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1

Shirsalkar, Rucha. "An Exploration of Art Therapy with Street Children in Mumbai, India." Digital Commons at Loyola Marymount University and Loyola Law School, 2012. https://digitalcommons.lmu.edu/etd/104.

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This research project explores the work done by professionals who work with street children in Mumbai, India, and their perceptions of how art therapy could benefit this population. Ten organizations that serve street children in Mumbai, India participated in a qualitative interview and survey that aimed to gather information and explore the specific needs, psychological issues, and services provided to street children in Mumbai, India. The link between the surveys and the interviews strongly suggest an interest and desire from professionals to learn more about art therapy, and in corporate this modality into the services they provide for this population. The research found that the basic needs of food, shelter, and medical health are a foremost priority for organizations that serve street children, before psychological issues can be addressed. The literature, interviews, and the surveys also make it manifest that the development and incorporation of art therapy should be culturally specific, and sensitive to the needs of that population. Further research and study with these organizations is needed to garner a deeper understanding of how art therapy assessment and treatment modalities can be adapted to best serve street children in Mumbai, India.
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2

Hansson, Jonas. "Mind the blues : Swedish police officers' mental health and forced deportation of unaccompanied refugee children." Doctoral thesis, Umeå universitet, Enheten för polisutbildning vid Umeå universitet, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-138923.

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Introduction: Policing is a public health issue. The police often encounter vulnerable populations. Police officers have wide discretionary powers, which could impact on how they support vulnerable populations. In encountering vulnerable populations the police officers are required to be professional; maintaining mental health in the face of challenges is part of professionalism. Their encounters with vulnerable populations might influence their mental health which in turn might influence the way they use their discretion when making decisions. Background/context: Sweden receives more unaccompanied, asylum-seeking refugee children than any other country in Europe. The number of asylum applications for such children increased from 400 in 2004 to 7000 in 2014 to over 35,000 in 2015. These children come to Sweden and apply for asylum without being under the care of their parents or other legal guardian. Some are denied asylum. If they do not return to their country of origin voluntarily the police are responsible for their deportation. The Swedish government wants an increasing number of deportations and wants them carried out with dignity. This thesis is about the police officers’ perceptions of how to interpret the seemingly contradictory demands for more deportations, that is, efficiency; and concerns for human rights during the deportation process, that is, dignity. This is conceptualized using three theoretical frameworks: a) street-level bureaucracy, b) job demand-control-social support model and c) coping. These theoretical frameworks indicate the complexity of the issue and function as constructions by means of which understanding can be brought to the police officers’ perceptions of deportation work involving unaccompanied, asylum-seeking refugee children and how such work is associated to their mental health. Aim: The current research aims to investigate and analyse Swedish police officers’ mental health in the context of deportations of unaccompanied, asylum-seeking refugee children. Methods: This thesis uses both qualitative and quantitative methodology. The qualitative approach comprised interviews conducted to achieve a deeper understanding of the phenomenon of police officers’ perceptions of deportations of unaccompanied, asylum-seeking refugee children. The quantitative method involved the use of validated questionnaires to investigate the association between police officers’ mental health and psychosocial job characteristics and coping. This approach made it possible to study a complex issue in a complex environment and to present relevant recommendations. A total of 14 border police officers were interviewed and 714 police officers responded to a survey. Results: The police officers utilize their wide discretionary powers and perceive that they are doing what is best in the situation, trying to listen to the child and to be aware of the child’s needs. Police officers with experience of deportations of unaccompanied, asylum-seeking refugee children were not found to have poorer mental health than police officers with no such experience. Furthermore, high job demand, low decision latitude, low levels of work-related social support, shift work and being single are associated with poor mental health. Coping moderates the association between mental health and the experience of carrying out deportations of unaccompanied, asylum-seeking, refugee children, and the police officers seem to utilize both emotional and problem-solving coping during the same complex deportation process. Implications / conclusions: The general conclusion reached in this thesis is that if police officers are subject to reasonable demands, have high decision latitude, access to work-related social support, and utilize adaptable coping, the deportation work does not seem to affect their mental health. When police officers meet vulnerable people, they utilize their discretionary powers to deal with seemingly contradictory demands, that is, efficiency and dignity. The executive role in the deportations of unaccompanied, asylum-seeking refugee children and the awareness of dealing with a child threatened with deportation might give rise to activation of a sense of protection, safety and security. Discretion might make it possible to act on this sense of protection, safety and security and to combine efficiency and dignity. Further studies, which integrate cognitive and emotional discretion with coping, need to be undertaken.
Introduktion: Polisarbete är i mångt och mycket en folkhälsofråga, något som inte minst blir tydligt i polisers möte med utsatta människor. Poliser har ett stort handlingsutrymme, vilket kan påverka hur de bemöter utsatta människor. I mötet med dessa människor behöver poliserna vara professionella; att ta hand om sin psykiska hälsa när man möts av utmaningar är en del av professionalismen. Att möta utsatta människor kan påverka polisernas psykiska hälsa, som i sin tur kan påverka hur de använder sitt handlingsutrymme när de fattar beslut. Bakgrund: Sverige tar emot fler ensamkommande asylsökande flyktingbarn än något annat land i Europa. Antalet asylansökningar för sådana barn ökade från 400 år 2004 till 7000 år 2014 till över 35 000 år 2015. Dessa barn kommer till Sverige och ansöker om asyl utan sina föräldrar eller annan vårdnadshavare. Somliga av dem nekas asyl. Om de inte återvänder till sitt ursprungsland frivilligt är polisen ansvariga för utvisningen. Den svenska regeringen kräver ett ökande antal verkställigheter av av- och utvisningar samt fastlår att verkställigheterna ska genomföras med respekt för människors värdighet. Denna avhandling handlar om polisers uppfattningar och tolkningar av de till synes motsägelsefulla kraven på att verkställa fler av- och utvisningar, det vill säga effektivitet; och hur man hanterar de mänskliga rättigheterna under utvisningsprocessen, det vill säga värdighet. Detta beskrivs och analyseras med hjälp av tre teoretiska ramverk: a) gräsrotsbyråkrati, b) jobb-krav-kontroll-socialt stödmodellen och c) coping. Dessa teoretiska ramverk visar på arbetsuppgiftens komplexitet och fungerar som utgångspunkt för att skapa förståelse för polisernas uppfattningar av arbetet med att verkställa av- och utvisningar av ensamkommande asylsökande flyktingbarn och hur sådant arbete är associerat med polisernas psykiska hälsa. Syfte: Denna avhandling syftar till att undersöka och analysera svenska polisers psykiska hälsa i relation till av- och utvisningar av ensamkommande asylsökande flyktingbarn. Metod: Både kvalitativ och kvantitativ metod användes i denna avhandling. Det kvalitativa tillvägagångssättet innefattade intervjuer för att uppnå en djupare förståelse för hur poliser uppfattar av- och utvisningar av ensamkommande asylsökande flyktingbarn. Den kvantitativa metoden innebar tillämpning av validerade frågeformulär för att undersöka sambandet mellan polisernas psykiska hälsa och psykosociala jobbkarakteristika samt coping. Detta tillvägagångssätt gjorde det möjligt att studera en komplex fråga i en komplex miljö och att presentera relevanta rekommendationer. Totalt intervjuades 14 gränspoliser och 714 poliser svarade på en enkätundersökning. Resultat: Resultatet visar att poliserna utnyttjar sitt stora handlingsutrymme och uppfattar att de gör det som är bäst i situationen, att de försöker lyssna på barnet och vara medvetna om barnets behov. Poliser med erfarenhet av av- och utvisningar av ensamkommande asylsökande flyktingbarn har inte visat sig ha en sämre psykisk hälsa än poliser utan sådan erfarenhet. Vidare är höga krav och lågt beslutsutrymme på arbetet, låga nivåer av arbetsrelaterat socialt stöd, skiftarbete och singelliv associerat med dålig psykisk hälsa. Coping mildrar effekten på den psykiska hälsan hos de som har erfarenhet av att utföra av- och utvisningar av ensamkommande asylsökande flyktingbarn. Poliserna verkar utnyttja både emotionell och problemlösande coping under en och samma komplexa utvisningsprocess. Slutsats: Den viktigaste slutsatsen i denna avhandling är att om poliser utsätts för rimliga krav, har stort beslutsutrymme, tillgång till arbetsrelaterat socialt stöd och använder sig av anpassningsbar coping, verkar det som att arbetet med av- och utvisningar inte påverkar deras psykiska hälsa. När poliser möter utsatta människor utnyttjar de sitt handlingsutrymme för att hantera de till synes motsägelsefulla kraven, det vill säga effektivitet och värdighet. Den verkställande rollen i av- och utvisningar av ensamkommande asylsökande flyktingbarn och medvetenheten om att hantera ett barn som hotas av utvisning kan ge upphov till en aktivering av känslan att ge skydd, trygghet och säkerhet. Handlingsutrymmet kan göra det möjligt att agera på denna känsla av skydd, trygghet och säkerhet samt att kunna kombinera effektivitet och värdighet. Ytterligare studier, som integrerar kognitivt och känslomässigt handlingsutrymme med coping, behöver emellertid genomföras.
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Embleton, Lonnie, Hana Lee, Jayleen Gunn, David Ayuku, and Paula Braitstein. "Causes of Child and Youth Homelessness in Developed and Developing Countries." AMER MEDICAL ASSOC, 2016. http://hdl.handle.net/10150/614740.

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4

McGibbon, Elizabeth Anne. "The mental health experiences of female street youth." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0012/MQ49398.pdf.

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5

Holland, Mark Ashley. "Street drugs, alcohol and mental health : what helps?" Thesis, University of Salford, 2009. http://usir.salford.ac.uk/18988/.

