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1.
Laura A. Nabors 《Psychology in the schools》2003,40(3):309-320
School‐Based Health Centers (SBHCs) are ideal primary care settings for improving children's access to and utilization of health care services. In this era of shrinking funding for social service programs, SBHCs may provide services to youth from low‐income families, who otherwise might lack access to health care services. However, the growth of SBHCs has outpaced evaluation efforts. More information is needed about what services are being provided, and for whom services are effective. This article reviews information that will assist in the development of evaluation efforts for SBHCs. A review of evaluation theory, ideas for evaluation in SBHCs, challenges to implementing research in schools, and future directions for evaluation efforts are presented. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 309–320, 2003. 相似文献
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The social and human costs of youth violence are staggering. Reducing violence among youth will require a multifaced approach, including educational strategies aimed at reducing the prevalence of high risk behaviors associated with youth violence. This article examines the role of school health instruction in preventing interpersonal violence. Specifically, this article provides an overview of comprehensive school health education; suggests instructional content for violence prevention education; explores options for administering violence prevention education; discusses theoretical frameworks supporting education strategies; provides criteria for selecting violence prevention curricula and mateirals; examines possible limitations and barriers to violence prevention education; and provides recommendations for implementing programs. Though classroom health instruction should not be expected to solve problems associated with youth violence, prevention education needs to be delivered within the context of comprehensive school health education. 相似文献
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Mark D. Weist Amy Goldstein Leslie Morris Tanya Bryant 《Psychology in the schools》2003,40(3):297-308
This article provides background on national movements toward expanded school mental health (ESMH) programs and school‐based health centers (SBHCs), and presents advantages and challenges of joining these two systems of child and adolescent health care. Delivering ESMH through SBHCs promotes an interdisciplinary approach, health–mental health care integration, and benefits including enhancing referral bases, improving screening of problems, and enhanced confidentiality and privacy. But this integrated approach also presents challenges including managing referrals and significant needs, handling crises, building a focus on prevention and mental health promotion, handling administrative demands, and coping with limited resources. These challenges, ideas for overcoming them, and future directions for this promising service delivery approach are discussed. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 297–308, 2003. 相似文献
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《Support for Learning》2005,20(4):190-194
Young people living in rural areas lack opportunities for accessing health advice and care without reference to a parent, carer, or other adult. In this article Jane Harrison and Jane Bullock provide the rationale for the development in 1997 of Bodyzone, a school‐based health service to address this problem. Presented here as a case study, Bodyzone, twenty of which have been started in Oxfordshire, demonstrates the value of such a service to young people and teachers. The multi‐agency sessions are held once a week either on school premises or in youth or sports centres nearby. The service is accessed by self‐referral and the sessions are drop‐in. The provision of this service enables young people to begin to take responsibility for their health and to meet health professionals on their own territory, rather than that of the agency. 相似文献
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Daniel L. Clay 《Psychology in the schools》2007,44(4):389-396
An estimated 5.2 to 7.8 million children with significant chronic health problems attend school every day in the United States requiring interventions in the school setting. A majority of these students will be from ethnic minority or low‐income groups within two decades. Providing culturally competent interventions in schools is critical to optimize the health, educational, and psychological outcomes of children with significant health problems. This article underscores the culture and health connection and presents a 5‐step model for providing culturally competent services for health problems in schools. The article is intended to help school personnel to determine if, when, and how to incorporate cultural issues in assessment, treatment planning, and intervention. © 2007 Wiley Periodicals, Inc. Psychol Schs 44: 389–396, 2007. 相似文献
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Katie Eklund Sarah L. DeMarchena Eric Rossen Jared T. Izumi Kelly Vaillancourt Shawna Rader Kelly 《Psychology in the schools》2020,57(4):489-501
