A theory based evaluation of an intervention to promote positive health behaviors and reduce social isolation in people experiencing homelessness

ABSTRACT

Homelessness adversely affects an individual's ability to access healthcare, opportunities for social interaction and recreational activities such as physical activity. This study aimed to evaluate the impact of a community-based physical activity and peer support intervention on the health and wellbeing of homeless participants. This study employed semi-structured interviews to investigate the perceived impact of the Street Fit Scotland intervention on the health and wellbeing of 10 homeless adults. Interviews were audio recorded and transcribed verbatim. A thematic analysis was conducted. Participants reported that their health and wellbeing had improved since attending the intervention. This was attributed to improvements in self-esteem, social interaction and mental wellbeing. Participants generally felt that their physical activity had increased since attending Street Fit Scotland, and a number of individuals reported that they were making healthier choices with regards to health behaviors. A theory of change logic model was developed that demonstrated how each component of the intervention influences the observed and intended outcomes. Attendance of Street Fit Scotland had positive effects on participant's health and wellbeing, particularly concerning self-esteem, health behaviors, social interaction, and physical activity. More efforts should be made to evaluate small-scale interventions that are reaching vulnerable population groups.     

A Canadian experience with an intervention programme for vulnerable families: lessons for German social work and policy

Schools are an important community resource that can foster social connections and enhance the health and wellbeing of children and families in Germany through information, health promotion and interventions. While developing social connections between the school and vulnerable families—those who are most limited in their access to other sources of information, education and intervention—is complex and challenging, it is nonetheless critical. This paper reports on the role of Families and Schools Together (F&ST), a school-based intervention aimed at vulnerable families, in building and promoting the social connections, or social capital, that strengthen families and communities. Thematic analysis of semi-structured interviews revealed that programme participants perceived an increase in their social capital in all three of its dimensions (bonding, bridging and linking). The paper highlights the importance of social capital in building stronger, more resilient families and of strengthening relations between parents and schools, and contributes to the sharing of experience and views on matters concerning families in Germany.     

Mediating Role of Psychological Capital in the Relationship between Social Support and Wellbeing of Refugees

This study examines the relationship between social support from work and non‐work domains and the wellbeing of refugee employees. In addition, it examines the mediating influence of psychological capital on these relationships. Using data from 190 refugee employees living in Australia, we find that while perceived organizational support and perceived family support are positively related to the wellbeing of refugee employees, the relationship between perceived supervisor support and wellbeing is not significant. Additionally, while we find that PsyCap fully mediates the relationship between perceived organizational support and wellbeing, it only partially mediates the relationship between perceived family support and wellbeing.     

“My heart is very painful”: Physical, mental and social wellbeing of older women at the times of HIV/AIDS in rural South Africa

The meanings of health and illness as well as people's beliefs about the required response to illness vary widely according to time and place and represents the culture and society in which people live. A double burden of disease in rural South Africa - an emerging epidemic of non-communicable diseases alongside high HIV-prevalence - defines illness as a ‘normal’ part of older persons' everyday lives. Against this background we analyze qualitative interviews with 30 women over the age of 60 in a rural community to provide an in-depth portrait of older women's physical, mental and social wellbeing and how these women make sense of it all in a changing and challenging social and economic context. These women, while making the connections between the various dimensions, view their own physical, mental and social wellbeing as impaired, and make use of a variety of health and help-seeking behaviors in order to feel better. However, poverty and the unavailability of health resources shape older women's constructions of the meaning of their health and their control, or lack thereof, over how healthy or ill they are. This study demonstrates the usefulness of the broader psycho-socio-environmental model in explaining old-age and wellbeing by providing a context specific and nuanced understanding.     

Classed,raced, and gendered biographies: young people's understandings of social structures in a boomtown

As young people attempt to adapt to a rapidly changing society, how they experience school and work has undergone significant changes in recent decades. Youth researchers attempting to understand these changes have drawn heavily on the concepts of agency and structure. In the process, researchers often end up taking a ‘middle-ground’ approach and in turn have critiqued the theorizing of Ulrich Beck for being too focused on agency. This article engages with this debate by examining young people's understandings of the social structures shaping their lives within the constantly changing environment of a boomtown. Drawing on qualitative in-depth interviews with high school students, post-secondary students, and young workers, it was found that most young people were able to recognize how class had shaped their lives, only Aboriginal young people discussed how race/ethnicity had shaped their lives, and only young women understood how gender had shaped their lives. The findings suggest that the specific local context that young people experience their school and work lives within is important in their reflexive understandings of their biographies. In this case, the boomtown environment helped to highlight difference and make only certain social structures visible to particular young people.     

