Journal articles: 'Youth care services'

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Petr, Christopher G. "Foster Care Independent Living Services: Youth Perspectives." Families in Society: The Journal of Contemporary Social Services 89, no. 1 (January 2008): 100–108. http://dx.doi.org/10.1606/1044-3894.3714.

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Emerging adulthood is a phase in the life course recently identified by developmental theorists. For youth in foster care, recent federal legislation in the United States has engendered new programs, typically called independent living programs, to help them become successful adults. This qualitative study reports the findings of interviews with a diverse sample of 27 current and former foster youths in a Midwestern state, focusing on the quantity and quality of independent living services received. The youths reported hopeful expectations and plans for their futures, widespread support for postcustody benefit programs, mixed opinions about the utilization and effectiveness of existing independent living programs, significant educational delays associated with frequent placements while in out-of-home custody, and strong attachments to families of origin.

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Blanchet, Alexandre, and Martin Goyette. "Leaving care in Quebec: The EDJeP Longitudinal Study." Pedagogia Social Revista Interuniversitaria, no. 40 (February 26, 2022): 21–34. http://dx.doi.org/10.7179/psri_2022.40.01.

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Abstract This article reports results from the first longitudinal and representative study of a cohort of youth leaving care in Quebec (EDJeP study). Focusing on education and residential stability, we show that youths from youth protection services accumulate important vulnerabilities that make their transition out of youth protection services very challenging. In particular, compared to their peers in the general population, youth leaving care have significant educational delays that complicate their integration into the labor market. Our data suggest that a system that better encourages school perseverance and success would limit these academic delays and promote graduation. We also find that nearly half of the youths from the protection system experienced residential instability in the months following their release from placement and that 20% of them experienced at least one episode of homelessness. These last elements clearly show the extent of the vulnerability of youth leaving the protection system. We suggest some areas of reflection to improve this situation.

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Goldstein, A. L., P. Erickson, and C. Wekerle. "Foster care: extend services, save youth." Canadian Medical Association Journal 181, no. 12 (December 7, 2009): 928. http://dx.doi.org/10.1503/cmaj.109-2046.

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Ayandiji, A. "Accessibility of youths to health care in Nigeria." Journal of Agriculture, Forestry and the Social Sciences 11, no. 2 (February 17, 2015): 92–97. http://dx.doi.org/10.4314/joafss.v11i2.9.

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The youths of Nigeria cover up to 60% of the entire Nigeria population. Youths are a symbol of a town or village with potentials to perform strenuous work and constitute essential human resources for development. Youths are not excluded from health issues facing the generality of the human population. This study examines the accessibility of youths to the various health facilities available, the cost of services provided and also the relationship between the health facilities available and the cost of services provided. The National baseline survey report of 2012 was used. Three States were randomly selected from each of the six geopolitical zones of the country. Majority of the respondents patronized public hospitals than other health institutions. Most youths claimed that the cost of services provided were moderate. There is a significant relationship between health care alternatives available and cost of services. There should be more sensitization for the youth to take their health seriously and patronize health facilities where adequate examination can be carried out.Key words: Youth, Accessibility, Nigeria.

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Collins, Mary E., and Rolanda L. Ward. "Services and outcomes for transition-age foster care youth: Youths' perspectives." Vulnerable Children and Youth Studies 6, no. 2 (June 2011): 157–65. http://dx.doi.org/10.1080/17450128.2011.564226.

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Chaiton, Michael, Rachel Thorburn, Megan Sutton, and Patrick Feng. "LGBTQ2S+ Youth Perspectives on Mental Healthcare Provider Bias, Standards of Care, and Accountability." Youth 3, no. 1 (January 12, 2023): 93–106. http://dx.doi.org/10.3390/youth3010006.

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This study explores the experiences of LGBTQ2S+ youth while accessing mental health and substance use care services during the COVID-19 pandemic. Through a series of facilitated virtual meetings, 33 LGBTQ2S+ youth from across Ontario participated in collaborative activities to identify barriers they have experienced when accessing mental health services, as well as potential solutions to these barriers. Discussions were recorded, transcribed, and analyzed using thematic analysis. The study revealed that LGBTQ2S+ youth disproportionately experience bias, discrimination, and heteronormative assumptions when accessing mental health services, resulting in negative care experiences. Youth also reported insufficient availability of quality care, little continuity in care, and a lack of educated providers capable of effectively addressing the needs of the community. Potential solutions proposed by youth include training resources for providers, LGBTQ2S+ specific care centers, better continuity of care, and assessments to ensure care providers are culturally competent. These results show the COVID-19 pandemic has exacerbated the disparities LGBTQ2S+ youth experience when accessing mental health services and highlight the urgent need to implement policies and programs that will advance the standards of care for LGBTQ2S+ youth.

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Udell, Wadiya, Selina Mohammed, and David Breland. "Barriers to Independently Accessing Care Among Detention Youth." Journal of Adolescent Research 32, no. 4 (June 21, 2016): 433–55. http://dx.doi.org/10.1177/0743558416653219.

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Youth in juvenile detention suffer from various health disparities that warrant access to health and mental health care. Although adjudicated youth receive health care while detained, many are disconnected from youth-serving institutions that may facilitate access to care when in the community. Examining the unique challenges impacting detention youth’s independent access to health services has the potential to improve health care services for this high-risk population. Qualitative interviews were conducted with 13 detention youth, and five health professionals serving justice-involved youth to identify barriers preventing detention youth from independently accessing care. Individual-level and structural barriers were identified. Individual-level barriers included youth’s lack of knowledge in a variety of areas, including fear, disinterest, and instability. Structural barriers included clinic restrictions on when patients can access services, challenging scheduling processes, and difficult interactions with clinic staff and providers. Several barriers limiting detention youth’s ability to independently access care were identified. Based on study findings, programs fostering health care utilization among detention youth should address both individual-level factors and structural factors.

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Freeman, Megan, John Young, Kayla Erickson, John Damon, and Kathy Crockett. "Evaluating the Need for Trauma-Informed Care in a Behavioral Health System of Care." Journal of Child and Youth Care Work 25 (November 17, 2020): 53–65. http://dx.doi.org/10.5195/jcycw.2015.71.

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Potentially traumatic events (PTE) can occur in the life of an individual and can cause long-term psychological harm, including symptoms or diagnosis of posttraumatic stress disorder (PTSD). A large number of youth currently receiving mental and behavioral health services have been exposed to PTE, and a subset of those struggle with distressing and impairing symptoms of PTSD. Often, these youth have not and will not receive appropriate care, which can include Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and trauma-informed care (e.g., Sanctuary). We sought to identify rates of exposure to PTE and expression of PTSD symptoms in youth receiving services in a system of care and found that 95% of the sample reported exposure to at least one PTE (mean = 5). One third of the sample reported a significant burden of PTSD symptoms (5 or more rated highly in the past month). These findings support the trauma-informed care principle of universal precautions in environments that provide mental and behavioral health services to youth. Case vignettes are presented and implications for practice are discussed.

