scholarly journals On the move: Exploring Inuit and non-Inuit health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

2021 ◽  
Author(s):  
Sarah Louise Fraser ◽  
Louise Moulin ◽  
Dominique Gaulin ◽  
Jennifer Thompson
Keyword(s):  
Social Services ◽  
Police Officers ◽  
Service Providers ◽  
Care Service ◽  
Snowball Sampling ◽  
Indigenous Youth ◽  
Health And Social Services ◽  
Health Service Providers ◽  
Historical Factors ◽  
Access Services

Abstract Background: Literature about participation in health and social services suggests that youth, and more specifically Indigenous youth, are difficult to engage within health and social services. Youth are less likely to access services or to actively participate in decision-making regarding their personal care. Service providers play a crucial role in engaging youth based on the ways in which they seek, establish, and maintain relationships with youth and their families. The way in which providers engage with youth will depend on various factors including their own perceptions of the roles and relationships of the various people involved in youth’s lives. In this article, we analyze health and social service providers’ perspectives, experiences and expectations regarding the roles of Indigenous youth, families and community in care settings in Nunavik, Quebec. Methods: Using a snowball sampling approach, we recruited 58 interview participants (39 non-Inuit and 19 Inuit), including psychiatrists, general practitioners, nurses, social workers, school principals, teachers, student counsellors, representatives of local committees, and police officers. The interviews focused on three broad areas: 1) participants’ current and past positions and roles; 2) participants’ perceptions of the clientele they work with (youth and their families); and 3) participants’ understandings of how collaboration takes place within and between services and the community. We conducted inductive applied thematic analyses and then analyzed the interview transcripts of Inuit and non-Inuit participants separately to explore the similarities and differences in perceptions based on positionality. Results: We organized the findings around three themes: I) the most commonly described interventions, II) different types of challenges to and within participation; and III) what successful participation can look like according to service providers. Participants identified the challenges that families face in moving towards services as well as the challenges that services providers face in moving towards youth and families, including personal, organizational and historical factors. Conclusion: We adopt a critical lens to reflect on the key findings in order to tease out points of tension and paradoxes that might hinder the participation of youth and families, specifically in a social context of decolonization and self-governance of services.

scholarly journals On the move: Exploring Inuit and non-Inuit health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

2020 ◽  
Author(s):  
Sarah Louise Fraser ◽  
Louise Moulin ◽  
Dominique Gaulin ◽  
Jennifer Thompson
Keyword(s):  
Social Services ◽  
Police Officers ◽  
Service Providers ◽  
Care Service ◽  
Snowball Sampling ◽  
Indigenous Youth ◽  
Health And Social Services ◽  
Health Service Providers ◽  
Historical Factors ◽  
Access Services

Abstract Background Literature on participation in health and social services suggests that youth, and more specifically Indigenous youth, are difficult to engage within health and social services. They are less likely to access services or to actively participate in decision-making regarding their personal care. Service providers play a crucial role in engaging youth based on the ways in which they seek, establish, and maintain relationships with them and their families. The way in which they do so will depend on various factors including their own perceptions of roles and relationships of the various people involved in the life of youth. This article analyzes health and social service providers’ perspectives, experiences and expectations regarding the roles of a particular group of Indigenous youth, families and community in care settings in Nunavik, Quebec.Methods: A snowball sampling method was used to recruit participants. A total of 58 participants were interviewed including psychiatrists, general practitioners, nurses, social workers, school principals, teachers, student counsellors, representatives of local committees (education committee, health committee), and police officers. Of the 58 participants, 39 were non-Inuit and 19 were Inuit. All interviews focused on three broad areas: 1) participants’ current and past positions/roles; 2) participants’ perceptions of the clientele (youth and their families) they work with; and 3) participants’ understanding of collaborations taking place within and between services (who works with whom) and community. Inductive applied thematic analyses were conducted on the entirety of relevant data and then verbatim of Inuit and non-Inuit were analyzed separately to explore similarities and differences in perceptions based on positionality.Results: We organized findings around three themes: I) The most commonly described interventions, II) different types of challenges to and within participation; and III) what successful participation can look like according to service providers. Participants speak of the challenges for families to go towards services as well as the challenges for services providers to go towards youth and families, including personal, organisational and historical factors.Conclusion: We adopt a critical lens to reflect on the key findings in order to tease out points of tension and paradoxes that might hinder the participation of youth and families and more specifically in a social context of decolonization and self-governance of services.