The school setting represents the most common setting by which youth receive mental and behavioral health (MBH) services (Farmer et al., 2003, Psychiatr Serv, 54, 60–66). Nevertheless, many school psychologists are not providing MBH services despite the high prevalence of need. Additional research is needed to understand factors leading to these deficits, as well as potential solutions to ameliorate these concerns. The current study surveyed 341 school psychologists across seven states and found current ratios are one school psychologist for every 1,500–2,000 students. Study results suggest school psychologists are providing a half to full day of universal, prevention-oriented MBH services each week whereas more targeted, direct services (e.g., individual or small group counseling) are offered 1–4 hr each week. The school psychologist-to-student ratios also demonstrated a statistically significant and inverse association with the provision of targeted MBH services, with higher ratios resulting in fewer MBH services. Respondents provided potential solutions for how to expand the delivery of MBH services within schools, including increased awareness and support among school and district administrators, as well as access to training and professional development related to MBH services. 相似文献
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Laura A. Nabors Mark D. Weist Nancy A. Tashman C. Patrick Myers 《Psychology in the schools》1999,36(6):485-493
Clinicians affiliated with expanded school mental health (ESMH) programs provide a range of mental health services for youth in schools. ESMH services offer unique opportunities for collaboration between school psychologists and mental health clinicians from the community to increase the quality of care for youth receiving mental health services. The number of ESMH programs is increasing; therefore, developing quality assurance (QA) activities for these programs is important to document accountability and provide evidence for effectiveness. In this paper, suggestions for phases and objectives for QA programs in ESMH programs and examples of suggested activities are presented. Assessment of the program structure as well as treatment process and outcome are critical phases. Important QA activities include examining staff training activities, assessment of stakeholder perceptions of services, conducting satisfaction surveys, examining therapy process, and investigating treatment outcomes. Results of QA evaluations should inform policy.QA programs need to be developed and the impact of QA activities in enhancing the quality of care provided by clinicians in schools should be evaluated. © 1999 John Wiley & Sons, Inc. 相似文献
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Milica Pejovic Milovancevic Milica Jovicic 《Emotional and Behavioural Difficulties》2013,18(3):261-269
It has been estimated that 9 to 13% of children and adolescents have a mental disorder that causes significant functioning impairment and that only one fifth of those who need mental health services actually receive them. The majority of children and adolescents are enrolled in schools, where they spend a considerable amount of time, and this is followed by the increasing efforts to establish collaboration between mental health professionals and school personnel. The role of mental health professionals is crucial in improving children’s mental health, as well as for providing better response to parents, educational staff and other agencies. There are several ways for a child psychiatrist to reach children and adolescents in a school setting: through individual student consultations (case consultations), through consultations to schools on general mental issues (systems consultations) and through promotion of mental health by creating and demonstrating evidence-based programmes for children, parents, school staff and others who are involved in child’s care. In order to achieve these goals, we need to establish partnerships and to define roles among organisations and individuals in the wider school environment, such as schools and school management, municipal authorities and administration, media, police, social welfare centres, health centres, parents and youth associations. 相似文献
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Sophia Rodriguez 《The Urban Review》2017,49(4):529-550
This article documents minority youth sense-making around the concept of diversity and the founding of a youth activist group that seeks spaces for policy thinking and protesting against racial inequalities in selective enrollment schools. Utilizing the sociological theory of racial formation and the concept of racial projects (Omi and Winant in Racial formation in the United States, 3rd edn, Routledge, New York, 2014), this article draws on data from a critical ethnography. The author argues that youth activists offer a critical perspective for researchers and policy-makers in the face of neoliberal school choice policy. Findings reveal that youth activists understand a lack of diversity as racial imbalance in high status schools, and that they expose structural inequalities that are embedded in policy structures and processes such as selective enrollment high schools. Implications are discussed to show how re-conceptualizing policy as a racial formation can bring structural and institutional racist practices into view in hopes of transforming district policies to offer access to high quality schools for all students. 相似文献
