Completing the Circle

Abstract

The four themes of the Circle of Courage, a Native American medicine wheel that focuses on child socialization, connect with and add to key ideas from Western theories of human development. These themes are belonging, mastery, independence, and generosity. The purpose of this paper is to present a framework developed from the integration of the Circle of Courage with theories of human development. A key feature of the framework is the role of adults in providing guidance, modeling, and affirmation. Assessment guidelines to promote the resilience of children and youth in out-of-home care are developed from the framework. The long term goal of the framework is to “complete the circle”; that is to foster the resilience of young people in care so that they can in turn provide to guidance, modeling, and affirmation.     

It's good to know that you got somebody that's not going anywhere: Attitudes and beliefs of older youth in foster care about child welfare-based natural mentoring

This exploratory study is the first to investigate the attitudes and beliefs of older adolescents in foster care toward the implementation of a child welfare-based natural mentoring intervention designed to promote enduring, growth-fostering relationships between youth at risk of emancipation and caring, supportive nonparental adults from within the youth's existing social network. Six focus groups were conducted with 17 older youth in foster care attending a specialized charter high school for young people in out-of-home care in a large, urban city in the Northeast United States. Focus group data were transcribed and analyzed using a conventional content analysis approach. The following significant themes emerged related to natural mentoring for older foster youth emancipating from care: (1) need for permanent relationships with caring adults, (2) youth conceptions of natural mentoring, (3) unique challenges related to natural mentoring for youth in foster care, (4) role of a natural mentoring intervention in child welfare, and (5) challenges for implementing a child welfare-based natural mentoring intervention. Overall, our findings suggest that these young people are cautiously optimistic about the potential of a child welfare-based natural mentoring intervention to promote their social and emotional wellbeing. Future studies are needed to better understand the experiences of older foster youth with an actual natural mentoring intervention, including challenges, opportunities, and outcomes.     

Adolescents’ experiences of therapeutic relationships at high and low levels of risk and resilience

Abstract

Engaging adolescents in treatment requires professionals to negotiate relationship boundaries in ways that young people experience as therapeutic. For this study, we used qualitative data from a mixed methods investigation of 85 young people ages 12-19 who were either clients of two or more human services (n=61) or selected from a convenience sample of young people attending school in the same communities as the service users (n=24). By sorting participants into four groups based on their risk and resilience scores calculated during the quantitative phase of the research, patterns emerged in the quality of the relationships young people reported as the most therapeutic. Findings show that youth at higher levels of risk exposure preferred looser professional boundaries (a real relationship) in their interactions with their workers while those with higher resilience scores described positive relationships with professionals that included more structure, greater expectations and firmer boundaries. Findings suggest that the quality of adolescent client-professional relationships should vary depending on the risk and resilience profiles of the youth.     

Youth-centred practice: Positive youth development practices and pathways to better outcomes for vulnerable youth

This paper reports on a longitudinal study of 1012 youth (aged 13–17 years). Half were clients of two or more services and were followed for three years to enable analysis of the impact over time of services delivered using positive youth development practices (PYD). Youth completed self-report questionnaires administered by trained interviewers. It was hypothesised that youth reporting two positive service experiences at Time 1 would report better wellbeing and resilience and lower risk at Time 3 than youth reporting inconsistent or two negative service experiences at Time 1. MANCOVA was used to determine the relationships between service quality and wellbeing, resilience, and risk, with three covariates that assessed the presence of positive relational resources (with caregivers, friends and school) around youth. Results indicated that service quality at Time 1 had a positive effect on wellbeing and resilience at Time 3, but not on risk levels. The importance of consistent use of PYD approaches across services is discussed, as is the need for services to more directly address risk levels for vulnerable youth.     

Risk,Protection, and Resilience Among Youth Residing in Public Housing Neighborhoods

Constructs of risk, protection, and resilience were examined from the perspectives of 20 ethnically diverse elementary and middle school children residing in urban public housing neighborhoods. Participants attended an afterschool program at locations in each of the neighborhoods. Analyses generated five themes: (1) challenges (community-neighborhood, peer, school, family, and personal); (2) coping (behavioral, emotional, spiritual, and cognitive); (3) health (community-neighborhood, peer, school, family, and personal); (4) connection (relationships that provide companionship, esteem, information, and instrumental support); and (5) aspirations. Implications of the findings for preventing problem behavior and promoting healthy development among young people in public housing settings are identified.     

