Exploring meaningful change and the types of goals progressed by young people in an online counselling setting: An Evaluation (Preprint)

2020 ◽  
Author(s):  
Jenna Jacob ◽  
Luís Costa da Silva ◽  
Aaron Sefi ◽  
Julian Edbrooke-Childs
Keyword(s):  
Young People ◽  
Help Seeking ◽  
Service Use ◽  
Support Service ◽  
Outcome Data ◽  
Reliable Change Index ◽  
Future Research ◽  
Meaningful Change ◽  
Online Counselling ◽  
The Impact

BACKGROUND Background: Youths are increasingly looking towards the internet for mental health support. There has been little research on the impact of online counselling, as captured in Routine Outcome Measures. OBJECTIVE This research aims to explore an online counselling service, using the first application of the meaningful change calculation; to consider how this links to service use; and to explore the associations between goal type and goal outcome. METHODS A routinely collected dataset obtained from an online youth counselling and support service was analysed (n=4218). ‘Meaningful change’ was calculated to determine change over time, consisting of the application of the reliable change index to goal-based outcome data. A series of t-tests were conducted to explore associations with those who had meaningfully improved and their contact with the service. Logistic regression explored the association between goal type and meaningful change. RESULTS Results: 55.6% of youths reported meaningful goal improvement. Those who meaningfully improved spent significantly more time engaged than those who did not. Goal types most likely to meaningfully improve were ‘getting professional help’ and ‘self-help–self-care’. CONCLUSIONS Most young people made significant movement towards their collaboratively-agreed goals, which is a good indication that the service is helping to address important areas of change. The findings, linked to earlier research, may indicate that those who report improvements in goals may engage with services more. The high proportion of ‘getting help’ goals may be attributable to the online setting, which young people may use as a first point of contact for help seeking, to gather information to access further support. With the increased uptake of online support services associated with the current global pandemic, future research should consider the present findings as a baseline of goal progress and service utilization.

“So Why Should I Call Them?”: Survivor Support Service Characteristics as Drivers of Help-Seeking in India

2020 ◽  
pp. 088626052097030
Author(s):  
Jennifer A. Newberry ◽  
Japsimran Kaur ◽  
Shravya Gurrapu ◽  
Rasika Behl ◽  
Gary L. Darmstadt ◽  
...  
Keyword(s):  
Violence Against Women ◽  
Partner Violence ◽  
Help Seeking ◽  
Support Service ◽  
Future Research ◽  
Diverse Range ◽  
Help Seeking Behaviors ◽  
Service Characteristics ◽  
The Impact ◽  
Depth Interviews

Women in South Asia face the highest lifetime prevalence of intimate partner violence in the world, which is just one form of violence against women (VAW). In India, few women seek help after experiencing violence, particularly from formal resources, such as physicians or the police. While many studies have investigated the impact of survivor characteristics and patterns of violence on help-seeking behaviors, there is scant research on support service characteristics and their impact on help-seeking. The introduction of a novel crisis helpline in Gujarat, India provided an opportunity to better understand how successful help-seeking can be driven by the perceived and experienced characteristics of the helpline. We conducted in-depth interviews with helpline users to identify factors and pathways that promoted or discouraged help-seeking in general, help-seeking from a formal source, and help-seeking from this particular helpline. We analyzed 32 interviews of women who used the helpline. Participants were from eight districts across the state, representing a diverse range of sociodemographic backgrounds. After conducting a thematic analysis, we found that action-oriented service, timeliness, and women-focused staff influenced (positively and negatively) participants’ feelings of safety, empowerment, and trust in the helpline, which ultimately impacted their decision to seek help from the helpline or even to seek help at all. This study illuminates how service characteristics, in and of themselves, can influence the likelihood that survivors will seek help, emphasizing the need for survivors to have a voice in the growth and refinement of VAW support services. Consequently, these areas must be a focus of future research and initiatives to improve help-seeking by VAW survivors.

scholarly journals An Examination of Individualism within Employee Help-Seeking Networks