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Thevathasan, Naythrah, Kerrie E. Luck, Alison Luke, and Shelley Doucet. "Perceptions and experiences of care providers as clients of NaviCare/SoinsNavi: a patient navigation centre for children and youth with complex care needs." Integrated Healthcare Journal 4, no. 1 (June 2022): e000072. http://dx.doi.org/10.1136/ihj-2020-000072.

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ObjectiveNaviCare/SoinsNavi is a bilingual patient navigation centre for children and youth 25 years of age or younger with complex care needs in New Brunswick. This research-based centre employs two bilingual patient navigators, one a registered nurse and the other a lay navigator, who assist children/youth, family members and the care team by facilitating more convenient and integrated care using a personalised family-centred approach. The purpose of this study was to explore the perceptions and experiences of care providers who use NaviCare/SoinsNavi. This study builds on ongoing research exploring the experiences of children/youth and their families who are clients of NaviCare/SoinsNavi.MethodsInterviews were conducted with 10 care providers (n=10) from various sectors including social support services (n=6), primary care (n=2), mental health services (n=1) and acute care (n=1).ResultsQualitative interviews were conducted and five themes related to the participants’ perceptions and experiences with NaviCare/SoinsNavi emerged, including : (1) trusted source, (2) connector, (3) capacity builder, (4) partner and (5) time saver. The overall impression of NaviCare/SoinsNavi was positive in the service’s ability to help support care providers and streamline the care they provide to their clients.ConclusionsIt is within every healthcare provider’s scope of practice to provide navigational support to essential programmes and services; however, due to limitations in time, resources and capacity, services such as NaviCare/SoinsNavi can be used to help close gaps in care that exists for children/youth with complex care needs and their families.

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Sartika, Andry, Oktarianita Oktarianita, Padila Padila, Juli Andri, and Muhammad Bagus Andrianto. "Education on the Knowledge of Youth about Youth Care Health Services (PKPR)." JOSING: Journal of Nursing and Health 2, no. 1 (December 12, 2021): 22–27. http://dx.doi.org/10.31539/josing.v2i1.3023.

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This study aims to determine the effect of counseling on adolescent knowledge about Youth Care Health Services (PKPR) at the Bintang Terampil Orphanage, Bengkulu City. This type of research is quantitative research conducted at the Bintang Terampil Orphanage, Bengkulu City. The population observed was all 30 adolescents in the Bintang Skilled Orphanage, Bengkulu City, with a total sampling technique of selecting samples. Data collection was carried out by distributing questionnaires containing questions to adolescents about PKPR twice to determine their pretest and posttest knowledge about PKPR. Information was obtained in the univariate and bivariate test analysis. The results showed that the average knowledge score before counseling was 8.57, and after counseling was 12.13. Adolescents' knowledge about PKPR before and after counseling was a mean value of 3.567, a standard deviation of 2.208, with a p-value of 0.005. In conclusion, there are differences in adolescent knowledge about PKPR before and after counseling. Keywords: Adolescent Knowledge, Counseling, PKPR

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McMahon, J., F. Ryan, M. Cannon, G. O’Brien, M. O’Callaghan, R. Flanagan, K. O’Connor, D. Chambers, S. Byrne, and P. McGorry. "Where next for youth mental health services in Ireland?" Irish Journal of Psychological Medicine 36, no. 3 (June 1, 2018): 163–67. http://dx.doi.org/10.1017/ipm.2018.12.

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To date, Ireland has been a leading light in the provision of youth mental health services. However, cognisant of the efforts of governmental and non-governmental agencies working in youth mental health, there is much to be done. Barriers into care as well as discontinuity of care across the spectrum of services remain key challenges. This editorial provides guidance for the next stage of development in youth mental care and support that will require significant national engagement and resource investment.

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Patterson, Pandora, Kimberley R. Allison, Helen Bibby, Kate Thompson, Jeremy Lewin, Taia Briggs, Rick Walker, et al. "The Australian Youth Cancer Service: Developing and Monitoring the Activity of Nationally Coordinated Adolescent and Young Adult Cancer Care." Cancers 13, no. 11 (May 28, 2021): 2675. http://dx.doi.org/10.3390/cancers13112675.

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Adolescents and young adults (aged 15–25 years) diagnosed with cancer have unique medical and psychosocial experiences and care needs, distinct from those of paediatric and older adult patients. Since 2011, the Australian Youth Cancer Services have provided developmentally appropriate, multidisciplinary and comprehensive care to these young patients, facilitated by national service coordination and activity data collection and monitoring. This paper reports on how the Youth Cancer Services have conceptualised and delivered quality youth cancer care in four priority areas: clinical trial participation, oncofertility, psychosocial care and survivorship. National activity data collected by the Youth Cancer Services between 2016–17 and 2019–20 are used to illustrate how service monitoring processes have facilitated improvements in coordination and accountability across multiple indicators of quality youth cancer care, including clinical trial participation, access to fertility information and preservation, psychosocial screening and care and the transition from active treatment to survivorship. Accounts of both service delivery and monitoring and evaluation processes within the Australian Youth Cancer Services provide an exemplar of how coordinated initiatives may be employed to deliver, monitor and improve quality cancer care for adolescents and young adults.

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Iyer, S. N., P. Boksa, S. Lal, J. Shah, G. Marandola, G. Jordan, M. Doyle, R. Joober, and A. K. Malla. "Transforming youth mental health: a Canadian perspective." Irish Journal of Psychological Medicine 32, no. 1 (February 26, 2015): 51–60. http://dx.doi.org/10.1017/ipm.2014.89.

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In most mental illnesses, onset occurs before the age of 25 and the earliest stages are critical. The youth bear a large share of the burden of disease associated with mental illnesses. Yet, Canadian youths with mental health difficulties face delayed detection; long waiting lists; inaccessible, unengaging services; abrupt transitions between services; and, especially in remoter regions, even a complete lack of services. Responding to this crisis, the Canadian Institutes of Health Research announced a 5-year grant that was awarded to ACCESS, a pan-Canadian network of youths, families, clinicians, researchers, policymakers, community organisations and Indigenous communities. Using strategies developed collaboratively by all stakeholders, ACCESS will execute a youth mental healthcare transformation via early detection, rapid access and appropriate, high-quality care. The project includes an innovative, mixed-methods service research component. Similar in many respects to other national youth mental health initiatives, ACCESS also exhibits important differences of scale, scope and approach.

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Naert, Jan, Griet Roets, Rudi Roose, and Wouter Vanderplasschen. "Fight, freeze or flee: Exploring youngsters’ strategies in dealing with youth care interventions." Qualitative Social Work 19, no. 5-6 (October 17, 2019): 1147–64. http://dx.doi.org/10.1177/1473325019882078.

