“Surviving not thriving”: experiences of health among young people with a lived experience in out-of-home care

International Journal of Adolescence and Youth, Год журнала: 2020, Номер 25(1), С. 809 - 823

Опубликована: Июль 1, 2020

Children in care (CiC) experience poorer health outcomes than their same-aged peers without an of care. Despite growing recognition the importance listening to voices children and young people (YP), date, CiC are not well represented research examining health. This study aimed explore experiences perceptions among YP who have previously lived A co-design approach was used inform methodology by engaging with a cooperative discussions. Ten participated one-on-one semi-structured interviews thematic analysis analyse data. The current findings highlight that consistently felt needs were adequately met while care, nor did they feel listened to, understood, or educated about health-related matters. unique insight into challenges experienced offers realistic guidance for change.

Язык: Английский

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Are the voices of young people living in out-of-home care represented in research examining their health?: A systematic review of the literature

Children and Youth Services Review, Год журнала: 2020, Номер 113, С. 104966 - 104966

Опубликована: Апрель 8, 2020

Язык: Английский

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Dialogic literary gatherings in out-of-home care to overcome educational inequalities by improving school academic performance

Children and Youth Services Review, Год журнала: 2022, Номер 133, С. 106368 - 106368

Опубликована: Янв. 7, 2022

Язык: Английский

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Examining the Mental Health Care Needs and Outcomes of Young People Transitioning from Out-of-Home Care (OOHC) in Australia

Institutionalised Children Explorations and Beyond, Год журнала: 2023, Номер 11(1), С. 103 - 124

Опубликована: Июль 24, 2023

Young people transitioning from out-of-home care (OOHC), often called leavers, are known to experience mental health challenges. This article presents a scoping review of research studies completed on the needs and outcomes leavers in Australia 2015 2021. Incorporating 17 consisting six peer-reviewed papers 11 grey literature reports, identified several common concerns pertaining high levels poor psychosocial complexity. These were attributed number factors including placement instability, inadequate access specialist support services, limited workforce skills training. Some sub-groups such as young parents, those leaving residential care, Aboriginal Torres Strait Islander an older cohort who had institutional OOHC earlier decades, noted be at particular risk. Nevertheless, some strategies for improving policy practice highlighted more concrete transition planning that established links with services prior extension till least 21 years age, provision further supports trauma-informed approaches targeted towards specific this vulnerable population culturally responsive programs Indigenous youth. A limitation was most included before introduction extended all Australian jurisdictions, hence do not reflect positive influence pathways health. Future should specifically examine impact models outcomes.

Язык: Английский

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Mental health help seeking in young people and carers in out of home care: A systematic review

Children and Youth Services Review, Год журнала: 2021, Номер 127, С. 106088 - 106088

Опубликована: Июнь 1, 2021

Язык: Английский

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Integrating health systems for children and young people in out of home care: Challenging the nature of siloed service delivery in rural Australia

Australian Journal of Rural Health, Год журнала: 2023, Номер 31(4), С. 670 - 679

Опубликована: Май 2, 2023

The purpose of this paper is to report on enablers and barriers during the first 2 years health systems integration project that included implementation a navigator role. aims improve outcomes for children young people residing in out home care rural Australia with co-located between child protection practitioners community services clinicians.Rural Northwest Victoria.Sunraysia Community Health Services Department Human Services.The qualitative design evaluation involved semi-structured interviews documentary evidence analysis. Analyses data demonstrate challenging nature siloed service delivery Australia, particularly time comprised multiple interruptions due COVID-19.A limited synergy organisational priorities reporting hindered progress. lack shared definition 'health' challenged effective collaboration clinicians role navigator. raising awareness through involvement, training sector-wide stakeholder engagement resulted slow but steady process increased prioritisation care, literacy among workforce, broadening participation area-based stakeholders, did not translate access plans children.Integrating across sites support revealed difficulties, COVID-19. phase demonstrated value governance partnerships as an imperative foundation fundamental change. Relationships strengthened throughout project, leading better understanding strengths, which turn supports improved pathways OOHC within communities driving subsequent phases 10-year project.

Язык: Английский

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Implementing a healthy lifestyle program in residential out‐of‐home care: What matters, what works and what translates?