2018 ◽  
Vol 8 (4) ◽  
pp. 1
Author(s):  
Randall P. Settoon ◽  
Sang H. Lee
Keyword(s):  
Help Seeking ◽  
Medical Center ◽  
Future Research ◽  
Dense Networks ◽  
Helping Others ◽  
Regional Medical ◽  
Regional Medical Center ◽  
The Impact ◽  
The Relationship

Prior research focusing on the impact of individualistic orientations on the performance of cooperative behaviors has produced mixed results. Researchers have concluded that the self-focused orientation of individualists will lead them to be less cooperative than others. On the other hand, some scholars have argued that helping others is core to individualists’ self-concept and that competently assuming the role of help-giver is a source of intrinsic satisfaction. In this study, we test this proposition by examining individualistic orientations within employee help-seeking networks. Results from a sample of 107 employees within a regional medical center indicate that the level of individualism in helping-seeking networks is positively associated with help-seekers’ perceptions of support. Further, the results suggest that the relationship is stronger in dense networks. Implications of this work and directions for future research are discussed.

Examining the Impact of the SDLMI and Whose Future Is It? Over a Two-Year Period With Students With Intellectual Disability

2020 ◽  
Vol 125 (3) ◽  
pp. 217-229 ◽  
Author(s):  
Karrie A. Shogren ◽  
Tyler A. Hicks ◽  
Kathryn M. Burke ◽  
Anthony Antosh ◽  
Terri LaPlante ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Outcome Data ◽  
Future Research ◽  
First Year ◽  
Opposite Pattern ◽  
Nonlinear Growth ◽  
Intensive Intervention ◽  
Cluster Randomized ◽  
One Year ◽  
The Impact

Abstract The purpose of this study was to examine self-determination outcome data in the year following a one-year cluster randomized controlled trial (C-RCT) comparing the impacts of a Self-Determined Learning Model of Instruction (SDLMI) only condition to a SDLMI + Whose Future Is It? (SDLMI + WF) condition. Using multilevel B-spline model analysis with Bayesian estimation, we examined ongoing patterns of growth after the trial ended and all students were exposed to SDLMI + WF. The findings suggest that the inclusion of an additional year of outcome data provided additional insight into the impact of more intensive intervention conditions over time. Specifically, after the initial year of implementation, the SDLMI + WF condition predicted greater annual gains than the SDLMI only condition, unlike findings in the first year which reflected the opposite pattern. This evidence suggests a nonlinear growth pattern over multiple years of intervention with more intensive interventions. Implications for future research and practice are discussed.

scholarly journals Supported work experience and its impact on young people with intellectual disabilities, their families and employers

2016 ◽  
Vol 10 (3) ◽  
pp. 207-220 ◽  
Author(s):  
Stephen Beyer ◽  
Andrea Meek ◽  
Amy Davies
Keyword(s):  
Young People ◽  
Transition To Adulthood ◽  
Work Experience ◽  
Future Research ◽  
Work Skills ◽  
Content Type ◽  
High Satisfaction ◽  
Job Coaching ◽  
Supported Work ◽  
The Impact

Purpose – The Real Opportunities project set out to implement a number of the approaches identified through research that can assist transition to adulthood in nine local authority areas in Wales. Supported work experience was delivered by small job coaching teams in each area. The purpose of this paper is to establish the impact of the work experience and employment teams by describing the placements provided, any change in the skills of young people, and the responses to the placements by employers, young people and their families. Design/methodology/approach – Data were collected over 24 months by participating employment services. Questionnaires were administered to employers. Interviews were carried out with a sub-sample of young people (24) participating and a family member (25). Findings – Over a 24-month period 297 young people received supported work experience. In total, 262 young people had an intellectual disability, 35 an autistic spectrum disorder. Up to three placements were delivered to each person, averaging five weeks per placement, with 405 placements in total. In total, 62 per cent of those with two placements had a different category of second work placement to their first. These numbers demonstrated that work experience in community placements is possible with support. Young people improved work skills significantly between first and second placements. Employers reported high satisfaction rates with the young person’s work in a range of key performance areas and company benefits from participation for other staff, company image and customer relations. Interviews with 24 young people and 25 of their family members reported satisfaction with support and placements. Six young people had paid work now, and 33 per cent said they would get a job at some future time. Families reported changes in young person’s outlook but their view of prospects of employment remained pessimistic due to the external environment. Research limitations/implications – Implications for future research are discussed. Practical implications – Implications for transition are discussed. Originality/value – The paper provides new insight into the impact of a large number of supported work experience placements.