scholarly journals On the move: exploring Inuit and non-Inuit health service providers’ perspectives about youth, family and community participation in care in Nunavik

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Louise Fraser ◽  
Louise Moulin ◽  
Dominique Gaulin ◽  
Jennifer Thompson
Keyword(s):  
Social Services ◽  
Police Officers ◽  
Service Providers ◽  
Care Service ◽  
Snowball Sampling ◽  
Indigenous Youth ◽  
Health And Social Services ◽  
Health Service Providers ◽  
Historical Factors ◽  
Access Services

Abstract Background Literature about participation in health and social services suggests that youth, and more specifically Indigenous youth, are difficult to engage within health and social services. Youth are less likely to access services or to actively participate in decision-making regarding their personal care. Service providers play a crucial role in engaging youth based on the ways in which they seek, establish, and maintain relationships with youth and their families. The way in which providers engage with youth will depend on various factors including their own perceptions of the roles and relationships of the various people involved in youth’s lives. In this article, we analyze health and social service providers’ perspectives, experiences and expectations regarding the roles of Indigenous youth, families and community in care settings in Nunavik, Quebec. Methods Using a snowball sampling approach, we recruited 58 interview participants (39 non-Inuit and 19 Inuit), including psychiatrists, general practitioners, nurses, social workers, school principals, teachers, student counsellors, representatives of local committees, and police officers. The interviews focused on three broad areas: 1) participants’ current and past positions and roles; 2) participants’ perceptions of the clientele they work with (youth and their families); and 3) participants’ understandings of how collaboration takes place within and between services and the community. We conducted inductive applied thematic analyses and then analyzed the interview transcripts of Inuit and non-Inuit participants separately to explore the similarities and differences in perceptions based on positionality. Results We organized the findings around three themes: I) the most commonly described interventions, II) different types of challenges to and within participation; and III) what successful participation can look like according to service providers. Participants identified the challenges that families face in moving towards services as well as the challenges that services providers face in moving towards youth and families, including personal, organizational and historical factors. Conclusion We adopt a critical lens to reflect on the key findings in order to tease out points of tension and paradoxes that might hinder the participation of youth and families, specifically in a social context of decolonization and self-governance of services.

scholarly journals On the move: Exploring Inuit and non-Inuit health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

2020 ◽  
Author(s):  
Sarah Louise Fraser ◽  
Louise Moulin ◽  
Dominique Gaulin ◽  
Jennifer Thompson
Keyword(s):  
Social Services ◽  
Service Providers ◽  
Care Service ◽  
Snowball Sampling ◽  
Indigenous Youth ◽  
Health And Social Services ◽  
Health Service Providers ◽  
Historical Factors ◽  
Access Services ◽  
Do So

Abstract Background Literature on participation in health and social services suggests that youth, and more specifically Indigenous youth, are difficult to engage within health and social services. They are less likely to access services or to actively participate in decision-making regarding their personal care. Service providers play a crucial role in engaging youth based on the ways in which they seek, and maintain relationships with youthand their families. The way in which they do so will depend on various factors including their own perceptions of roles and relationships of the various people involved in the life of youth. This article analyzes Inuit and non-Inuit health and social service providers’ perspectives, experiences and expectations regarding the roles of a particular group of Indigenous youth, families and community in care settings in Nunavik, Quebec. Methods: A snowball sampling method was used to recruit participants. A total of 58 participants (39 non-Inuit and 19 were Inuit) were interviewed. All interviews focused on three broad areas: 1) participants’ current and past positions/roles; 2) participants’ perceptions of the clientele they work with; and 3) participants’ understanding of collaborations taking place within and between services (who works with whom) and community. Inductive applied thematic analyses were conducted on the entirety of relevant data and then verbatim of Inuit and non-Inuit were analyzed separately to explore similarities and differences in perceptions based on positionality. Results: We organized findings around three themes: I) The most commonly described interventions, II) different types of challenges to and within participation; and III) what successful participation can look like according to service providers. Participants speak of the challenges for families to go towards services as well as the challenges for services providers to go towards youth and families, including personal, organisational and historical factors. Conclusion: We adopt a critical lens to reflect on the key findings in order to tease out points of tension and paradoxes that might hinder the participation of youth and families and more specifically in a social context of decolonization and self-governance of services.

