 11.15), p = .03. Conclusion: Young adults with SMI are socially excluded relative to peers from the general community in terms of interpersonal connections, vocational engagement, autonomy/independence and housing stability. In addition to the well-established focus on vocational engagement, interventions to improve social inclusion in this population must promote reciprocity within social relationships and healthy autonomy/independence (including stable housing).


The book offers a new outlook on social, cultural and educational work with young people. It is the perspective of social pedagogy: a theoretical and practical perspective that has been developing in continental Europe over the last 150 years. Social pedagogy poses a way of acting that places young people at the center of socio-educational work, putting their decisions and actions into value. It aims to accompany them in their life process of personal construction within the framework of the community in which they live. The book is organized into three large blocks of chapters. The introduction aims to prepare readers for the social pedagogy approach to work with young people. It briefly outlines its current situation in the world and, relate it to the main professions in which it is embodied in different socio-cultural contexts: social pedagogy, social education, and social work. The first block presents the framework and socio-pedagogical, theoretical, and practical parameters in which work with young people takes place in Europe and Latin America. The second block of chapters deals with youth policies and the training and professionalization of educators and those who work with young people. The last block focuses on some socio-educational practices with young people that include youth justice, social inclusion process, youth participation in digital life or transition to adult life. The book is based on a wide perspective of young people from cultural diversity. All the contributions of this book are based on research and practical experiences.


2021 ◽  
Author(s):  
Hiran Thabrew ◽  
Christa Fouché ◽  
Laura Ann Chubb ◽  
Stacey Yates ◽  
Harshali Kumar ◽  
...  

BACKGROUND Hospitalized children and young people can feel disconnected from their peers and families, which can in turn predispose them to psychological problems including anxiety and depression. Immersive Reality Experiences (IRE) technology, recently developed by the New Zealand Patience Project Charitable Trust may help to overcome these issues. IRE technology uses immersive 360-degree live-streaming and a virtual reality (VR) headset to enable hospitalized children and young people to connect with cameras located in either their school or home environment. OBJECTIVE This trial was undertaken to 1) quantitatively evaluate the effectiveness of IRE technology in reducing social isolation and improving social connectedness and wellbeing using validated outcome measures and 2) expand qualitative findings from a previous smaller ‘proof of concept’ trial to ascertain the views of hospitalized New Zealand children and young people, their caregivers and teachers regarding IRE technology. METHODS An open trial of IRE technology was conducted between December 2019 and December 2020 and included 19 New Zealand children and young people aged 13-18, who had been hospitalized at Starship Hospital, a specialist pediatric hospital in Auckland, for at least 2-weeks. All participants completed the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS), an abbreviated version of the Social Connectedness Scale (SCS) and the Social Inclusion Scale (SIS) and at baseline. Ten participants used IRE technology as often as they wished over a 6-week period and completed post-intervention measures. Semi-structured interviews with a subset of participants, caregivers and teachers were conducted immediately post-intervention. RESULTS Participants reported improvements in social inclusion (mean change 3.9, SD 2.8, p 0.057), social connectedness (mean change 14.2, SD 10.0, p 0.002) and well-being (mean change 5.7, SD 4.0, p 0.003). Key themes from interviews with participants, caregivers and teachers were: the importance of support for using IRE technology, connecting vs connectedness, choice and connection, and the value of setting it up and getting it right. A number of recommendations for improving connectedness via IRE and related technology were also provided. CONCLUSIONS IRE technology can improve the social inclusion, social connectedness and well-being of hospitalized New Zealand children and young people. With some technological modifications and simplified implementation, IRE technology could become part of standard care and support hospitalized children and young people in New Zealand and elsewhere to sustain family and peer cohesion, experience fewer psychological problems and more easily return to normal life following completion of treatment. CLINICALTRIAL This study has been registered with the Australian New Zealand Clinical Trials Network Registry: ACTRN12619000252112p


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