scholarly journals Exploring the Lives of Vulnerable Young People in Relation to Their Food Choices and Practices

2017 ◽  
Vol 7 (3) ◽  
pp. 50 ◽  
Author(s):  
Karolina Gombert ◽  
Flora Douglas ◽  
Karen McArdle ◽  
Sandra Carlisle

The interdisciplinary Foodways and Futures project (2013-2016) is based on a pilot study which found noimprovement in the nutritional state of formerly homeless young people (16-25), now in supported accommodationat a charitable youth organization. Because a healthy food intake during adolescence is important, and because youngpeople with socioeconomic lower backgrounds face difficulties in maintaining a healthy diet (Beasley at al., 2005), Iinvestigated how the young people themselves experience their relationship to food. In this paper I explore linksbetween the lived experience before and during their stay with the organization of this vulnerable group, and theirfood choices and practices. The study illustrates the ways in which those choices and practices may appearnutritionally undesirable, but are nevertheless linked to the young people’s search for ontological security and socialconnectedness, in their new living environment. In this, I draw on and extend Schlossberg’s (1981) transition theoryin order to better understand the rationales underlying an individual’s subjective food choices.

2020 ◽  
Vol 7 (1) ◽  
pp. 67-92
Author(s):  
Karolina Gombert ◽  
Flora Douglas ◽  
Karen McArdle ◽  
Sandra Carlisle

An unpublished pilot study at a charitable youth organisation in the North East of Scotland found that young people (aged 16 to 25) accommodated by the organisation consumed a diet high in sugar and low in levels of foods such as meat, fish, fruit, and vegetables (Perry, 2013). The Foodways and Futures project (2013-2016), combining ethnographic and action research methodology, set out to explore why the diet of young people was sub-optimal, despite the organisation having a number of support services in place that would—it was perceived—encourage better eating habits amongst the young people housed within the organisation. Photovoice (PV) was identified as a participatory research method that was suitable, and that would encourage young people to participate as co-researchers in the investigation. However, despite young people getting involved in other research methods that were employed in the study, PV was generally not taken up as anticipated. This article explores how the method was employed, and argues that what could be deemed the ‘failure’ of PV instead may be interpreted as evidence of young people’s awareness and sensitivity about the potential judgements of others on personal food choices. In this sense, poor uptake of PV actually reveals much more about young people’s lived experiences than the data that it generates. The use of PV as a research method is therefore powerful, in that it allows participants to indicate, through inactivity, their sensitivity to ‘discourses of blame’.


2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.


2017 ◽  
Vol 35 (9-10) ◽  
pp. 2055-2081 ◽  
Author(s):  
Andrew Myles-Wright ◽  
Claire Nee

This qualitative study explored the lived experiences of youth justice practitioners supervising young people (below 18 years old) displaying sexually harmful behavior within the Youth Justice System (YJS) in the United Kingdom, as little is currently known about the challenges faced when working with this vulnerable group. Five practitioners from two Youth Offending Services (YOS) participated in individual semistructured interviews, which were subjected to thematic analysis while also analyzing the performative function of language used. The analysis identified an overarching theme of “systemic unease,” which contained two subthemes surrounding “unease with the self, and wider YOS personnel” and “unease working with partner agencies.” The findings illuminate critical issues regarding future practice with this underresearched group of young people within the broader context of youth justice, which require further exploration and investigation. The “dual relationship problem” involving tension between risk management and therapeutic alliance is explored in relation to this group. The moral acquaintance model and the model of dynamic adaptation are suggested as helpful approaches to support practitioners and multi-agency professionals going forward in this area.


2008 ◽  
Vol 17 (4) ◽  
pp. 657-665 ◽  
Author(s):  
Kimberly K. Trout ◽  
Lisa Basel-Brown ◽  
Michael R. Rickels ◽  
Mark H. Schutta ◽  
Maja Petrova ◽  
...  