Relationships in a new country: A qualitative study of the social connections of refugee youth resettled in South Australia

Australia's approach to immigration, as internationally, is largely concerned with state sovereignty, border protection and restrictionism towards asylum seekers. However, with just under a million refugees currently residing in Australia, and with 13,750 more added to this number each year, there is also an interest in ensuring that those who are granted humanitarian protection are socially integrated. This article reports on a qualitative investigation of the integration experiences of 85 refugee adolescents aged 13–17 years resettled in Adelaide, South Australia. It explores, in particular, the role of social connectedness in the integration process. Relationships with family, ethnic group and host country are believed to affect multiple and interrelated integration outcomes including language acquisition, cultural knowledge, belonging, identity, civic engagement, social and economic participation, and access to public services. This research found that young people must negotiate the integration process with variable, and in many cases limited, support from the network of social connections surrounding them. We suggest that policy and programmes which strengthen the relationships young people have with others have the potential to enhance integration outcomes.     

Voices rarely heard: Personal construct assessments of Sub-Saharan unaccompanied asylum-seeking and refugee youth in England

Unaccompanied refugee minors are particularly vulnerable to stress and risk during the journey to asylum-countries and in the post-migration environment. This study aimed to determine ways in which positive post-migration development and integration could be achieved for this group. Thematic analysis of interviews based on Personal Construct assessments reflected young asylum-seeking and refugee individuals' experiences of their social situation in England. Participants emphasised the importance of social support as a means for hope, as an escape from distress and as an opportunity to form relationships that resembled family bonds. They expressed their desire to move forward and to achieve their goals, as well as their fear of rejections and issues related to trust. The participants' voices illustrate areas where gaps remain to be filled in terms of providing sufficient support to unaccompanied minors and youth in England, with implications for future research, policy and practice. The importance of providing unaccompanied children and youth with an opportunity to engage in meaningful activities with peers and adults is demonstrated and the need to provide initiatives that seek to prevent discrimination is highlighted.     

Mental illness etiology beliefs among African American men with serious mental illness and their social support networks

Semi-structured qualitative interviews were conducted with 26 African American men with serious mental illness who were consumers of community mental health services and 26 members of their social support networks. All participants were asked what they believed had caused the consumers’ mental illness. Consumer participants most commonly identified chronic life stressors as a causal factor, while social supports most often identified intrinsic factors such as genetics or biology as causes of mental illness. Some support participants believed that unintentional drug use had precipitated the onset of mental illness or had no causal theories. The fact that some support participants could not identify a causal explanation may indicate failure on the part of mental health care systems to engage with consumers’ social support networks and provide education about mental illness and its causes. The implications of etiology beliefs on mental health service utilization are discussed.     

Refugee resettlement,social media and the social organization of difference

Social media platforms allow refugees separated by distance to share information, provide support and exchange resources across borders. This connection has the potential to transform resettlement experiences as people maintain significant and ongoing relationships with transnational networks. Yet, since refugee resettlement programmes generally only scale up to the national imagination, integration remains a normative framework in most policy spheres. This article presents a 12‐month digital ethnography of 15 refugees settled in New Zealand with a view to examining their transnational practices of social media and its influence on integration and belonging. Drawing on a conceptual framework based on the social organization of difference, it contains a discussion on how online global networks increasingly inform the domains of encounters, representations and configurations. The role of social media for refugee resettlement futures and its implications for integration at times of rapid political, technological and social change concludes the article.     

The social contract revisited: a re-examination of the influence individualistic and collectivistic value systems have on the psychological wellbeing of young people

ABSTRACT

The prevalence of psychological health problems experienced by young people living in Western societies is increasing. Evidence suggests the cultural dynamism of individualism may play a role in this, but this evidence is conflicting. Here, we focus on both the concepts of individualism and collectivism, distinguishing between their horizontal and vertical dimensions. We examine the influence of these dimensions on the psychological wellbeing of a sample of 507 Australian emerging adults (aged 18–25). We found that orientations towards vertical (but not horizontal) individualism predicted lower levels of psychological wellbeing, while orientations towards horizontal (but not vertical) collectivism predicted higher psychological wellbeing. These findings add clarity to the way in which key Western social values play an understated role in the increasing prevalence of psychological health problems experienced by young people today. They also provide an understanding of how various traits embedded within these concepts relate to psychological wellbeing.     