Health & Social Care in the Community, Год журнала: 2022, Номер 30(6), С. 2392 - 2403

Опубликована: Март 8, 2022

The Healthy Eating, Active Living Matters (HEALing Matters) program is being scaled up across residential out-of-home care (OOHC) in Victoria, Australia and providing young people with the knowledge, skills resources to promote better health through healthy eating activity. HEALing was piloted as HEAL program, a dual-intervention that aimed provide living education opportunities improve their physical activity habits, while simultaneously building capacity of carers promote, encourage role model lifestyle behaviours. Qualitative findings indicated resulted increased participation community sport, availability sports equipment, meal preparation food improvements perceived person self-esteem independent skills. Findings also revealed some limitations program. Following pilot, participatory methodological approach used understand how align individual needs. This engaged diverse stakeholders barriers enablers, address limitations, identify key intervention points build trust shared vision co-design now delivered within framework informed by attachment, trauma resilience theories. paper outlines journey from what matters, works, translates relation active OOHC.

Язык: Английский

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Perinatal Environmental Health Education Intervention to Reduce Exposure to Endocrine Disruptors: The PREVED Project

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 19(1), С. 70 - 70

Опубликована: Дек. 22, 2021

Environmental health promotion interventions may reduce endocrine disruptor (ED) exposure. The PREVED (PREgnancy, preVention, Endocrine Disruptors) project was developed to improve knowledge, enhance risk perception, and change exposure behavior. Our objective present the phases of using RE-AIM method. intervention consisted three workshops during pregnancy. Reach, adoption, implementation were assessed with qualitative studies. Efficacy study a three-arm randomized controlled trial (RCT) on 268 pregnant women: (i) control group (leaflet), (ii) in neutral location, (iii) contextualized location. main outcome percentage evolution participants who reported consuming canned food. Secondary outcomes psycho-social scores, ED presence urine, colostrum. adoption centered upper-privileged women, but assessment showed that key features (highly practical intervention) seemed be carried out had initiated some behavior changes. A total women participated 230 (control group: 86 groups: 172). We found no significant differences consumption food having decrease bisphenol or parabens we increase perception score overall psychosocial groups (respectively: +15.73 versus +21.03 intervention, p = 0.003 +12.39 +16.20, 0.02). difference butylparaben detection between (13% 3%, 0.03). is first research dedicated perinatal environmental education France. By sharing know-how/experience positive non-alarmist approach, it improved which change, aiming Including precarious situations remains major issue.

Язык: Английский

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Intersectoral collaboration for supporting the health and wellbeing of Aboriginal families and children in out-of-home care: perspectives from Western Australian Aboriginal Community Controlled Health Organisations

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Июнь 25, 2024

Introduction Western Australia has one of the highest rates Aboriginal children entering out-of-home care in Australia. Kinship is preferred culturally safe option for children, yet all jurisdictions, including Australia, are far from meeting best-practice national standards. Intersectoral collaboration a key primary healthcare principle and internationally recognized improving health systems outcomes. This paper presents findings qualitative research project investigating workers’ experiences intersectoral challenges strengthening opportunities. Methods Constructivist grounded theory guided this involving 55 semi-structured interviews four focus group discussions with workers. The was by Indigenous methodologies led researchers Participants were recruited seven Community Controlled Health Organisations located across Perth metro, Pilbara, Midwest/Gascoyne Southwest regions Results Key themes identified around communication, information sharing interagency meetings, relationship government sector, trust importance perception service independence. areas to improve included resourcing coverage, availability services, addressing high program turnover. need shift approach, more emphasis on Aboriginal-led aligning approaches between sectors, another area strengthening. Discussion study addresses significant gap concerning care, kinship an Australian context. Findings highlighted review models strengthen system, creating formal structured modes collaborating better family support care.

Язык: Английский

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‘I’m dealing with all these health issues that could have been addressed when I was younger’. Delivery of health services to Australian young people in out‐of‐home care: Lived experiences

Health & Social Care in the Community, Год журнала: 2021, Номер 30(4)

Опубликована: Авг. 19, 2021

Care-experienced young people demonstrate significantly poor physical, social and mental health outcomes during beyond their time in care, yet they have rarely been consulted or included research examining needs to date. This qualitative paper explores care-experienced people's perceptions of including accessing healthcare interacting with professionals. The methodology was informed by a co-design approach through consultation people. Semi-structured interviews were conducted 10 findings revealed that: (1) the care system does not nurture health; (2) experience difficulty navigating complex system; (3) are given voice when it comes health. provide key recommendations for practice, empowerment positive, responsive trusting relationships prioritise care.

Язык: Английский

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