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Continuity of care is seen as a challenge for youth care services. Research on continuity of care in relation to youth care services is scarce, and there is a strong tendency to overly stress the managerial and technical aspects of care. However, research on continuity from a youngster’s perspective suggests a more complex construction of continuity. The connection with youth care services is especially under pressure in the confrontation with difficulties and critical moments. In this narrative study, we aim at gaining insight into youngsters’ different strategies in vulnerable situations when facing difficulties in their trajectories in relation to youth care interventions. By retrospective reconstruction of their trajectories in relation to youth care interventions, youngsters were able to express significant moments in their biographical timeline. The narratives are analysed using the framework given in literature on users’ coping strategies in relation to dissatisfaction in services: loyalty, voice, exit and neglect. We have chosen three topical life stories of youngsters to represent the research findings that illustrate identified strategies of fighting, freezing and fleeing care, which are to be viewed as translations of the Hirschman coping strategies. However, a deeper analysis of these interactions results in a more complex view on strategies and shows that these can be misinterpreted by youth care workers. Different elements such as timing, clinical overshadowing or the pre-structured nature of youth care interventions are linked to this mismatch between what youngsters want and what youth care workers offer. Options are presented to handle these difficult interconnections.

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Naert, Jan, Griet Roets, Rudi Roose, and Wouter Vanderplasschen. "Youngsters’ Perspectives on Continuity in Their Contacts with Youth-Care Services." British Journal of Social Work 49, no. 5 (November 16, 2018): 1144–61. http://dx.doi.org/10.1093/bjsw/bcy103.

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Abstract Continuity is seen as an important aim for the quality of youth-care services. However, views on continuity are predominantly guided by experts, without much attention to user perspectives. This paper focuses on youngsters’ experienced continuity in relation to youth-care services. Twenty-five youngsters, who were in residential care or reached by low-threshold youth services, were interviewed about their experiences in and out of care. In thematically exploring the biographical narratives for important experiences of continuity, three major themes emerged: (i) the need for footholds in moments of existential chaos, (ii) the importance of timing of interventions to match the youngsters’ perspectives and (iii) the importance of the youngsters’ impact on their own care pathways. This study shows the need for support that is imbedded in a relational network within the context of youngsters in vulnerable situations. Rethinking youth services towards a better connection with these contexts is essential. Furthermore, the amount of control youngsters experience in their care interventions seems to be beneficial to the experience of continuity. It is argued that continuity should be seen as a process, in order to leave more space for negotiation and flexibility throughout the youngsters’ experiences in youth-care services.

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Danseco, Evangeline, Julia Kurzawa, Purnima Sundar, Jaime Brown, and Christal Huang. "Evaluating the sector-wide implementation of virtual child and youth mental health services in response to the COVID-19 pandemic: Perspectives from service providers, agency leaders and clients." Implementation Research and Practice 2 (January 2021): 263348952110456. http://dx.doi.org/10.1177/26334895211045690.

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Background The COVID-19 pandemic prompted an abrupt shift in the delivery of community-based child and youth mental health services as virtual care was rapidly adopted. The objective of this study was to evaluate the sector-wide transition to virtual care across Ontario, with a focus on implementation facilitators and barriers. Methods We used a multi-level mixed-methods design where agency leaders, service providers, and clients shared their experiences planning, implementing, and accessing virtual care. In total, 97 agency leaders, and 192 youth and family members responded to the surveys; 13 agency leaders, and 11 service providers participated in interviews or focus groups. Results Most agencies undertook a similar journey to implement virtual care. Stakeholders described common facilitators such as staff engagement, leadership support, and training activities. Barriers included internet connection issues, lack of resources, and privacy concerns. Service providers innovated as they implemented by partnering with agencies to meet clients’ needs, using multiple platforms to engage clients, and altering session duration to reduce fatigue. Clients found virtual care easy to use, felt confident using it, and intend to continue accessing virtual care. Conclusion Implementation of virtual care during the pandemic was complex and the evaluation involved obtaining perspectives at multiple levels. This research provides a blueprint for evaluations of the implementation of virtual mental health services, particularly in a child/youth context. Virtual care is a viable way to deliver mental health services, however, equity, accessibility, and appropriateness need to be addressed to ensure services are effective for children, youth, and their families. Plain language abstract Academic literature suggests that using technology to deliver child and youth mental health services is a promising way to enhance access to care and improve engagement for many children and youth. Despite this, the provision of virtual child and youth mental health services in Ontario prior to the COVID-19 pandemic was limited. Efforts that did exist were largely focused on providing care to those in rural and remote areas. The COVID-19 pandemic prompted a rapid shift to virtual care, as most in-person mental health services were suspended. This paper presents new insight into how virtual mental health services were quickly established and used across Ontario from the perspectives of senior leaders, service providers, and clients. Results from this evaluation showed that agencies followed similar steps to prepare to use virtual services. Staff engagement, support from leadership, and opportunities for staff training supported the implementation of virtual care while internet connections issues, lack of resources (like computers or phones), and privacy and safety concerns hindered the implementation. Most youth and family members found virtual services easy to use and intend to continue using them. Most agencies intend to continue to offer virtual services post-pandemic but noted that it was not appropriate or accessible for all clients. This study provides a foundation for additional research to examine situations and conditions that are most conducive to virtual care delivery to address child and youth mental health concerns. These results may encourage agencies to rely more confidently on virtual services as another means to meet clients’ needs and preferences.

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Pitcher, Claire, Elizabeth Saewyc, Annette Browne, and Paddy Rodney. "Access to Primary Health Care Services for Youth Experiencing Homelessness: “You shouldn’t need a health card to be healthy.”." Witness: The Canadian Journal of Critical Nursing Discourse 1, no. 2 (December 17, 2019): 73–92. http://dx.doi.org/10.25071/2291-5796.34.

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On any given night, thousands of Canadian youth face homelessness in either absolute (living on the street) or relative (couch surfing, staying in emergency shelters) terms. This study explores influences primary health care access among youth experiencing homelessness in a large Canadian urban centre. Using a qualitative research design and convenience sampling, 8 youth participated in in-depth individual interviews and 4 clinicians with expertise in working with youth in primary care settings participated in a facilitated solutions-focused dialogue based on findings from the youth interviews. Data collection occurred from January to November 2016. Main findings included: (1) Youth experiencing homelessness feel powerless when interacting with health care providers, (2) Health care systems exist as rule-based bureaucracies and (3) Homeless youth are in survival mode when it comes to their health. The authors offer recommendations to promote more equitable access to primary health care services for homeless youth.

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McMillen, J. Curtis, Gregory B. Rideout, Rachel H. Fisher, and Jayne Tucker. "Independent-Living Services: The Views of Former Foster Youth." Families in Society: The Journal of Contemporary Social Services 78, no. 5 (October 1997): 471–79. http://dx.doi.org/10.1606/1044-3894.816.

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Former consumers of independent-living programs for youth in out-of-home care present their views of the services they received. The youth found that skills classes and stipends for independent living were helpful, that instruction in managing a budget was particularly valuable, and that the services lessened the stigmatization and isolation of being in care. Foster parents and specialized independent-living workers eased the transition out of care, but regular public child welfare caseworkers were not helpful in this regard. The young people report that being in care was difficult to tolerate and that the transition out of care was often abrupt and difficult to manage.

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Burnside, Linda, and Don Fuchs. "Bound by the clock: The experiences of youth with FASD transitioning to adulthood from child welfare care." First Peoples Child & Family Review 8, no. 1 (September 9, 2020): 40–61. http://dx.doi.org/10.7202/1071406ar.