Refugee Children in Wales: Coping and Adaptation in the Face of Adversity

This article aims to makes a contribution to redressing a methodological and theoretical imbalance in existing research on refugee and asylum‐seeking children. It draws on two qualitative studies from Wales with children and young people. The samples include unaccompanied minors and children living with families as well as both children who are supported in the asylum system and those who have been granted refugee status. The focus on ecological post‐migratory stressors and coping processes that young people identify as being integral to their well‐being and, once granted status, to how they adapt to settlement includes a selective study of some of the sources of resilience referred to in the children's talk. Recognising the interplay between individual and environment leads to a discussion of both personal attributes and collective cultural identities.     

Health of Carers of Young People with Early Psychosis: A Biopsychosocial Approach

Despite widespread recognition of the usefulness of a biopsychosocial approach in social work, there are limited studies exploring how social workers can use this approach to support the health and wellbeing of carers of young people with first episode psychosis (FEP). Validated questionnaires and anthropometric measures were used to assess the physical health and wellbeing of 42 carers of young people with FEP. Carers had moderate levels of negative caregiving consequences, quality of life, and health status. More than half (52.4%) of carers were experiencing social isolation. Many carers were overweight (78.6%), had a high risk for type 2 diabetes (39.0%), and had hypertension (33.3%). Practical implications of a biopsychosocial approach to social work that supports both clients and their carers are discussed.     

The role of social anxiety in volunteering

The volunteer management literature suggests that the most effective means of recruitment is personal asking. However, agencies that apply this method do not report the expected success in volunteer recruitment. Often they face the volunteer recruitment fallacy: those people assumed to be interested in volunteering do not necessarily volunteer. Based on the literature of shyness or social anxiety and on empirical observations, this article suggests that social anxiety often deters volunteering by new recruits. We hypothesize that people with greater levels of social anxiety will be less likely to volunteer. Furthermore, we hypothesize that people with high social anxiety will prefer to give monetary support to worthy causes rather than volunteer their time, and if they do choose to volunteer, they will do so alongside friends. Our hypotheses are supported based on the findings from a large‐scale nonrandom sample in North America. We suggest how to avoid the volunteer recruitment fallacy by creating a personal environment in which high‐social‐anxiety recruits feel safe and accepted. By removing the fear of being negatively judged by strangers as they enter the agency and creating a more personal approach, new recruits may have a higher probability of becoming long‐term and consistent volunteers.     

‘Just choose the easy option’: students talk about alcohol use and social influence

Previous research into young people’s drinking behaviour has studied how social practices influence their actions and how they negotiate drinking-related identities. Here, adopting the perspective of discursive psychology we examine how, for young people, social influences are bound up with issues of drinking and of identity. We conducted 19 focus groups with undergraduate students in Australia aged between 18 and 24 years. Thematic analysis of participants’ accounts for why they drink or do not drink was used to identify passages of talk that referred to social influence, paying particular attention to terms such as ‘pressure’ and ‘choice’. These passages were then analysed in fine-grained detail, using discourse analysis, to study how participants accounted for social influence. Participants treated their behaviour as accountable and produced three forms of account that: (1) minimised the choice available to them, (2) explained drinking as culture and (3) described resisting peer pressure. They also negotiated gendered social dynamics related to drinking. These forms of account allowed the participants to avoid individual responsibility for drinking or not drinking. These findings demonstrate that the effects of social influence on young people’s drinking behaviour cannot be assumed, as social influence itself becomes negotiable within local contexts of talk about drinking.     

Refugee integration and social media: a local and experiential perspective

The refugee crisis has spurred the rapid development of creative technology and social media applications to tackle the problem of refugee integration in Europe. In this article, a qualitative study with 18 refugees from Syria, Eritrea and Afghanistan is presented in order to investigate the uses and purposes of social media associated to the different areas of refugee integration in the Netherlands. The results indicate that social media networking sites were particularly relevant for refugee participants to acquire language and cultural competences, as well as to build both bonding and bridging social capital. Another important finding concerns the role of government, host society and the agency of refugee actors in determining the way refugees experience social media. Building on these results, a theoretical model for analyzing refugee integration through social media is demonstrated.     

Young people and social networking sites: exploring the views and training opportunities of CAMHS social workers in Ireland

ABSTRACT

Social Networking Sites (SNS) (e.g. Facebook, Instagram) have become a fundamental part of the daily lives of many young people. SNS engagement has been associated with a number of risks and benefits, some of which are particularly relevant to young people who access child and adolescent mental health services (CAMHS). Consequently, understanding how and why young people engage with SNS, and the associated risks and benefits, may become an increasingly important part of CAMHS social work.

