Who Makes Decisions for Vulnerable Young People? Shifting Sands and Murky Waters

This paper discusses the existing guidance in Australian legislative and regulatory frameworks to inform the process of young people moving through varying stages of maturity towards independent decision-making. In the context of exploratory research to develop a stable online repository of personal documents for young people in out-of-home care, the researchers envisioned in-built, age-appropriate levels of decision-making authority, associated with what was stored, who had access, and who owned these records. They sought guidance to protect young people themselves and to support workers and other mentors. Little unqualified guidance emerged from the documentary search. Supporting any young people in the journey towards independent decision-making relies on individual judgements about the type of decision and risks involved, and the age, maturity, and experience of the young person. Above all, a supportive trusting relationship with an adult allows young people to learn through their own mistakes.

IMPLICATIONS

• Young people's competence in decision-making depends on a range of individual, familial, and social factors, and individualised guidance is necessary to support their participation.

• A supportive, trusting relationship with an adult provides the best environment for balancing vulnerable young peoples’ participation rights with their continuing needs for protection.

• The policy and practice challenge is to harness digital technologies without being distracted from the importance of relationship-based work.

     

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

Background

Overseas-born-women from certain ethnicities are at high risk of type-2 diabetes and related metabolic disorders. This study explored the barriers and facilitators to long-term healthy lifestyle recommendations among Australian-born and overseas-born-women who attended health promotion sessions at a tertiary Australian Hospital for gestational diabetes 3–4 years previously.

Sex differences in psychological distress,behavioural and emotional problems,and substance use in young people in out‐of‐home care

The aim of the study was to examine sex differences in self‐reported psychological distress, behavioural and emotional problems, and substance use in young people living in out‐of‐home care (OoHC). One hundred seventy‐six young people aged 12–17 years (females 53.4%) in OoHC in metropolitan Melbourne, Australia, were interviewed. Participants completed self‐report measures: Kessler Psychological Distress Scale, Strengths and Difficulties Questionnaire, and the World Health Organization Alcohol, Smoking, and Substance Involvement Screening Test—Youth Version. Girls had more OoHC placement instability over the past year compared with boys (p = .019). Compared with boys, the girls had significantly higher levels of distress (p < .001) (p = .007), were more likely to have self‐reported emotional symptoms (p < .001) and peer relationship problems (p = .043) and were more likely to use sedatives (p = .004). Girls had more psychological distress, behavioural disturbance, and sedative abuse; placement instability might contribute to these problems. Greater integration across OoHC, mental health, and substance use sectors is required. Girls in OoHC may benefit from interventions targeting problems with peer relationship and substance use and supporting prosocial behaviour; such targets may reduce distress and emotional symptoms and possibly prevent longer term problems.     

Well-Being is a Process of Becoming: Respondent-Led Research With Organic Farmers in Madagascar

Malagasy ‘players’—farmers, middle men, organic organisations and policy makers—see in export-orientated organic agriculture a way for Madagascar to build upon its historic export strengths: spices, essential oils, medicinal plants and tropical fruits. They point to the de facto organic status of most farming in the country and view organic production strategies as a means for Malagasy farmers to differentiate their produce in the highly competitive world market (Ramboatiana and Randriamanantena 2000; Randriamanantena 1998; Vallée 2000). However, producing for the export market poses significant challenges for Malagasy farmers. Despite its apparent ‘fit’ with existing farming practice, ‘true’ certified organic practice does not necessarily offer a means towards achieving a Malagasy farmer-defined ‘good life’. Smallholders can be disempowered through their incorporation into wider systemic relationships whose more powerful actors—such as buyers and consumers—and their ‘rules’ about what ‘organic’ is, for example, are necessarily unfamiliar. Yet farmers are very interested in the significant opportunities for much-needed cash that organic farming offers. This paper argues that strengthening farmer agency, and thus their presence as actors in international food chains, can be partially achieved if farmers are involved in devising the rules for organic and social certification. I set out eight principles that I have developed which seem important when trying to capture and measure ‘quality of life’ for the purposes of social certification. My theoretical and empirical work, detailed here, is set within a methodological discussion on how to best ensure that research is ‘respondent-led’. Respondent-led research is, I argue, critical for ensuring that an understanding of the components of ‘quality of life’, and their operationalisation as standards and indicators, is truly meaningful to the target group.

Clinician Perspectives on the Circle of Security‐Parenting (COS‐P) Program: A Qualitative Study

This study examined the perspectives of clinicians who facilitate Circle of Security‐Parenting (COS‐P) groups in community health settings. The therapists were from two services: a specialist perinatal and infant mental health consultation service and a child at risk health service. In particular, we were interested in their perceptions of the strengths, weaknesses, challenges, and possible improvements to the model as applied to their clinical settings. Two focus group interviews, involving eight clinicians and clinical supervisors from a diverse range of professional backgrounds, were conducted by an independent interviewer. A discussion guide consisted of a series of open‐ended questions related to the participants’ experiences of delivering COS‐P. Therapists found COS‐P to be effective, feasible to deliver, user‐friendly, flexible, and generalisable to diverse client subgroups. The compassionate and non‐judgmental therapeutic stance was considered a strength of the model. Clinicians highlighted their adoption of the model across their professional and personal lives and the critical importance of supervision. In conclusion, COS‐P is a popular and promising intervention which targets the parent–child relationship that can be successfully delivered to mothers affected by moderate to severe mental health problems.     