scholarly journals Layers of listening: Qualitative analysis of the impact of early intervention services for first-episode psychosis on carers' experiences

2015 ◽  
Vol 207 (2) ◽  
pp. 135-142 ◽  
Author(s):  
Anna Lavis ◽  
Helen Lester ◽  
Linda Everard ◽  
Nicholas Freemantle ◽  
Tim Amos ◽  
...  
Keyword(s):  
Early Intervention ◽  
Young People ◽  
Help Seeking ◽  
Young Person ◽  
First Episode Psychosis ◽  
First Episode ◽  
Early Intervention Services ◽  
Episode Psychosis ◽  
Intervention Services ◽  
The Impact

BackgroundEarly intervention services (EIS) comprise low-stigma, youth-friendly mental health teams for young people undergoing first-episode psychosis (FEP). Engaging with the family of the young person is central to EIS policy and practice.AimsBy analysing carers' accounts of their daily lives and affective challenges during a relative's FEP against the background of wider research into EIS, this paper explores relationships between carers' experiences and EIS.MethodSemi-structured longitudinal interviews with 80 carers of young people with FEP treated through English EIS.ResultsOur data suggest that EIS successfully aid carers to support their relatives, particularly through the provision of knowledge about psychosis and medications. However, paradoxical ramifications of these user-focused engagements also emerge; they risk leaving carers' emotions unacknowledged and compounding an existing lack of help-seeking.ConclusionsBy focusing on EIS's engagements with carers, this paper draws attention to an urgent broader question: as a continuing emphasis on care outside the clinic space places family members at the heart of the care of those with severe mental illness, we ask: who can, and should, support carers, and in what ways?

scholarly journals “I think I have a problem”. Disclosure of mental health difficulties by friends.

2020 ◽  
Author(s):  
Alexandra Lampard-Scotford
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Young People ◽  
Help Seeking ◽  
Stress And Coping ◽  
Mental Health Issue ◽  
Future Research ◽  
Coping Responses ◽  
Mental Health Difficulties ◽  
And Coping

Amidst concerns that the prevalence of young people experiencing a mental health issue is increasing, it is important to understand young people’s responses to mental illness disclosures. Drawing on data from one-on-one interviews with six participants aged between 19 and 22, this paper demonstrates how perceived barriers, age and context changes, and stress and coping responses effect a young person’s response to a mental illness disclosure from friends, and how these responses serve to either prevent or facilitate future help-seeking. Consequently, participants suggested stigma was the most significant impediment to help-seeking behaviours in young people with MHPs. Age and context differences were also highlighted, alongside their effect on the participants’ stress and coping responses to disclosures and perceptions of barriers in mental health. Implications for future research and practice are also outlined.

scholarly journals Mental Illness Self-Stigma in Young People: A Scoping Review Protocol

2021 ◽  
Author(s):  
Rachel S Taylor ◽  
Nicola Cogan ◽  
Pamela Jenkins ◽  
Xi Liu ◽  
Paul S Flowers ◽  
...  
Keyword(s):  
Mental Illness ◽  
Young People ◽  
Scoping Review ◽  
Help Seeking ◽  
Best Practice ◽  
Negative Impact ◽  
Future Research ◽  
Primary Research ◽  
Screening Process ◽  
Negative Stereotypes