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The use of street drugs and/or alcohol combined with mental health problems is referred to as dual diagnosis within mental health and substance misuse services. The aim of this research study was two-fold. Firstly, to discover what people considered helpful in terms of support or intervention that could then be developed into information materials. And secondly, to develop an explanatory theory that added to the subjects’ wider understanding. A grounded theory methodology was employed to elicit the personal experiences of participants which in turn would ensure that the production of information materials and the development of theory remain rooted in the data. Twenty-six unstructured conversational interviews and 9 focus groups were conducted. Two carers, 6 practitioners and 18 service users were interviewed. The focus group participants were all service users, just under half of whom participated in interviews also, the remainder were new to the study; all took place in mental health and substance misuse treatment settings. In total 41 people, 34 of whom were service users, participated. Including repeat participants, 51 separate voices or contributions were made. Data incidents and happenings (n = 977) were analysed using open, axial and selective coding procedures overlaid by constant comparison. Twelve categories sharing properties and dimensions relating to helpful advice, intervention or behaviour emerged. The theme of helpfulness was a key concept and emerged as the major category subsequently entitled Help. The theory related to help developed. It challenged dual diagnosis convention by identifying people with a dual diagnosis as positively seeking, for themselves or others, recovery or alleviation of substance or mental health related problems. They did this from within a harm reduction or damage limitation paradigm. The examples of help related incidents (from which the help theory emerged) were collated and formed the content of dual diagnosis information materials.
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Maciel, Rubens de Aguiar. ""Sobre as circunstâncias em que transcorreu a infância de jovens que moraram nas ruas do município de São Paulo e os possíveis efeitos sobre suas personalidades"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-26082005-111939/.

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Buscou-se descrever e compreender as principais dimensões da personalidade de cinco jovens, entre 15 e 19 anos de idade, que viveram nas ruas do município de São Paulo, e que estavam abrigados em instituições. Mediante depoimentos pessoais, procurou-se resgatar, retrospectivamente, as circunstâncias de vida presentes no desenvolvimento desses jovens. Partimos da hipótese de que as condições emocionais de existência nos primeiros anos de vida relacionam-se, de forma estreita, com o desenvolvimento da personalidade e do caráter desses jovens. Adotou-se o método qualitativo, tendo, como referencial teórico, o conjunto de conceitos e hipóteses da teoria psicanalítica. Para a coleta de dados, foram utilizadas entrevistas semi-estruturadas, além de desenhos livres e testes projetivos. Constatamos que em épocas precoces da maturação dos jovens entrevistados (fase do “Cordão Umbilical Afetivo”), suas famílias passaram circunstâncias potencialmente adversas (Potencial Circunstancial) para a estabilidade emocional dos seus componentes e das suas relações interpessoais, circunstâncias essas que parecem ter afetado o desenvolvimento emocional de nossos sujeitos. Não obstante, estes jovens, puderam também vivenciar circunstâncias favorecedoras, internalizadas como experiências positivas que possibilitaram que o impulso para a integração e desenvolvimento pessoal também se estabelecesse em suas personalidades. Concluímos este trabalho esperando que uma visão mais abrangente e integrada da saúde e da doença no homem seja um dos objetivos das instituições de ensino na formação de seus profissionais, assim como esperamos que os responsáveis pelas políticas de saúde, contemplem a Saúde Mental sob a perspectiva de prevenção, adotada e exposta por esse trabalho, ressaltando a importância dos conceitos de “Cordão Umbilical Afetivo” e “Potencial Circunstancial” para a Saúde Pública.
We tried to understand and describe the main personality dimensions of five teenagers, of ages between 15 and 19 years old, who lived in the streets of the city of São Paulo, and who were living in shelters. Based on their personal accounts, we tried to retrospectively recover the life circumstances during their development. We started from the hypothesis that the emotional conditions of existence in the first years of life relate, in a close way, to personality development and to the character of these teenagers. We applied the qualitative method, having, as a theoretical reference, the fundamentals of psychoanalytical theory. To collect the data, we used semi-structured interviews, free drawings and projective tests. We found out that the families of our subjects have been through more than one period of potentially adverse circumstances (circumstantial potential) that influenced the emotional stability of their members and their personal relationships. These circumstances ocurred in the early maturation stages of these teenagers (“emotional umbilical cord” stage). On the other hand, these teenagers could also known some favourable circumstances, internalized as positive experiences, which provided the will for integration and personal development in their personalities. We conclude hoping that a wider and more integrated vision of health and disease be one of the goals of teaching institutions in worker formation, as well as hoping that those responsible for public policies regard mental health from the prevention perspective, adopted and explained by this work, noting the importance of the “emotional umbilical cord” and “circumstantial potential” concepts for public health.
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Gebers, Paul Eric. "Health of street children in Cape Town, May-November 1989." Master's thesis, University of Cape Town, 1990. http://hdl.handle.net/11427/27188.

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This cross-sectional study looks at the health profiles of street children both in institutions and on the street between May and November 1989. The former group had a clinical examination, with blood and urine investigations done where possible; the latter group were only interviewed. 159 street children were interviewed of whom 47 were interviewed on the street. 73 children had clinical examinations; 64 of these had blood and urine investigations. The age range was 8 years to 19.8 years. 18.2% were females and 28.3% were black. 59,6% of those interviewed on the street had not been in an institution or shelter for street children. 27, 2% of the total group had been on the street for more 3 years. 3 7, 1 % perceived colds and chest complaints as their main physical health problem. This was confirmed by the fact that 69,2% had a history of respiratory problems. 44,7% said that they would go to a hospital if they injured themselves or were ill; however, 36,5% said they would not use or get any medication for problems such as a headache or a bad cold. 37·, 7% of children used a hospital while they were on street but 59, 7% had not used any facility while on the street. Most street children (72,8%) washed themselves at least occasionally and 61% washed their clothes. 47,2% had suffered trauma significant enough to seek hospital attention. 56% had skin problems (including lice and scabies) while on the street. 15,7% complained of visual problems and 10,7% complained of reduced hearing. Dental problems appeared to be of major concern with 37,7% complaining of either toothache or dental caries (23,3% had obvious caries on examination). 73,4% admitted to solvent abuse, 49,9% had never taken alcohol and 12,7% had never smoked. 43% had tried dagga, 10,8% white pipe (mixture of dagga and "Mandrax" which is smoked) and only 7,6% "Mandrax" alone. 10, 9% of boys and 10, 0% of girls indicated that they had been sexually exploited. Of the 67 examined 32,8% were below 90% of expected height for age, 44,8% were below 80% of expected weight for age and 8,6% had a circumference of head below 95% of standard. There is a 9,4% Hepatitis Bs ag carrier rate. No HIV (human immunodeficiency virus) antibodies were detected in 64 sera tested. On the basis of these results, the following are recommended: 1) Improving accessibility of health care resources. 2) Improving the availability of health care resources. 3)· Initiating contacts with street children by employing field health workers. 4) Drawing up a health care policy for street children institutions and field care workers. 5) Limit venereal disease management to single dose treatment where possible. 6) Further studies need to be undertaken in the following areas: - solvent abuse - utilisation of health care resources utilisation institutions of street children shelters and Further breakdown of habits, physical problems and results of examinations are presented.
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Oliveira, Campos Juliana de. "Street Theatre in Brazil| Healing Illness, Promoting Action and Restoring Tradition." Thesis, Alliant International University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10828006.

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This study examined the potential healing aspects of a psychosocial intervention using street theatre with those suffering from schizophrenia in Rio de Janeiro, Brazil. Qualitative research was conducted to explore how art, culture and public health can provide a comprehensive approach to promote mental health within communities. The sample consisted of eight men and women who were active members of DyoNises Theatre group for at least one year. Participants were either staff at Municipal Institute of Health Care Nise da Silveira or volunteers. A qualitative design methodology based on Heidegger’s interpretive phenomenology was used. The data revealed nine major themes, 18 subthemes, 48 categories within subthemes, which were divided into three sections: a) Performance; b) Manifestations of Health; and c) Cultural Identities. Major themes in the Performance section included: 1) Play: from spectator to protagonist; 2) Ritual: providing structure; and 3) Theatre: development of social consciousness. Major themes in the Manifestations of Health section included: 1) Body in action: strengthening self-other boundaries; 2) Embodied Learning: practical actions to promote knowledge; and 3) Externalizing the Shadow: what within you kills you, out of you can save you. Major themes in the Cultural Identities section included: 1) Community Dialogue: rethinking perspective; 2) Experiential Knowledge as an Exercise of Power: expanding our models of thinking and behavior; and 3) Historical Heritage: reconnecting with ancestral knowledge. Clinical implications were related to reconstructing cohesive body boundaries, deepening the range of emotional responses to the environment, promoting autonomy, leadership, and community, educating the public, and redefining our cultural practices.

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Cavota, João Joaquim Gunza. "Primary health care facilities for street children : a study of the street children's requirements in designing community hospitals in Angola." Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/28254.

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Summary in English.
Bibliography: pages 122-126.
This dissertation studies the delivery of health care to street children. ft investigates the existing street children's facilities and the health system in Ang of a in order to determine an appropriate type of health facilities for the special health needs of these children. The study was based on a review of bibliographic material on street children and related subjects. The findings from this review were tested through a series of interviews with professionals working with street children in Angola and with ~treet children randomly selected from shelters and on the streets in Luanda. The questionnaires were designed for evaluation of the street children's facilities, the health system and to determine street children's preferences and attitudes towards formal institutions in a context where th'e main cause of family disintegration was war. The study concluded that street children's health needs in Angola would be better catered for through independent primary health centres provided with partial in-patient services (temporary sf eeping and eating facilities for children under medical care). These centres would serve mainly children with no access to shelters and those living in shelters without health centres. The study formulates guidelines and presents a design example of the type offacifity proposed.
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Morris, Desiree Lin. "MENTAL HEALTH INTERVENTION: DOES AN EXPEDITED PROCESS INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN?" CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/640.