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Fetal Alcohol Spectrum Disorder (FASD) is a condition that affects a significant proportion of children and youth in the care of child welfare agencies in Canada. Few studies have heard from the voices of youth with FASD themselves as they are leaving care. This article describes a qualitative study that focuses on the lived experiences of 20 youth with FASD in Manitoba as they were preparing for the transition from child welfare care to adulthood (or had recently emancipated from the system). The experiences and insights of these youth highlight the supports and services required by youth with FASD transitioning out of care, from both the child welfare system and from services for adults with FASD.

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Naar-King, S., M. Green, K. Wright, A. Outlaw, B. Wang, and H. Liu. "Ancillary services and retention of youth in HIV care." AIDS Care 19, no. 2 (January 12, 2007): 248–51. http://dx.doi.org/10.1080/09540120600726958.

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Naert, Jan, Rudi Roose, Richard C. Rapp, and Wouter Vanderplasschen. "Continuity of care in youth services: A systematic review." Children and Youth Services Review 75 (April 2017): 116–26. http://dx.doi.org/10.1016/j.childyouth.2017.02.027.

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Schaller, Karen, Linda Stephenson-Somers, Adolfo Ariza, Maheen Quadri, and Helen Binns. "Case Reports: Multifaceted Experiences Treating Youth with Severe Obesity." International Journal of Environmental Research and Public Health 16, no. 6 (March 14, 2019): 927. http://dx.doi.org/10.3390/ijerph16060927.

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The management of youth with severe obesity is strongly impacted by social determinants of health and family dynamics. We present case studies of three patients seen in our tertiary care obesity treatment clinic as examples of the challenges faced by these patients and their families, as well as by the medical team. We discuss how these cases illustrate potential barriers to care, the role of child protective services, and we reflect upon lessons learned through the care of these patients. These cases highlight the need for comprehensive care in the management of youth with severe obesity, which can include: visits to multiple medical specialists, and mental and behavioral health providers; school accommodations; linkage to community resources; and, potentially, child protective services involvement. Through the care of these youth, our medical team gained more experience with using anti-obesity medications and meal replacements. The care of these youth also heightened our appreciation for the integral role of mental health services and community-based resources in the management of youth with severe obesity.

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Li, Lin, and Patricia H. Strachan. "Transitioning to Adult Services for Youth With Medical Complexity: A Practice Issue Viewed Through the Lens of Transitions Theory." Nursing Science Quarterly 34, no. 3 (July 2021): 301–8. http://dx.doi.org/10.1177/08943184211010454.

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As youth with medical complexity transition to adult services, their extensive support networks are disrupted, leaving them vulnerable to care gaps. Within the setting of a pediatric complex care clinic in Ontario, Canada, the authors conducted a needs assessment guided by transitions theory to better understand the movement to adult services for youth and their families. The authors here describe the application of transitions theory and critique the theory’s usefulness for understanding the transition to adult services for youth and their families.

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Woodhall-Melnik, Julia, Sarah Hamilton-Wright, Eden Hamilton-Wright, Sara J. T. Guilcher, and Flora I. Matheson. "Getting Help: Findings from Two World Cafés with Youth who Experience Homelessness." Canadian Journal of Family and Youth / Le Journal Canadien de Famille et de la Jeunesse 14, no. 3 (April 11, 2022): 52–77. http://dx.doi.org/10.29173/cjfy29797.

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Studies indicate that youth who experience homelessness are more likely than their peers to have mental health and substance use concerns. The objective of this study was to investigate youth views of ideal services and service provision environments that facilitate help seeking. Data were collected from two World Café events in Canada where youth (n=14) were asked to discuss their experiences with housing, mental health and addictions services. The discussions were captured visually by a graphic recorder and on paper tablecloths that were drawn and written on by the youth. These visual data, along with field notes prepared by the research team, were analyzed. The findings indicated that barriers to help seeking included stigma, institutional distrust and fear, negative relationships, and the lack of self-awareness. Facilitators included positive therapeutic relationships, services with the capacity to offer care, and non-judgmental environments. Youth wanted services that provide peer support, allow them to participate more in their care decisions, and use self-directed healing strategies. Service providers and policymakers should offer programming that facilitates youth access. They should consider the barriers that youth experience and seek to construct interventions for youth that are judgement free, confidential, and actively engage youth in their own care.

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Salami, Bukola, Benjamin Denga, Robyn Taylor, Nife Ajayi, Margot Jackson, Msgana Asefaw, and Jordana Salma. "Access to mental health for Black youths in Alberta." Health Promotion and Chronic Disease Prevention in Canada 41, no. 9 (September 2021): 245–53. http://dx.doi.org/10.24095/hpcdp.41.9.01.

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Introduction The objective of this study was to examine the barriers that influence access to and use of mental health services by Black youths in Alberta. Methods We used a youth-led participatory action research (PAR) methodology within a youth empowerment model situated within intersectionality theory to understand access to health care for both Canadian-born and immigrant Black youth in Alberta. The research project was co-led by an advisory committee consisting of 10 youths who provided advice and tangible support to the research. Seven members of the advisory committee also collected data, co-facilitated conversation cafés, analyzed data and helped in the dissemination activities. We conducted in-depth individual interviews and held four conversation café-style focus groups with a total of 129 youth. During the conversation cafés, the youths took the lead in identifying issues of concern and in explaining the impact of these issues on their lives. Through rigorous data coding and thematic analysis as well as reflexivity and member checking we ensured our empirical findings were trustworthy. Results Our findings highlight key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Conclusion Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths. The results of this study suggest health policy and practice stakeholders should consider the following recommendations to break down barriers: diversify the mental health service workforce; increase the availability and quality of mental health services in Black-dominated neighbourhoods; and embed anti-racist practices and intercultural competencies in mental health service delivery.

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Patel, M., S. Mathias, and T. Brown. "Vancouver's inner-city youth: New approaches for a changing demographic." European Psychiatry 26, S2 (March 2011): 563. http://dx.doi.org/10.1016/s0924-9338(11)72270-2.

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IntroductionInner-city youth suffer a high burden of mental illness and seek health care on an episodic basis (McCreary, 2001).These youth tend to receive limited support services due to a lack of continuity of care as they move from child to adult services. Other barriers include homelessness and substance use.The Vancouver Inner City Youth Mental Health Program (ICYMHP) is a psychiatry led initiative to provide psychiatric services and further collaboration between inner-city youth agencies providing care to at risk youth.AimsTo introduce and review a collaborative model of care between psychiatric services and community based organizations.To review the demographics, presentations and outcomes of youth assessed through the ICYMHP.MethodsA chart review of all clients assessed through the program from its inception (November 2007) to May 2009 (18 months).ResultsResults from clients seen between November 2007 and June 2008 indicate an incidence of psychosis of 40% in men and 21% in women. Mood disorders were the primary diagnosis in 18% of men and 29% of women. Active substance misuse is high (71% of men, cannabis as drug of choice; 54% of women, methamphetamine as drug of choice). Length of stay at Covenant House nearly tripled for those under the care of the ICYMH versus the general shelter population, a positive outcome (21 days versus 9).ConclusionsInner-city homeless youth suffer from a high burden of mental illness. A collaborative model of care exists to improve health care quality and delivery to this population.

