A sea change on the island continent: frameworks for risk assessment,prevention and intervention in child health in Australia

This article overviews prevention and early intervention approaches focusing specifically on their relevance to the health of children and young people in Australia. Australian public health has a sound track record although concealed within the aggregate profile are a number of sub-populations with poorer health indicators. Recognition of this has increased efforts to improve the health of children and young people especially in exploring the impact of social environments within the communities where children are raised. This paper examines emerging research in this area drawing out key lessons and learning from Australian experience in the field of early intervention and prevention in community settings.     

Asking for Change: Feasibility,acceptability, and preliminary outcomes of a manualized photovoice intervention with youth experiencing homelessness

Photovoice is a participatory action research method that empowers participants to photograph their everyday lives as a means of documenting and advocating for their needs; it has rarely been utilized with young people experiencing homelessness. The current study examined the feasibility, accessibility, and preliminary outcomes associated with participation in Asking for Change, a manualized Photovoice intervention, among youth (ages 18–21) staying in a homeless shelter (N = 22). Multiple sources of data, including field observation, standardized pre-post measures, and qualitative exit interviews were collected across two cohorts of Asking for Change. Results suggest the intervention was feasible and highly acceptable to many young people, created new opportunities to connect with young people, and, among those surveyed pre and post intervention (n = 9), was associated with improvements in communication skills, social connectedness, resiliency, and well-being. This article discusses the challenges and benefits inherent in doing this work and outlines a robust research agenda to move this knowledge base forward.     

Voice,authenticity and ethical challenges: the participatory dissemination of youth-generated visual data over social media

Using the theoretical frameworks of childhood studies and visual ethics, this article explores ethical ways of engaging children and young people in disseminating self-generated visual data (‘participatory dissemination’) over social media. The discussion draws on a research project carried out with a group of young people in an underserved community in South Africa. The project was an educational intervention that aimed to enable the participants to bring out their experiences with the HIV and AIDS pandemic in South Africa and to reflect on related issues through participatory video making. The methodological focus was on exploring visual ethics in the context of participatory dissemination. Despite a growing interest in social media, few studies have been conducted in relation to ethics in using social media as an outlet to disseminate visual data created by young people. This article contributes to addressing this knowledge gap. It is argued that (1) the process of remaking visual data can enhance the ethics of dissemination by offering young participants an opportunity to reflect on self-representation more carefully and (2) the verbal contextualisation of participant-generated visual data can contribute to a further clarification of young people’s ideas, thereby making dissemination more ethical. I am cautious, however, to overstate the significance of disseminating young people’s verbal and visual expressions without researchers’ discretion because such expressions may contribute to stigmatising the young people.     

Collaborative Family Work in Youth Justice

ABSTRACT

A number of studies have found that working with family groups can be successful in improving outcomes for young people and their families. This article reports on a study in New South Wales in which juvenile justice staff offered collaborative family work interventions to young people as part of the routine offerings of a juvenile justice service. The primary objective of this study was to examine the extent to which young people who completed the family work had lower recidivism rates compared to three control groups. The methods included a comparison of recidivism rates between young people who completed the intervention, those who failed to complete, those who declined, and a matched sample of young people who were not offered the intervention. The results of the study indicated that many young people and their families were agreeable to be involved in the intervention and the completion rates were high, particularly if the work was undertaken in the family home. The young people who completed the intervention also had lower recidivism rates than young people in each of the control groups.

IMPLICATIONS

• Collaborative family work can be offered successfully by juvenile justice services to young offenders and their families.

• Collaborative family work can reduce recidivism rates for those who complete the intervention.

• It is preferable to conduct the work in the family home where completion rates are likely to be higher.

     

Oppositional Defiant Disorder: The Psy Apparatuses and Youth Resistance

This article, situated in Foucauldian, anti-psychiatry, and mad studies literature, provides a theoretical intervention into the practice complexities and complicities of working with young people marked with the diagnosis of oppositional defiant disorder. Using a composite vignette as a proxy for social work practice, I map the particular harms of the deployment of the oppositional defiant disorder diagnosis, using Foucault and others to provide insight, in order to reorder and rethink work with young people marked as disorderly. Scholars effectively trace the manifold harms of the psychiatrization of young people; this article knits together the ways in which these harms operate, with the expressed intention of psychiatrizing youth resistance through multiple targets. The article concludes with tentative formulations for reconceptualizing youth resistance, in particular, using contributions from Sara Ahmed’s work on willfulness and Eve Tuck’s work on dangerous dignities. My aim is to use these emerging formulations to position our work with young people in alignment with their own resistance to injustice, rather than in concert with the efforts to psychiatrize their actions.     

Young People who have Sexually Abused: What do they (and their parents) want from Professionals?

This article presents the findings of a small scale qualitative study of user perspectives in the adolescent sexual aggression field. Twenty four service users who had received intervention from nine different specialist providers completed a structured questionnaire about their experiences of professional involvement. Both young people who had sexually abused and parents identified the kinds of professional intervention which they found useful, as well as practices that they experienced as unhelpful. Young people and their families alike were found to value supportive interventions which gave them an opportunity to gain insight into the nature of sexual abuse as well to address their own feelings about their problems.     