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Child maltreatment negatively impacts physical, emotional, and the health and well-being of a person, often with lifelong implications. The importance of this study derives from the very necessity of mental health services for children who have suffered trauma. Children’s Assessment Centers (CAC) assess and refer children who have experienced abuse to a therapist in the community. This study examines the use of an enhanced referral process used to connect some CAC clients more quickly to therapeutic services in the community. The study examined whether children who received this expedited referral service were more likely than children who received the standard referral process to see a therapist within three months. The study used data provided by one CAC in California. The CAC provided information on clients who received either the expedited or standard referral process within a 3-month period in 2017. The researcher then contacted the clients’ caregivers to ask whether the child saw a therapist within 3-months of the child’s referral from the CAC. The study used a Chi-square test to analyze whether children who received an expedited referral to mental health services were more likely than children who received the standard referral to receive mental health services within three months. Results indicated no statistically significant difference in access to mental health services for the two groups. However, during data collection, the researcher learned that some children were already engaged in therapy at the time they received the referral, perhaps rendering the referral unnecessary. Implications for social work practice, policy, and research are discussed.
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Sams, Khia L. "Forgiveness, Mental Health, and Adult Children of Alcoholics." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/honors/157.

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Research has shown that spirituality can play a role in addiction and recovery. However, little work in this area has focused on adults who have grown up with parents who have had alcohol and/or drug problems. Cross-sectional data was collected from college students from a regional university in southern Appalachia. Multiple dimensions and aspects of forgiveness and mental health were examined among undergraduates, including differences based upon participants’ likelihood of being an adult child of an alcoholic (ACOA). Individuals likely to be an ACOA had poorer levels of the forgiveness and mental health related variables. Among ACOAs forgiveness of others was associated with psychological distress and somatic symptoms in a deleterious fashion. Forgiveness of situations was associated with mental health status, psychological distress, and dysfunctional behaviors associated with being an ACOA in a salutary fashion. The process of forgiveness intervention may be an added benefit during the recovery process associated with growing up as a child in an alcoholic family.
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Lewis, Sarah Elizabeth. "Assessment of mental health for looked after children." Thesis, University of Hull, 2014. http://hydra.hull.ac.uk/resources/hull:10528.

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The portfolio has three parts: Part One: A systematic literature review, in which the literature relating to the assessment and identification of mental health problems in looked after children is reviewed. Part Two: A mixed methods empirical research study which qualitatively explores foster carer’s perceptions of screening measures used with looked after children and the ability of these to capture need. Clinicians’ views regarding the same issue are also explored both quantitatively and qualitatively. Part Three: Appendices including all relevant documents related to the systematic literature review and empirical papers and a reflective statement from the researcher on the process of completing the portfolio.
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Jordan, Brianna L. "Food Insecurity and Children: How Food Insecurity Affects Mental Health in Children." UNF Digital Commons, 2019. https://digitalcommons.unf.edu/etd/872.

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Being without the financial means to have reliable access to enough food to sustain members of a household is known as Food Insecurity (FI; Gundersen, 2013). Previous research has linked FI to obesity and depression (Adams, Grummer-Strawn, & Chavez, 2003; Bronte-Tinkew, Zaslow, Capps, Horowitz, & Mcnamara, 2007; Huddleston-Casas, Charnigo, & Simmons, 2009; Kim & Frongillo, 2007). Although there have been findings about FI being related to depression and obesity, little research has used African Americans; even less research has used young adolescents as the target population. This study had five aims: 1) Observe the impact of FI on health, 2) Observe the impact of weight status on depression, 3) Observe gender effects, 4) Testing mediation effects of child and caregiver depression, and 5) Observe income effects on FI. There were 228 participants (Mage=13.27) recruited from a large Mid-Atlantic city. Self-administered questionnaires were used to assess psychosocial functioning, and caregivers answered the Two-Item Screening Questionnaire for Food Insecurity to assess FI status. FI was not significantly related to child depression but was related to caregiver depression. There was no relation between FI and weight status. Obese children reported higher levels of depression than normal and overweight children; weight had no relation to caregiver depression. Female children had higher rates of depression, overweightness, and obesity. Poverty was not related to FI or depression in children and caregivers. With more FI research, advances can be made to reduce the negative impact of this issue.
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Fernandez, Noemi. "Street harassment effects on women| An exploratory study." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=1606072.

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This quantitative research study examined the frequency of street harassment and women's responses to it in terms of emotional reactions and coping mechanisms. A self-administered survey was administered to 51 female graduate students. Frequencies and percents were reported, along with ethnic and age differences in the experience of street harassment.

Verbal/stalking harassment was found to occur frequently. In addition, many participants reported negative feelings (e.g., annoyance and anger). Women also reported restricting their mobility and changing their appearance in order to avoid harassment.

These findings highlight the utility of intervening to reduce street harassment to increase women’s safety and comfort in public. As women experience oppression due to their gender, their mental health has significant implications for our communities. In short, women’s lives matter.

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Fentress, Shelley Greenwell. "A Needs Assessment of Communicare's Children Mental Health Services." TopSCHOLAR®, 2012. http://digitalcommons.wku.edu/theses/1207.

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This document is a review of literature on needs assessments and the benefits of conducting one. Communicare is a mental health agency that serves the Lincoln Trail Region. Currently, most of the revenue from their children programs comes from Medicaid, which is a fee-for-services payer source. The Kentucky Medicaid Program is in the process of contracting with managed care organizations to oversee services that have been paid directly from Kentucky Medicaid. With these changes, mental health organizations must identify specific community service needs as well as expanding revenue sources. Applying for grants is one way mental health agencies can expand revenue sources. Communicare has identified the KY SEED grant that focuses on prevention and providing services to early childhood programs as a potential funding source. A needs assessment was conducted to gather information on children services implemented by Communicare. It was conducted in order to assess current programs and seek out potential areas of future program growth. The needs assessment further sought to identify gaps in services for the early childhood programs and assist in the grant application process. A review of existing data on children’s services offered at Communicare, including a satisfaction survey and a System of Care Assessment Report, was conducted as part of the needs assessment. A Community Forum with community partners from the Lincoln Trail region was held to gather additional data for the needs assessment.
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Carlsund, Åsa. "Children`s Mental Health -with focus on family arrangements." Doctoral thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-19759.

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The main aim of this thesis was to study children’s mental health with focus on family arrangements. The thesis was based on four studies (I-IV). Study number I, III and IV were quantitative studies with cross sectional design, using the Swedish version of Health behaviour in School- aged children (HBSC), including children aged 11, 13 and 15 years. The data was analysed with multiple linear regression analysis (I) and multivariate logistic regression analysis (III, IV). Study II was of qualitative descriptive design, based on 28 interviews with parents living in shared physical custody with their children. The qualitative study was analysed with inductive latent content analysis. Study I showed that lower levels of SHC and higher levels of SWB were associated with higher degrees of social capital in the family, school and neighbourhood. Social capital in family, school and neighbourhood had a cumulative influence on children’s SHC and SWB. In study II the participating parents described their own as well as the perceptions of their children and former partners. Parents’ perceptions changed from the beginning of shared physical custody, through the current situation, ending with perception of the future. The fifteen year old boys and girls (III) living in shared physical custody were more at risk of being a smoker or having been drunk compared with children living in two parent families. The results of sex <15 years and conduct problems showed that the risks didn’t differ significantly between these two groups. Study IV showed that children living in shared physical custody with their parents were more likely than children in two parent families to report multiple SHC, and low SWB. The variable of communication did not moderate the SHC and SWB of the children in any of these two groups. This thesis contribute with new and deeper understanding of the relatively new phenomenon: shared physical custody, and its associations to children’s mental health. The parent’s perceptions were an important complement to the children’s self reported health. In order to influence the decreasing mental health among children and adolescents, their opinions contributes to further understanding. Narratives from children, parents and practitioners are required in order to further study the association between children’s health outcomes and different family arrangements. Additional studies are needed to clarify how children’s mental health and different family arrangements are related to school, community economy, and society.
Avhandlingens huvudsyfte var att studera barns mentala hälsa med fokus på familjekonstellationer. Fyra olika studier ligger till grund för avhandlingen (I-IV). Studie I, II och IV var kvantitativa studier med tvärsnittsdesign. Datamaterialet utgjordes av den svenska versionen av Health Behaviour in School- aged Children (HBSC) (Svenska skolbarns hälsovanor). De deltagande barnen var i åldrarna 11, 13 och 15 år. Datamaterialet analyserades med hjälp av multipel linjär regressions analys (I) samt multivariat logistisk regressionsanalys (III, IV). Studie II var av kvalitativ karaktär och baserades på 28 intervjuer med föräldrar som bodde växelvis boende med sina barn. Den kvalitativa studien analyserades med hjälp av induktiv latent innehållsanalys. Studie I visade att lägre nivåer av SHC (subjektiva hälsobesvär) och högre nivåer av SWB (subjektivt välbefinnande) hade ett samband med högre nivåer av socialt kapital i familjen, skolan och närområdet. Socialt kapital i familjen, skolan och närområdet hade en kumulativ effekt på barnens självrapporterade SHC och SWB. I studie två beskrev de deltagande föräldrarna sina egna upplevelser, samt upplevelser relaterat till barnen samt och den före detta partnern. Föräldrarnas upplevelser förändrades från den första tiden av växelvis boende till nuvarande situation och avslutades med tankar om framtiden. De växelvis boende femtonåriga pojkarna och flickorna i studie III rapporterade ökad risk för att vara såväl rökare som att ha varit berusade jämfört med 15- åringarna i traditionella familjer. Resultaten avseende sex <15 år samt beteendeproblem visade inga signifikanta skillnader mellan dessa två grupper. Studie IV visade att barn som bodde i växelvis boende rapporterade fler subjektiva hälsobesvär och lägre välbefinnande jämfört med barn i traditionella familjer. Kommunikationsvariabeln hade ingen modererande effekt på någon av dessa båda grupper. Föreliggande avhandling bidrar med såväl ny som fördjupad kunskap för det relativt nya fenomenet, växelvis boende, och dess relation till barns mentala hälsa. Föräldrarnas upplevelse var ett viktigt bidrag till barnens självrapporterade hälsa. För att kunna påverka barn och ungas rapporter om allt sämre mental hälsa, är deras åsikter ett viktigt inslag för ökade kunskaper inom området. Vi behöver barns, föräldrars och yrkesverksammas åsikter för att vidare kunna studera relationen mellan barns hälsoutfall och olika familjekonstellationer. Vi behöver också veta mer om olika familjekonstellationers relation till skolan, närområdet samt det övriga samhället.
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Cartwright, Mark E. "Psychoeducation among caregivers of children receiving mental health services." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1187029938.