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Garrett, Susan, Susan Pullon, Sonya Morgan, and Eileen McKinlay. "Collaborative care in ‘Youth One Stop Shops’ in New Zealand: Hidden, time-consuming, essential." Journal of Child Health Care 24, no. 2 (May 19, 2019): 180–94. http://dx.doi.org/10.1177/1367493519847030.

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Young people in New Zealand have high morbidity but low service utilization rates. Dedicated youth services ‘Youth One Stop Shops’ provide ‘wraparound’ health and social care. However, little is understood about how staff within these services interact with each other or with external agencies to provide this specialist care. This article reports on volume and type of internal and inter-agency health and social service staff–staff interactions, to better understand elements of potential collaboration in day-to-day practice. An observational, case-study approach was utilized. Four dedicated youth services recorded data over three-month periods about a selected number of high-use clients. Youth service staff recorded all interactions with colleagues within their organization and staff from external services. A large volume of non-patient contact work was revealed, with a high proportion of ‘complex/involved’ interactions recorded. The range and diversity of external agencies with which youth service staff interacted with to meet the needs of young people was extensive and complex. The focus on ‘information sharing’ and ‘complex/involved’ interactions demonstrates a well-coordinated, wraparound service delivery model. Current funding formulae take inadequate account of the volume of non-patient contact work that youth services provide for high-needs young people.

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Oswald, Donald P., Donna L. Gilles, Mariel S. Cannady, Donna B. Wenzel, Janet H. Willis, and Joann N. Bodurtha. "Youth with Special Health Care Needs: Transition to Adult Health Care Services." Maternal and Child Health Journal 17, no. 10 (November 16, 2012): 1744–52. http://dx.doi.org/10.1007/s10995-012-1192-7.

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Edinburgh, Laurel, Emily Huemann, Kathryn Richtman, Andrea McDonald Marboe, and Elizabeth Saewyc. "The Safe Harbors Youth Intervention Project: inter-sectoral collaboration to address sexual exploitation in Minnesota." Nursing Reports 2, no. 1 (January 20, 2012): 4. http://dx.doi.org/10.4081/nursrep.2012.e4.

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The authors aimed to evaluate the Safe Harbors Youth Intervention Project inter-sectoral collaboration to improve continuity and appropriateness of services for sexually exploited children and adolescents. The study was carried on through an intensive, single case study, drawing on interviews and focus groups with experiential youths (n=125) and multi-sectoral stakeholders (n=196), documented activities, and repeated interviews with collaborating team members (n=29), teen clients (n=46) and parents (n=22). The collaboration was designed around an eight-step process for creating victim-centered protocols within and across organizations, altering services to bridge gaps in care, and creating training tools for the different sectors. The results of the study showed an initial needs assessment documented fragmented care and problematic communication across departments and sectors. The shared protocol development among decision makers from each agency, focused on best practices and evidence-based interventions, fostered trusting relationships, improved awareness of different roles and services, and speeded practice changes to remove barriers to care for sexually exploited youths. A task-focused collaboration with a shared community-wide protocol, increases transparency between services, and ongoing inter-sectoral training helps healthcare team foster a meaningful response to sexually exploited youths.

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Asmoredjo, Jolanda, Mariëlle D. Beijersbergen, and Judith R. L. M. Wolf. "Client Experiences With Shelter and Community Care Services in the Netherlands." Research on Social Work Practice 27, no. 7 (March 15, 2016): 779–88. http://dx.doi.org/10.1177/1049731516637426.

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Purpose: To gain insight into client experiences with shelter or community care services for homeless people, homeless youth, and abused women and identify priority improvement areas. Methods: Seven hundred and forty-four clients rated their experiences and 116 clients rated the services’ importance. Results: Clients had most positive experiences with the client–worker relationship and least positive experiences with the results of services. Abused women’s service providers scored higher than homeless adults and youth service providers. Day and night shelters scored lowest, followed by crisis shelters, supported housing, and outreaching teams. The results of care have the highest need for quality improvement for homeless adults and youth. Discussion: Clients’ experiences with shelter and community care services in the Netherlands are generally positive, with a strong client–worker relationship forming the basis of good quality care. Monitoring outcomes and increasing the focus on results are integrated in recent approaches aimed at improving the quality of shelter care.

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Easpaig, Bróna Nic Giolla, and Rachael Fox. "Young people’s experiences of negotiating health care services in relation to sexual and gender identities: A communitybased approach to service improvement." Psychology of Sexualities Review 8, no. 1 (2017): 39–52. http://dx.doi.org/10.53841/bpssex.2017.8.1.39.

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LGBTIQ young people experience intersecting forms of disadvantage concerning youth status and sexual and/or gender identity, contributing to poorer wellbeing. The paper presents a research project with a youth mental health service, youth reference group and researchers to improve services to this community in Australia. An online survey was designed to learn about their views on service access, experiences and improvements to inform the development of training programmes for health care professionals. Thematic analysis of surveys (N=101) highlights the salience of: services’ visible commitment to LGBTIQ communities; how the relevance of sexuality and/or gender to service interaction is negotiated; and the heteronormative and cisnormative shaping of health care interactions. Implications for health-enabling contexts are reflected upon from a community health psychology perspective.

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Malla, Ashok, Jai Shah, Srividya Iyer, Patricia Boksa, Ridha Joober, Neil Andersson, Shalini Lal, and Rebecca Fuhrer. "Youth Mental Health Should Be a Top Priority for Health Care in Canada." Canadian Journal of Psychiatry 63, no. 4 (March 11, 2018): 216–22. http://dx.doi.org/10.1177/0706743718758968.

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In this article we have provided a perspective on the importance and value of youth mental health services for society and argued that advancing youth mental health services should be the number one priority of health services in Canada. Using the age period of 12–25 years for defining youth, we have provided justification for our position based on scientific evidence derived from clinical, epidemiological and neurodevelopmental studies. We have highlighted the early onset of most mental disorders and substance abuse as well as their persistence into later adulthood, the long delays experienced by most help seekers and the consequence of such delays for young people and for society in general. We have also provided a brief review of the current gross inadequacies in access and quality of care available in Canada. We have argued for the need for a different conceptual framework of youth mental disorders as well as for a transformation of the way services are provided in order not only to reduce the unmet needs but also to allow a more meaningful exploration of the nature of such problems presenting in youth and the best way to treat them. We have offered some ideas based on previous work completed in this field as well as current initiatives in Canada and elsewhere. Any transformation of youth mental health services in Canada must take into consideration the significant geographic, cultural and political diversity across the provinces, territories and indigenous peoples across this country.

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O’Reilly, Aileen, Alanna Donnelly, Jennifer Rogers, Olive Maloney, Gillian O’Brien, and Elizabeth Doyle. "Measuring parent satisfaction in youth mental health services." Mental Health Review Journal 26, no. 3 (April 6, 2021): 213–25. http://dx.doi.org/10.1108/mhrj-04-2020-0024.

