Deployment of the consultation-liaison model in adult and child-adolescent psychiatry and its impact on improving mental health treatment

Background Little information exists on the perceptions of psychiatrists regarding the implementation and various impacts of the consultation-liaison model. This model has been used in Quebec (Canada) through the function of specialist respondent-psychiatrists (SRP) since 2009. This study assessed the main activities, barriers or facilitators, and impact of SRP in adult and child-adolescent psychiatry on the capacity of service providers in primary care and youth centers to treat patients with mental health disorders (MHD). Methods Data included 126 self-administered questionnaires from SRP and semi-structured interviews from 48 SRP managers. Mixed methods were used, with qualitative findings from managers complementing the SRP survey. Comparative analyses of SRP responses in adult versus child-adolescent psychiatry were also conducted. Results Psychiatrists dedicated a median 24.12 h/month to the SRP function, mainly involving case discussions with primary care teams or youth centers. They were confident about the level of support they provided and satisfied with their influence in clinical decision-making, but less satisfied with the support provided by their organizations. SRP evaluated their impacts on clinical practice as moderate, particularly among general practitioners (GP). SRP working in child-adolescent psychiatry were more comfortable, motivated, and positive about their overall performance and impact than in adult psychiatry. Organizational barriers (e.g. team instability) were most prevalent, followed by system-level factors (e.g. network size and complexity, lack of resources, model inflexibility) and individual factors (e.g. GP reluctance to treat patients with MHD). Organizational facilitators included support from family medicine group directors, collaboration with university family medicine groups and coordination by liaison nurses; at the system level, pre-existing relationships and working in the same institution; while individual-level facilitators included SRP personality and strong organizational support. Conclusion Quebec SRP were implemented sparingly in family medicine groups and youth centers, while SRP viewed their overall impact as moderate. Results were more positive in child-adolescent psychiatry than in adult psychiatry. Increased support for the SRP function, adapting the model to GP in need of more direct support, and resolving key system issues may improve SRP effectiveness in terms of team stability, coordination among providers, access to MH services and readiness to implement innovations.

Contributions of Youth Centers to the Development of Young People in Ethiopia

There has been a global paradigm shift in conceptualizing how best young persons can be assisted from a conventional deficit-based approach of targeting youth to a more enabling approach of promoting their strengths and competencies. Establishment of youth centers was one such global initiative meant to catalyze positive youth development through supervised and youth-friendly services. In recognition of this, several youth centers have been established in Ethiopia in the last few decades. This research was thus conducted to examine contributions of these centers to the development of young people. Data were collected through questionnaire from a sample of 2,165 participants (service providers and service users) and observation of 94 youth centers drawn from all regions of the country. Findings indicated that the contributions of youth centers were generally minimal in terms of promoting overall positive youth development. Some evidence even showed that youth centers could serve as a platform for acquiring undesirable behaviors among the youth mainly because supervisory and follow up services were not evident. While expanding establishment of youth centers is indeed commendable to ensure access to the greater majority of youth, the need to improve service quality, however, is a priority concern for the relevant actors.

Positieve jeugdontwikkelingsbenadering in jongerencentra en jeugdclubs

Positive youth development outcomes of youth centers. International literature study.This article is about open access youth centers. Because these centers focus on the age group 14-25, a target group that is in the transition from child to adulthood, they must seek to maximize positive developmental outcomes for youth. After discussing the positive developmental approach, we describe how open access youth centers realize youth development in the world. This article is based on an analysis of Dutch, English, French and German language studies on the outcomes, objectives and functions of youth centers in Europe, USA, Canada and Australia. The positive development outcomes, which I found in the literature, have been brought together in fifteen functions. The aim of this article is to give inspiration for improvement and innovation of youth work practice in Flanders.

YOUTH CENTER DI KOTA PONTIANAK

Adolescence is a period of development from children to adults. Adolescents have various characteristics in their development. Lack of facilities and guidance for adolescents causes juvenile delinquency behavior, while adolescence is a very important period because of the process of forming individual characters. Youth need a place that can nurture and develop their potential. Youth-oriented forum, namely the Youth Center. The design of the Youth Center must facilitate the function of the building while taking into account the characteristics of youth in Pontianak City. The design of the Youth Center used a descriptive method, namely the description of literature and theory. The stages in the design method begin with collecting data, then the data is analyzed to form a concept that produces a product in the form of a design image. The design of Youth Centers in Pontianak City has creative, reacreative and educational functions. The design location is at the intersection of A. Yani street and MT. Haryono street with an area of +5,877 m2. The building consists of four floors, the first floor consists of public spaces, the second floor contains a sports area, then on the third floor there is a play area, while the fourth floor consists of educational spaces. The results achieved were building design based on building functions based on the activities and characteristics of youth in Pontianak City.