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Krizova, Katarina. "ADHD CHILDREN AND MENTAL HEALTH SERVICE USE: MATERNAL DETERMINANTS." UKnowledge, 2015. http://uknowledge.uky.edu/hes_etds/28.

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The current study investigated maternal determinants of mental health service use, namely, individual child therapy, among preadolescent children diagnosed with ADHD. The Behavioral Model of Health Care Utilization (Andersen, 2008) was used as a theoretical framework for the study. Data from the last three rounds of ECLS-K dataset were employed to test a longitudinal model using Bayesian analysis. Socio-demographic variables and maternal mental health were tested as exogenous variables and mother-child relationship variables, discipline variables, and perceived maternal concern about child’s overall behavior and child’s emotional symptoms were tested as intervening variables. Results showed that only maternal mental health remained in the model as an exogenous variable. The effect of mental health on child therapy was mediated by maternal aggravation and maternal concern about overall behavior in one path and by maternal concern about emotional symptoms in another path, suggesting that maternal mental health needs to be considered when attempting to understand help-seeking determinants. Both concern variables were found to have large direct effects on child therapy. The results of the current study showed the importance of maternal mental health and the importance of determinants related to mother-child relationship in a mother’s decision to seek therapy for a child.
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Brooks, Robert. "Occupational practice in children and young people's mental health." Thesis, University of Huddersfield, 2016. http://eprints.hud.ac.uk/id/eprint/30195/.

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Introduction The use of occupation in occupational therapy has been regularly debated in the profession’s literature. More recently there has been a shift to consider occupation as the core construct of occupational therapy, which informs assessments, interventions and outcomes; this can be described as occupational practice. Studies exploring occupational practice have been limited; this study has sought to address this gap. Methods This was a mixed methods study. First, a United Kingdom survey of occupational therapy practice in children and young people’s mental health was conducted (n=27). The survey findings were analysed using descriptive statistics. The survey was used as a sampling platform for the second stage of the study. Underpinned by an ethnographic approach, the second study used an observer of participant, interview and document collection methods to explore occupational practice (n=2). A grounded theory approach was taken to data analysis. Findings The participants of the survey were 89% female, 49% were at a senior grade and 68% had been qualified for over 10 years. 81% worked in Child and Adolescent Mental Health Services tier 3 or 4. 52% participants had an undergraduate degree in occupational therapy; 64% had no further specialist formal qualifications. Additional training in sensory integration therapy was reported by 34% of participants. The Model of Human Occupation was identified as the most frequently used model of practice. The Sensory Profile was the most regularly used assessment. The participants reported that their interventions commonly focused on talking style therapies, psycho-education and group work. The ethnographic study revealed a tension at the study sites between the medical psychological and occupational practice discourses. To manage this tension, the participants used a generic and profession-specific practice to negotiate being ‘one of the team’ and being a ‘real occupational therapist’. Enacting occupational practice included using the Model of Human Occupation, referrals for occupational problems, conducting assessments of occupation, concluding occupational formulations, and using occupation as an intervention. Interventions were characterised as ‘talking about doing’ or ‘doing occupation’ and utilised strategies such as modelling, goal setting and setting a challenge. Conclusion The survey has offered a snapshot of occupational therapy practice. This may help the profession understand the demography and practices of the participants. The Occupational Practice Model for Children and Young People’s Mental Health, which has emerged from the ethnographic findings of this study, is presented as a tool to guide the use of occupation at the level of theory, perspective and intervention. Further qualitative studies are recommended to support the study findings and a systematic review is suggested to examine occupational therapy interventions in the field.
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Zermeno, Andrea, and Maria Alejandra Perez. "Mental Health Services for Single Homeless Mothers with Children." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/829.

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Single mothers with young children living in poverty often experience various disadvantages, especially when they have mental health issues. They are a vulnerable population and face challenges such as poverty, homelessness, and low paying jobs. Homeless mothers and their children often have difficulty in finding means to survive and obtaining basic needs. The purpose of this study was to explore the quality and availability of mental health resources to homeless mother and their children. Ten participants were chosen outside of a homeless shelter in the City of Riverside. The study was a qualitative design conducted through face-to-face interviews. This study found that most participants in the study have utilized mental health services in their life and most found the services adequate. However, when asked what services they needed the most, more than half of the participants stated needing housing, employment, and food. Less than half of the participants stated needing more mental health services like therapy or rehabilitation services. The study also revealed that half of the participants utilized mental health services for their children and another half have not. With regards to working with a social worker, only four of the ten participants have done so and said they were helpful. Although one stated it was a failure, the remaining five have never worked with a social worker or cannot recall doing so. As a social worker, it can be recommended to actively provide housing and employment resources for their clients that are in need of basic necessities to survive. Another recommendation is for the social worker to acquire their clients’ perception of their needs and working from there to obtain those needs.
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Cartwright, Mark. "Psychoeducation among caregivers of children receiving mental health services." The Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=osu1187029938.

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McManus, Suzanne Bells. "Enhancing positive early childhood mental health outcomes in young children /." Connect to title online (ProQuest), 2009. http://proquest.umi.com/pqdweb?did=1790314811&sid=1&Fmt=2&clientId=11238&RQT=309&VName=PQD.

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Moura, Sergio Luiz de. "Perspectives of health and illness amongst adolescents in Sao Paulo, Brazil." Thesis, London South Bank University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.300593.

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Lasting, Olivia Lambert. "Methed up : how do street youth with methamphetamine-induced psychosis access mental health services?" Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/2506.

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This study explored the experiences of street-involved youth who have received mental health services for symptoms of methamphetamine-induced psychosis. Specifically, the study investigated what factors were perceived by participants to promote and hinder access to mental health services. The researcher interviewed nine street youth at Covenant House, a Vancouver agency serving street-involved youth. Interview data and the researcher's field notes were coded and analyzed within a grounded theory paradigm. Youth discussed formal and informal sources of help and routes to both. Two distinct perspectives to treatment were identified: an addictions perspective and a concurrent disorders perspective. Respondents outlined the typical pathway into methamphetamine use and described barriers and supports for accessing services while undergoing drug-induced psychosis. Significant factors that encouraged access to services were positive relationships with helpers, strong peer supports, and the use of involuntary services when necessary. Identified barriers included fear of being stigmatized, lack of problem awareness, and systemic barriers. The current research proposed a model of access to mental health services that positions outreach and frontline workers as key figures to mediating street youth's access to appropriate services.
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Fauble, Mandy A. "How Maternal Childhood Maltreatment Negatively Impacts Children⁰́₉s Mental Health Outcomes Among Polysubstance Exposed Children." Cleveland, Ohio : Case Western Reserve University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1238242697.

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Thesis (Ph.D.)--Case Western Reserve University, 2009
Title from PDF (viewed on 26 May 2009) Includes abstract Mandel School of Applied Sciences (Social Welfare) Includes bibliographical references and appendices Available online via the OhioLINK ETD Center
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Elliott, Nalishebo Kay Gaskell. "The health and wellbeing of female street sex workers." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/19510.

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Previous research on female street sex workers (FSSWs) has primarily concentrated on the stigmatisation of women's involvement in the sex industry particularly with reference to the spread of HIV/AIDS. The response of the criminal justice system to the regulation of the illegal aspects of women's engagement in street sex work has also been criticised. However, the impact of street sex work on the health and wellbeing of these women requires further research. The aim of this study was to explore the perceptions and needs of female street sex workers in relation to their own health and wellbeing. The study used a qualitative mixed methods approach that included analysis of three sets of data: visual data, secondary data and primary data. There were 10 FSSWs recruited for the primary data sample. The epistemological position underpinning this study is social constructivism and a feminist paradigm has informed the conduct of the research process and data analysis. The theoretical application of Bourdieu's framework of habitus, capital and field has provided the lens through which to explore the socially constructed experiences of FSSWs health and wellbeing. Findings from this study revealed that FSSWs experienced poor physical, mental and social health and wellbeing. They faced limited life choices and often felt discriminated against by the agencies and institutions that should have offered support. The women spoke of their personal histories especially traumatic life events in childhood consisting of sexual abuse, neglect, loss, rejection as well as intimate partner violence in adult life. The loss of their children to social services, housing difficulties and addiction to alcohol and crack cocaine were also significant in contributing to social exclusion and their multiple positions of vulnerability. This study contributes to the body of work on women's health and wellbeing. In particular, it adds to our understanding of the lived experiences of women involved in street sex work. A key public health priority should be the development of policies and systems to provide quality services to support the health, safety and wellbeing of FSSWs.
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Sayeed, Sanjidaa. "Education and Healthcare Possibilities for Street Children in Babati Town,Tanzania." Thesis, Södertörns högskola, Institutionen för livsvetenskaper, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-4115.