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Purpose Measuring parent satisfaction is regarded as essential but there is a paucity of research reporting on parental satisfaction with community youth mental health services. This study aims to examine parent satisfaction with Jigsaw – a primary care youth mental health service. Design/methodology/approach A measure of parent satisfaction was developed and administered to parents in 12 Jigsaw services over a two-year period (n = 510, age range: 28 to 70 years) when young people and parents were ending their engagement with these services. Findings Overall, parents had high levels of satisfaction with Jigsaw and their level of satisfaction did not vary depending on the parent or young person’s age and/or gender. Examination of qualitative feedback revealed three overarching themes relating to growth and change in young people, parents and their families; strengths of the service and; suggestions for future service development. Analysis of the psychometric properties of the measure provided evidence for a two-factor structure examining satisfaction with the intervention and outcomes and service accessibility and facilities. Originality/value This study represents one of the first efforts to measure parent satisfaction with primary care youth mental health services. It has resulted in the development of a brief measure that can be more widely administered to parents engaging with primary care youth mental health services.

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Stadnick, Nicole A., Anna S. Lau, Kelsey S. Dickson, Keri Pesanti, Debbie Innes-Gomberg, and Lauren Brookman-Frazee. "Service use by youth with autism within a system-driven implementation of evidence-based practices in children’s mental health services." Autism 24, no. 8 (July 18, 2020): 2094–103. http://dx.doi.org/10.1177/1362361320934230.

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Public mental health systems play an important role in caring for youth with autism spectrum disorder. Like other dually diagnosed populations, youth with autism spectrum disorder may receive services in the context of evidence-based practice implementation efforts within public mental health systems. Little is known about service use patterns within the context of system-driven implementations efforts for this population. This case–control study examined mental health service patterns of 2537 youth with autism spectrum disorder compared to 2537 matched peers receiving care in the Los Angeles County Department of Mental Health, the largest public mental health department in the United States, within the context of a system-driven implementation of multiple evidence-based practices. Although not the primary target of this implementation effort, youth with autism spectrum disorder were served when they met criteria for the services based on their presenting mental health symptoms. Comparative analyses using administrative claims data were conducted to examine differences in mental health utilization patterns and clinical characteristics. Findings revealed significant differences in the volume and duration of mental health services as well as differences in the service type and evidence-based practice delivered between youth with and without autism spectrum disorder. Results provide direction targeting implementation efforts for youth with autism spectrum disorder within a public mental health system care reform.

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Hobbs Knutson, Katherine, Mark J. Meyer, Nisha Thakrar, and Bradley D. Stein. "Care Coordination for Youth With Mental Health Disorders in Primary Care." Clinical Pediatrics 57, no. 1 (November 1, 2017): 5–10. http://dx.doi.org/10.1177/0009922817733740.

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Many children are treated for mental health disorders in primary care settings. The system of care (SOC) provides a framework for collaboration among pediatric mental health providers, but it is unclear if youth treated for mental health disorders in primary care receive such coordination. At the South Boston Community Health Center from September /2012 to August 2013 for 74 individuals ≤18 years, the odds of contact with SOC agencies (mental health, education, child protective services, juvenile justice and developmental disabilities) were compared for mental health treatment in primary versus specialty care. The odds of SOC contact within primary care were lower compared to specialty care (OR = 0.43, 95% CI = 0.29-0.66), specifically for mental health (OR = 0.54, 95% CI = 0.25-1.2), education (OR = 0.12, 95% CI = 0.050-0.28), and child protective services (OR = 0.64, 95% CI = 0.22-1.9). As care coordination may improve health outcomes, increased support and education for care coordination specific to youth treated for mental health disorders in primary care settings may be warranted.

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Mendes, Philip, and Susan Baidawi. "Pathways Into Youth Justice: Strengthening Policy and Program Supports for Young People in the Youth Justice System Who Are Transitioning From Out-of-Home Care." Children Australia 37, no. 1 (March 2012): 10–22. http://dx.doi.org/10.1017/cha.2012.3.

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Local and international research suggests an overrepresentation of young people leaving state out-of-home care in the youth justice system. A range of factors appear to contribute to this correlation including child abuse and neglect, placement instability, experiences of residential care, and unsupported transitions from care. This article presents the findings of a Victorian pilot study conducted in partnership with Whitelion, a not-for-profit organisation specifically offering support to ‘young people involved with or at risk of involvement with the youth justice and/or out-of-home care and leaving care services’ (Whitelion, 2012), to examine the interrelationship between the child protection and youth justice systems, and particularly to explore the processes that take place when young people involved in the youth justice system leave state care. A series of interviews and focus groups with Whitelion workers were used to explore whether leaving care plans and policies address and minimise involvement with youth justice; the role, if any, of formal consultations by child protection services with youth justice regarding this group of care leavers; and the ongoing role of youth justice postcare, particularly when young people are in custody at the time of their exit from care. Some significant implications for policy and practice are identified.

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Bilsky, Sarah A., Aubrey R. Dueweke, and Ana J. Bridges. "The impact of anxiety on health care utilization among Hispanic and non-Hispanic youth." Journal of Health Psychology 25, no. 7 (November 10, 2017): 986–92. http://dx.doi.org/10.1177/1359105317740738.

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This study examined differences in health service utilization among anxious and non-anxious youth primary care patients. We further examined the moderating role of Hispanic ethnicity on the relation between anxiety and service utilization. Past 4-year health care utilization was examined in a group of 6962 American youth (51.10% male; 53.10% Hispanic). Youth with an anxiety disorder had significantly more medical visits over the prior 4-year period than youth without an anxiety disorder. Hispanic youth utilized health care services at higher rates than non-Hispanic youth; however, ethnicity did not moderate the relation between youth anxiety and health care utilization.

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Svetaz, Maria Veronica, Diego Garcia-Huidobro, Ghaffar Ali Hurtado, Laura Trebs, Stephanie Hernandez, Anna Bartels, Bibiana Garzon, and Michele Allen. "Can a healthy youth development clinic serving latino families be youth friendly and family oriented? A mixed-methods evaluation." International Journal of Adolescent Medicine and Health 28, no. 1 (February 1, 2016): 61–68. http://dx.doi.org/10.1515/ijamh-2014-0073.

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Abstract Background: Parenting adolescents poses challenges that are exacerbated by immigration. Aqui Para Ti [Here for You] (APT) is a clinic-based, healthy youth development program that provides family-centered care for Latino youth and their families who are mostly immigrants from Mexico and Latin America. Objectives: To present the APT model of care and report the experiences of youth and their parents. Subjects: APT patients between 11 and 24 years (n=30) and parents (n=15). Most youth patients were female, between 11 and 17 years, and from Mexico. Most parents were female, 40 years or younger, and from Mexico. Methods: Youth participants completed a survey and participated in an individual semi-structured interview, and parent participants attended focus groups. Descriptive statistics summarized survey data. Interviews and focus groups were transcribed and analyzed in Spanish using content analysis by two independent coders. Quantitative and qualitative findings were integrated using side-by-side comparisons. Researchers not involved in the coding process contributed with the interpretation of the findings. Results: Youth and parents were satisfied with the services received at APT. Youth felt listened to by their providers (100%), felt they could trust them (100%) and valued comprehensive care. Eighty-seven percent reported that their experiences at APT were better than at other clinics. Parents valued the family parallel care, confidentiality, family-centeredness, and the cultural inclusivity of the APT services. Conclusion: Patients and parents were satisfied with the services offered at APT. Family parallel care could be a positive alternative to deliver confidential and family-centered services to immigrant families.

