Fatherhood Among Youth Experiencing Homelessness

2020 ◽  
Vol 101 (4) ◽  
pp. 484-497
Author(s):  
Jonathan Alschech ◽  
Stephanie Begun
Keyword(s):  
Pregnant Women ◽  
Service Provision ◽  
Exploratory Study ◽  
Qualitative Interviews ◽  
Young Men ◽  
Intervention Development ◽  
Alternative Conceptions ◽  
Young Parents

Research on young parents experiencing homelessness has typically focused on mothers and pregnant women. Young homeless fathers’ tendencies to decline involvement throughout pregnancy and in their children’s lives have been documented and condemned; however, little is known about young men’s perspectives on these situations. This exploratory study engaged homeless young men in qualitative interviews regarding their perceptions and experiences of fathering. Respondents often viewed fatherhood as solely representing breadwinner responsibilities and as a burden that one dutifully carries or shamefully (yet commonly) shirks. Homeless young men’s beliefs about fathering, often steeped in guilt and shame, may suggest that encouraging alternative conceptions of competent fathering while young and homeless is an important area for further research, intervention development, and service provision.

scholarly journals “A Legacy of Confusion”: An Exploratory Study of Service Provision under the Reinstated Interim Federal Health Program

Refuge ◽  
2018 ◽  
Vol 34 (2) ◽  
pp. 94-102
Author(s):  
Y.Y. Brandon Chen ◽  
Vanessa Gruben ◽  
Jamie Chai Yun Liew
Keyword(s):  
Service Provision ◽  
Exploratory Study ◽  
Health Program ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Care Program ◽  
National Scale ◽  
Health Care Program ◽  
The City ◽  
Interim Federal Health Program

Afer years of cuts, Canada’s refugee health-care program, the Interim Federal Health Program (IFHP), was fully restored in 2016. In this exploratory study, eleven semi-structured qualitative interviews were conducted with refugee service providers in the City of Ottawa to learn about their experience with the restored IFHP to date. Five themes emerged from the interviews: service provision challenges during the years of IFHP cuts; support for IFHP restoration; entitlement gaps in the current IFHP; ongoing confusion about the IFHP; and administrative barriers deterring health professionals from IFHP participation. More research is needed to determine whether the identifed challenges with the reinstated IFHP arise on a national scale.

scholarly journals Service providers’ use of harm reduction approaches in working with older adults experiencing abuse: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Donna Goodridge ◽  
Kerstin Stieber Roger ◽  
Christine A. Walsh ◽  
Elliot PausJenssen ◽  
Marina Cewick ◽  
...  
Keyword(s):  
Older Adults ◽  
Harm Reduction ◽  
Professional Practice ◽  
Service Provision ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Risk Environment ◽  
Intervention Process ◽  
Process Enactment ◽  
Humanistic Approach

Abstract Background Although abuse experienced by older adults is common and expected to increase, disclosure, reporting and interventions to prevent or mitigate abuse remain sub-optimal. Incorporating principles of harm reduction into service provision has been advocated as a strategy that may improve outcomes for this population. This paper explores whether and how these principles of harm reduction were employed by professionals who provide services to older adults experiencing abuse. Methods Thematic analysis of qualitative interviews with 23 professionals providing services to older adults experiencing abuse across three Western provinces of Canada was conducted. Key principles of harm reduction (humanism, incrementalism, individualism, pragmatism, autonomy, and accountability without termination) were used as a framework for organizing the themes. Results Our analysis illustrated a clear congruence between each of the six harm reduction principles and the approaches reflected in the narratives of professionals who provided services to this population, although these were not explicitly articulated as harm reduction by participants. Each of the harm reduction principles was evident in service providers’ description of their professional practice with abused older adults, although some principles were emphasized differentially at different phases of the disclosure and intervention process. Enactment of a humanistic approach formed the basis of the therapeutic client-provider relationships with abused older adults, with incremental, individual, and pragmatic principles also apparent in the discourse of participants. While respect for the older adult’s autonomy figured prominently in the data, concerns about the welfare of the older adults with questionable capacity were expressed when they did not engage with services or chose to return to a high-risk environment. Accountability without termination of the client-provider relationship was reflected in continuation of support regardless of the decisions made by the older adult experiencing abuse. Conclusions Harm reduction approaches are evident in service providers’ accounts of working with older adults experiencing abuse. While further refinement of the operational definitions of harm reduction principles specific to their application with older adults is still required, this harm reduction framework aligns well with both the ethical imperatives and the practical realities of supporting older adults experiencing abuse.