scholarly journals On the move: Exploring health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

2020 ◽  
Author(s):  
Sarah Louise Fraser ◽  
Louise Moulin ◽  
Dominique Gaulin ◽  
Jennifer Thompson
Keyword(s):  
Health Service ◽  
Social Services ◽  
Police Officers ◽  
Service Providers ◽  
Snowball Sampling ◽  
Health Service Provider ◽  
Indigenous Youth ◽  
Health And Social Services ◽  
Health Service Providers ◽  
Historical Factors

Abstract BackgroundLiterature on participation in health and social services suggests that youth are difficult to engage within health and social services. Indigenous youth are less likely to access services or to actively participate in decision-making regarding their personal care. This article analyzes health and social service providers’ perspectives, experiences and expectations regarding the roles of a particular group of Indigenous youth, families and community in care settings in Nunavik, Quebec.MethodsA snowball sampling method was used to recruit participants. A total of 58 participants were interviewed including psychiatrists, general practitioners, nurses, social workers, school principals, teachers, student counsellors, representatives of local committees (education committee, health committee), and police officers. Of the 58 participants, 39 were non-Inuit and 19 were Inuit. The interviews focused on three broad themes: 1) participants’ current and past positions/roles; 2) participants’ perceptions of the clientele (youth and their families) they work with; and 3) participants’ understanding of collaborations taking place within and between services (who works with whom) and community. Applied thematic analyses were conducted. The model that we present allows us to describe health service provider expectations and experiences regarding patient and community participation. ResultsWe organize findings around three themes: I) The most commonly described interventions, II) different types of challenges to and within participation; and III) what successful participation can look like according to service providers. Participants speak of the challenges for families to go towards services as well as the challenges for services providers to go towards youth and families, including personal, organisational and historical factors. ConclusionWe adopt a critical lens to reflect on the key findings in order to tease out points of tension and paradoxes that might hinder the participation of youth and families. We then use a constructive lens to amalgamate and build on service providers’ descriptions of challenges and successes to identify promising approaches that seem to encourage participation of youth and families.

Risk and Protective Factors in the Life of Youth in Relation to Resilience

2018 ◽  
Vol 52 (1) ◽  
pp. 50-59
Author(s):  
Silvia Barnová ◽  
Viola Tamášová
Keyword(s):  
Social Support ◽  
Protective Factors ◽  
School Psychologists ◽  
Social Environment ◽  
Social Services ◽  
Service Providers ◽  
Vital Role ◽  
Great Role ◽  
Health Service Providers

Abstract Introduction: A certain degree of stress is present in everyone’s life and young people are not an exception. Most of them show a certain degree of resilience and can cope with stressful situations without any difficulties, however there is a group of youth who live in toxic environments and need help. If there is a risk of failure due to the intensity of stressors; external formal and informal support have a great role to play as they have the potential to prevent negative developmental outcomes. Purpose: The authors’ intention was to make a review of available literature on the current issues of resilience research with a focus on the importance of protective factors in young people’s lives – especially when they are exposed to adversity. An emphasis is placed on the vital role of social support to individuals provided by schools as well as social services. Methods: In the presented literature review, multiple formal search methods including hand searching of key journals; electronic searching of journal databases and subject specific websites; reference scanning; and citation tracking were used. Conclusion: Individuals commonly demonstrate some level of resilience, yet most of them are able to deal with stressful situations without any harm. On the other hand, if the adversity is too high, the presence of social support provided by their social environment is important. In this context, good relationships in general and sufficient external protective factors provided by their social environment (schools, school psychologists, institutional social and health service providers) are important.

scholarly journals ‘I’m not getting out of bed!’ The criminalisation of young people in residential care

2018 ◽  
Vol 52 (1) ◽  
pp. 76-93 ◽  
Author(s):  
Alison Gerard ◽  
Andrew McGrath ◽  
Emma Colvin ◽  
Kath McFarlane
Keyword(s):  
Criminal Justice ◽  
Young People ◽  
Criminal Justice System ◽  
Residential Care ◽  
Police Officers ◽  
Justice System ◽  
Service Providers ◽  
Care Service ◽  
Management Tool ◽  
Children In Care