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Hacking, Damian, Zodwa Mgengwana-Mbakaza, Tali Cassidy, Pumeza Runeyi, Laura Trivino Duran, Ruth Henwood Mathys, and Andrew Boulle. "Peer Mentorship via Mobile Phones for Newly Diagnosed HIV-Positive Youths in Clinic Care in Khayelitsha, South Africa: Mixed Methods Study." Journal of Medical Internet Research 21, no. 12 (December 10, 2019): e14012. http://dx.doi.org/10.2196/14012.

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Background Youths in South Africa are poor utilizers of HIV health services. Medecins Sans Frontieres has been piloting youth-adapted services at a youth clinic in Khayelitsha, including a peer virtual mentorship program over mobile phones, piloted from March 2015 to May 2016. Objective The objective of this study was to evaluate the effect of the peer mentorship program on youth engagement with HIV services and explore the acceptability of the program to both mentors and mentees. Methods Antiretroviral initiation, retention in care (RIC), and viral load suppression were compared between youths engaged in the virtual mentorship program and two matched controls. In-depth interviews were also conducted for 5 mentors and 5 mentees to explore acceptability and impact of the program. Results A total of 40 youths were recruited into the virtual mentorship program over the study period. Of these, data were obtained for 35 and 2 matched controls were randomly sampled for each. There was no difference in baseline demographics (eg, age, gender, and CD4 count). Mentees had increased antiretroviral initiation (28/35, 80% vs 30/70, 42% in matched controls) and viral load completion (28/35, 80% vs 32/70, 45%); however, no differences were found in viral load suppression or RIC at 6 or 12 months. Mentors reported being motivated to participate in the program because of previous personal struggles with HIV and a desire to help their peers. Mentees reported fears of disclosure and lack of acceptance of their status as barrier to accessing services, but they felt free to talk to their mentors, valued the mentorship program, and indicated a preference for phone calls. Conclusions Peer mentorship in youths is acceptable to both mentors and mentees and appears to increase linkage to care and viral load completion rates.

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Lui, Joyce H. L., Lauren Brookman-Frazee, Alejandro L. Vázquez, Julia R. Cox, Debbie Innes-Gomberg, Kara Taguchi, Keri Pesanti, and Anna S. Lau. "Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care." Administration and Policy in Mental Health and Mental Health Services Research 49, no. 3 (November 27, 2021): 506–20. http://dx.doi.org/10.1007/s10488-021-01179-7.

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AbstractThe current study (1) characterizes patterns of mental health service utilization over 8 years among youth who received psychotherapy in the context of a community implementation of multiple evidence-based practices (EBPs), and (2) examined youth-, provider- and service-level predictors of service use patterns. Latent profile analyses were performed on 5,663,930 administrative claims data furnished by the county department of mental health. Multinomial logistic regression with Vermunt’s method was used to examine predictors of care patterns. Based on frequency, course, cost, and type of services, three distinct patterns of care were identified: (1) Standard EBP Care (86.3%), (2) Less EBP Care (8.5%), and (3) Repeated/Chronic Care (5.2%). Youth age, ethnicity, primary language, primary diagnosis and secondary diagnosis, provider language and provider type, and caregiver involvement and service setting were significant predictors of utilization patterns. Although the majority of youth received care aligned with common child EBP protocols, a significant portion of youth (13.7%) received no evidence-based care or repeated, costly episodes of care. Findings highlight opportunities to improve and optimize services, particularly for youth who are adolescents or transition-aged, Asian-American/Pacific Islander, Spanish-speaking, or presenting with comorbidities.

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Krutulienė, Sandra, Laima Okunevičiūtė, and Boguslavas Gruževskis. "Youth in Elderly Care Sector – Mission Impossible?" Socialinė teorija, empirija, politika ir praktika 25 (November 28, 2022): 8–21. http://dx.doi.org/10.15388/stepp.2022.43.

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The aging of population leads to the outcome that number of social care sector clients grows steadily. Hence the research highlighted that average age of the workforce in social care sector is also rising. An important question is how to attract and retain young people in the care sector for the elderly in the context of an aging society with the growing importance of the care economy. The study aims to reveal the factors motivating young people (18-29 years old) to employ and their attitudes towards work in the elderly care sector to. The research investigated the links between prosocial motivation and the attitudes of unemployed young people registered in the Employment Service toward work in the elderly care sector. The results of the study identified main directions, which could encourage more young people to get involved in the elderly care sector: promoting prosocial motivation of the individuals, increasing the flexibility of social services for the elderly and ensuring good working conditions. The study revealed significant role of the employment service as an intermediary between the young person and the institution providing social services and changing public attitudes towards work in the care sector for the elderly.

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Duppong Hurley, Kristin, Matthew C. Lambert, Thomas J. Gross, Ronald W. Thompson, and Elizabeth M. Z. Farmer. "The Role of Therapeutic Alliance and Fidelity in Predicting Youth Outcomes During Therapeutic Residential Care." Journal of Emotional and Behavioral Disorders 25, no. 1 (January 20, 2017): 37–45. http://dx.doi.org/10.1177/1063426616686756.

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There is a gap in understanding how the treatment fidelity aspects of adherence and quality, along with common process factors such as therapeutic alliance, impact outcomes for youth. Few studies have examined both constructs of implementation and process factors simultaneously in regard to their relationship to client outcomes. This study examined the role of (a) youth ratings of implementation quality for a provider of therapeutic residential care, (b) the records of staff ratios of positive to negative statements to youth as reported for a token economy system, and (c) youth ratings of therapeutic alliance in relation to youth emotional and behavioral functioning at 6 months into therapeutic residential services. The study included data collection activities with 112 youth and staff at intake into residential group care through 6 months into residential services. Both youth ratings of therapeutic alliance and the ratio of positive to negative staff interactions with youth were related to improved youth emotional and behavioral functioning, as reported by staff using the Child Behavior Checklist. These findings suggest that it is important to consider both implementation and common process factors when looking to improve the quality of care for youth in therapeutic residential care.

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McCardle, Laura. "Youth workers take on social care responsibilities as cuts endure." Children and Young People Now 2015, no. 3 (February 3, 2015): 12–13. http://dx.doi.org/10.12968/cypn.2015.3.12.

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A report on youth services provision suggests that more and more local authority youth workers are being deployed in social care-related roles. CYP Now analyses the evidence and looks at the likely ramifications

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Ditshwane, Boitumelo, Matilda M. Mokgatle, and Oluwafemi O. Oguntibeju. "Awareness, Utilization and Perception of Sexually Transmitted Infections Services Provided to Out-of-School-Youth in Primary Health Facilities in Tshwane, South Africa." International Journal of Environmental Research and Public Health 20, no. 3 (January 18, 2023): 1738. http://dx.doi.org/10.3390/ijerph20031738.