Resilience in Midwestern Families: Selected Findings from the First Decade of a Prospective,Longitudinal Study

The authors review findings related to mechanisms of resilience in an ongoing longitudinal study of a cohort of 558 focal youth and their families. The ongoing study began when the cohort of adolescents was in 7th grade. Findings demonstrate that resilience to economic adversity for the parents of the focal adolescents was promoted by marital support, effective problem solving skills, and a sense of mastery. For the cohort of youth, resilience to economic hardship was promoted by support from parents, siblings, and adults outside the family. Resilience to the difficult transitions from childhood to adolescence and from adolescence to early adulthood was especially fostered by nurturant‐involved parenting and by less angry or hostile parenting.     

Challenges,pride, and connection: A qualitative exploration of advice transgender youth have for other transgender youth

Abstract

Transgender youth experience a variety of risk and resilience factors that impact their wellbeing. However, the research on these factors rarely includes the personal perspectives or authority of transgender youth. To address this gap, we collaborated with a transgender youth advisory board to conduct qualitative interviews with 19 transgender youth (15–22?years-old). Participants lived in two Midwestern states to provide the perspective of transgender youth often missed by research. Data were analyzed using thematic analysis and resulted in three categories of advice: challenges are real, have pride, and you are not alone. Participants acknowledged that challenges are a salient aspect of growing up as a person who is transgender but provided advice for their peers to persevere, feel proud of their identities, and support development and wellbeing through connections to others. Findings provide important implications for practitioners working with transgender youth and researchers aiming to promote resilience and reduce risk. Additionally, providing opportunities for transgender youth to participate in research as the experts and share their perspectives may also help promote resilience.     

Social Work Practices for Young People with Complex Needs: An Integrative Review

The aim of this integrative review is to investigate research of social work practices for adolescents and young adults with complex needs. The research questions are: What are the major themes in studies of practices for young people with complex needs? How do studies suggest that complex needs can be met in ways that are beneficial for young people? A young person with complex needs is in this review defined as an adolescent or young adult who, due to mental ill-health in combination with different types of social vulnerabilities, is receiving assistance from multiple welfare services. Searches were conducted in seven databases. These searches resulted in a sample of 1677 records, published 2007–2016, which in the screening process were reduced to 24 publications, all peer-reviewed articles. The participants in the studies in the articles consisted of young people, parents and professionals from mainly Anglo-Saxon countries. The articles were analyzed with qualitative summative content analysis. Three empirically generated themes were found in studies of work practices targeting young people with complex needs: collaboration-, relationship- and empowerment-oriented practices. In conclusion, the practices contain a wide variety of features, but with the joint aim of acknowledging young people’s needs. The results can be used by practitioners and policymakers to further the development of services for youth with mental ill-health and social vulnerabilities, who use multiple welfare services.     

Qualitative exporation of relationships with important non-parental adults in the lives of youth in foster care

Foster youth are at risk of poor adult outcomes. Research on the role of mentoring relationships for this population suggests the value of strategies that increase their access to adult sources of support, both while in foster care and as they reach adulthood. We conducted semi-structured, individual qualitative interviews with 23 former foster youth ages 18-25 regarding their relationships with supportive non-parental adults. We sought to identify factors that influence the formation, quality, and duration of these relationships and to develop testable hypotheses for intervention strategies. Findings suggest several themes related to relationship formation with non-parental adults, including barriers (e.g., youth's fears of being hurt) and facilitators (e.g., patience from the adult). Distinct themes were also identified relating to the ongoing development and longevity of these relationships. Youth also described multiple types of support and positive contributions to their development. Proposed intervention strategies include systematic incorporation of important non-parental adults into transition planning, enhanced training and matching procedures within formal mentoring programs, assistance for youth to strengthen their interpersonal awareness and skills, and the targeting of specific periods of need when linking youth to sources of adult support. Recommended research includes the development, pilot-testing, and evaluation of proposed strategies.     

A family-based, developmental-ecological preventive intervention for high-risk adolescents

Family-based preventive intervention has emerged as a promising modality for preventing antisocial behavior problems in youth. This article introduces an intensive, family-based preventive intervention for high-risk adolescents: Multidimensional Family Prevention. Multidimensional Family Prevention combines the advantages of standard prevention models (curriculum based and protection focused) with those of psychosocial treatment models (assessment based and problem focused). The model's main features are described: theoretical foundations (risk and protection theory, developmental psychopathology, ecological theory), guidelines for constructing a multidomain prevention program (family and peer relationships, school and prosocial activities, drug use and health issues, cultural themes), and strategies for tailoring and implementing five flexible intervention modules (adolescent, parent, interactional, extended family, extrafamilial). Implemented in the family's home, the intervention works to create a resilient family environment that supports the basic adolescent developmental goals of renegotiated attachment bonds within the family and durable connections with prosocial institutions.     

