Online Peer Support Programs for Young People with a Parent Who has a Mental Illness: Service Providers’ Perspectives

Young people with a parent or parents who have mental illness are at a higher-than-average risk of experiencing emotional and behavioural difficulties. Notwithstanding the difficulties experienced by these young people, opportunities to interact with and obtain support from peers living in similar families can be beneficial. While young people face several barriers to participating in face-to-face peer support programs, online approaches potentially provide a different way of obtaining peer support. This paper aims to explore service providers’ perspectives on current Victorian peer support programs, as well as the strengths and weaknesses of online approaches to peer support. Semistructured interviews were conducted with 17 mental health professionals who work with families affected by parental mental illness. Participants recognised that many young people miss out on face-to-face peer support programs, and were highly supportive of the idea of online programs. This study suggests that online peer support programs for young people could occupy an important position in the evolving suite of services for Australian families affected by mental illness.     

Supporting Asian Deaf Young People and their Families: the role of professionals and services

This paper discusses how Asian deaf young people and their families engage with welfare provision. Our findings, based on group and individual interviews with young deaf people and individual interviews with their parents, explore the assumptions underlying current provision and how they influence the options available to young people and their families. The paper suggests that the welfare state exerts a form of social control where professional help, although well intended, may disempowers Asian deaf people by privileging 'oralism' over sign language, and western norms over other cultural values. On the other hand, positive constructions of deafness privilege Deaf identity while failing to accommodate ethnic or religious diversity, resulting in Asian deaf young people and their families having an ambivalent relationship with the Deaf community. We argue that services need to recognise and address the reasons for this ambivalence if they are to adequately engage Asian deaf people and their families.     

Communication and Supervision of Alcohol in the Family: Parental Perspectives

It is now well acknowledged that parents can have a central role in supporting sensible alcohol use and reducing alcohol misuse amongst young people. However, little research has considered how communication and supervision in relation to alcohol actually takes place within the family. Drawing upon interviews with the parents of young people aged 13–17 years (n = 40), this article describes the strategies that many parents use in communicating, monitoring, and supervising alcohol use within the family. The findings revealed that many parents lack the guidance needed to convey ‘sensible drinking’ messages to young people, and wish for greater information and support about young people and alcohol.     

Choice and caring: The experiences of parents supporting young people with Autistic Spectrum Conditions as they move into adulthood

This paper reports findings about parents' experiences of caring for young people with Autistic Spectrum Conditions (ASCs) moving into adulthood. In‐depth interviews were conducted with 38 parents of young people (15–21 years) with ASCs. Data were analysed thematically. In the perceived absence of service support, parents' acted as ‘care‐coordinators’ and ‘life‐supporters’ for their child as they moved into adulthood. These roles came with little choice, emotional demands and personal restrictions. Being supported was important for parents, but preferences differed regarding what this should look like. Implications for policy are discussed.     

Choice: what,when and why? Exploring the importance of choice to disabled people

Extending choice and control over public services is central to current policies in England. Such policies have immense potential for independence and well‐being. However, it is still not clear how disabled people conceptualise choices, what choices are important, for which groups of people, in what areas of life and why. This paper presents findings from the first phase of a longitudinal qualitative study of choice and control over the life‐course. Semi‐structured interviews were carried out with 111 participants including disabled young people with progressive conditions; their parents; adults and older people with fluctuating support needs and those experiencing sudden deterioration in health. The findings suggest that while most people across all study groups wanted to be able to make choices in all areas of their lives, there are significant differences in the importance they attach to specific choices. The findings have implications for service reforms and identify some policy and practice issues that need to be addressed.     

The Role of Mobile Phones in Family Communication

Whilst there is a wealth of research into family communication and family relationships, there is little information about whether (and if so how) mobile phones have impacted on these processes. The authors’ study involved individual semi‐structured interviews with 60 families, including parents/carers and young people aged 11–17, to investigate this further. The interviews explored how mobile phones are used in family communication; participants’ views about the benefits and disadvantages of mobile phone use; and issues around safety, surveillance and privacy. The findings show that young people and parents see mobiles as a key way for families to keep in touch, and to monitor and ensure young people’s safety. However, some participants felt there was a downside to this, in relation to some young people either withdrawing into their own social worlds, or having a false feeling of security as a result of having a mobile. Gender differences in views and usage were also found. The paper concludes with some general comments about the role of mobile phones in family life.     