Evidence from both Australian and international jurisdictions show that children in residential care are over-represented in the criminal justice system. In the current study, we interviewed 46 professionals who had contact with young people in residential care settings in New South Wales, Australia. Our sample included police officers, residential care service providers, legal aid lawyers and juvenile justice workers, about their perceptions of the link between residential care and contact with the criminal justice system. Factors identified by the participants included the care environment itself, use of police as a behavioural management tool, deficient staff training and inadequate policies and funding to address the over-representation. These factors, combined with the legacy of Australia’s colonial past, were a particularly potent source of criminalisation for Aboriginal children in care.

scholarly journals Access to and Use of Health and Social Services among People who Inject Drugs in two urban areas of Mozambique, 2014: Qualitative Results from a Formative Assessment

2020 ◽  
Author(s):  
Liliana Candida Dengo-Baloi ◽  
Makini Aida Boothe ◽  
Cynthia Amino Semá-Baltazar ◽  
Isabel Sathane ◽  
Denise Chitsondzo Langa ◽  
...  
Keyword(s):  
Formative Assessment ◽  
Social Services ◽  
Risk Behaviors ◽  
Urban Areas ◽  
People Who Inject Drugs ◽  
Service Providers ◽  
Psychiatric Treatment ◽  
Health Workers ◽  
Hot Spot ◽  
Health And Social Services

Abstract Background: Prior to 2014, data about health seeking behaviors or service uptake for People who inject drugs (PWID) in Mozambique did not exist. We present the results from the formative assessment component of the Biological and Behavioral Survey (BBS). Methods: Standardized interview guides were used during key informant interviews (KII) and focus group discussions (FGD) in Maputo and Nampula/Nacala to discuss issues related to risk behaviors and access to and utilization of health and social services by PWID. The target sample size was not defined a priori, but instead KII and FGD were conducted until responses reached saturation. Data analysis was based on the principles of grounded theory related to qualitative research. Results: Eighty-eight respondents, ages 15 to 60, participated in KIIs and FGDs. Participants were majority male from diverse income and education levels and included current and former PWID, non-injection drug users, health and social service providers, peer educators, and community health workers. Respondents reported that PWID engage in high-risk behaviors such as needle and syringe sharing, exchange of sex for drugs or money, and low condom use. According to participants, PWID would rather rent, share or borrow injection equipment at shooting galleries than purchase them due to stigma, fear of criminalization, transportation and purchase costs, restricted pharmacy hours, personal preference for needle sharing, and immediacy of drug need. Barriers to access and utilization of health and social services include distance, requirements to represent identification documents and fear of criminalization, the limited availability of programs for PWID, lack of knowledge of the few programs that exist, concerns about the quality of care provided by health providers, lack of readiness as a result of addiction and perceived stigma related to the use of mental health services offering treatment to PWID. Conclusions: Mozambique urgently needs to establish specialized harm reduction programs for PWID and improve awareness of available resources. Services should be located in hot spot areas to address issues related to distance, transportation and the planning required for safe injection. Specific attention should go to the creation of PWID-focused health and social services outside of state-sponsored psychiatric treatment centers.

scholarly journals Access to and Use of Health and Social Services among People who Inject Drugs in two urban areas of Mozambique, 2014: Qualitative Results from a Formative Assessment

2020 ◽  
Author(s):  
Liliana Candida Dengo-Baloi ◽  
Makini Aida Boothe ◽  
Cynthia Amino Semá-Baltazar ◽  
Isabel Sathane ◽  
Denise Chitsondzo Langa ◽  
...  
Keyword(s):  
Formative Assessment ◽  
Social Services ◽  
Risk Behaviors ◽  
Urban Areas ◽  
People Who Inject Drugs ◽  
Service Providers ◽  
Psychiatric Treatment ◽  
Health Workers ◽  
Hot Spot ◽  
Health And Social Services