Reframing risk for transgender and gender-expansive young people experiencing homelessness

This article expands conceptualizations of homelessness among transgender and gender-expansive young people beyond those associated solely with risk and victimization. Participants were 27 New York City–based transgender and gender-expansive young people (between the ages of 18 and 25) with histories of homelessness. This exploratory inquiry utilized semi-structured interviews lasting approximately 60 minutes. Participants shared another side of their homeless experiences that challenge the risk paradigm, describing their homes as primary sites of risk, from which they were fortunate to escape. Once homeless, they described finding a community of which they felt a part, accessing information they needed, and developing skills of which they were proud. The findings from this study have the potential to guide practice, policy, and research and to inform prevention and intervention strategies for transgender and gender-expansive young people experiencing homelessness.     

What's Wrong with Being Poor? The Problems of Poverty,as Young People Describe them

This article explores how young people living in low‐income neighbourhoods problematise their own lives, using data generated as part of a participatory policy project with five groups of young people, aged 11–21. Three common problems were identified; housing, education and crime, as well as one common silence around their own agency. This silence is perhaps substituted by a focus on collective agency and politics, suggesting that perhaps young people can see poverty as a more collective problem than previous research may highlight.     

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.     

Better Futures: A validated model for increasing postsecondary preparation and participation of youth in foster care with mental health challenges

Higher education participation rates of young people in foster care are dramatically lower than their level of postsecondary education aspiration. Increasing attention to this disparity has stimulated policy and practice enhancements, however rigorously validated models for promoting postsecondary preparation and participation have not existed for young people in foster care, including those with mental health conditions. This article describes Better Futures, which is the first such model to be experimentally validated as effective for increasing the higher education participation and other related outcomes of young people in foster care with mental health challenges. Better Futures features a four day on-campus Summer Institute, coaching provided to youth by older peers who are in college and have shared experiences around foster care and/or mental health, and workshops that bring together youth, coaches and guest speakers for information sharing and mutual support. This article includes the theoretical and component features of the Better Futures model, findings related to intervention fidelity, participants' evaluation of the program, and discussion of implications for future model refinement and research.     

The parenting of young people: using newsletters to provide information and support

The literature shows that many parents of young people do not have enough information, advice, and support in bringing up their children. This article describes an innovative project, undertaken by the Trust for the Study of Adolescence (TSA), which evaluated the use of newsletters as a form of support for the parents of young people. Following consultation with parents and young people, four newsletters were produced in a ‘magazine’ style. The newsletters were distributed to over 4000 parents across the UK. An evaluation was undertaken, involving longitudinal interviews with 40 families and over 800 telephone interviews with parents. This showed the newsletters to be an effective form of information and support for the majority of parents. However, the results also highlighted a number of issues to be considered in using newsletters as a parenting intervention, including levels of literacy, English as an additional language, social class, and reaching fathers as well as mothers.     

Being Judged,Being Assessed: Young People’s Perspective of Assessment in Youth Justice and Education

Research from the Economic and Social Research Council programme on Pathways Into and Out of Crime prioritised young people’s ‘voices’ in exploring experiences of crime and a range of intervention services. Drawing on data from interviews with 110 young people, this paper explores their perspectives of professional assessment. Embedded within neo‐liberal youth welfare policies are a number of contradictions. Policies encourage ‘individualisation’, ‘responsiblisation’ and ‘self‐realisation’ while also needing to maintain control and regulation of ‘risky’ populations. This paper explores the implication of these contradictions through examining the experiences of young people being assessed in youth justice and education. The impact on their identities as neo‐liberal citizens is discussed in the conclusion.     

Writing in a role for structure: low-income young people's dual understanding of agency,choice and the welfare state

Young people, it is often argued, are more individualised and more free of older, class constraints than ever before. This has led some thinkers to debate the (positive) possibilities of ‘choice biographies’ and self-making among the young, alongside the (more sinister) possibilities of ‘epistemological fallacies’ blinding them to the limits of these self-making capacities. This article interrogates the idea of ‘epistemological fallacies’ for five groups of young people from low-income backgrounds in England. Comparing focus group discussions they had about their lives, with policies they wrote to address the problems of their lives, this article suggests that these young people were less blind to the limits of their own agency than individualisation theorists may predict, and were in fact acutely aware of the difficulties behind finding personal solutions to social problems.     

Social change,risk, and individualization: young people’s perceptions of a large-scale oil extraction project

Resource extraction has always played an important role in shaping Canada’s economy and identity. Over the past several years, the province of Alberta has led the charge in helping Canada become a petro-state. Fort McMurray in particular has been significantly impacted by the rapid development of the oilsands in northern Alberta. This article explores how young people living at the center of this resource extraction project viewed the impacts that oilsands development had on the environment and the economy. In total, 60 in-depth interviews were conducted with young people aged 15–29. The findings indicate that young people perceived the need to balance environmental risks with economic growth but provided a range of risk justifications (i.e. companies were good environmental managers, oil was a societal necessity, people were hypocrites, and personal experiences) in articulating their understandings. This article utilizes young people’s understandings to argue for a conceptual micro-level counterpart (intravidualization) to Ulrich Beck’s theorizing on individualization and that place must be brought back into theorizing on social change, risk, and youth in contemporary times.     