scholarly journals Perceptions of Peer Support for Victim-Survivors of Sexual Violence and Abuse: An Exploratory Study With Key Stakeholders

2021 ◽  
pp. 088626052110079
Author(s):  
Alison Gregory ◽  
Emma Johnson ◽  
Gene Feder ◽  
John Campbell ◽  
Judit Konya ◽  
...  
Keyword(s):  
Sexual Violence ◽  
Peer Support ◽  
Service Provision ◽  
Exploratory Study ◽  
Good Practice ◽  
Medical Model ◽  
Service Improvement ◽  
Physical And Mental Health ◽  
Safety Considerations ◽  
The Uk

Experiences of sexual violence, childhood sexual abuse, and sexual assault are common across all societies. These experiences damage physical and mental health, coping ability, and relationships with others. Given the breadth and magnitude of impacts, it is imperative that there are effective, accessible services to support victim-survivors, ease suffering, and empower people to cope, recover and thrive. Service provision for this population in the United Kingdom is complex and has been hit substantially by austerity. Since positive social support can buffer against negative impacts, peer support may be an effective approach. The aim of this exploratory study was to capture the views and perspectives of professional stakeholders concerning service provision for victim-survivors, particularly perceptions of peer support. In-depth semistructured interviews were conducted in the UK during 2018 with six professional stakeholders, highly experienced in the field of service provision for victim-survivors of sexual violence and abuse. An abductive approach to analysis was used, applying principles from thematic analysis. Our sample comprised four females and two males, and their roles included psychiatrist, general practitioner, service improvement facilitator, and senior positions within victim-survivor organizations. Interviews highlighted models of peer support for this population, good practice and safety considerations, and a lack of uniformity regarding quality and governance standards across the sector. Findings indicated that current funding models impact negatively on victim-survivor services, and that provision is fragmented and insufficient across statutory and not-for-profit sectors. The influence of the medical model upon service provision was evident, which resulted in apprehension around support delivered in less-usual forms—including peer support. Further research is needed to explore the potential of peer support for victim-survivors of sexual violence and abuse.

scholarly journals Prevalence of hepatitis B and C seropositivity in pregnant women

2014 ◽  
Vol 48 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Carla Natalina da Silva Fernandes ◽  
Michelly de Melo Alves ◽  
Michelly Lorrane de Souza ◽  
Gleyce Alves Machado ◽  
Gleiber Couto ◽  
...  
Keyword(s):  
Data Analysis ◽  
Hepatitis B ◽  
Confidence Interval ◽  
Pregnant Women ◽  
Exploratory Study ◽  
Maternity Hospital ◽  
Hospital Records ◽  
Significance Level

The aim of the study was to identify the prevalence of hepatitis B and C seropositivity in pregnant women attended in a public maternity hospital located in Catalao-GO from 2005 to 2009. Descriptive, exploratory study conducted through patients` hospital records. For data analysis, we used SPSS version 18.0. The confidence interval (CI) was calculated using the Person χ² test, considering a significance level of 5% (p <0.05). The prevalence of HBV was 5.64% and HCV 0.098%, predominantly in young pregnant women aged between 20 and 30 years old, single and in their first pregnancy.

scholarly journals Guidance on how to develop complex interventions to improve health and healthcare

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029954 ◽  
Author(s):  
Alicia O'Cathain ◽  
Liz Croot ◽  
Edward Duncan ◽  
Nikki Rousseau ◽  
Katie Sworn ◽  
...  
Keyword(s):  
Research Evidence ◽  
Qualitative Interviews ◽  
Complex Interventions ◽  
Intervention Development ◽  
Primary Data ◽  
Programme Theory ◽  
Key Points ◽  
Stakeholder Input ◽  
Published Research ◽  
Improve Health

ObjectiveTo provide researchers with guidance on actions to take during intervention development.Summary of key pointsBased on a consensus exercise informed by reviews and qualitative interviews, we present key principles and actions for consideration when developing interventions to improve health. These include seeing intervention development as a dynamic iterative process, involving stakeholders, reviewing published research evidence, drawing on existing theories, articulating programme theory, undertaking primary data collection, understanding context, paying attention to future implementation in the real world and designing and refining an intervention using iterative cycles of development with stakeholder input throughout.ConclusionResearchers should consider each action by addressing its relevance to a specific intervention in a specific context, both at the start and throughout the development process.

scholarly journals ‘This sickness is not hospital sickness’: a qualitative study of the evil eye as a source of neonatal illness in Ghana