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Street children are the most vulnerable group in any society. It is estimated that 150 millions children lives on the street in the world. Most of these children lack all basic needs. This study is been done in Babati district, Tanzania. Focus of this study is to examine the possibilities to Education and Healthcare of street children in Babati. This is a qualitative study based on semi structured interviews with street children, authorities responsible for Education and Healthcare of these children and other actors involve in this subject. The result of this study is that the government of Tanzania has developed a guideline (focus on HIV/AIDS related problems causing orphans) to assist these children with shelter, food, education, healthcare etc. There are 656 identified street children in Babati is receiving assistance from the authority but the interviewed street children are receiving any assistance are none. NGOs in Babati working with street children follow the same guideline assisting street children. Children not falling under this guideline do not have many chances to receive any assistance from the authorities and other actors in Babati. The authorities and actors need to expand their focus on reaching all street children in Babati.
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Coomer, Rachel. "Experiences of parents of children with mental disability regarding access to mental health care." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_6969_1319019499.

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The purpose of this study was to explore the challenges parents of children with mental health disabilities and disorders in Namibia face when attempting to access mental healthcare resources. The study used a qualitative exploratory approach. Purposive sampling was used to include parents, caregivers and relatives of children with metal health disabilities and disorders. The sample also included key informants. Data was collected through focus group discussions with the participants and individual interviews with the key informants. Overall, a total of 41 people provided information for this study. Thematic data analysis was used to assess the data. The results suggest that parents/caregivers and relatives of children with mental health disabilities and disorders do experience barriers accessing mental health care. The challenges go beyond commonly-reported problems in the literature such as stigma and discrimination and include basic challenges such as a lack of transportation to healthcare services and a lack of acceptance of the mental health disorders by the parents. The study offers recommendations for how service provision can be improved and how parents of children with mental health challenges can have better access to services.
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Spitzmueller, Matthew C. "The making of community mental health policy in everyday street-level practice| An organizational ethnography." Thesis, The University of Chicago, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3615678.

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Scholars have used studies of “street-level organizations” to examine how policy is implemented, adapted, and changed through the practices of workers in real-world contexts. This dissertation follows in that tradition, tracing the ways in which Medicaid reforms work their way down to the street-level in a community mental health center with its origins in the clubhouse model of treatment. Based on twelve months of direct observation of street-level practices, interviews with workers, and analysis of agency documents and reports, I examine how new managerial reforms shape the strategies that workers use to provide access to community mental health services and to advance the clubhouse logic of recovery. These findings have implications for scholarship across the domains of community mental health practice, organizational studies, and policy research, suggesting the need for further investigation into how policy reform is produced through the everyday practices of street-level organizations.

This dissertation uses organizational ethnographic methods to study workers’ practices at Community Club, a community mental health center located in Chicago, Illinois. The clubhouse is based on the idea that individuals whose lives have been adversely affected by severe mental illness can benefit from treatment in a setting that functions as a social club, where members experience themselves as valued and needed. At the same time, community mental health reforms have been advanced largely by new managerial arrangements that emphasize accountability and performance measurement. These reforms in governance and management produced considerable uncertainty for workers in how Community Club would adapt to changes in policy. This site provides an opportunity to examine how reforms “worked” in this particular setting and what became of the clubhouse model under new managerial arrangements.

Data were collected from November 2009 until November 2010. I directly observed therapeutic interactions at Community Club and attended weekly team and managers meetings. Interviews were recorded with frontline workers, team leaders, and program administrators as questions emerged from my day-to-day observations of direct practices. I had access to multiple sources of organizational documentation, including corrective actions, internal notices, and training materials. I attended meetings, webinars, and teleconferences at the Illinois Division of Mental Health for a year. I also attended monthly meetings at the largest community behavioral health trade association in Illinois for two years. Interviews were conducted with key informants at the state and trade levels to better understand how community mental health policy reforms took shape in Illinois. Data were analyzed in an ongoing and iterative fashion for thematic connections. Multiple data sources allowed for triangulation and fact-checking as hypotheses emerged over the course of this study.

This study finds that workers adjusted to reforms in governance and management in ways that were not reducible to formal statutes alone. First, new managerial reforms restructured the tensions that played out at the street-level as workers negotiated the competing demands of access to care. This study suggests that reforms may place pressure on workers to limit flexibility and openness, may produce both direct and indirect forms of rationing, and may introduce barriers that unevenly affect individuals who are “harder to serve.” Second, reforms in governance and management restructured three key logics of the clubhouse. Street-level practices that advanced community participation, informal group arrangements, and client self-determination were reshaped by organizational incentives and penalties that increased the costs for workers of providing these services. These changes had observable implications for individuals’ access to services and for workers’ ability to act in consonance with manifest principles of the clubhouse and recovery models of treatment.

This dissertation supports the assertion that formal policy is changed through its implementation in real-world contexts of practice. By revealing the structures that shape most decisively what policy becomes in practice, this study enhances the visibility of social welfare reforms that may otherwise obfuscate how reforms “work” in practice. This study suggests that social policies should focus not only on accountability and performance measurement, but also on supplying workers with adequate resources to do their jobs well. If, as advocates and researchers have long suggested, there remains significant need for services that support social connection among people with severe mental illness, then it is important for scholars and policymakers to think about how to better equip organizations with the resources they need to facilitate this dimension of care. This dissertation is based on a single case study, which limits the generalizability of its findings. Street-level organizational studies build validity over multiple iterations of case selection, using a comparative perspective to distinguish particular from systematic features of organizational practice. More studies are needed that examine how community mental health policies are produced in the everyday life of organizations, in order to better understand how polices give shape to the nature and distribution of care.

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30

Reedy, Joslyn. "The mental health conditions of Cambodian refugee children and adolescents." Connect to resource, 2007. http://hdl.handle.net/1811/25191.

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Thesis (Honors)--Ohio State University, 2007.
Title from first page of PDF file. Document formatted into pages: contains 42 p. Includes bibliographical references (p. 39-42). Available online via Ohio State University's Knowledge Bank.
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Bennett, Sophie D. "Mental health of children and young people with neurological conditions." Thesis, University College London (University of London), 2017. http://discovery.ucl.ac.uk/10039047/.

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Children and young people with neurological conditions have at least a five times greater risk of developing a mental health disorder than their otherwise healthy peers. Little is known about effective methods for treating mental health disorders in the context of a paediatric chronic physical illness, despite high unmet need and serious adverse consequences. The purpose of this thesis was to develop and evaluate a method of routine identification and treatment of common mental health disorders in children and young people with chronic neurological conditions, using an online diagnostic interview and telephone-guided self-help intervention. The thesis is formed of nine chapters. Chapter One presents an overview of the background and rationale for the research. Chapter Two presents a systematic review of interventions to treat mental health disorders in the context of chronic physical illness. This found that very little research has been conducted on this topic to date. Chapter Three reports on a meta-analysis of guided self-help interventions for common mental health disorders in children and young people, demonstrating that guided self-help interventions may be as effective as face-to-face interventions. The thesis then reports on the feasibility of a process of identification of mental health disorders, integrated into paediatric neurology clinics (Chapter Four). Finally, a modular guided self-help intervention was piloted through four case studies (Chapter Five) and then a pilot randomised controlled trial of 34 participants; Chapter Six reports the study protocol. The intervention was evaluated quantitatively, through standardised measures (Chapter Seven), and qualitatively through semi-structured interviews with participants (Chapter Eight). Overall, results demonstrate that the process of identification followed by a guided self-help intervention may be effective in working towards participants’ specific goals for therapy and that it is acceptable to most participants. The clinical implications are discussed and suggestions for further research proposed in Chapter Nine.
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Arcelus, Jon. "Psychiatric disorders in children attending a primary mental health service." Thesis, University of Leicester, 2005. http://hdl.handle.net/2381/31219.

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A number of child and adolescent mental health services (CAMHS) have established primary mental health worker (PMHW) posts. Their objective is to enhance service provision on the interface between primary care and specialists services. This is to be achieved by a combination of direct assessment and intervention, in addition to consultation, training, liaison, and joint work with Tier 1 professionals.;The aim of this study was to describe socio-demographic characteristics, and the rates of psychiatric disorders of the children attending the primary mental Health Service. The K-SDAS-P IVR semi-structured interview, the Eyberg Behavioural Inventory, and the Parental Stress Index were used to collect this information. During the year of the study, 427 children were referred to the Primary Mental Health Service. Of these referrals, 117 (27.4%) were allocated for direct work. From the 117 cases, 97 children and their families agreed to participate in the study. Oppositional Defiant Disorder (ODD) was the most common diagnosis. Other diagnoses were Anxiety (39.2%), Mood (35.1%) and Attention Deficit-Hyperactivity Disorders (28.9%). There was a substantial rate of psychiatric co-morbidity, as 61.8% of the children who participated in the study fulfilled diagnostic criteria for more than one diagnosis. The study also found that 76% of their parents had clinically significant stress levels.;It is concluded that children and adolescents attending Primary mental health Services often have complex psychiatric disorders, which may be masked by behavioural problems. Training in the recognition of likely psychiatric co-morbidity and integration of PMHWs in specialist CAMHS are important implications in the planning and implementation of such services.
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Coates, Rose. "Assessment of perinatal mental health problems." Thesis, University of Sussex, 2017. http://sro.sussex.ac.uk/id/eprint/67082/.

