scholarly journals Familieverdier i spill: Ungdoms erfaringer med barneverntjenesten når mor eller far har rusproblemer eller alvorlig psykiske helseproblemer

2020 ◽  
pp. 153-172
Author(s):  
Astrid Halsa
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young People ◽  
Qualitative Study ◽  
Child Protection ◽  
Emotional Abuse ◽  
Mental Health Problems ◽  
Role Reversal ◽  
Family Ties ◽  
Child Protection Services

This chapter reports on a qualitative study with 32 young people who grew up in families where there were substance use or serious mental health problems. The aim is to explore young people’s accounts of experiences with child protection services (CPS). The young people had for years been worried about their parents and experienced emotional abuse, stigma, secrecy, anxiety and role reversal. When they understood what was wrong with their parents, they worked hard to protect themselves and their families from unwanted intrusion from public services. They report a reluctance to disclose their situation, and a fear of being taken into care when they were in contact with CPS. To disclose meant the same as letting your parents down. All the families had been in contact with CPS, but the participants mostly had negative accounts of the services they and their families had received. These findings are discussed in light of the emotional and symbolic significance of family ties and embeddedness in family.

Improving lives not just saying no to substances: Evaluating outcomes for a young people’s substance use team trained in the AMBIT approach

2021 ◽  
Vol 26 (2) ◽  
pp. 490-504
Author(s):  
Peter Fuggle ◽  
Laura Talbot ◽  
James Wheeler ◽  
Jessica Rees ◽  
Emily Ventre ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Alcohol Use ◽  
Young People ◽  
Peer Relationships ◽  
Functional Outcomes ◽  
Daily Living ◽  
Mental Health Problems ◽  
Integrative Therapy ◽  
The Impact

Adaptive Mentalization Based Integrative Therapy (AMBIT) is a systemic, mentalization based intervention designed for young people with multiple problems including mental health problems. The purpose of this paper is to examine the impact of this approach both on clinical and functional outcomes for young people seen by a specialist young people’s substance use service between 2015 and 2018. About 499 cases were seen by the service during this period. Substance use outcomes were obtained for 383 cases using the Treatment Outcome Profile (TOP). Cannabis and alcohol use were the key substance use problems for 81% and 63% respectively. Functional outcomes using the AMBIT Integrative Measure (AIM) were obtained for 100 cases covering domains of daily living, socio-economic context, peer relationships and mental health. At treatment end, cannabis use reduced significantly ( t = 10.78; df = 311; p = .00; Cohen’s d ES.61 as did alcohol use ( t = 6.938; df = 242; p = .000; ES 0.44). Functional improvements were shown in five out of seven domains with highly significant total functional improvements on key problems selected by the client ( t = 14.01; df = 99; p = .000; ES1.34). Measuring functional as well as clinical outcomes appears to reflect more accurately the overall benefit of the service to clients.

scholarly journals No Further Action: Contextualising Social Care Decisions for Children Victimised in Extra-Familial Settings

Youth Justice ◽  
2019 ◽  
Vol 20 (1-2) ◽  
pp. 79-92 ◽  
Author(s):  
Jenny Lloyd ◽  
Carlene Firmin
Keyword(s):  
At Risk ◽  
Young People ◽  
Child Protection ◽  
Emotional Abuse ◽  
Social Care ◽  
Study Data ◽  
Child Protection Services ◽  
Abuse And Neglect ◽  
Significant Harm ◽  
The Right

England’s child protection system is intended to safeguard young people at risk of significant harm – physical, sexual, emotional abuse and neglect. When young people are physically assaulted, stabbed or groomed into drugs trafficking they experience significant harm. To this extent they are entitled to support from statutory child protection services. Using findings from one component of a mixed method multi-site study, data from referrals and assessments into children’s social care is examined to identify the extent to which the right support and protection is realised. Such analysis indicates that despite being at risk of significant harm, young people abused in community or peer, rather than familial, settings will most likely receive a ‘no further action’ decision from social workers following referrals for support. This article suggests that to a certain extent no further action decisions are aligned to the legal and cultural parameters of social work and child protection practice, thus raising questions about the sufficiency of such for safeguarding young people abused in extra-familial settings.

