scholarly journals Mapping transitional care pathways among young people discharged from adolescent forensic medium secure units in England

2019 ◽  
Vol 60 (1) ◽  
pp. 45-53
Author(s):  
Maria Livanou ◽  
Swaran P Singh ◽  
Fani Liapi ◽  
Vivek Furtado

This study tracked young offenders transitioning from national adolescent forensic medium secure units to adult services in the UK within a six-month period. We used a mapping exercise to identify eligible participants moving during the study period from all national adolescent forensic medium secure units in England. Young people older than 17.5 years or those who had turned 18 years (transition boundary) and had been referred to adult and community services were included. Of the 34 patients identified, 53% moved to forensic adult inpatient services. Psychosis was the most prevalent symptom among males (29%), and emerging personality disorder symptomatology was commonly reported among females (18%) followed by learning disability (24%). The mean time for transition to adult mental-health services and community settings was eight months. There were no shared transition or discharge policies, and only two hospitals had discharge guidelines. The findings highlight the need for consistency between policy and practice among services along with the development of individualised care pathways. Future qualitative research is needed to understand and reflect on young people’s and carers’ experiences to improve transition service delivery.

2018 ◽  
Vol 42 (2) ◽  
pp. 176-188 ◽  
Author(s):  
Justin Rogers

This article presents findings from research into how young people growing up in foster care in the UK manage the relationships in their social networks and gain access to social capital. It is a concept that highlights the value of relationships and is relevant to young people in care as they have usually experienced disruptions to their social and family life. Qualitative methods were used and the findings show that despite experiencing disruption to their social networks, the young people demonstrated that they were able to maintain access to their social capital. They achieved this in two ways. Firstly, they preserved their relationships, often through what can be seen as ordinary practices but in the extraordinary context of being in foster care. Secondly, they engaged in creative practices of memorialisation to preserve relationships that had ended or had been significantly impaired due to their experience of separation and movement. The article highlights implications for policy and practice, including the need to recognise the value of young people’s personal possessions. Furthermore, it stresses the need to support them to maintain their relationships across their networks as this facilitates their access to social capital.


Author(s):  
Nathalie Huegler ◽  
Natasha Kersh

AbstractThis chapter focuses on contexts where public discourses regarding the education of young adults have been dominated by socio-economic perspectives, with a focus on the role of employment-related learning, skills and chances and with active participation in the labour market as a key concern for policy makers. A focus on ‘employability’ alone has been linked to narrow conceptualisations of participation, inclusion and citizenship, arising in the context of discourse shifts through neoliberalism which emphasise workfare over welfare and responsibilities over rights. A key critique of such contexts is that the focus moves from addressing barriers to participation to framing social inclusion predominantly as related to expectations of ‘activation’ and sometimes, assimilation. Key target groups for discourses of activation include young people not in education, employment or training (‘NEET’), while in- and exclusion of migrant and ethnic minority young people are often framed within the complex and contradictory interplay between discourses of assimilation and experiences of discrimination. These developments influence the field of adult education aimed at young people vulnerable to social exclusion. An alternative discourse to ‘activation’ is the promotion of young people’s skills and capabilities that enables them to engage in forms of citizenship activism, challenging structural barriers that lead to exclusion. Our chapter considers selected examples from EduMAP research in the UK, the Netherlands and Ireland which indicate that as well as framing the participation of young people as discourses of ‘activation’, adult education can also enable and facilitate skills related to more activist forms of citizenship participation.


1992 ◽  
Vol 17 (3) ◽  
pp. 17-22 ◽  
Author(s):  
Margaret Liddell

This paper examines the way the state welfare system deals with young women who are subject to statutory orders and their need for support as they move towards independence. Young women’s views of their needs are highlighted. Evidence is drawn from the author’s and other relevant Australian and overseas research. The issues are examined within the context of general community trends and policy and practice implications are studied using Community Services Victoria as a case example.A variety of social and economic factors are leading to young people in the general community living with their parents for longer periods of time. In contrast, young people subject to statutory orders, especially young women, are often being discharged from these orders - and thus isolated from adult guidance - shortly after they pass their mid-teens.Assumptions about these young women’s needs - that they no longer require nor wish for support and are ready for complete independence at this early age - are challenged. The legal, organisational and practice constraints which reinforce these assumptions are analysed. The apparent contradiction arising from young women refusing services which they also say they require, is also discussed.The author demonstrates that there is a need for a reconceptualisation of the issue. A new kind of partnership between workers and young women on statutory orders is needed and a policy and administrative framework which facilitates this. The implications of the findings for practice and policy - and especially the important contribution ttiat young women’s views can make to the development of social policy - are presented.