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Mental health problems in pregnancy and the postnatal period can have long-term negative effects on women and their children. A key barrier to helping women in this period is the low level of identification of mental health problems. Depression has commonly been screened for using the Whooley Questions or Edinburgh Postnatal Depression Scale (EPDS) but women may experience a broad range of symptoms of distress not captured by these measures. The research reported in this dissertation was designed to address several aims. The first strand aimed to explore women's experiences of postnatal mental health problems and how they conceptualise their symptoms. The focus of the first qualitative study was the lived experience of 17 women who had experienced psychological distress in the first postnatal year, and used interpretative phenomenological analysis. The second qualitative study used thematic analysis with the same sample to explore different symptoms of distress and women's experiences of being assessed for these. The second strand reviewed and evaluated currently existing measures of commonly reported affective symptoms with a view to informing future assessment. A systematic review found a lack of measures of anxiety designed for or validated sufficiently with perinatal women. Factor analyses of the EPDS then explored the structure of depression and anxiety symptoms in the perinatal period in the Avon Longitudinal Study of Parents and Children (N = 11,195 – 12,166). Results suggested symptom clusters of anhedonia, depression and anxiety. Finally, validity of the CORE-10, a short measure of psychological distress was evaluated in a sample of 366 pregnant women. The CORE-10 showed promising psychometric properties. Anxiety was the most reported symptom. Overall findings suggest that perinatal women need to be assessed for a variety of mental health problems and that further work is needed to identify the most effective assessment tool and process.
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Bless, Stephanie Marcia. "Physical Activity in Nature and Children's Mental Health." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/506.

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The aim of this study was to determine if there is a relationship between children's physical activity and wellbeing, and if that relationship is enhanced by physical activity in nature. This study was a non-experimental retrospective multi-informant data review conducted at an outpatient pediatric psychiatric clinic in the Northeast. The theoretical framework used to guide this study was the Health Promotion Model, suggesting Advanced Practice Nursing investigate the relationship between health promoting behaviors and personal factors that support mental wellness in children and protect against mental illness. Data collected included age, sex, and exercise and wellbeing subsections of the Vermont Child Health and Behavior Questionnaire (VHBQ): Parent Reports and Self-reports for 11-21 year olds. Data from three sample groups were analyzed: parent participants (n=178, 61% male, 38% female), child participants (n=78, 51% male, 49% female), and parent-child pairs with sex determined by child (n-25, 60% male, 40% female). Physical activity was calculated using a metric for participation in sports. Two sample t tests were used to analyze children's response to the question "do you participate in sports regularly?" in relation to wellbeing scores. Pearson's correlation coefficient was used to investigate correlations between 1) parent reports of their children's physical activity and wellbeing, 2) children's self-reports of physical activity and wellbeing, 3) parent reports of their children's physical and children's self-reports of physical activity, and 4) parent reports of their children's wellbeing and children's self-reports of wellbeing. Statistically significant results included positive correlations between parent reports of their children's physical activity and wellbeing item, "his/her living conditions are excellent" (r=.34, p=<0.001 for overall, r=.25, p=.002 for indoor, and r=.28, p=<0.001 for outdoor). Positive weak correlations were found between parent reports of their children's physical activity and scores on the VHBQ 10-point Worst Life/Best Life bar (r=.19, p=0.02 for overall and r=.17, p=.04 outdoor). Additionally, results showed significant strong positive correlations for all physical activities between parent reports of children's participation and children's self-report of participation (r=0.83, p=<0.001 for overall, r=0.85, p=<0.001 for indoor, and r=.67, p=0.02 for outdoor). However, only a single wellbeing item, "Compared with...most peer, [child] is less happy than they are", demonstrated statistically significant positive correlation (r=.48, p=0.03) when parent reports and self-reports of wellbeing were compared. These results underscore the need for further research. Among professions, Advanced Practice Nurses may be best equipped to fully understand the lifestyle factors that promote children's mental health. Moreover, because of their background, training and employment settings, Advanced Practice Nurses could play an important role not only in initiating well-being research studies, but also in using the resultant information to develop educational resources and policy.
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Mueller, J. "Parents' communication to their primary school-aged children about mental health and ill-health." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11175/.

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Although it is understood that stigma about mental ill-health emerges in middle childhood, and that parental communications are highly influential in children’s developing attitudes, almost nothing is known about the messages parents communicate to young children about mental health problems and how these might contribute to the perpetuation of stigma. This study aimed to address this gap in the literature by exploring parents' communications to their primary-school aged children around mental health and ill-health. Semi structured interviews were carried out with ten parents of children aged 7-11. Data collection and analysis was performed according to a Grounded Theory approach; a theoretical model was developed. The model highlights factors that govern parents’ communications to children about mental health issues, and the impact of this on communication purpose and approach. Parents’ communications were governed by the extent to which parents’ representations of ‘Them’ (mental illness) and ‘Us’ (mental health) overlapped or remained distinct. Communications about mental health were deliberate, comfortable, and aimed to promote child wellbeing, whilst unconscious processes driven by taboo meant communications about mental illness were characterized by avoidance, awkwardness, and ambivalence. Factors such as parent experiences, communication context, and child characteristics, fluidly influenced parents’ overlap of ‘Them’ and ‘Us’, and hence the purpose and approach of their communications to their children. Parents’ context-dependent conceptualizations of mental health and ill-health mean children are receiving complex verbal and non-verbal messages from parents, which may contribute to children’s development of stigmatized views via conscious and unconscious processes. Interventions and policy that harness parents’ existing understandings of mental wellbeing to promote a spectrum model of mental health and ill-health may lead to more open parent-child communication, increased help-seeking, and reduced stigma.
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Gustafsson, Per E. "Psychosocial Stress, Mental Health and Salivary Cortisol in Children and Adolescents." Doctoral thesis, Linköpings universitet, Barn- och ungdomspsykiatri, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-15686.

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Stressful experiences and conditions in childhood influence the health and well-being of the growing individual, and can also confer a long-lasting impact into adult life. Delineating the social, mental and biological aspects of stress in children and adolescents is therefore of great concern for human beings. Despite these notions, much knowledge is lacking regarding stress in childhood. This thesis aimed at examining diverse aspects of stress in children and adolescents: associations between social conditions, traumatic life events, mental health, and salivary cortisol as a measure of the activity of a major physiological stress system. Cross-sectional samples included two non-clinical samples of school-aged children (N=240-336) and adolescents (N =400), and two clinical samples of children with obsessive-compulsive disorder (OCD) (N =23) and adolescents who had experienced childhood abuse (N =15). Main measures were salivary cortisol sampled three times a day, and questionnaires to teachers, parents and children with questions about each child’s mental health, traumatic life events and about the socioeconomic situation of the parents. The main findings include observation of 1) higher cortisol levels in children with a moderate level of psychosocial burden (low socioeconomic status, immigrant family, social impairment of mental health problems), 2) higher cortisol levels in children with OCD who also displayed a tendency to decreasing cortisol in the face of an acute stressor, and 3) cortisol was positively related to mental health problems in abused adolescents. Furthermore, the deleterious effect of 4) traumatic events involving a social dimension, interpersonal traumas, and 5) cumulative traumatic events, polytraumatization, on the mental health of children and adolescents was indicated. The findings are discussed with respect to the complex interactions between social, mental and biological aspects of children and adolescents. The consequences of adverse experiences in childhood may represent pathways to future health problems. Consideration of the social circumstances in childhood might in the future guide public health policies and the identification of target groups for preventive interventions as well as leading to improvements in treatment for children exposed to severe stress.
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Khalife, Natasha, Vivette Glover, Anna-Liisa Hartikainen, Anja Taanila, Hanna Ebeling, Marjo-Riitta Jarvelin, and Alina Rodriguez. "Placental Size Is Associated with Mental Health in Children and Adolescents." Mittuniversitetet, Institutionen för samhällsvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-17060.

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Background: The role of the placenta in fetal programming has been recognized as a highly significant, yet often neglected area of study. We investigated placental size in relation to psychopathology, in particular attention deficit hyperactivity disorder (ADHD) symptoms, in children at 8 years of age, and later as adolescents at 16 years. Methodology/Principal Findings: Prospective data were obtained from The Northern Finland Birth Cohort (NFBC) 1986. Placental weight, surface area and birth weight were measured according to standard procedures, within 30 minutes after birth. ADHD symptoms, probable psychiatric disturbance, antisocial disorder and neurotic disorder were assessed at 8 years (n = 8101), and ADHD symptoms were assessed again at 16 years (n = 6607), by teachers and parents respectively. We used logistic regression analyses to investigate the association between placental size and mental health outcomes, and controlled for gestational age, birth weight, socio-demographic factors and medical factors, during gestation. There were significant positive associations between placental size (weight, surface area and placental-to-birth-weight ratio) and mental health problems in boys at 8 and 16 years of age. Increased placental weight was linked with overall probable psychiatric disturbance (at 8y, OR = 1.14 [95% CI = 1.04-1.25]), antisocial behavior (at 8 y, OR = 1.14 [95% CI = 1.03-1.27]) and ADHD symptoms (inattention-hyperactivity at 16y, OR = 1.19 [95% CI = 1.02-1.38]). No significant associations were detected among girls. Conclusions/Significance: Compensatory placental growth may occur in response to prenatal insults. Such overgrowth may affect fetal development, including brain development, and ultimately contribute to psychopathology.
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38

Ravens-Sieberer, Ulrike, Nora Wille, Michael Erhart, Susanne Bettge, Hans-Ulrich Wittchen, Aribert Rothenberger, Beate Herpertz-Dahlmann, et al. "Prevalence of mental health problems among children and adolescents in Germany." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-106412.