Understanding addiction, relapse and recovery amongst substance using offenders – a qualitative study informed by developmental psychological theories

2020 ◽  
Vol 20 (4) ◽  
pp. 337-352
Author(s):  
Beverly Love ◽  
Arlene Vetere ◽  
Paul Davis
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Qualitative Study ◽  
Life Events ◽  
Mental Health Problems ◽  
Later Life ◽  
Social Experiences ◽  
Content Type ◽  
Significant Life ◽  
The Impact

Purpose Psychological developmental informed theories imply that addiction is not exclusively due to the addictive properties of the substance but that early psycho-social experiences are influential on later life. The purpose of this paper is to understand substance dependency, relapse and recovery amongst community-based substance using offenders in relation to their childhoods, relationships and significant life events, from their perspective. A key aim was to help better inform policy and practice. Design/methodology/approach A qualitative study (interpretative phenomenological analysis) was used to understand the impact of childhood, relationships and significant life events amongst (N = 17) adult ex/offenders with substance use dependency problems, (who were part of the UK Government rehabilitation programme), to understand their substance use and recovery from their own perspectives. Findings Four main superordinate themes were developed illustrating participants extremely adverse childhoods. Substance use was a means to cope with current and past trauma and crises and to help manage the emotions and mental health which could accompany these difficulties. Managing recovery was about learning to manage life itself, including emotions, mental health problems, trauma/responses, relationships and everyday life. Originality/value This group is under researched where qualitative methods have been used. The study focussed on early-psycho-social experiences and relationships and the influence of these throughout the life cycle, in relation to their substance use. The study was informed by theories often used in therapeutic settings but rarely in research, (Orford, 2008; Khantzian, 2012; Flores, 2012, Van Der Kolk, 2014).

scholarly journals Adult mental health services and the collaboration with child protection services

2016 ◽  
Vol 5 (5) ◽  
pp. 72 ◽  
Author(s):  
Camilla Lauritzen ◽  
Charlotte Reedtz
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Child Protection ◽  
Mental Health Problems ◽  
Health Problems ◽  
Child Protection Services ◽  
Adult Mental Health ◽  
Service Collaboration

Parental mental illness may increase the likelihood of neglect and abuse, and is also a potent risk factor in terms of offspring developing mental health problems themselves. Collaboration between the adult mental health services (AMHS) and the child protection services (CPS) has the potential of reducing risk for the children, by using family supporting interventions and making help available at an earlier stage. The aim of this study was to explore the collaboration between the CPS and the AMHS in terms of routines, attitudes and knowledge. Data was gathered using electronic survey questionnaires. Several barriers to inter-service collaboration were identified in this study. Even though adult mental health professionals were positive towards the CPS, they were reluctant to refer cases of concern. They also lacked knowledge about the CPS. Conclusion: The results indicate that there is an unresolved potential for inter-service collaboration involving the children of patients with mental health problems.

Mental Health Needs of Young People with Problematic Drug and Alcohol Use in Manchester

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Ruth Marshall ◽  
Louise Theodosiou ◽  
Prashant Bhat ◽  
Anita Ghosh ◽  
Jade Ark
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young People ◽  
Mental Health Problems ◽  
Service Providers ◽  
Health Needs ◽  
Mental Health Training ◽  
Mental Health Needs ◽  
Problematic Drug ◽  
High Prevalence