ДИАГНОСТИКА ТРУДОВЫХ КОНФЛИКТОВ ПЕДАГОГОВ ДЕТСКО-ЮНОШЕСКИХ ЦЕНТРОВ

The article analyzes the confictological aspects in labor activities of teachers of additional education. The authors consider peculiarities of conflicts related to labor relations, working conditions. Further education organizations have features that distinguish them from schools and pre-school education institutions. The children's and youth centers are customer-oriented and more responsive to the pupil’s preferences. The study of labor conflicts is therefore relevant to additional education for children. Conflicts in education are well studied in terms of teacher-pupil relations. However, the employment relationship in education has features related to scheduling, feedback, motivation and stimulation. Survey and testing based on the methods of K. Thomas and R. Kilmann, and C. Spielberger (Yu. L. Khanina) and interviews with the staff of the center showed possible sources of conflicts in the process of organizing education in the children and youth center. Pay dissatisfaction, inadequate feedback, and off-schedule activities create internal tensions among employees. Pay dissatisfaction, inadequate feedback, and off-schedule activities create internal tensions among employees. Compromise and adaptation are the prevalent employee tactics. At the same time, some employees have high levels of anxiety. Thus, potential conflict situations develop in the team. Hidden conflicts can help reduce teacher loyalty to the organization. Based on the results of the study, the authors offer some recommendations for the diagnosis and prevention of conflicts in children's centers of further education

CULTURAL AND LEISURE ACTIVITY OF CLUBS` YOUTH CENTERS OF PEDAGOGICAL UNIVERSITY

Object. The article considers the issue of cultural and leisure activities of club youth centers of pedagogical higher educational institutions. The structure and types of leisure, forms of youth clubs` work are analyzed. Methods. The following methods were used when writing the article and searching for the material: analysis, synthesis, comparison. Results. One of the urgent problems of cultural and leisure activities of club youth centers of pedagogical higher educational institutions is the organization of youth leisure. Unfortunately, due to the socio-economic difficulties of society, the lack of adequate number of cultural institutions and insufficient attention to the organization of youth leisure, the development of non-institutional forms of youth leisure is most widespread. A new type of youth club is a qualitatively different social formation free from political layers, formalism, and strict regulation of internal life. This institution should help meet the growing interest of young people in their history, cultural and artistic origins, household traditions. The use of free time by young people is a kind of indicator of their culture, the range of spiritual needs and interests of a particular individual of young person or social group. As part of free time, leisure attracts young people by its lack of regulation and voluntary choice of its various forms, democracy, emotional color, the ability to combine physical and intellectual activities, creative and contemplative, production and play. Yu. Striltsov, A. Zharkov, V. Chizhikov, V. Kovshar, T. Kiselyova, Yu. Krasilnikov made a significant contribution to the scientific analysis of the theory and practice of cultural and leisure activities. Stylistic and structural features of free time are reflected in research F. Vidanova, V. Dimova, I. Evteeva, L. Kogan, V. Pichi, A. Shchavel. Such scientists as I. Andreeva, N. Golubkova, N. Litovska, L. Shvydka are working on the problems of youth subculture functioning and cultural socialization. Sociological studies of the spiritual young people needs in the field of leisure in the Ukrainian scientists woks I. Bekh, I. Zyazyun, G. Sagach, I. Stepanenko, P. Shcherban, J. Yuzvak are carefully analyzed. The youth club provides an opportunity to provide leisure as a means of entertainment and relaxation of individual and group stress; recreation as a means of replenishing psychophysical forces, restoring creative potential; compensation as a means of involvement in personally significant cultural values; socialization as a means of involvement in informal social processes and structures; self-actualization as a means of embodying individual creative interests, as well as self-development and self-realization of personal growth in culturally significant areas of society. Conclusions. So, today, given the rising spiritual young people`s needs, increasing the level of their education, culture, the most characteristic feature of youth leisure is the growing share of spiritual forms and ways of spending free time, combining entertainment, information, opportunity to create and learn new things. Such «synthetic» forms of leisure organization have become youth interest clubs, amateur associations, family clubs, art and technical clubs, discos, and youth cafe clubs.