Stakeholder Perspectives on Children's Mental Health Needs and Supports in Six Low‐ and Middle‐Income Countries

Low‐ and middle‐income countries (LMIC) are faced with disproportionately high levels of unmet child mental health needs. This study explored through interviews the perspectives of 17 inter‐agency service stakeholders from Brazil, Indonesia, Kenya, Pakistan, Rwanda and Turkey on existing supports and challenges. Four themes emerged on the holistic nature of children's mental health needs linked with disadvantage; limited resources and skilled workforce; stigma; and strategies for future implementation, including awareness, parental engagement, skills‐based programmes and cultural adaptation. Stakeholder input is essential in conceptualising, developing and evaluating culturally appropriate interventions for vulnerable children in LMIC.     

Responding to Adolescent Violence in the Home – A Community Mental Health Approach

Family violence perpetrated by adults is increasingly understood as a health issue, and we argue that this pertains even more strongly to violence by adolescents. The co-dependence of the parent–child bond, lack of maturity in the adolescent, and often related issues of disability or mental illness make these young people both complex and also vulnerable. This research paper reviews the current literature relating to adolescent violence in the home, identifies known best practice, and evaluates the importance of taking a family-focused, therapeutic approach to adolescent family violence, in place of a punitive one. It describes the use of a co-design workshop to unpack gaps in service provision and develop a potential family focused model of care to address the needs both of young people who use violence, and their families. The findings indicate that an inclusive family approach is a key element in addressing adolescent violence in the home across a spectrum of behaviours and mental health care needs. The use of a coordinated, family-inclusive response through mental health care services is recommended to address the complexity of this issue, as well as to provide support both to adolescents and to their families and carers.     

Through a filtered lens: unauthorized picture-taking of people with dwarfism in public spaces

People with dwarfism often encounter discrimination in their daily interactions with strangers. Staring, harassment and infantilization are some of the behaviours they have reported to encounter. Through two qualitative research studies conducted in 2013 and 2015/16 it was revealed that people with dwarfism also experience strangers taking unauthorized pictures of them. This article explores this phenomenon in depth, utilizing the perspective of individuals who have experienced it first hand and analysing the relevant socio-historical influences. These include the history of the photographic exploitation of ‘abnormal’ bodies, and the cultural construction of a ‘dwarf’ as an object of entertainment. This article engages gaze theories in gender and race and ethnicity studies as well as a discussion of Foucault’s interpretation of the ‘panopticon’, positing that the advent of the cell-phone camera in the twenty-first century has altered how ‘abnormal’ bodies are recorded within oppressive ideological beliefs.     

Examining the Nursing Home Physical Environment Through Policy-Driven Culture Change

A critical need exists to challenge approaches to nursing home care due to rigid organizational factors and hospital-like culture. It has been argued that resident care needs to move toward a person-centered approach by addressing the organizational, social, and physical environments in nursing home facilities, a process often known as culture change. In response to this need, the Centers for Medicare & Medicaid Services (CMS) has created funding for pay for performance (P4P) nursing home incentive programs to allow nursing home providers to receive CMS reimbursements for culture change in the facilities. Through care staff interviews, site observations, and a document review, this qualitative study assesses the impact of a Midwestern state P4P incentive program in three participating nursing homes. Using an environment and behavior (E-B) policy orientation framework, this study examines culture change through a focus on policy, the physical environment, place attachment, and social and psychological processes in the study settings.     

Do rich teens get richer? Facebook use and the link between offline and online social capital among Palestinian youth in Israel

Studies have shown that using social networking sites contributes to social capital. This study investigated the association between specific features of Facebook and online social capital. Two contrasting hypothesis were tested. The first posits that the rich get richer, meaning that the creation of social capital online reflects the stock of offline resources already available. In contrast, the compensation hypothesis argues that disadvantaged ethnic minorities are more likely to use social media to compensate for their lack of social capital offline. We tested these two theories among a representative sample of Palestinian teenagers (N?=?567). While we found no gender differences in the use of Facebook’s features, our results highlight the positive correlation between the use of active and passive communication features and perceived social capital online. Moreover, the results support the rich-get-richer model; in that, even among this socially disadvantaged group, the youngsters who already had a store of social capital offline benefitted more from using Facebook.     