Positive Manhood Development: A Look at Approaches and Concerns from the Frontline

This mixed methods study, using the perspectives of administrators and frontline workers, identified the key developmental needs of African American boys involved in manhood development programs. Five conceptual themes emerged: values and behavior; men needed for guidance; successful organizations; economics and systems; and stable quality parenting. Themes from the conceptual clusters are compared to themes in the positive youth development literature, specifically the 40 developmental assets framework proposed by the Search Institute. The resulting distinctive ecological focus is rarely discussed in the youth development literature and may have implications for youth development interventions that target positive African American manhood development.     

Divorce is a part of my life… Resilience, Survival, and Vulnerability: Young Adults' Perception of the Implications of Parental Divorce

A qualitative study among 22 young adults (20–25 years old) whose parents divorced during their childhood was conducted in Israel, using semi-structured, in-depth, open-ended interviews. Qualitative data analysis led to identification of three profiles, aiming at a grounded theoretical conceptualization. Three core themes were identified: the centrality of the family; short- and long-term implications of parental divorce and its relations to supportive coping resources; and perspective at young adulthood. Further analysis led to typifying participants by three profiles, which represent the grounded theoretical conceptualizations: resilience, survival, and vulnerability. The most prominent difference among the profiles was the relationships between participants and their parents, and their perception of ongoing parental responsibility. A thorough discussion of the results and their implications for future research, theory development, and practice are presented.     

Resilience and risk competence in schools: theory/knowledge and international application in project rebound

Despite a 50-year interdisciplinary and longitudinal research legacy--showing that nearly 80% of young people considered most "at risk" thrive by midlife-only recently have practitioners/researchers engaged in the explicit, prospective facilitation of "resilience" in educational settings. Here, theory/knowledge distinguishing and extending risk and resilience from its risk-based social history to resilience's normative occurrence leads to the first known international and prospective application of resilience in school-based drug education, Project REBOUND [resilience-bound]. It will be implemented as a controlled pilot study, first in Germany, then expand to the United States, as well as other parts of Europe. With evaluation occurring throughout, the goal is to enhance the quality of drug decisions among young people, as well as support their overall competence-based learning and development throughout school. With limitations and underlying psychological mechanisms discussed, it is concluded Project REBOUND offers promising potential for supporting positive drug decisions as well as youth learning and development.     

A Review of Nonfamilial Intergenerational Programs on Changing Age Stereotypes and Well-Being in East Asia

This paper examines whether nonfamilial intergeneration programs reduce age stereotyping and increase the well-being of both youth and older adults in five East Asian communities. We used the systematic review method and screened 2,261 abstracts, selecting 14 publications for full review. Studies reported positive attitudinal changes among young and old participants. The intergeneration programs generally covered one of two themes: art activities or cultural heritage. Three best practices that can enhance intervention effectiveness were pre-intervention training, maintaining the intensity of the intervention on a weekly base, and pair-wise matching between the two stakeholders. More studies are recommended to test intergenerational programs with randomized designs and a wider age range of young participants. Culturally specific intergenerational contact theory is also in need of development, particularly “status concern” between the young and old generation.     

Resilience and Deviant Behavior Among Institutionalized Adolescents: The Relationship with Significant Adults

The transition to institutional care often implies the separation from a dysfunctional environment, marked by neglect, abandonment and lack of emotional responsiveness, which makes youth more vulnerable to the development of deviant behavior. The quality of the relationship established with significant figures within the institution as well as with teachers is suggested as a protective factor for the development of resilience and the detachment from deviant behaviour. The present study aims to test the predictive effect of the quality of relationship to institutional caregivers and teachers on the development of resilience and deviant behaviour in institutionalized adolescents. We also intend to test the mediating effect of resilience in the previous association. The sample was composed by 202 institutionalized adolescents, 12–18 aged (M = 14.96, SD = 1.80), and from both genders. Data were collected using self-report questionnaires. The results demonstrated that the quality of relationship with significant figures was positively associated with resilience and may play an important role in preventing deviant behaviour. There was also a total mediation effect of resilience on the association between quality of relationship with significant figures and development of deviant behaviour. The results suggest that the affective reorganization of institutionalized adolescents can be promoted by the establishment of safe havens, which reflect feelings of belonging and acceptance, facilitating a more adaptive experience.     