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Background: Over the past decades the public health relevance of mental health conditions in children and adolescents has been of growing concern. However, so far no detailed epidemiological data has been available for a representative national sample in Germany. Objectives: The present paper reports prevalence rates of general and specific mental health problems among children and adolescents in Germany and describes the link between symptoms and impairment as well as the treatment situation. Methods: The mental health module (BELLA study) examines mental health problems in a representative sub-sample of 2,863 families with children aged 7–17 from the National Health Interview and Examination Survey among Children and Adolescents (KiGGS). Mental health problems were determined using the extended version of the strengths and difficulties questionnaire (SDQ). Further standardised screening measures were employed to screen for anxiety disorders (SCARED), conduct disorder (CBCL), attention deficit-/ hyperactivity disorder (FBBHKS, Conners’ Scale) and depressive disorders (CES-DC). Furthermore, substance abuse and suicidal tendencies were assessed. Health-related quality of life (HRQoL) and health care use were determined. Results Overall, 14.5% of the children and adolescents aged 7–17 fulfilled the criteria for at least one specific mental health problem associated with impairment, or had an overall mental health problem indicated by an abnormal SDQ score and present impairment. However, high comorbidity was found in the children concerned. Symptoms of overall mental health problems were present in 8.6% of the children and 6.6% of the adolescents. This number was reduced to prevalence rates of 6.3 and 4.9% when additional impairment was taken as a criterion. Irrespective of the type of disorder, fewer than half of the children affected were reported as receiving treatment. However, for those suffering from mental health problems, large impairments in HRQoL were observed. Conclusions: The observed prevalence of mental health problems as well as their large impact on well-being and functioning calls for early prevention. This is especially important with regard to the large decrease in HRQoL in the children and adolescents affected.
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39

Dasgupta, Kabir. "Essays on Mental Health and Behavioral Outcomes of Children and Youth." Diss., Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/394605.

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Economics
Ph.D.
This dissertation incorporates three essays related to youth’s health and human capital outcomes. The first two essays investigate the impacts of important public policies on adolescents’ mental health and risky behavioral outcomes. Essay three examines the effects of mothers’ non-cognitive skills on children’s home environment qualities and their cognitive and behavioral outcomes. Domestic violence is a large public issue in the United States. Chapter 1 investigates the effectiveness of warrantless arrest laws enacted by states for domestic violence incidents on multiple youth mental and behavioral outcomes. Under these laws, police officers can arrest a suspect without a warrant even if they did not witness the crime. Although young women remain at the highest risk of victimization of domestic violence, children ages 3 to 17 years are also at elevated risk for domestic violence. Further, over 15 million children witness domestic violence in their homes every year in the United States. Exposure to domestic violence is associated with various social, emotional, behavioral, and health-related problems among youth. Using variation in timing of implementation of the arrest laws across states, I utilize differences-in-differences analyses in multiple, large-scale data sets of nationally representative samples of youth population to study the impact of the laws on a number of youth mental and behavioral outcomes. Results indicate the presence of heterogeneity with respect to the impact of states’ arrest laws on the outcomes studied. The study is useful for policymakers as it provides important evidence on the effectiveness of state measures designed to reduce domestic violence. The estimates obtained in the analyses are robust to multiple sensitivity checks to address key threats to identification. Chapter 2 empirically examines the effects of state cyberbullying laws on youth outcomes with respect to measures of school violence, mental health, and substance use behavior. Electronic form of harassment or cyberbullying is a large social, health, and education issue in the United States. In response to cyberbullying, most state governments have enacted electronic harassment or cyberbullying law as a part of their bullying prevention law. The analysis uses variation in the timing of implementation of cyberbullying laws across states as an exogenous source of variation. Using nationally representative samples of high-school teenagers from national and state Youth Risk Behavior Surveys, the study finds evidence of a positive relationship between adoption of cyberbullying laws and students’ reporting of certain experiences of school violence, mental health problems, and substance use activities. Regression analyses also study the effects of some important components of state cyberbullying laws. Finally, this study examines the sex-specific impacts of cyberbullying laws and its components on youth. The causal estimates are robust to the inclusion of multiple sensitivity checks. This study provides evidence on the efficacy of public measures designed to address cyberbullying among school-age children. Chapter 3 utilizes matched data from National Longitudinal Surveys of Youth (NLSY79) and Children and Young Adults (NLSY79 CYA), to estimate the impact of mothers’ self-esteem on young children’s home environment qualities that enhance early childhood cognitive functioning and extend better emotional support. The estimates suggest that mothers with higher self-esteem provide better home environment to their children during early stages of childhood. The results are robust across different estimation methods, empirical specifications, and demographic groups. This study also finds that mothers with higher self-esteem are more likely to engage in parental practices that support young children’s cognitive and emotional development. Further analysis shows that mothers' self-esteem has a causal relationship with cognitive and behavioral outcomes of school-age children. The results obtained in this study indicate that early childhood development policies directed towards enhancement of non-cognitive skills in mothers can improve children’s human capital outcomes.
Temple University--Theses
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40

Hockaday, Harriet. "Psychological correlates of mental health outcomes in looked after preschool children." Thesis, University of Edinburgh, 2018. http://hdl.handle.net/1842/33139.

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Background: Children who enter foster care usually do so because of maltreatment by their birth families. Early adversity such as this is associated with many negative outcomes, including disturbances of attachment and mental health in childhood and throughout the lifespan. Young children (under 5) are particularly at risk due to maltreatment rates being highest in this age range, and because of the vital brain development that occurs during this time. Improving the quality of existing relationships for young children is the most cost effective way to improve mental health outcomes. It is important that research investigates which relational and psychological variables that exist within the foster carer-child relationship may be protective against developing negative mental health outcomes, so as to inform carer training and future interventions for this vulnerable group. Aims: The aims of this research project were twofold. The first aim was to systematically review the existing literature on links between foster carer psychological variables (such as commitment to their foster child), and/or child psychological variables (such as their attachment style), and the mental health outcomes of children in foster care. The second aim was to investigate whether foster carer acceptance, commitment, awareness of influence and reflective functioning (RF) predict the mental health outcomes of Scottish preschool aged children who are looked after in foster care. Method: A systematic review of the existing literature was undertaken to address the first aim. The search strategy resulted in 12 quantitative studies that investigated links between child or carer psychological variables and child mental health outcomes. An empirical study of 179 pre-school aged children in foster care in Scotland was carried out to address the second aim. Participants were taking part in a wider RCT of a novel intervention to improve outcomes and permanency decisions for children in foster care. Foster carer acceptance, commitment, and awareness of influence was assessed using the This Is My Baby Interview, and scores of RF were coded from the transcripts of this interview using a computer-based algorithm. Child mental health information was gathered using the Infant Toddler Social Emotional Assessment. Data was gathered at 2 time points; baseline assessments occurred around 4 weeks after entry to care, and follow-up assessments were carried out a year later. Results: The systematic review found good evidence that foster child attachment security is linked to more positive mental health outcomes. It also found some evidence suggesting that foster carer psychological variables such as commitment and quality of caregiving also relate to child mental health outcomes, but this research is in its infancy and it is therefore difficult to draw firm conclusions around this. The results of the empirical study showed that carer commitment and awareness of influence predict child competence at baseline, and RF predicts internalising and externalising problems at follow up. No predictive relationships were found between carer variables and child mental health over time. Conclusion: The results from both studies suggest that carer psychological variables such as commitment to their foster child may relate to child mental health development. These results have implications in terms of foster carer training, and for intervention development for this vulnerable population. This research is however in its infancy, and the results suggest a complex picture with regard to carer psychological variables and child mental health. Large-scale high quality longitudinal research is needed to provide a clear understanding of these relationships.
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41

Goodman, Anna. "Why do British Indian children have an apparent mental health advantage?" Thesis, London School of Hygiene and Tropical Medicine (University of London), 2009. http://researchonline.lshtm.ac.uk/942773/.

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The British Child and Adolescent Mental Health Surveys (B-CAMHS) of 1999 and 2004 found a substantially lower prevalence of any child mental disorder in Indians compared to the general population (3.4% vs. 9.4%, p<0.001). This PhD sought to understand this apparent Indian mental health advantage through secondary analyses comparing the 16 449 White and 419 Indian children aged 5-16 in B-CAMHS. There was strong evidence (p<0.002) of an Indian advantage for externalising problems/disorders and little or no difference for internalising problems. This was consistently observed for clinical diagnosis and for the Strengths and Difficulties Questionnaire (SDQ) administered separately to parents, teachers and children. Detailed psychometric analyses provided no evidence that measurement bias could account for this observed Indian advantage. There was likewise no evidence that the advantage could be explained by participation bias. In multivariable analyses the unexplained difference between Indians and Whites for externalising problems decreased somewhat after adjusting for the fact that Indian children were more likely to live in two-parent families (92.2% vs. 65.4%) and less likely to have academic difficulties (e.g. 2.9% vs. 8.6% for parent-reported learning difficulties). In models adjusting for a larger number of child, family, school and area variables the difference reduced only by about a quarter (e.g. from 1.08 to 0.75 SDQ points on the parent SDQ) and remained highly significant (p<0.001). In both unadjusted and adjusted models, the unexplained Indian advantage for externalising problems was consistently larger in families of low SEP. There was little or no evidence of an ethnic difference for internalising problems/disorders in unadjusted or adjusted models. In conclusion, the Indian mental health advantage is genuine and is specific to externalising problems/disorders. Family type and academic abilities mediate part of this advantage, but most of the advantage is not explained by major child mental health risk factors.
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Williams, Laura. "Experiences of single fathers whose children have used mental health services." Thesis, University of East London, 2015. http://roar.uel.ac.uk/4535/.