Colonized Silence: Confronting the Colonial Link in Rural Alaska Native Survivors’ Non-Disclosure of Child Sexual Abuse

Though there is evidence linking the history of colonialism and oppression of Indigenous people to the high rates of rape and child sexual abuse experienced by this population today, it is less understood how colonial processes, past and present, condition the decision to disclose or report victimization. Drawing on a survivorship storytelling study of rural Alaska Native survivors of child sexual abuse, this paper underscores the importance of centering colonialism in understanding the culture of silence surrounding sexual victimization among Indigenous people. Results show that reasons for non-disclosure are quite embedded within larger social, historical and political themes of colonialism, oppression, and marginalization. Implications for policy and praxes are discussed, as well as a broader mandate of social change to remove barriers to disclosure.     

Second generation Caribbean black male youths discuss obstacles to educational and employment opportunities: a critical race counter-narrative analysis

This study explores obstacles to navigating the high school-to-labor market transition experienced by Second Generation Caribbean Black Male Youth (CBMY) living in Canada's Greater Toronto Area (GTA). Drawing upon interviews with ten CBMY between the ages of 18–27, the article uses a qualitative phenomenological methodology to understand barriers to education and employment from their perspectives. Studies show that 45% of CBMY drop out of high school while 52% are precariously employed in the GTA [Allahar, A. L. 2010. “The Political Economy of ‘Race’ and Class in Canada’s Caribbean Diaspora.” American Review of Political Economy 8 (2): 54; James, C. E. 2012. Students “at Risk” Stereotypes and the Schooling of Black Boys. Urban Education 47 (2), 464–494.; Lewchuk, W., and M. Lafleche. 2014. Precarious Employment and Social Outcomes. Just Labour: A Canadian Journal of Work and Society, 22, 45–50.; Block and Galabuzi 2011. Canada’s Color Coded Labor market: The Gap for Racialized workers. Canadian Centre for Policy Alternatives?=?Centre Canadien de Politiques alternatives]. The ten interview subjects provide retrospective and introspective counter-narratives that expose the race, class and gender-based barriers that frustrate their efforts to secure stable employment. The study utilizes Critical Race Theory (CRT) and the concept of White Supremacy to challenge the view that educational and employment success is based on color-blindness, merit and hard work. The CBMY counter-narratives examined in this study offer profound insight into dominant ideologies and practices that perpetuate racial biases, and present many valuable suggestions, explicit and implied, regarding how to improve the opportunities, inclusion and well-being of CBMY.     

No experience required: Violent crime and anticipated,vicarious, and experienced racial discrimination

There is a growing body of evidence linking racial discrimination and juvenile crime, and a number of theories explain this relationship. In this study, we draw on one popular approach, Agnew's general strain theory, and extend prior research by moving from a focus on experienced discrimination to consider two other forms, anticipated and vicarious discrimination. Using data on black, white, and Hispanic youth, from the Project on Human Development in Chicago Neighborhoods (PHDCN), we find that experienced, anticipated, and to a lesser extent, vicarious discrimination, significantly predict violent crime independent of a set of neighborhood, parental, and individual level controls, including prior violent offending. Additional analyses on the specific contexts of discrimination reveal that violence is associated with the anticipation of police discrimination. The effects tend to be larger for African American than Hispanic youth, but the differences are not statistically significant. These findings support the thesis that, like other strains, discrimination may not have to be experienced directly to influence offending.     

Toward a genealogy of the liberal government of youth

While discourses that define and demarcate young people such that they become legitimate targets of negative practices of marginalisation and exclusion have not disappeared, these are no longer the dominant discourses and modes of governing youth. Constructions of youth as self-determining subjects and empowerment polices of youth participation increasingly animate contemporary approaches to governing young people throughout the West and beyond. Until recently, the dominant critique of such developments consisted of accusations of failed attempts to realise certain principles in practice or of their ideological functions. There is however an emerging critical youth studies literature that analyses such developments drawing on the work of Beck and Foucault’s notion of ‘governmentality’. In this paper, I argue that while these studies challenge some of the assumptions upon which such developments rest, they are yet to challenge the extent to which these contemporary ways of constructing and governing youth are new. Using Foucault’s genealogical method my research traces an unacknowledged nineteenth century history of these common ways of constituting and governing youth today. To conclude I consider the strategic usefulness and ramifications of these findings for critical youth studies and policies of youth participation.