Producing youth ‘Out of sync:’ the intersectional social relations of educational inequality

This article investigates intersecting institutional and policy relations that influence divergent developmental trajectories among young people. Beginning with young people’s experiential knowledge of key institutional contexts shaping their lives, the article illuminates socially organized disjunctures whereby young people come to see themselves as developmentally out of sync with institutional expectations for youth development, which organize everyday life in public schools. This institutional ethnography explicates the intersecting social relations that shape how young people grow up, the choices that are available to them, their participation in public sector institutions and ultimately, the race and class-based patterns of inequality perpetuated by public schools and other public sector institutions.     

A Pilot Study to Explore the Influence of the ‘Safety First Assessment Intervention’ on the Family Environment

The family environment is considered an important influence on a young person's well‐being. The ‘Safety First Assessment Intervention’ is a model of care that considers and incorporates the importance of family environment when assessing and managing distressed young people. This pilot study explores the influence of the ‘Safety First Assessment Intervention’ on the family environment of young people referred to Child and Adolescent Mental Health Services. A pre‐ and post‐design was used, with families completing the Family Survey before and after their assessment/intervention. The Family Survey was correlated with a validated measure of family function, the APGAR, and pre‐intervention. Significant changes in multiple dimensions of family environment, including reduced level of distress for the adult, increased level of distress for the young person, improved sense of how the family felt the adult was managing currently, and improved confidence in family communication were found. There was no significant change in how the adult understood their role in helping the young person manage their distress. A thematic analysis showed trends in the current concerns for young people and adults as well as the difficulty young people in distress have in identifying their strengths. This pilot study demonstrates that the ‘Safety First Assessment Intervention’ can influence the family environment in a positive way and highlights the importance of using a family‐based approach for distressed young people.     

HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions

Epidemiological studies have found that young men who have sex with men (YMSM) represent the majority of young people infected with HIV annually in the United States. Further, they are one of the few risk groups to show an increase in the rate of infections in recent years. In addition to these disparities in prevalence and infection rates, there is an inequity in prevention and intervention research on this population. The purpose of this article is to review the existing YMSM literature on HIV epidemiology, correlates of risk, and intervention research. The article concludes that promising future directions for basic research include a focus on multiple clustering health issues, processes that promote resiliency, the role of family influences, and the development of parsimonious models of risk. In terms of intervention research, the article suggests that promising future directions include Internet-based intervention delivery, integration of biomedical and behavioral approaches, and interventions that go beyond the individual level to address partnership, structural, community, and network factors.     

ActionAid's Young Urban Women programme in urban India: taking an intersectional approach to decent work,unpaid care,and sexual and reproductive health and rights

This article traces the implementation of a programme with young urban women living in poverty in the Indian cities of Mumbai, Hyderabad, and Chennai. This programme aims to increase their economic independence and control over their bodies. It begins from an intersectional analysis of women's access to decent work, their unpaid care work responsibilities, and their sexual and reproductive health and rights. It is part of a multi-country ActionAid intervention, Young Urban Women (YUW). The article looks at some of the strategies used in the programme, identifies successes and challenges, and offers insights for others working with young women in urban areas.     

Youth,activism, and social movements

There has been considerable debate over the extent and role of young people's political participation. Whether considering popular hand‐wringing over concerns about declines in young people's institutional political participation or dismissals of young people's use of online activism, many frame youth engagement through a “youth deficit” model that assumes that adults need to politically socialize young people. However, others argue that young people are politically active and actively involved in their own political socialization, which is evident when examining youth participation in protest, participatory politics, and other forms of noninstitutionalized political participation. Moreover, social movement scholars have long documented the importance of youth to major social movements. In this article, we bring far flung literatures about youth activism together to review work on campus activism; young people's political socialization, their involvement in social movement organizations, their choice of tactics; and the context in which youth activism takes place. This context includes the growth of movement societies, the rise of fan activism, and pervasive Internet use. We argue that social movement scholars have already created important concepts (e.g., biographical availability) and questions (e.g., biographical consequences of activism) from studying young people and urge additional future research.     

Exploring Underlying Dimensions of Social Connectedness in the Experiences of Suspended Young People from Ethnically Diverse Populations in the USA

In the USA, out‐of‐school suspension leaves numerous young people in transition, caught between the school and their communities. A limited body of literature neither documents the experiences of suspended young people from ethnically diverse populations nor provides insight into the spaces they occupy. This study used an exploratory mixed methods design to identify psychological, social and spatial dimensions of social connectedness in the experiences of suspended young people participating in a community intervention. The study aimed to explicate social connectedness as a protective factor and how underlying dimensions of social connectedness construct sites of recovery for suspended young people.