Abstract Background: Prior to 2014, data about health seeking behaviors or service uptake for People who inject drugs (PWID) in Mozambique did not exist. We present the results from the formative assessment component of the Biological and Behavioral Survey (BBS). Methods: Standardized interview guides were used during key informant interviews (KII) and focus group discussions (FGD) in Maputo and Nampula/Nacala to discuss issues related to risk behaviors and access to and utilization of health and social services by PWID. The target sample size was not defined a priori, but instead KII and FGD were conducted until responses reached saturation. Data analysis was based on the principles of grounded theory related to qualitative research. Results: Eighty-eight respondents, ages 15 to 60, participated in KIIs and FGDs. Participants were majority male from diverse income and education levels and included current and former PWID, non-injection drug users, health and social service providers, peer educators, and community health workers. Respondents reported that PWID engage in high-risk behaviors such as needle and syringe sharing, exchange of sex for drugs or money, and low condom use. According to participants, PWID would rather rent, share or borrow injection equipment at shooting galleries than purchase them due to stigma, fear of criminalization, transportation and purchase costs, restricted pharmacy hours, personal preference for needle sharing, and immediacy of drug need. Barriers to access and utilization of health and social services include distance, requirements to represent identification documents and fear of criminalization, the limited availability of programs for PWID, lack of knowledge of the few programs that exist, concerns about the quality of care provided by health providers, lack of readiness as a result of addiction and perceived stigma related to the use of mental health services offering treatment to PWID. Conclusions: Mozambique urgently needs to establish specialized harm reduction programs for PWID and improve awareness of available resources. Services should be located in hot spot areas to address issues related to distance, transportation and the planning required for safe injection. Specific attention should go to the creation of PWID-focused health and social services outside of state-sponsored psychiatric treatment centers.

A Postcolonial Discourse Analysis of Community Stakeholders’ Perspectives on Supporting Urban Indigenous Older Adults to Age Well in Ottawa, Canada

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Lauren A. Brooks-Cleator ◽  
Audrey R. Giles
Keyword(s):  
Older Adults ◽  
Discourse Analysis ◽  
Social Services ◽  
Service Providers ◽  
Indigenous Health ◽  
Adult Population ◽  
Structured Interviews ◽  
Health And Social Services ◽  
Community Stakeholders ◽  
Postcolonial Discourse

The urban Indigenous older adult population in Canada continues to grow; however, there is a lack of understanding of how non-Indigenous health and social services and Indigenous-specific organizations are responding to and addressing the growth of this population. Therefore, in this research, we conducted a postcolonial discourse analysis of semi-structured interviews with six decision-makers (e.g., managers and directors of health and social services organizations) and seven service providers (e.g., program coordinators and social workers) from Indigenous and non-Indigenous health and social service organizations in Ottawa, Canada, to examine how they produce understandings of supporting urban Indigenous older adults to age well. The participants produced three main discourses: (a) non-Indigenous organizations have a responsibility to support Indigenous older adults, (b) culturally specific programs and services are important for supporting Indigenous older adults to age well, and (c) it is difficult for community stakeholders to support Indigenous older adults to age well because this population is hard to reach. The results demonstrate the complexities and tensions that community stakeholders face in supporting Indigenous older adults to age well within a sociopolitical environment informed by reconciliation and a sociodemographic trend of an aging population.

Every Child Matters and the Children Act 2004

2020 ◽  
pp. 61-74
Author(s):  
Carl Purcell
Keyword(s):  
Health Service ◽  
Social Services ◽  
Child Protection ◽  
Service Providers ◽  
Structural Reform ◽  
Green Paper ◽  
The Political ◽  
Structural Reforms ◽  
Health Service Providers ◽  
Subsequent Passage

This chapter highlights the political drivers of Labour’s structural reforms to English local government through an examination of the Every Child Matters Green Paper and the subsequent passage of the Children Act 2004. It is argued that the initiation of the Green Paper chaired by Paul Boateng, then Chief Secretary to the Treasury, was not a response to the Victoria Climbié Inquiry. Safeguarding and child protection policies did not receive the explicit prioritisation that Lord Laming had called for. Labour’s structural reforms were designed to address concerns relating to the delivery of a broader range of policy priorities incorporating health, education and crime and anti-social behaviour. Moreover, social services and social work were largely overlooked under the new structural arrangements with the focus being primarily on the early intervention and preventative responsibilities of universal services including schools and health service providers. The chapter also discusses the involvement of children’s sector NGOs in the development of Labour’s reforms and how opposition to structural reform was ultimately ignored.

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