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The importance of school‐based health centers (SBHCs) in overall prevention and health promotion programming is growing as they become increasingly common in schools. SBHCs can improve access to comprehensive physical and mental health services for children and families, and make a significant contribution to universal prevention efforts in schools. Partnering with school‐based health centers in the overall prevention and health promotion programming provides an opportunity for school psychologists to broaden their impact on the entire school population. This article describes the role and primary functions of SBHCs and how these centers can provide important prevention and health promotion services for children and adolescents. Research regarding SBHCs' primary prevention outcomes is also reviewed with the goal of providing school psychologists the necessary background to work collaboratively with SBHCs. © 2007 Wiley Periodicals, Inc. 相似文献
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《Adolescence education newsletter》1998,1(2):8
This article reports the important developments in adolescent health and education status in Bhutan. These developments consist of a change in the focus of Bhutan's UNFPA-supportive reproductive health services. The country has also included adolescents as a primary target of reproductive health services. Adolescent girls have become the beneficiaries of a school health program developed by the Division of Education, and a comprehensive youth guidance program is under development by the Youth Guidance and Counseling Section of the Education Division. This change is a response to the increasing youth population; over 58% of the total population is aged under 25 years, and over 15% is aged under 15 years. Although initiatives to improve youth status has been undertaken, some problems still remain. These include malnourishment, pregnancy complications, and rise of sexually transmitted diseases, which raises the potential for the spread of HIV/AIDS. 相似文献
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This article traces the inception and implementation of school‐based health centers in the Winston‐Salem/Forsyth County (NC) school system. The challenges that arose during implementation are discussed, along with the opportunities that SBHCs provide to enhance the provision of comprehensive services for children. The involvement of the several school psychologists in the initial planning, organization and implementation of these centers is delineated as an example for other school psychologists who are interested in working with school‐based health centers. School‐based health centers represent an opportunity for school psychologists to assume a leadership role in the delivery of enhanced health and mental health services for children and families. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 289–296, 2003. 相似文献
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《Adolescence education newsletter》1999,2(2):10
This article discusses a 3-year project, "Promotion of Adolescent Reproductive Health and Healthy Living," which was implemented by the Federation of Family Planning Associations, Malaysia. The project seeks to achieve the following: 1) development of a reproductive health of adolescent module (RHAM) for trainers and educators; 2) training of trainers; 3) sharing of adolescent reproductive health experiences in Asian countries; and 4) setting up three service models in Sabah, Selangor, and Terengganu to provide reproductive health (RH) care to adolescents and youth. The first part of the RHAM with the trainer's manual has been finalized and will be tested in a workshop. The second part, a teacher's guide, is under preparation. A series of training on the use of the RHAM will be conducted including a 5-day national workshop, which will be followed by several state level workshops. The three service models being set up have specific orientations. The Sabah model is putting up a youth clinic for adolescents within its clinic network. The Selangor model is developing a Youth Resource Center for training and youth involvement in RH activities. Lastly, the Terengganu family planning association (FPA) has developed a Youth Center web site, which features the history, mission, and activities of the Terengganu FPA. 相似文献
15.
When children enter a new foster care placement they may experience several different transitions. Not only will a child move in with a new family, he or she may move to a different neighborhood, change schools, lose contact with old friends, be placed apart from one or more siblings, and have limited contact with his or her biological parents. The current study examined the impact of these transitions on foster children’s adjustment to a new placement in out-of-home care. The sample consisted of 152 youth ages 6–17.5 who participated in the second National Survey of Child and Adolescent Well-Being (NSCAW II) study and who were residing with relative or non-relative foster families at the time of the Wave I interview. During the Wave I interview, youth were asked to report on the types of transitions they experienced when they moved into their current placement. Linear and Poisson regressions were used to estimate the effect of the transitions on youths’ relationships with their new families, mental health, relationships with peers at school, and school engagement. The results showed that youth whose biological mothers contacted them more than once a month had more symptoms of mental health problems than youth who had less contact with their biological mothers. In contrast, changing schools had a positive impact on youths’ mental health, and youth who were separated from siblings were more likely to get along well with their school peers. Implications for improving youth’s adjustment to new foster care placements are discussed. 相似文献
16.