Background: Self-stigma (the internalisation of negative stereotypes) is known to reduce help-seeking behaviours and treatment adherence in people who have a mental illness, resulting in worsening health outcomes. Moreover, self-stigma diminishes self-esteem and self-efficacy, and leads to higher levels of depression. Half of all lifetime cases of mental illness have manifested by the age of 14, and therefore young people are vulnerable to the negative impact of suffering mental illness self-stigma. While literature in this field has been flourishing in recent years, mental illness self-stigma remains poorly understood in youth. It is important that we seek to understand what is currently known about mental illness self-stigma in young people, and subsequently use this information to guide future research to advance knowledge of this topic. To date, a scoping review which maps the available literature on mental illness self-stigma in young people has yet to be conducted. Here, we outline the protocol for a scoping review on mental illness self-stigma in young people. Methods: This protocol outlines the process of conducting a scoping review of primary research concerning mental illness self-stigma in young people. The Joanna Briggs Institute guidance on best practice for conducting a scoping review will utilised throughout. A systematic search of appropriate databases will be conducted which will allow for a two-step screening process and data charting. Inclusion criteria for this review dictates that eligible studies will i) include a population within the age range of 10-35 (or mean age within this range), ii) include the term self-stigma or internalised stigma relating to mental health/illness/disorder, iii) be primary research, iv) be published post-2009 (following the seminal study by Moses, 2009) and v) be published in English. Discussion: The findings of the scoping review outlined in this protocol will be used to inform future research which aims to explore self-stigmatising attitudes and beliefs of young people experiencing mental illness. This research will result in co-produced, impactful resources for young people on the topic of mental illness self-stigma with the aim of raising awareness and stigma reduction.

scholarly journals Exploring resilience in families living with addiction

2011 ◽  
Vol 3 (3) ◽  
pp. 210 ◽  
Author(s):  
Helen Moriarty ◽  
Maria Stubbe ◽  
Sarah Bradford ◽  
Sophie Tapper ◽  
Bee Teng Lim
Keyword(s):  
Coping Strategies ◽  
Social Services ◽  
Help Seeking ◽  
Future Research ◽  
Interview Schedule ◽  
Family Problems ◽  
Positive Adaptation ◽  
Critical Elements ◽  
Key Stakeholders ◽  
The Impact

INTRODUCTION: Information about the impact of addiction on New Zealand (NZ) families is scarce. A good understanding of the nature and extent of family problems is essential to help families become more resilient and minimise the consequences. This study aimed to explore experiences of NZ families living with addiction, identify impacts on non-addicted family members, their coping strategies and barriers to help seeking. METHODS: Literature and key stakeholder interviews informed the development of an interview schedule for 29 family participants recruited through health and social services. Interviews were recorded for analysis of central themes and critical elements that underpin those. Key stakeholders and informal informants were again consulted to discuss findings and interpretation. FINDINGS: Addiction has widespread effects on NZ families. The coping strategies described by the participants in this project lacked the positive connotations of resilience, namely positive adaptation under significant adversity. CONCLUSION: Family impacts of addiction are complex, and similar family problems arise regardless of the substance(s) involved. This small exploratory study indicates that the implications for NZ families deserve further investigation. Future research is also required to further characterise the impact of behavioural addictions on families, addiction in particular ethnic groupings and the implications of the findings for clinical practice, other social and health services, and for public health and social policy. KEYWORDS: Qualitative research; addiction; family resilience

Moving from dependence to independence: A study of the experiences of 18 care leavers in a leaving care and after care support service in Victoria

2010 ◽  
Vol 35 (1) ◽  
pp. 14-21 ◽  
Author(s):  
Philip Mendes
Keyword(s):  
Young People ◽  
Support Service ◽  
Policy And Practice ◽  
Out Of Home Care ◽  
After Care ◽  
Care Leavers ◽  
The Impact ◽  
Rural Policy ◽  
Significant Health ◽  
Care Support

Young people leaving state out-of-home care are arguably one of the most vulnerable and disadvantaged groups in society. Many have been found to experience significant health, social and educational deficits. In recent years, most Australian States and Territories have introduced specialist leaving care and after care programs and supports, but there has been only limited examination of the effectiveness of these programs. This paper examines the experiences of a group of young people involved in the leaving care and after care support program introduced by St Luke's Anglicare and Whitelion in the Victorian town of Bendigo. Attention is drawn to the impact of some of the key program initiatives around accommodation, employment and mentoring. Some conclusions are drawn about ‘what works’ in leaving care programs, including particular implications for rural policy and practice.

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