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Background: Despite the availability of different health care initiatives and interventions, young people are still faced with barriers in accessing reproductive health care services; thus, they are exposed to health-related issues such as sexually transmitted infections. Aim: To determine the awareness, utilization and perceptions about sexually transmitted infections services provided to out-of-school-youth in primary health facilities in the Tshwane district, Gauteng Province, South Africa. Methods: The study employed a quantitative, cross-sectional descriptive survey with a sample size of 219 to determine the level of awareness, utilization and perceptions about sexually transmitted infections services provided to out-of-school-youth in Tshwane district. Results: Out-of-school-youth between the ages of 18–24 years participated in the study. Most of the participants (90.8%, n = 199) were female. Service utilization was high in females compared to their male counterparts. There is availability of youth-friendly services in primary health care facilities, however, the level of service utilization among young people is still a challenge evidenced by 12.1% (n = 74) of participants who never sought treatment for STIs, although they had STI symptoms. Furthermore, 52.0% reported that they were not happy with the health services they received when they had STIs. These findings clearly indicate a gap in service delivery for young people regarding reproductive health issues; thus, the low health care seeking behavior among the youth. Condom use was 69.1% and/or inconsistently used among the youth; about 80% of the participants had low perceptions of the risk of contracting STIs. The self-reported risks of HIV and AIDS was 46.8%. Approximately 20% reported that they would not refuse to have sex if their partner did not want to use condoms. These findings showed risky behavior among the participants, and shows that the level of awareness about the risk of contracting STIs is still poor. Conclusions: Irrespective of facilities with youth-friendly services, out-of-school-youth still display poor perceptions about sexually transmitted infections services due to health care providers’ attitudes, limited resources, and working hours. Furthermore, the level of awareness regarding sexually transmitted infections is poor, hence the display of risky sexual behaviors.

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Ryan, Joseph P. "Substitute Care in Child Welfare and the Risk of Arrest." Child Maltreatment 17, no. 2 (April 25, 2012): 164–71. http://dx.doi.org/10.1177/1077559512443125.

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This study sought to investigate whether the reason for placement was associated with the subsequent risk of arrest. The author has focused on youth entering care for reasons of maltreatment and for child behavioral problems. The author stratified the sample based on a history of juvenile delinquency. The sample was diverse and included youth between 8 and 16 years of age with at least one episode in a substitute care child welfare setting ( n = 5,528). Approximately 23% of youth were placed in child welfare for reasons others than maltreatment; specifically child behavioral problems. Youth placed for behavioral problems were significantly more likely to live in congregate care facilities, experience placement instability, and more likely to experience at least one arrest. A prevailing argument is that child welfare offers a broader range of family-based services as compared with the secure settings of juvenile justice. High rates of congregate care placement reported in the current study indicate that family-based services are infrequently associated with youth placed for behavioral problems in child welfare. High rates of subsequent arrest indicate that the congregate care approach for youth with behavioral problems in child welfare is limited.

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Agaba, Peninah, Monica Magadi, Franklin Onukwugha, and Cyprian Misinde. "Factors Associated with the Timing and Number of Antenatal Care Visits among Unmarried Compared to Married Youth in Uganda between 2006 and 2016." Social Sciences 10, no. 12 (December 9, 2021): 474. http://dx.doi.org/10.3390/socsci10120474.

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Antenatal care is an important determinant of pregnancy and childbirth outcomes. Although the youth disproportionately experience adverse maternal complications and poor pregnancy outcomes, including maternal mortality, timely and frequent use of antenatal care services among unmarried youth in Uganda remains low. This study examines the factors that are important predictors of the use of antenatal health care services among unmarried and married youth. Binary logistic regression was conducted on the pooled data of the 2006, 2011 and 2016 Uganda Demographic and Health Surveys among youth who had given birth within five years before each survey to examine the predictors of ANC use. This analysis was among a sample of 764 unmarried, compared to 5176 married youth aged 15–24 years. Overall, married youth were more likely to have more frequent antenatal care visits (56% versus 53%) and start antenatal care early (27% versus 23%) than unmarried youth. Factors significantly associated with use of antenatal care in the first trimester were education and occupation among unmarried youth, and place of residence and access to the radio among married youth. Key predictors of ANC frequency among unmarried youth were parity, education level, pregnancy desire, age group, sex of head of household and region of residence. Among married youth, significant predictors of ANC frequency were parity, pregnancy desire, occupation, access to the radio and region of residence. These findings will help inform health-care programmers and policy makers in initiating appropriate policies and programs for ensuring optimal ANC use for all that could guarantee universal maternal health-care coverage to enable Uganda to achieve the SDG3.

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Dallinger, Vicki C., Govind Krishnamoorthy, Carol du Plessis, Arun Pillai-Sasidharan, Alice Ayres, Lillian Waters, Yasmin Groom, Olivia Alston, Linda Anderson, and Lorelle Burton. "Utilisation of Digital Applications for Personal Recovery Amongst Youth with Mental Health Concerns." International Journal of Environmental Research and Public Health 19, no. 24 (December 14, 2022): 16818. http://dx.doi.org/10.3390/ijerph192416818.

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There is an increasing population of youths that report mental health issues. Research has shown that youths are reluctant to seek help for various reasons. A majority of those who do seek help are using digital mental health supports. Subsequently, efforts to promote youth mental health have focused on the use of digital applications as a means of overcoming barriers related to factors including stigma and lack of available services. The worldwide move toward recovery-oriented care led to emerging research on personal recovery amongst youths with mental health concerns. This study sought to address the need for recovery-oriented digital resources for youths. It utilised a qualitative design methodology to develop a rich interpretation of how youths are using digital interventions to support their mental health recovery journey. It sought to understand how existing digital applications are useful for youth recovery and identified characteristics associated with recovery and engagement. The content analysis generated five categories that represent facilitators of youth recovery and the thematic analysis identified key elements of digital applications that support youth recovery. The results offer complimentary support and guidance for recovery-oriented care and the use of digital mental health interventions in the promotion of personal recovery amongst youths.

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Unrau, Yvonne A., Michelle Conrady-Brown, Diane Zosky, and Richard M. Grinnell. "Connecting Youth in Foster Care with Needed Mental Health Services." Journal of Evidence-Based Social Work 3, no. 2 (July 25, 2006): 91–109. http://dx.doi.org/10.1300/j394v03n02_05.

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Cheak-Zamora, Nancy C., Janet E. Farmer, Wayne A. Mayfield, Mary J. Clark, Alison R. Marvin, J. Kiely Law, and Paul A. Law. "Health care transition services for youth with autism spectrum disorders." Rehabilitation Psychology 59, no. 3 (2014): 340–48. http://dx.doi.org/10.1037/a0036725.

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Tyler, Patrick M., Alexandra L. Trout, Michael H. Epstein, and Ronald Thompson. "Provider Perspectives on Aftercare Services for Youth in Residential Care." Residential Treatment for Children & Youth 31, no. 3 (July 3, 2014): 219–29. http://dx.doi.org/10.1080/0886571x.2014.943571.

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Journal articles on the topic 'Youth care services'

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