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451.
Organizations for runaway and homeless youth (RHY) provide essential services to highly vulnerable youth who have a wide variety of basic needs and complex psychosocial challenges. We present a mixed-methods case study of an RHY organization to identify the specific mechanisms and processes by the organization successfully promotes engagement and positive development of the youth they serve. We analyzed qualitative and quantitative data separately and then integrated these two strands of data. Our findings indicate a consistent convergence of responses across the data sources, in both the qualitative and quantitative strands, that consistently reflect the organization’s youth-centered approach. Primary among these policies and practices is the emphasis on building and maintaining empathetic relationships with youth, the promotion of youths’ autonomy, and an institutional culture of continuous evaluation of how the organization is meeting their mission to provide services that reflect best practices.  相似文献   
452.
Youth hospitalized with psychiatric illness often experience disruption in their school attendance. Knowledge from the youths’ perspective of concerns for returning to school after hospitalization is very limited. Exploring youths’ concerns for school reintegration may inform transition practices for youth with psychiatric illness. The purpose for this study was to explore youths’ concerns for school reintegration and to report their perceived needs for support before leaving hospital. A questionnaire was developed to capture qualitative perceptions and quantitative self-reports of youths’ concerns for school reintegration. Child and adolescent patients accessing in-patient psychiatric care completed surveys containing open-ended questions about their concerns and service needs at discharge, and self-ratings of their concerns for their studies, friends, other students and emotions. One hundred and sixty-one youth (mean age 15.41, SD 1.4; 75% female; 57% with a primary diagnosis of major depression) reported considerable concerns about anticipated social situations at school, academic standing, feeling overwhelmed with school and great difficulty with managing their emotions. Youth identified a need for ongoing supports from mental health professionals and school personnel, social support from friends and family, and educational assistance or modifications. High rates of intense worries reported about school issues and school reintegration suggest this vulnerable population may benefit from increased attention to transition planning. Two important developmental domains, social development and educational outcomes, appear at-risk and this risk highlights the need for a greater emphasis on continuity of care.  相似文献   
453.
454.
Social Science is increasingly called on to address “grand challenges”, “wicked problems”, “societal dilemmas” and similar problematiques. Examples include climate change, the war on drugs and urban poverty. It is now widely agreed that the disciplinary structure of academic science, with its journals, curricula, peer communities, etc., is not well suited to such trans-disciplinary, ill-bounded, controversial issues, but the ways forward are not yet clear or accepted by the mainstream. The concept of a next generation paradigm of “Science 3.0” has emerged through work on sustainability systems analysis, and for this multiple channels for learning, thinking and communications are essential. Visual thinking in its many forms (from technical representation or mapping, to photography or video, to design or illustration, to fine art) can bring to the table tacit and “felt” knowledge, creative experience and links from analysis with synthesis. This paper first sketches the contours of a Social Science 3.0, and then demonstrates with examples how visual thinking can combine with rational argument, or extend beyond it to other forms of experience.  相似文献   
455.
The problems for faculty women in statistics (FWIS) in the United States are complex and call for programs that aim to develop inclusive leadership competencies among both FWIS and faculty men in statistics (FMIS) regardless of whether they currently hold, or aspire to, administrative positions. Data indicate that, among faculty in doctorate-granting departments of statistics and biostatistics, there is a disparity between genders in numbers of role models or exemplars. Yet we note that there have been some innovative national initiatives over the years in mentoring, networking, or leadership that have been instrumental in advancing FWIS. Given current understandings of the role of implicit bias in sustaining a differential status for FWIS, this discussion emphasizes a new approach as a way to further advance FWIS: one that involves the development of inclusive leadership among both men and women toward promoting inclusive faculty cultures in statistics.  相似文献   
456.
This study aimed to examine changes in depression and anxiety symptoms from before to during the first 6 months of the COVID-19 pandemic in a sample of 1,339 adolescents (9–18 years old, 59% female) from three countries. We also examined if age, race/ethnicity, disease burden, or strictness of government restrictions moderated change in symptoms. Data from 12 longitudinal studies (10 U.S., 1 Netherlands, 1 Peru) were combined. Linear mixed effect models showed that depression, but not anxiety, symptoms increased significantly (median increase = 28%). The most negative mental health impacts were reported by multiracial adolescents and those under ‘lockdown’ restrictions. Policy makers need to consider these impacts by investing in ways to support adolescents’ mental health during the pandemic.  相似文献   
457.
The historic Rideau Canal (built in the 1800s) in eastern Ontario, Canada is a heavily managed and engineered ecosystem, popular for recreational boating and sport fishing in the summer and ice skating in the winter. However, little is actually know about the fish and aquatic macrophyte communities, particularly in the urban reach in Ottawa between Hartwell’s Lock and the outflow of Dows Lake. The objective of this study was to examine the extent to which fish and macrophytes varied among different natural and engineered habitat/substrate types across the period when the canal is at navigational water levels. Five gross habitat types were identified, consisting of gravel, silt/sand, rip-rap/gabion basket, boulder and concrete wall habitats. Replicate transects were established in the littoral zone, representing the different habitat types. Snorkel surveys were conducted on a biweekly basis, where fish species and aquatic macrophytes within the transects were quantified. Supplementary data on fish populations was obtained through seine net sampling as well as angler interviews and visual observations. The fish community was characterized as a reasonably simple warmwater assemblage, dominated by centrarchids (e.g., pumpkinseed [Lepomis gibbosus], bluegill [L. macrochirus], and largemouth bass [Micropterus salmoides]). In fact, more than 90% of all fish encountered (snorkel surveys and seine netting) belonged to the centrarchid family. None of the 17 fish species encountered in the reach were considered “at risk” in Canada, although the system supports one of the few urban muskellunge (Esox masquinongy) populations in the world and provides a range of urban recreational fishing opportunities for sportsfish. Fish diversity metrics (e.g., diversity, richness, evenness) varied little among habitat types, perhaps reflecting the fact that vegetation communities were reasonably homogeneous, largely dominated by the exotic Eurasian water milfoil (Myriophyllum spicatum). This research provides managers with the first detailed information on the aquatic ecology in this engineered urban ecosystem which will enable relevant government agencies (e.g., Parks Canada) to better balance the iconic cultural values of national significance with their mandate to protect the ecological integrity of the canal ecosystem.  相似文献   
458.
459.
This study examines how the Medicare Part D coverage gap impacts non-dually eligible older adults with a mental illness. Qualitative, semistructured interviews were conducted with 11 case managers from community-based agencies serving persons, age 55 and over, with a mental disorder. Five themes illustrating the central difficulties associated with the Part D gap emerged: medication affordability, beneficiary understanding, administrative barriers, Low-Income Subsidy income and asset guidelines, and medication compliance. Although the Patient Protection and Affordable Care Act gradually reduces cost sharing within the gap, findings suggest that medication access and adherence may continue to be impacted by the benefit's structure.  相似文献   
460.
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