Antisocial behavior exhibited by children and youth has been an issue of concern for societies throughout history. Events of recent years in the United States (e.g., school shootings, increases in criminal adjudication among children and youth, escalation in violent behavior within this age group) have galvanized public concern and raised antisocial behavior among children and youth to a national health care issue. The purpose of this article is to briefly review the social skills training knowledge base and describe social skills training considerations for at-risk and antisocial children and youth at 3 grade levels: (a) preschool and elementary, (b) middle school, and (c) high school. Characteristics of students, composition of model social skills interventions, and, where possible, efficacy data are reviewed and discussed. We conclude the article by discussing recommendations for future research in this area. 相似文献
17.
Alexa Martin‐Storey Jacob E. Cheadle Julie Skalamera Robert Crosnoe 《Child development》2015,86(3):965-975
Mental health disparities between sexual minority and other youth have been theorized to result in part from the effects of the stigmatization on social integration. Stochastic actor‐based modeling was applied to complete network data from two high schools in the National Longitudinal Study of Adolescent Health (Mage = 15 years, N = 2,533). Same‐sex attracted youth were socially marginalized in a smaller predominantly White school but not in a larger, more racially diverse school. For both schools, homophily was a critical network feature, and could represent social support for and social segregation of such youth. These findings emphasize the school context in studying the social lives of sexual minority youth and suggest that youth may be better off socially in larger and more diverse schools. 相似文献
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Fang Gao 《British Educational Research Journal》2023,49(5):968-986
Despite national policies, de facto school segregation for racial/ethnic minority students in the West and East has continued to deepen. In Hong Kong, the segregated school system was abolished in 2013, while from 2004 reformed School Places Allocation Systems encouraged minority students to choose mainstream primary and secondary schools. However, de facto ethnicity-based school segregation continues to prevail. Most minority students in the mainstream system are stuck in low-status schools where they face discrimination and institutional exclusion. This has led many of them to retreat to a limited number of schools that have traditionally catered for minority communities. Such segregation calls forth scholarly attention to the paradoxical correlation between the physical mixing of diverse students and equality of educational opportunity, especially equal access to post-secondary education (PSE)—a key for minority youth to function in the competitive labour market. This study employed the theory of school-based social capital (SBSC) and compared the ways in which PSE-relevant institutional resources and support were rationalised and enacted by staff in de facto segregated and desegregated school contexts. Case studies of two secondary schools lead us to argue that desegregation is only effective when institutional structure, culture and agents empower minority students through access to instrumental resources and support for the pursuit of PSE. The findings confound the desegregation policy and call for structural/institutional interventions to ensure instrumental SBSC is accessible to PSE-bound minority students in all schools, and thus increase the effectiveness of school desegregation. 相似文献
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The current study sought to understand commercially sexually exploited (CSE) youths’ health care experiences, barriers to care, and recommendations for improving health care services. We conducted focus groups (N = 5) with 18 CSE youth from February 2015 through May 2016 at two group homes serving CSE youth in Southern California. We performed thematic content analysis to identify emergent themes about CSE youths’ perspectives on health care. Youth described facilitators to care, including availability of services such as screening for sexually transmitted infections, knowledge about sexual health, and a strong motivation to stay healthy. Barriers included feeling judged, concerns about confidentiality, fear, perceived low quality of services, and self-reliance. Overall, youth emphasized self-reliance and “street smarts” for survival and de-emphasized “victimhood,” which shaped their interactions with health care, and recommended that health providers develop increased understanding of CSE youth. Our findings suggest that providers and community agencies can play an essential role in raising awareness of the needs of CSE youth and meet their health needs through creating a non-judgmental environment in health care settings that validates the experiences of these youth. 相似文献