2019 ◽  
Vol 52 (2) ◽  
pp. 159-167 ◽  
Author(s):  
April J. Bell ◽  
Zelda Arku ◽  
Ashura Bakari ◽  
Samuel A. Oppong ◽  
Jessica Youngblood ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Comparative Method ◽  
Qualitative Interviews ◽  
Tertiary Care ◽  
Care Seeking ◽  
Evil Eye ◽  
Life Threatening ◽  
Illness Attribution ◽  
Life Threatening Complication ◽  
Tertiary Care Hospitals

AbstractPrevious research has described the evil eye as a source of illness for pregnant women and their newborns. This study sought to explore the perceptions of the evil eye among mothers whose newborns had experienced a life-threatening complication across three regions of Ghana. As part of a larger, quantitative study, trained research assistants identified pregnant and newly delivered women (and their newborns) who had survived a life-threatening complication at three tertiary care hospitals in southern Ghana to participate in open-ended, qualitative interviews about their experiences in March–August 2015. All interviews were audio-recorded and transcribed verbatim into English and analysis using the constant comparative method of theme generation. A total of 37 mothers were interviewed, 20 about neonatal illnesses and 17 about maternal illnesses. Six of the 20 mothers interviewed about their newborn’s illnesses spoke at length about the evil eye being a potential cause of newborn illness. The evil eye was described in a variety of terms, but commonalities included a person looking at a pregnant woman, her newborn baby, the baby’s clothes and even the mother’s food, causing harm, even unintentionally. Prevention required mothers covering themselves while pregnant and keeping the baby away from others until it was old enough to ward off the evil eye. Treatment required traditional medicine, yet some indicated that allopathic medicine could help. The evil eye appears to serve a social control mechanism, encouraging pregnant women to dress modestly, stay indoors as much as possible and behave appropriately. The evil eye is a pervasive, universally understood phenomenon across three regions of Ghana, even amongst a hospitalized population receiving allopathic health care for life-threatening complications of childbirth. Understanding the role of the evil eye in newborn illness attribution is important for clinicians, researchers and programmatic staff to effectively address barriers to care seeking.

Facilitating Efficiency and Flexibility Ambidexterity in Project-Based Organizations: An Exploratory Study of Organizational Antecedents

2020 ◽  
Vol 51 (5) ◽  
pp. 556-572
Author(s):  
Xiuxia Sun ◽  
Fangwei Zhu ◽  
Mouxuan Sun ◽  
Ralf Müller ◽  
Miao Yu
Keyword(s):  
Case Studies ◽  
Human Resource ◽  
Exploratory Study ◽  
Qualitative Interviews ◽  
Multiple Case Study ◽  
Changing Environments ◽  
Human Resource Policies ◽  
Different Types ◽  
Multiple Case

Through an exploratory multiple-case study in the context of project-based organizations in China, this study aims to identify the antecedents that facilitate three prevalent types of ambidexterity, namely, structural, sequential, and contextual ambidexterity. To understand and theorize on this phenomenon, seven case studies with 76 qualitative interviews were held. The results show that unpredictable and changing environments set the enabling context for ambidexterity, whereas design choices involving dimensions of structure, processes, empowerment, rewards, and human resource policies serve as structural antecedents. The managers and employees who respectively behave in supportive and initiative ways ultimately trigger different types of ambidexterity.

What’s a Threat on Social Media? How Black and Latino Chicago Young Men Define and Navigate Threats Online

2017 ◽  
Vol 51 (6) ◽  
pp. 756-772 ◽  
Author(s):  
Desmond Upton Patton ◽  
Patrick Leonard ◽  
Caitlin Elaesser ◽  
Robert D. Eschmann ◽  
Sadiq Patel ◽  
...  
Keyword(s):  
Social Media ◽  
Violence Prevention ◽  
Youth Violence ◽  
Qualitative Interviews ◽  
Young Men ◽  
Urban Neighborhoods ◽  
Urban Street ◽  
Or Groups ◽  
Social Media Platforms ◽  
Black And Latino

Youth living in violent urban neighborhoods increasingly post messages online from urban street corners. The decline of the digital divide and the proliferation of social media platforms connect youth to peer communities who may share experiences with neighborhood stress and trauma. Social media can also be used for targeted retribution when threats and insults are directed at individuals or groups. Recent research suggests that gang-involved youth may use social media to brag, post fight videos, insult, and threaten—a phenomenon termed Internet banging. In this article, we leverage “code of the digital street” to understand how and in what ways social media facilitates urban-based youth violence. We utilize qualitative interviews from 33 Black and Latino young men who frequent violence prevention programs and live in violent neighborhoods in Chicago. Emerging themes describe how and why online threats are conceptualized on social media. Implications for violence prevention and criminal investigations are discussed.

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