Social support characteristics among nonclinical African-American and Filipino-American parents with school-age children

This study is the first phase of a project to develop a culturally-appropriate, family-mediated social support intervention program. This phase consisted of in-home interviews with 26 African-American (AF) and 26 Filipino-American (FA) parents who were not receiving counseling or social services for parent-child conflict, and self-reported adequate personal and family functioning. In general, parents were college educated and employed full-time and had house-hold incomes of over $25,000. On average, AF parents were 35 years old, with 4 people in the household, including 2 children (mean AGE = 10 years). FA parents were older, averaging 45 years, and had 6 people in the household, including 3 children (mean AGE = 12 years). Mean scores on standardized measures reflected high self-esteem and positive attitudes toward their children and families. Social network size averaged 32 and 38 members for AF and FA mothers respectively, and 24 and 29 members for AF and FA fathers. Most parents reported that fewer than 50% of their network members knew each other. Data also suggested that parents reported a generally positive orientation to utilizing support resources, and favorable perceptions of and satisfaction with support form family and friends. Analyzes revealed that only functional support variables were significantly associated with parent well-being. Study limitations, service implications, and further research directions are discussed.     

Further Evidence Concerning the Prevalence of Adolescent Gambling and Problem Gambling in Australia: A Study of the ACT

Abstract

This paper summarises the results of a cross-sectional study of 926 young people (years 7–12, age 11–19) attending State, independent and Catholic schools in the Australian Capital Territory (ACT). The aim of the study was to describe the prevalence of gambling and problem gambling among ACT adolescents and to obtain insights into the social context in which gambling was occurring. Survey results showed that 70% of adolescents had gambled in the previous 12 months and 10% at least weekly. Approximately 4% of adolescents could be described as problem gamblers based upon the DSM-IV-J classification with males and young people from indigenous backgrounds found to be more significantly affected. Most adolescent gambling in the ACT was undertaken either privately or conjunction with others (usually parents or peers), suggesting that existing regulatory provisions are working well. However, the paper nonetheless suggests the need for tighter controls over access to lottery products, greater consumer information in schools to educate young people about the risks of gambling, as well as additional ethnographic research to obtain further insights into how young people gain access to gambling opportunities.     

A Mixed Methods Exploration of Single Session Family Therapy in a Child and Adolescent Mental Health Service in Tasmania,Australia

Single session therapy (SST) is grounded in the belief that clients and families can effect change after one therapeutic encounter, using their own resources, with brief support and assistance from therapists. SST has been found to be an effective intervention for children, young people, and their families presenting with a wide range of difficulties. Research in child and adolescent mental health has shown that over 50% of families find one SST encounter is enough with no need for further specialist input. This study aims to explore family member experiences of SST (undertaken as single session family therapy and termed hereafter SSFT) as an initial intervention in a regional child and adolescent mental health service (CAMHS), specifically in terms of worry, confidence, and satisfaction outcomes. An exploratory, mixed methods convergent design was utilised using a combination of open questions and Thurstone scales. All eligible family members were invited to complete questionnaires before and after the SSFT, asking about level of worry, confidence, and overall satisfaction with SSFT. Quantitative and qualitative findings indicated most family members had a positive experience of SSFT, although differences were found between young people, parents, and siblings. Overall, family members’ level of worry decreased, while only parental confidence in managing the presenting issue(s) increased. Over half of the families did not require further contact with CAMHS following the SSFT. Our findings support previous research that SSFT is an effective, family-inclusive, and well received intervention for a variety of mental health issues facing children and young people. SSFT could be considered a beneficial and well received first response for the majority of CAMHS clients, which prioritises a family-inclusive approach. Future research could focus on attaining a more in-depth understanding of individual family member experiences with a view to improving SST delivery.     