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Background: While much research has been conducted with single mothers, comparatively little has been undertaken with single-father families. Research done with this minority group has tended to focus on the ways in which this family structure is associated with disadvantage and poorer psychological outcomes for fathers and children, where gender tends to be discussed in individualistic or simplistic terms. Therefore, little is known about how these contexts affect single fathers’ day-to-day experiences and their experiences of parenting children who present with psychological distress. Method: Semi-structured interviews were undertaken with eight men identifying as single fathers and parenting children accessing mental health services. Thematic analysis of the data was guided by Braun and Clarke’s (2006) six phase approach and was underpinned by a critical realist epistemology. Results: Five themes showed issues pertinent to this group as; a) negotiating gendered representations of single-fathering; b) feeling excluded by these and isolated and lonely in the context of finding it harder to socialise and form romantic relationships; c) feeling the ‘weight’ of responsibility for children and negotiating the role of the father in the context of single-parenthood and children’s distress; d) (struggling to) make meaning of and manage distress and not coping; and e) experiences with children’s services that prevent or enable access and the ways in which the power of professionals transcends this issue to define ‘good’ parenting. Conclusions: Findings are discussed with reference to the gender and parenting literature and their implications for future research and clinical practice.
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43

Gramlich, Theresa. "Children Raised by Homosexual Parents: Sexual Orientation, Mental & Sexual Health." TopSCHOLAR®, 1989. https://digitalcommons.wku.edu/theses/2406.

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Sex and morals have often been factors in custody disputes. Courts have felt that giving custody of children to homosexual parents would create an environment not in the best interest of the child. Many mental health professionals argue that these decisions have been based on prejudice and homophobia. The purpose of this study was to evaluate research on the sexual orientation of children raised by homosexual parents and review data on the mental/psychosexual health of these children. These studies revealed no difference between children raised by gay/lesbian parents versus those raised by heterosexual parents on IQ scores, gender identity, or peer group relations. Daughters raised by lesbian mothers tended to choose more masculine toys and engage in more masculine activities than daughters raised by single heterosexual mothers. Nearly all of the adolescent children of homosexual parents experienced periods of questioning their sexual orientation. They also expressed the possibility of changing their sexual orientation later in life. Problems in research methodology (i.e., pre-experimental designs and lack of external validity) however, severely limit the validity and generalizability of these conclusions. Given the absence of externally valid, rigorous research on the relationship between homosexual parents and the sexual orientation of their children, these authors conclude that this question remains unanswered. These authors argue that custodial decisions regarding children of homosexual parents be based on sound information in the best interest of both children and parents and not rooted in homophobia.
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44

Moser, Michele R., and K. Keen. "Collaborative Systems for Children with Complex Physical and Mental Health Needs." Digital Commons @ East Tennessee State University, 2004. https://dc.etsu.edu/etsu-works/4995.

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45

Ceron, Janett. "Barriers Among Latino Children in Accessing and Utilizing Mental Health Services." CSUSB ScholarWorks, 2017. https://scholarworks.lib.csusb.edu/etd/512.

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Latino children make up the largest ethnic group in the United States today. Latino children are also the ethnic group less likely to access and utilize mental health services. As a result, Latino children have higher rates of unmet mental health needs. There is limited research focusing on the mental health services needs of Latino children and lack of access and use of such services. This qualitative study explored barriers among Latino children in accessing and utilizing mental health services. This study conducted face-to-face and Skype interviews with eight mental health providers who work or have worked with Latino children with mental health needs. The eight interviews were transcribed and analyzed to identify common themes regarding barriers Latino children face in accessing and utilizing mental health services in participant responses. The major themes identified by this study included: cultural values, insurance, socioeconomic status, lack of bilingual providers, agency days and hours of operation, immigration status, and lack of awareness of mental health. Through identifying such barriers, this study may raise social worker awareness of barriers Latino children face and better equip social workers to plan and implement approaches to address identified barriers in efforts to increase Latino children’s access and use of mental health services to meet their mental health needs.
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Polaha, Jodi. "Parents’ Perceived Stigma Around Accessing Mental Health Services for Their Children." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/6702.

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47

Young, Matthew E. "Comparison of Diagnostic Interviews for Children Accessing Outpatient Mental Health Services." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1274748739.

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48

Hadleigh, Liana. "Living with a parent with mental health needs what children say." Thesis, University of East London, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536624.

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The parenting role of people with mental health needs has historically been neglected by both the research literature and mental health services. With developments in societal attitudes and mental health policies, recognition of people with mental health needs as parents and interest in this area has increased. The literature that followed has focused on the negative outcomes for children with a parent with mental health needs. More recent developments have given consideration to the children who do not experience negative outcomes and factors that facilitate this. Few studies have asked children about their experiences and those that have mainly focus on adolescents and those identified as young carers. Children are not a homogenous group and a mainly adolescent perspective in the literature cannot be assumed to represent younger children's experiences. This study aimed to understand how younger children talk about their experience of living with a parent with mental health needs and if they identified any positive aspects to this. It was hoped this would contribute to the expanding literature that has explored strengths within these families. Seven children aged between seven and eleven years old were interviewed. The data was analysed using Interpretative Phenomenological Analysis. The following four themes were identified from the children's experiences; making sense of mental health needs, the direct impact of mental health needs, making use of relationships and adaptation to parental mental health needs. Children developed their own explanations of parental mental health needs and used narratives based on "normal" understandings to manage the impact of these on them. Family relationships were both strained and a source of support for children and children played an important role in helping their family adapt to parental mental health needs. Implications for services and further research are discussed.
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49

Leon, Gabriel Lee. "Empowering parents of children with Autism A grant proposal." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1523312.

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The purpose of this project was to develop and fund a combination of support groups and respite component for parents and caregivers who have children with Autism. The Host Agency that was able to best fit the criteria of this project was Piecing Together, a division of Autism Treatment Services in Tracy, California.

After an in-depth review of the literature on Autism, it was determined by the grant writer that there was a great need to provide more family support to supplement Applied Behavioral Analysis services. A thorough search for potential funding sources led to the California Wellness Foundation as the funding source for this project. A grant application was composed to support this project.

Actual submission and/or funding of the grant were not required for the successful completion of this project.

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50

Ducharme, Simon. "Neuroanatomical correlates of Child Behavior Checklist Aggressive Behavior scores in typically developing children." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104779.

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Background: The anterior cingulate cortex (ACC), orbito-frontal cortex (OFC) and basal ganglia have been implicated in the neurobiology of pathological aggression. They are thought to be the structures involved in top-down regulation of impulses from the limbic system. This study aimed at identifying neuroanatomical correlates of impulsive aggression in healthy children. Methods: Data from 193 representative 6-18 year-old healthy children were obtained from the NIH MRI Study of Normal Brain Development after a blinded quality control (1). Cortical thickness and subcortical volumes were obtained with automated software. Aggression levels were measured with the Aggressive Behavior scale (AGG) of the Child Behavior Checklist (CBCL). AGG scores were regressed against cortical thickness and basal ganglia volumes using first and second-order linear models while controlling for age, gender, scanner site and total brain volume. 'Gender by AGG' interactions were analyzed. Whole brain random field theory corrections for multiple comparisons were implemented.Results: There were positive associations between bilateral striatal volumes and AGG scores (right: r=0.238, p=0.001; left: r=0.188, p=0.01). A significant association was found with right ACC and subgenual ACC cortical thickness in a second-order linear model (p < 0.05, corrected). High AGG scores were associated with a relatively thin right ACC cortex. An 'AGG by gender' interaction trend was found in bilateral OFC and ACC associations with AGG scores. Conclusion: This study shows the existence of relationships between impulsive aggression in healthy children and the structure of the striatum and right ACC. It also suggests the existence of gender specific patterns of association in OFC/ACC grey matter. These results may guide research on oppositional-defiant and conduct disorders.KEYWORDS: Aggression, Cortical Thickness, Anterior Cingulate Cortex, Orbito-Frontal Cortex, Striatum, Magnetic Resonance Imaging (MRI)
Contexte: Le cortex cingulaire antérieur (CCA), le cortex orbito-frontal (COF) et les noyaux gris centraux ont été identifiés dans les recherches sur la neurobiologie de l'agressivité pathologique. Ces structures seraient impliquées dans la régulation 'top-down' des impulsions produites dans le système limbique. Le but de cette étude était d'identifier les corrélations neuroanatomiques de l'agressivité impulsive chez les enfants en santé ayant un développement normal. Méthodologie: Les données de 193 sujets de 6 à 18 ans ont été obtenues de l'étude NIH MRI Study of Normal Brain Development après un contrôle visuel de qualité des données (1). L'épaisseur corticale et les volumes sous-corticaux ont été obtenus avec des programmes automatisés. Le niveau d'agressivité a été mesuré avec l'échelle de comportements agressifs (AGG) obtenue du questionnaire Child Behavior Checklist. Les scores de AGG ont été analysés en régression linéaire avec l'épaisseur corticale et le volume des noyaux gris centraux en utilisant des modèles de premier et de deuxième ordre, et en contrôlant pour les effets de l'âge, du sexe, du numéro de scanner et du volume cérébral total. L'interaction 'AGG X sexe' a aussi été analysée. Une correction statistique de type random field theory pour comparaisons multiples a été appliquée aux résultats.Résultats: Une association positive a été trouvée entre les scores de AGG et le volume du striatum bilatéralement (droite: r=0.238, p=0.001; gauche: r=0.188, p=0.01). Une association significative était aussi présente entre AGG et l'épaisseur corticale du CCA droit et du CCA sous-géniculé droit dans un modèle linéaire de deuxième ordre (p < 0.05, corrigé). Les scores AGG élevés étaient associés à un CCA droit relativement mince. Une tendance d'association entre l'épaisseur corticale et l'interaction 'AGG X sexe' a aussi été trouvée dans le COF et le CCA bilatéralement. Conclusion: Cette étude démontre l'existence d'une relation entre l'agressivité impulsive chez les enfants en santé et la structure anatomique du striatum, ainsi que du CCA droit. Elle suggère également l'existence de patterns d'associations spécifiques au sexe dans la matière grise du COF et du CCA. Ces résultats pourraient guider la recherche clinique sur le trouble oppositionnel avec provocation et le trouble des conduites. MOTS CLÉS: Agressivité, Épaisseur corticale, Cortex cingulaire antérieur, Cortex orbito-frontal, Striatum, Imagerie par résonance magnétique (IRM)
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