Addressing obesity in pregnancy: The design and feasibility of an innovative intervention in NSW,Australia

ObjectiveObesity amongst women of child bearing age is increasing at an unprecedented, rate throughout the Western world. This paper describes the design of an innovative, collaborative, antenatal intervention that aims to assist women to manage their weight during pregnancy and, presents aspects of the programme evaluation.Data sources/study settingThe programme was introduced at two sites, one in South East Sydney and, the other on the Central North Coast of NSW. Data were drawn from both sites and pooled for analysis.Study designThis evaluation used mixed methods drawing on qualitative and quantitative data.Data collection methodsFocus groups were held with staff in the antenatal clinic, who were, responsible for recruiting to the new service. Members of staff were also asked to record BMI for all women offered the service and using a simple questionnaire, record the reasons women gave for declining the new service.Principle findingsThe recruitment rate to the new service was 35% though this result should be treated with caution. Those women with a BMI of >35 were twice as likely to elect to participate in the new service as women with a BMI of less than 35. Focus groups with midwives in the antenatal clinic responsible for recruitment identified three themes impacting on recruitment to the service; ‘finding the words’, ‘acknowledging challenges’ and ‘midwives’ knowledge’.ConclusionsAntenatal clinic midwives were unprepared for talking to women about their weight. Increasing the confidence and skills of staff in offering service innovations to eligible women is a major challenge to be met if new models of care are to be successful in addressing overweight and obesity in pregnancy.     

ASSESSING AND TESTING FOR THRESHOLD NONLINEARITY IN STOCK RETURNS

This paper proposes a test for threshold nonlinearity in a time series with generalized autore‐gressive conditional heteroscedasticity (GARCH) volatility dynamics. This test is used to examine whether financial returns on market indices exhibit asymmetric mean and volatility around a threshold value, using a double‐threshold GARCH model. The test adopts the reversible‐jump Markov chain Monte Carlo idea of Green, proposed in 1995, to calculate the posterior probabilities for a conventional GARCH model and a double‐threshold GARCH model. Posterior evidence favouring the threshold GARCH model indicates threshold nonlinearity with asymmetric behaviour of the mean and volatility. Simulation experiments demonstrate that the test works very well in distinguishing between the conventional GARCH and the double‐threshold GARCH models. In an application to eight international financial market indices, including the G‐7 countries, clear evidence supporting the hypothesis of threshold nonlinearity is discovered, simultaneously indicating an uneven mean‐reverting pattern and volatility asymmetry around a threshold return value.     

Safe at home? Housing decisions for women leaving family violence

Internationally, domestic violence policy has shifted towards supporting women to stay at home with the perpetrator of violence excluded. However, the practical realities indicate that this is a complex arena in which the rhetoric of rights for “women and children to stay in their own home” needs to be underpinned by additional support to provide safety and protection for those choosing this option. The current study examines decision making about accommodation options and the role of civil protection orders among 138 women accessing domestic violence support services in Victoria Australia. It shines a light on the intersection between justice responses and the housing needs of women and their children leaving a violent relationship. Our findings reveal that for this sample of women, staying in their own home left them more open to breaches of intervention orders than those who re‐located. In spite of the frequency of breaching, a majority of women believed that they were safer with the protective order in place. We conclude that supporting women to “stay at home” with the perpetrator removed may be a pathway to safety for only a minority of women particularly if support from police and courts is not proactive and reliable.     

Patriarchy: The Predominant Discourse and Fount of Domestic Violence

While supporting the need to make class and other forms of marginalisation more visible in the understanding of, and response to, domestic violence, this article argues that, domestic violence is ultimately a discursive phenomenon and that patriarchal discourse remains the fount of domestic violence. This conclusion was drawn after data from a qualitative study of 24 men, from different cultural groups (ethnic, religious, racial, age and class), who had used violence in an intimate heterosexual relationship was considered, alongside ethnographical accounts of societies in which domestic violence is deemed not to have occurred, or to have been minimal. Whereas egalitarian and respectful attitudes towards women are enshrined in the discourse and social institutions of tribes such as the Semai and Waorani, in which intimate partner violence was absent, the most overwhelming discovery of the qualitative study was that class and cultural differences, evident in an analysis of the men's narratives, seemed to be eclipsed by the preeminence and strength of gendered discourse, in keeping with Western patriarchal dictates.