This small-scale study (n = 15) utilised an online survey to explore the importance that a sample of Irish CAMHS social workers attribute to maintaining an awareness of how young people use SNS, whether they, in their professional lives, have been offered the opportunity to learn about SNS engagement among young people, and whether they have taken it upon themselves to learn about this topic.

Findings suggest that participants consider an understanding of SNS to be an important part of CAMHS practice. However, participants report that they do not feel sufficiently aware of SNS trends among young people, suggesting that there is scope for SNS-focused training/learning opportunities among this sample of CAMHS social workers. Implications for practice and suggestions for future research are outlined.     

Reconceptualising refugee education: exploring the diverse learning contexts of unaccompanied young refugees upon resettlement

Abstract

This article explores unaccompanied young refugees’ participation in various learning contexts beyond school. Drawing from a qualitative study based on interviews with unaccompanied young refugees, educators and social workers in Norway, the findings emphasise the need for a holistic approach to refugee education in and across contexts of learning. The refugees originate from countries where access to formal schooling was difficult or disrupted. Many of them have been exposed to traumatic events prior to arrival. As the educational and psychosocial needs of resettled refugees are diverse and complex, it is unlikely that schools are able to meet them all. Participation in diverse settings, activities and practices beyond school may expand young refugees’ opportunities for meaningful learning as well as promote their social inclusion. Facilitating access to adequate learning contexts, along with supporting their own commitment to succeed, is decisive for young refugees’ educational achievement, psychosocial adjustment and inclusion in society. The paper emphasises the need for reconceptualising refugee education as inclusive of diverse learning contexts in and outside of school. Enhanced collaboration between schools, local community organisations and wider society will facilitate and support resettling young refugees’ opportunities to achieve their fullest potential.     

Mental health support needs of people with a learning difficulty: a medical or a social model?

People with learning difficulties, like all disabled people, face social oppression. Much recent policy and practice are underpinned by at least some understanding of this oppression, and the social model of disability has been influential in discussions of services and supports for people with learning difficulties. However, in the area of mental health, the picture is somewhat different. This paper argues that the medical model has predominated in discussions of mental health support for people with learning difficulties, and that a social model approach could have much to offer. The paper draws on an ongoing action research study in which service providers, families and young people with learning difficulties are working together to articulate what is needed, in order to find routes to improve the support offered to young people with learning difficulties and mental health support needs.     

Migrant organisations,belonging and social protection. The role of migrant organisations in migrants' social risk-averting strategies

This article contributes to the debates on migrant social protection assemblages by assessing enabling factors that provide migrants with opportunities to organise their social protection in changing environments. In-depth interviews with migrants who use services from several migrant organisations (MOs) were conducted to study their largely neglected roles in social protection practices. Our findings indicate that MOs are important actors in the field of social protection, as they offer a variety of social services specifically tailored to migrants' needs, while concomitantly supporting them in developing a sense of belonging. Specifically, we identify three functions with which they enable their members to access and accumulate a range of resources relevant to protecting themselves against basic social risks: their networking, consulting, and familiarising functions. In doing so, we also draw attention to the connections between social protection strategies and evolving belongingness. Our findings confirm that MOs are multifunctional and highly responsive to individual needs and are therefore important actors in the field of social protection.     

Mental health of lesbian, gay, and bisexual youth: A developmental resiliency perspective

Research suggests that lesbian, gay, and bisexual (LGB) youth are at increased risk for both victimization and internalizing mental health problems, but limited research has studied their association or factors that increase resilience. The sample included 425 LGBs between the ages of 16 and 24 year. The majority had disclosed their sexual orientation to family or friends (98%) and 97% had someone in their lives who was accepting. Racial/ethnic minority and female participants in general reported lower levels of disclosure and acceptance. Most participants reported some form of sexual orientation-related victimization (94%). Victimization was associated with psychological distress, but a compensatory model indicated that in the context of this victimization both peer and family support had significant promotive effects. A test of a protective model found social support did not ameliorate negative effects of victimization. The positive effects of family support decreased with age. Peer and family support were particularly important, but they did not significantly dampen the negative effects of victimization. Our findings suggest that mental health professionals working with LGB youth should address social support and that public health approaches are needed to reduce levels of victimization.