A comparison of risk factors for sexual victimization among gay, lesbian, bisexual, and heterosexual homeless young adults

Although high rates of sexual victimization have been reported among homeless youth, less is known about whether the risk factors vary for gay, lesbian, and bisexual youth compared to heterosexual youth. Based on a sample of 172 homeless young adults ages 19 to 26, results revealed that depressive symptoms, prostitution, and having friends who traded sex were significantly associated with higher levels of sexual victimization. Gay, lesbian, and bisexual young adults experienced more sexual victimization compared to heterosexual young adults. A test for interactions revealed that the effect of sexual orientation on sexual victimization was moderated by trading sex and having friends who traded sex. Finally, there is support for partial mediation of the effects of sexual abuse, neglect, and depressive symptoms on sexual victimization through other risk factors.     

“To be HIV positive is not the end of the world”: Resilience among perinatally infected HIV positive adolescents in Johannesburg

BackgroundResilience, or positive adaptation to challenging situations, has potential to improve health outcomes for high risk populations. Resilience may be particularly important for perinatally infected HIV positive adolescents, who are exposed to significant stigma, risks and stressors. Despite recognition that HIV positive adolescents show remarkable resilience in the face of adversity, little is known about how resilience occurs within this population.MethodsThe aim of this study was to identify elements of resilience in a group of perinatally infected HIV positive adolescents attending HIV clinics. In-depth interviews were conducted with 25 purposively selected HIV positive adolescents (15 female, 10 male) between the ages of 13–19 years in Johannesburg. Data were analysed in NVIVO 10 using a thematic approach to coding.ResultsDespite marked stressors in the lives of these adolescents, a high degree of resilience was described. Characteristics of resilience in this group included a pertinent set of beliefs, including a belief in fate and recognition of personal strength as a consequence of managing adversity. Character traits such as a pragmatic acceptance about one's life, actively taking responsibility, and a robust self-esteem were evident. Social behaviours included the ability to pursue and access adults and healthcare to meet developmental needs, having a desire to support and help others and challenging HIV related stigma. These characteristics were underscored by the capacity for self-reflection.ConclusionPerinatally infected adolescents, who face high levels of hardship and change, nevertheless exhibit strong resiliency beliefs, traits, and behaviours. Healthcare environments have the potential to be utilized as powerful resources in fostering resilience in HIV positive adolescents, if characteristics of adolescent resilience were integrated into current prevention and intervention programming. Resilience promotion could lead to improved health outcomes for HIV positive adolescents.     

‘To talk or not to talk?’: Foster youth's experiences of sharing stories about their past and being in foster care

Sharing stories about the past and about being in care, can help adolescents placed in foster families to make meaning of their experiences and connect with their conversation partner. However, what obstacles and opportunities for sharing stories are experienced by foster youth has not been researched, while this holds important implications for research and practice. In an episodic interview, thirteen adolescents and young adults (16–23 years) talked about their experiences with sharing their memories about their past and being in foster care. Using a thematic analysis, two themes were constructed, each containing three sub-themes. The theme ‘When’ included references to the prerequisites for talking and considerations made by participants, and contained the sub-themes ‘How often do I talk’, ‘Conditions’ and ‘Ownership of my story’. The theme ‘Why’ included references to the rationales for sharing or not sharing memories, which contained the sub-themes ‘Protection’, ‘Understanding’ and ‘Processing the past’. The stories of the participants highlight both the opportunities and obstacles for talking. Foster parents and foster care workers should be aware of the needs foster youth have with regard to conversations about their experiences and should try to facilitate the meaning-making processes, although some foster youth prefer managing their memories in a more private way.     

In their own words: Overcoming barriers during the transition to adulthood for youth with disabilities who experienced foster care

The transition to adulthood can be especially challenging for youth who experience the foster care system. These challenges are magnified for youth with disabilities, who account for at least 40–47% of all children in foster care (Powers et al., 2012). In order to move from a deficit-based to a strength-based approach, this qualitative study focused on understanding the lived experience of transitioning to adulthood for alumni of foster care with disabilities. Semi-structured interviews were conducted with seven young adults who had exited care over a six-month time period. Participants described their journeys from foster care to independence and articulated a vision for a successful adulthood. Key themes that emerged included a desire for stability and personal fulfillment in adult life. Participants also identified common barriers encountered including unmet mental health needs and lack of disability awareness or the implications of mental health diagnosis. Personal strengths that helped overcome those barriers included resilience, advocacy, and self-determination.