2020 ◽  
Vol 3 (2) ◽  
pp. 98
Author(s):  
Xiaomin Sheng

This paper presents a qualitative systematic review of educational policy and practice on tackling intimate partner violence (IPV) among young people in the UK. Up to date, the majority of school-based IPV interventions were conducted in the US and now there is growing consensus among UK policymakers, researchers and practitioners as well to address IPV issues through educational practice. This review aims at gathering evidence of the type and nature of policies and institutional level practice adopted to tackle IPV issues among young people within an educational context, and what impacts these interventions have on mitigating the occurrence of IPV. In undertaking this review, three databases (Eric, BEI and Scopus) were searched and grey literature was manually added. Findings from the review suggest that the majority of interventions were effective in altering attitude and promoting awareness of IPV. Still, longitudinal studies are needed to see if changes in attitude can be translated into the effective behavioural alteration in real-life situation. Although most students expressed satisfaction toward the existing interventions, it was also found that lack of consideration of gender can lead to uncomfortable feelings among students. There were contradictory views regarding whether teachers or external experts would be a better person to deliver the intervention and who was the person students preferred to turn to for help. Besides, country-wide interventions are needed to make sure all schools have an opportunity to provide IPV education, and the support from the UK government is of crucial importance to make this happen.


Author(s):  
Sophie Wood ◽  
Sarah Rees ◽  
Ting Wang ◽  
Amanda Marchant ◽  
Ashley Akbari ◽  
...  

IntroductionThe diagnosis, management and services available for mental disorders are of growing concern and controversy in the UK. Transitional care between child and adult services and the interface between primary and secondary/ specialist services is often disjointed and thresholds for referral to Child and Adolescent Mental Health Services are high. Objectives and ApproachRoutinely collected healthcare datasets and data linkage were used to identify patterns of healthcare utilisation by young people and young adults with mental health disorders across the four UK Nations. We explored the extent to which routinely collected datasets can contribute to an assessment of the health needs and the quality of care that children and young people with mental health disorders receive. Data was requested from the national data providers in each country. A series of descriptive analyses were performed and methods were developed for cross- national comparisons to be made (e.g. Four Nation Person Spell). ResultsIt is feasible to explore healthcare utilisation across the four countries of the UK using routine data. However the recording, availability and access varied considerably between countries, making meaningful comparisons challenging. Descriptive analyses showed strong deprivation gradients in the diagnoses and care provided for young people and young adults with mental health disorders. Depression and anxiety were the most commonly recorded mental health conditions in primary care. In secondary care drug/alcohol disorders and self-harm were the most commonly recorded. Re-admissions to emergency departments were higher for those admitted for self-harm or psychiatric conditions. Conclusion/ImplicationsRoutine data has the potential to make a difference to care. However collection and access needs to be standardised in order to improve efficiency and effectiveness in improving the care for children and young people with mental health disorders. MQ has funded an Adolescent Data Platform to facilitate this.


2007 ◽  
Vol 33 (4) ◽  
pp. 368-379 ◽  
Author(s):  
K. L. Shaw ◽  
T. R. Southwood ◽  
J. E. McDonagh ◽  

Author(s):  
Maddy Coy

This chapter sets out that gender is critical to talking and theorising about sexual exploitation in two main ways: in understanding patterns of perpetration and victimisation, and in how policy and practice responds to young people. In the UK and around the globe, victims/survivors of sexual exploitation are disproportionately girls, and those who abuse and exploit them are mostly men and boys. Yet in much policy and public discussion, sexual exploitation is often framed as an issue involving ‘children’, without attention to the asymmetry between experiences of young women and young men. The chapter thus draws on bell hooks to suggest that sexual exploitation can be conceptualised as a form of patriarchal violence, an approach reflecting decades of feminist analysis that links sexual abuse and exploitation to patriarchal power. Throughout the chapter, implications for practice are highlighted and reiterated.


2021 ◽  
Vol 26 (11) ◽  
pp. 560-566
Author(s):  
Fiona McGregor ◽  
Martha Paisi ◽  
Ann Robinson ◽  
Jill Shawe

The sexual health needs of young people experiencing homelessness in the UK have not been researched adequately. This study aimed to examine knowledge and attitudes around sexual health and contraceptive use amongst this vulnerable group to develop suitable models of care in the community. A qualitative ethnographic case-study following Burawoy's extended case method was used. Semi-structured interviews with 29 young people experiencing homelessness and five key workers in London hostels were carried out together with ethnographic observations and analysis of documentary evidence. Thematic analysis was undertaken. Demographic data were collected. Three significant themes were identified: risks and extreme vulnerability, relationships and communication difficulties and emergence of a culture of homelessness. Young people experiencing homelessness require specialist delivery of sexual health care in safe surroundings. Initial care should focus on assessment of basic needs and current state of being. Establishing trusting relationships and considering ongoing vulnerability, can help promote meaningful and personalised sexual healthcare both at policy and practice level.


Author(s):  
Pauline Leonard ◽  
Rachel J. Wilde

This chapter outlines the key aims of the book: first, to explore what it is like for young people to undergo employability training as a pathway into work in the UK; second, to investigate the strategies and motivations of local policymakers and training providers, whose mission it is to achieve employability skills development indifferent regions of the UK; and third, through the lens of a Post-Foucauldian governmentality approach, to contribute theoretically to understanding of both policy and practice of youth employability training in the UK context. Each of these aims is introduced and the structure of the book’s chapters is presented.


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