Attempting suicide and help-seeking behaviours: using stories from young people to inform social work practice

In recent decades Australia has recorded one of the highest youth suicide rates worldwide. Attempted suicide is considered to be up to 50 times more common than completed suicides. This small, qualitative study, undertaken in North Queensland, aimed to offer a window into young people's lives concerning their suicide attempt(s) and their help-seeking behaviours. In-depth interviews were undertaken with nine young people. Findings reveal help was sought from a range of individuals prior to the attempt, including family, friends and professional workers. Regarding their attempts, there was evidence in some stories of a series of events leading up to the attempt, but also evidence in others of more impulsive acts. The intent of the attempt for this sample appeared to be unique to individual attempts. Getting information about depression, and workers listening to young people's unique story was important and workers, who could fill a ‘mate’ role, was viewed by some participants as helpful.     

Supporting families: Outcomes of placement in voluntary out-of-home care for children and young people with disabilities and their families

Parents caring for children and young people with disabilities typically have extensive additional demands on their time and resources. This added pressure can significantly impact well-being and mental health. In extreme circumstances, parents may seek an out-of-home placement for their child. Previous research has looked into factors that influence decisions for families to place their child into out-of-home care but little is known about outcomes for these young people and their families. The Supporting Families study aimed to explore the impact of a voluntary out-of-home placement on young people with disabilities, and consequences for their families. Fourteen parents/carers, twenty six case managers, six accommodation services' managers, and four young people with disabilities participated in face-to-face and telephone interviews and focus groups. Participants reported a range of outcomes for young people in care. Positive outcomes included increased levels of respect for themselves and others, an improvement in independent living skills, and reductions in challenging behaviours. Negative outcomes centred on their experiences of grief, loss and rejection, as well as behavioural problems. Positive and negative outcomes were also found for families. For many parents/carers there was a reduction in perceived stress and caring load, as well as improved mental health and wellbeing for them and the child's siblings. However, parents/carers often experienced ongoing feelings of guilt, grief and loss. The study adds to knowledge about outcomes of being in voluntary out-of-home care for this small but vulnerable group of young people in care and their families.     

The construction of intellectual disability by parents and teachers

This study examines how disability is constructed by significant adults in the lives of young people with intellectual disability. Specifically, we are examined how parents of those affected by intellectual disability and teachers in special schools construct intellectual disability in talk. Using focus group interviews, we examined whether stigma might be recreated or sustained within the family and school settings of those affected by intellectual disability. Parents and school staff constructed disability as negative, articulating difference from ‘the norm’, which was claimed to drive social isolation for affected young people. There was also evidence that parents and teachers attributed less agency to young people affected by intellectual disability. Discussion orients to how parents and teachers, see themselves as advocates for those with intellectual disability highlight, whilst at the same time recreating pervasive and subtle distinctions between children with and without intellectual disability.     

‘Someone of Your Own to Love’: Experiences of Being Looked After as Influences on Teenage Pregnancy

Previous research has shown that children and young people who are looked after are vulnerable to poor life outcomes, including early pregnancy. This paper examines how experiences of being looked after may contribute to teenage pregnancy. Using in‐depth interviews, data were collected from 63 young people recently looked after who are aged 15–24 and 78 professionals, across four research sites. The young people reported feelings of loneliness, rejection, stigma and not being able to trust others, emotions which seriously influenced their decisions about becoming parents. The findings suggest that such young people may benefit from a greater degree of emotional and practical support throughout their lives in care. Copyright © 2006 Institute of Education, University of London.     