Background. Studies have indicated possible links between substance use disorder and other psychiatric disorders and suggested a high prevalence of unmet mental health needs amongst those with substance use disorders compared to the general population. Method. The study investigated the mental health needs of adolescents attending a substance misuse service. Mental health needs were assessed using the Strengths and Difficulties Questionnaire, the Conners screen for Attention Deficit Hyperactivity Disorder and a brief measure ascertaining demographics, drug use, and the service required by young people. Results. Young people were found to have higher than normal rates of mental health problems; this was not reflected in referral rates from the service. Conclusion. The findings are relevant to both commissioners and service providers. There is a need for integration between mental health services and those working with young substance users to provide a model of care that caters for dual diagnosis. Furthermore, offering mental health training to teams working with drug-using young people is recommended.

scholarly journals Helsesøstres utfordringer for å fremme elevenes psykiske helse

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Monica Holm Larsen ◽  
Bjørg Christiansen ◽  
Lisbeth Gravdal Kvarme
Keyword(s):  
Mental Health ◽  
High School ◽  
Health Promotion ◽  
Primary Prevention ◽  
Young People ◽  
Qualitative Study ◽  
Mental Health Problems ◽  
School Nurses ◽  
Low Threshold ◽  
Insight Into

Challenges school nurses have to promote students’ mental healthThe school is an important arena for promoting students' mental health. Prevalence of mental health problems among young people is of concern, and focusing on prevention efforts in schools has been considered to be important. The purpose of this qualitative study was to gain further insight into how collaboration between school nurses and teachers can promote students' mental health. This article is based on four interviews with school nurses from secondary and high school. The school nurses highlighted the importance of establishing themselves as visible partners for teachers, while at the same time providing low threshold for services to students. Factors like lack of time and the location of the school nurse’s office, created tension and influenced their work. Much of the work concerning students' mental health was experienced as "fire fighting", while they instead wanted to emphasize health promotion and primary prevention efforts on class and group levels.

scholarly journals History of abuse and neglect and their associations with mental health in rescued child labourers in Nepal

2019 ◽  
Vol 53 (12) ◽  
pp. 1199-1207 ◽  
Author(s):  
Sandesh Dhakal ◽  
Shanta Niraula ◽  
Narayan Prasad Sharma ◽  
Sabitri Sthapit ◽  
Eleanor Bennett ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Physical Abuse ◽  
Low Income ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Mental Health Problems ◽  
Child Labour ◽  
Low Income Countries ◽  
Juvenile Sample

Objectives: Little is known about rates of childhood maltreatment in low-income countries, particularly among marginalised sectors of society. Economic hardships mean that in such countries, many children and young people are exploited in the labour force and/or are trafficked, placing them at greater risk for being exposed to other forms of maltreatment. Cultural norms endorsing the use of physical and emotional acts to discipline children further exacerbate this risk. Here, we assessed the rates of childhood victimisation experiences and associated mental health problems in Nepalese youth rescued from illegal child labour including trafficking. Methods: One hundred and three young people aged 12–18 years living in out-of-home care institutions and rescued from child labour/trafficking completed translated versions of selected modules from the Juvenile Victimisation Questionnaire, the Youth Inventory and the Strength and Difficulties Questionnaire. Care-home employees responsible for looking after the young people completed the Adolescent Symptom Inventory and the Strength and Difficulties Questionnaire. Analysis described maltreatment frequencies and compared individuals who had and had not experienced any form of maltreatment on the presence/absence of psychiatric diagnoses. Results: Seventy-two percent of participants experienced some form of maltreatment in their lifetime. Rates for each maltreatment type were 46.6% for physical abuse, 40.77% for emotional abuse, 27.2% for sexual abuse and 33% for neglect. Symptoms indicative of anxiety disorders and trauma were commonly reported especially in victims of childhood maltreatment. Conclusions: Our estimates of physical abuse in this at-risk juvenile sample were commensurate to those reported in general-population youth samples in Nepal, but sexual and emotional abuse rates were somewhat lower. The potential presence of anxiety and trauma in this sample that may result from maltreatment requires replication, but underscores an urgent need for routine mental health screening in rescued child labourers during rehabilitation efforts.

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