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51.
The following article provides a comprehensive guide to the clinical implementation of the Safety First Assessment Intervention (SFAI). The SFAI is a systemised, whole family approach for young people with high‐risk issues presenting in a mental health crisis. It is underpinned by the Safety First Model (Bickerton et al., 2007 ) and promotes community‐based care. The SFAI operationalises the foundation levels of the Safety First Model (SFM) through a highly structured clinical process. It draws on family systems theory, predominantly the work of Bowen ( 1978 ), to conceptualise distress through a multi‐generational systems lens and to prioritise the young person's natural support system (their family, friends, school and community) as their key resource. The SFAI engages this natural support system and facilitates open communication about symptoms, distress, safety and risk. This promotes a shared understanding of the key issues in a relational context and forms the basis of collaborative risk management. Thus, a system of safety emerges prioritising the family's role in optimising the young person's community‐based recovery. The need for pharmacotherapy and hospitalisation is therefore minimised. The article includes background theory, an outline of the structured assessment intervention and clinical techniques, including strategies for complex family situations. Specific strategies are illustrated with fictional vignettes. The work is based on the authors' accumulated experiences of working with young people and their families and carers in an acute Child and Adolescent Mental Health Service (CAMHS) for over a decade.  相似文献   
52.
In order to document urban youth experiences of adults in positions of public authority, including police, educators, social workers and guards, a broad based street survey of 911 New York City-based urban youth was conducted in which youth, stratified by race, ethnicity, gender and borough, were asked about their experiences with, attitudes toward, and trust of adult surveillance in communities and in schools. In-depth telephone interviews were conducted with 36 youth who have experienced serious, adverse interactions with police, guards, or educators. Findings suggest that urban youth, overall, express a strong sense of betrayal by adults and report feeling mistrusted by adults, with young men of color most likely to report these perceptions.  相似文献   
53.

Background

Despite links between poor maternal oral health, adverse pregnancy outcomes and early childhood decay there is limited emphasis on maternal oral health in Australia. To address this, the Midwifery Initiated Oral Health Dental Service (MIOH-DS) program was developed in collaboration with the Australian College of Midwives.

Aims

To undertake a process evaluation and explore perceptions of midwives involved in the MIOH-DS program to determine its practicability, acceptability and feasibility if it were to be up-scaled and implemented into clinical practice.

Methods

Qualitative content analysis was undertaken on data from three focus groups with 21 midwives.

Findings

Midwives generally found the MIOH-DS to be acceptable and feasible with potential for widespread scalability. The trust women had in midwives was an important factor in gaining women’s attention about oral health in pregnancy. The program assisted in increasing midwives’ knowledge and awareness, though some felt it was outside their scope of practice. The oral health assessment tool was acceptable to midwives but some concerns were expressed about undertaking a visual oral inspection. Most midwives stated they were now confident with referring individuals to a dentist. Significant barriers to widespread implementation included the cost of dental care and the continued lack of awareness and misconceptions pregnant women had towards oral health.

Conclusion

Midwives found the MIOH-DS to be acceptable and feasible which are two important barriers to potential implementation at scale. Misconceptions over the importance of oral health by women and cost of accessing dental services still need resolving.  相似文献   
54.
The varied maladaptive behavioral, social, medical, and psychiatric outcomes associated with maltreatment in childhood have been extensively documented in the extant empirical literature. In this review, we examine the adverse impact of the stress associated with child maltreatment on the regulation of the neurobiological stress systems, alterations in brain maturation, and neuropsychological outcomes in the developing child. Further, we provide a detailed discussion of the pathway between the psychobiological consequences of trauma and subsequent cognitive, language, and academic deficits that often have a deleterious impact on global functioning. We review neuroimaging techniques and the empirical results of studies utilizing such techniques to examine brain maturation in maltreated children and individuals with posttraumatic stress disorder. We address the practice, research, and policy implications of the psychobiological sequelae of child maltreatment and offer future directions for research.  相似文献   
55.
ABSTRACT

The author, a political theorist, uses poetry to reflect on and spur structural change in admissions committees, hiring committees, funding decisions, curriculum development, and the institutionalized awards-making structure regarding African Politics in the American Political Science Association. This poem, delivered and performed at the American Political Science Association 2018 meeting in Boston, provides empirical and verifiable data about how scholarly awards are distributed in the discipline. The analysis of this process reflects on a long history of erasing, minimizing, and tokenizing the scholarship of African political scientists in the discipline of political science. Written as an epistolary poem, the author explains how #MeToo accounts for complex and interrelated forms of exclusion from the production of knowledge and uses the history of Black women in politics associations, writings by Patricia J. Williams, Pearl T. Robinson, Darlene Miller, and poetry by June Jordan (1936–2002) and Sweet Honey in the Rock (f. 1973).  相似文献   
56.
Hays argues the dominant ideology of mothering in the United States is intensive mothering. Women embracing this ideology are completely devoted to their children and cultural contradictions of motherhood make it difficult to juggle work and family. Rothman argues further that ideologies of patriarchy, technology, and capitalism shape our notions of mothering. I explore these ideologies in this paper, paying careful attention to the labor performed by mothers – paid, childcare, and reproductive. Finally, using surrogacy as an example of how these ideologies interact, I argue that Rothman’s identifications of ideologies helps explain how the cultural contradictions of motherhood vary among mothers based on race and class.  相似文献   
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Infants vary in their ability to follow others’ gazes, but it is unclear how these individual differences emerge. We tested whether social motivation levels in early infancy predict later gaze following skills. We longitudinally tracked infants’ (N = 82) gazes and pupil dilation while they observed videos of a woman looking into the camera simulating eye contact (i.e., mutual gaze) and then gazing toward one of two objects, at 2, 4, 6, 8, and 14 months of age. To improve measurement validity, we used confirmatory factor analysis to combine multiple observed measures to index the underlying constructs of social motivation and gaze following. Infants’ social motivation—indexed by their speed of social orienting, duration of mutual gaze, and degree of pupil dilation during mutual gaze—was developmentally stable and positively predicted the development of gaze following—indexed by their proportion of time looking to the target object, first object look difference scores, and first face-to-object saccade difference scores—from 6 to 14 months of age. These findings suggest that infants’ social motivation likely plays a role in the development of gaze following and highlight the use of a multi-measure approach to improve measurement sensitivity and validity in infancy research.  相似文献   
60.
Many studies of workplace inequality have examined why workplace gender segregation still exists and how gender segregation affects workplaces (Cohen, Huffman, and Knauer 2009 Work and Occupations 36(4):318; Huffman, Cohen, and Pearlman 2010 Administrative Science Quarterly 55(2):255). Yet, fewer studies have examined how space might affect gender segregation. In this paper, we investigate two types of space, normative space and industrial space, and their influence on gender workplace segregation within geographic space. We use data from the U.S. Equal Employment Opportunity Commission (EEOC) and mixed models to examine how normative and industrial spaces affect workplaces within geographic space. We find that both measures of normative and industrial space predict differing levels of gender segregation within geographic spaces (measured via commuting zones). In addition, the effects normative space (women's share of the labor force) has on gender segregation are mediated by industrial restructuring.  相似文献   
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