Procedures when young people leave care — Views of 111 Swedish social services managers

In western societies, there is a general tendency towards a protracted transition to adulthood for young people, who thereby may become increasingly dependent on support from family. Young people leaving a placement in out-of-home care often lack such support, and will thus have a disadvantageous position compared to their peers. With the purpose of looking into the procedures when young people leave a placement in out-of-home care, telephone interviews were performed with 111 managers of social service units in two Swedish regions (West Sweden, and Stockholm Region), using a structured interview schedule. Answering rate was 99.1%.Only 6% of the managers had information of the young people's whereabouts once they had left care. 86-88% had general support programmes for all young people concerning housing, employment etc. but only 2-4% had specific programmes for young people leaving care. A majority of the managers were attentive of the difficulties the young people leaving care may encounter, but displayed little awareness of the consequences of a prolonged transition to adulthood, and the need for continued support after leaving care. Several managers referred to the general support of the Swedish welfare state, meaning that young people leaving care had the same access to support as all other young people in Sweden. Consequently, young people leaving care are at risk of being invisible in the welfare system and facing a compressed transition to adulthood.     

Blame the Parents? Challenges for Parent‐Focused Programmes for Families of Gang‐Involved Young People

Parent‐focused interventions are a potentially effective tool for preventing and reducing gang involvement, although the challenges of delivering such services are considerable. Drawing from data collected over 26 months for the ethnographic study, Youth Gangs in an English City, including interviews with parents of gang‐involved young people, we identify potential obstacles. These include: psychological barriers to the participation of parents relating to perceived denial, stigma and blame; and possible counter‐productivity of interventions. Strategies to minimise these are discussed.     

Effects of Parental Divorce on Children's Financial Support for College Students

No-fault divorce laws, and the lowering of the age of minority from 21 to 18 years have combined to have unintended negative impact on the children of divorce. Previous research has shown that children whose parents are divorced are at increased risk for emotional problems and a reduced standard of living. This study was conducted to learn more about the effects of parental divorce on a young person's access to a college education. A questionnaire was developed to learn how students pay for college, and what non-financial support they receive from parents. The questionnaire was administered to a randomly selected sample 9 of 19 students at a state university. Findings indicated that young people whose parents were divorced received higher Pell grants, were more likely to provide more of their own necessities, and were more likely to repay their college loans themselves. Further, young people whose parents were divorced were much more likely to have their material and fnancial needs met by their custodial parents rather than their noncustodial parents. Implications are that young people with divorced parents may have less financial support for college from their family, and the support they receive is much more likely to come from their custodial than noncustodial parent. Changes in child support laws and financial aid policies are recommended.     

There are two sides to every story: young people’s perspectives of relationship issues on social media and adult responses

This paper reports on a recent research project undertaken in the UK that investigated how young people negotiate their identities and relationships online, including how they experience interventions by adults. Drawing on qualitative interviews with young people in two schools and a voluntary youth organisation in England, we argue that young people engage rather successfully in practices of self-governance. Our findings based on this sample of young people’s agentic practice and care for their peers challenge some dominant perceptions of young people’s online practices as risky and/or harmful to themselves and/or others. Furthermore we found a lack of evidence concerning the effectiveness of, and need for, interventions orientated around surveillance and zero tolerance.     

Listening to Young People with Learning Disabilities Who Have Experienced,or Are at Risk of,Child Sexual Exploitation in the UK

This paper reports on a UK study which examined the identification of, and support for young people with learning disabilities who experience, or are at risk of, child sexual exploitation (CSE). CSE has received considerable attention in the UK, with evidence suggesting an increased risk for young people with learning disabilities. However, no study has specifically focused on this group, and their voices remain largely unheard. In‐depth interviews with 27 young people with learning disabilities were undertaken to explore how to meet their needs. This paper presents the young people's voices and identifies areas for improvements in policy and practice.     

Confronting Cruelty

Abstract

The present article reports on a study of the attitudes and behaviour of young people towards help-seeking during times of emotional distress and, in particular, when contemplating suicide. Twent- one young people aged between 16 and 24 years, as well as six parents and 14 youth service providers who lived in ‘Subcity’, a metropolitan community, were interviewed about their understandings of youth suicide and effective interventions. Nearly all the young people, service providers and parents identified a range of barriers that impede or prevent young people from asking for help when they need it most, including issues related to trust and confidentiality, parental support and fear, stigma and perceived loss of esteem. Implications for social work practice include an emphasis on developing parenting skills and community development related to education about suicide and the provision of appropriate support services.