2016 ◽  
Vol 9 (4) ◽  
pp. 1 ◽  
Author(s):  
Corey H. Basch ◽  
Michele Grodner ◽  
Lindsay Prewitt

<p>The impact of social influences on food choices in college settings is of great importance because students are vulnerable to new forming identities at this time. The purpose of this pilot study is to determine the degree to which social influences impact food choices in a sample of college students. A 22-item survey instrument was created to determine the extent to which students have experienced being influenced by others when making food related purchasing decisions. A total of 257 out of a 323 students invited (80% response rate) in 11 sections of a personal health course responded to the survey. The overwhelming majority of respondents were reportedly comfortable ordering whatever they wanted when in the presence of their friends (n=249; 97%). Students were more likely to feel pressure to make a healthy choice than an unhealthy choice if everyone else was (45.1% vs. 31.5%), but fewer felt this way when asked specifically if their friends were ordering (28.4% vs. 21%). Social influences surrounding food choices are a topic that has gained momentum recently, however more research needs to be conducted to determine the reasons why social influences affect certain college students especially in comparing healthy versus unhealthy food choices.</p>


2018 ◽  
Vol 7 (4) ◽  
pp. 391-402 ◽  
Author(s):  
Miranda F. Lewit-Mendes ◽  
Georgia C. Lowe ◽  
Sharon Lewis ◽  
Louise A. Corben ◽  
Martin B. Delatycki

Sexual Health ◽  
2008 ◽  
Vol 5 (4) ◽  
pp. 359 ◽  
Author(s):  
Bernadette Zakher ◽  
Melissa Kang

Background: Chlamydia screening of sexually active young people in general practice is key to the Australian National Sexually Transmissible Infections Strategy 2005–2008. Overseas research indicates that young people have positive attitudes towards opportunistic screening by a general practitioner (GP). This pilot study aims to investigate the attitudes of Australian university students towards chlamydia screening in primary care. Methods: Students (16–25 years) attending a class in one of three faculties at the University of Sydney participated by completing a questionnaire, which collected information about demographics, sexual history, chlamydia knowledge, attitudes towards and preferences for chlamydia screening. Results: One hundred and eighty-five students (78% female) returned questionnaires (participation rate 92%). Arts students were younger, more likely to be sexually active and to report having little or no knowledge of chlamydia. Males in the study were less likely to have had sex as a group compared to the group of females in the sample. Science students were also less likely to have had sex compared to their counterparts in other faculties. Seventy-six percent of students were comfortable with opportunistic testing for chlamydia by their GP. Reasons for not being comfortable included ‘don’t think I’m at risk’ (65%) and ‘not comfortable discussing sexual matters with my GP’ (38%). Although comfortable with GP-based testing, the likelihood of being tested in the upcoming year for most students was low, as was personal concern about chlamydia infection. Conclusions: Findings suggest that the most at risk group for chlamydia infection is not well educated about their risk of infection. The limited numbers of tests among sexually active individuals in this sample indicate that health practitioners are not screening this high-risk group for chlamydia infection.


Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1033
Author(s):  
Marion Rutherford ◽  
Donald Maciver ◽  
Lorna Johnston ◽  
Susan Prior ◽  
Kirsty Forsyth

There is a variable standard of access to quality neurodevelopmental assessment and diagnosis. People may have negative experiences, encountering lengthy waiting times, and inconsistent practices. Practitioners need guidance on standards and practices for assessment and diagnosis matched to new ways of working. In this paper, we present a new pathway and recommendations for multidisciplinary neurodevelopmental assessment and diagnosis for children and young people (<19 years), developed by the Scottish Government funded National Autism Implementation Team (NAIT). Our research used the Medical Research Council guidance for the development of complex interventions and included several iterative stages. Stage 1: n = 44 stakeholders attended an event on developing new practices for diagnosis and assessment. Stage 2: a literature synthesis was completed by the research team of clinical guidelines and diagnosis and assessment tools. Stage 3: an event with n = 127 stakeholders included discussion and debate of the data from stages 1 and 2. Recommendations and a draft pathway were written. Stage 4: successive drafts of recommendations and the pathway documentation were circulated among an advisory group, including multidisciplinary clinical experts and people with lived experience, until the final pathway was agreed upon. The finalised pathway includes guidance on terminology, assessment, diagnosis, triage, time standards and engagement of people with lived experience. The new pathway has been adopted by the Scottish Government. The pathway and associated documentation are freely available online for use by others.


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