Now showing items 1-9 of 9
| Abstract: | Dette prosjektet er gjennomført med finansiering fra Stiftelsen Wøyen. Vi takker stiftelsen for deres interesse og engasjement for å gjøre barns stemmer hørt. Vi takker også de som har stilt opp på intervju og som gjennom sine fortellinger bidrar til kunnskapsutvikling i barnevernet. |
| URI: | http://hdl.handle.net/10037/5191 |
| Abstract: | I prosjekt ”Samtale med barn i barnevernet” kombineres forskning, utvikling og implementering av arbeidsmetoder i barnevernet. Prosjektet gjennom føres i fire faser i perioden 2003-2007. Det rapporteres her for Fase 3 ”Samtale med barn i barnevernet - utprøving og evaluering av implementeringsstrategier”. Dette delprosjektet er finansiert av stiftelsen Wøyen. |
| URI: | http://hdl.handle.net/10037/5192 |
| Abstract: | The use of screening instruments can reduce waiting lists and increase treatment capacity. The aim of this study was to examine the usefulness of the Strengths and Difficulties Questionnaire (SDQ) with the original UK scoring algorithms, when used as a screening instrument to detect mental health disorders among patients in the Norwegian Child and Adolescent Mental Health Services (CAMHS) North Study. A total of 286 outpatients, aged 5 to 18 years, from the CAMHS North Study were assigned diagnoses based on a Development and Well-Being Assessment (DAWBA). The main diagnostic groups (emotional, hyperactivity, conduct and other disorders) were then compared to the SDQ scoring algorithms using two dichotomisation levels: ‘possible’ and ‘probable’ levels. Sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio (ORD) were calculated. Sensitivity for the diagnostic categories included was 0.47-0.85 (’probable’ dichotomisation level) and 0.81- 1.00 (’possible’ dichotomisation level). Specificity was 0.52-0.87 (’probable’ level) and 0.24-0.58 (’possible’ level). The discriminative ability, as measured by ORD, was in the interval for potentially useful tests for hyperactivity disorders and conduct disorders when dichotomised on the ‘possible’ level. The usefulness of the SDQ UK-based scoring algorithms in detecting mental health disorders among patients in the CAMHS North Study is only partly supported in the present study. They seem best suited to identify children and adolescents who do not require further psychiatric evaluation, although this as well is problematic from a clinical point of view. |
| Description: | This paper is part of Per Håkon Brøndbo's doctoral thesis. Available in Munin at http://hdl.handle.net/10037/4521 |
| URI: | http://hdl.handle.net/10037/3917 |
| Abstract: | Previous research with the US inner-city youth demonstrated the hazardous effects of community violence exposure. It remains unclear, however, whether these findings are generalizable to other cultures and populations. Furthermore, the role of factors influencing the processing of traumatic events such as personality has not been investigated. Two groups of Russian adolescents (community youth (N = 546) and male delinquents (N = 352)) completed questionnaires assessing their exposure to community violence, conduct problems, internalizing psychopathology and personality. The study demonstrates that the relationships between exposure to violence and psychopathology are similar across different populations within the same culture (community youth (N=546) and juvenile delinquents), suggesting similar mechanisms behind this phenomenon. The patterns of these relationships were also similar for boys and girls, suggesting similarities in the mechanisms across gender. Hence, the effects of community violence exposure are generalizable to other cultures outside the US. The associations between personality traits and specific types of behaviors also tend to be similar across different populations. Higher levels of novelty seeking were related to more severe problem behaviors and to higher levels of witnessing and victimization, whereas higher levels of harm avoidance were related to higher levels of depression and posttraumatic stress. |
| URI: | http://hdl.handle.net/10037/3915 |
| Abstract: | Little is known about the characteristics of boys who become fathers at young age. Some studies have suggested that antisocial adolescents are more likely to be young fathers. The aim of this study was to examine the associations of psychosocial factors in childhood with becoming a young father, and to assess if they are independent of criminal behavior in adolescence. The baseline assessment in 1989 included 2,946 boys born in 1981. Information about psychiatric symptoms at age eight was collected with Rutter questionnaires from parents and teachers and with the Child Depression Inventory from the children themselves. Data on criminal offenses at age 16–20 was collected from a police register. Register-based follow-up data on becoming a father under the age of 22 was available for 2,721 boys. The factors measured at age eight, which were associated with becoming a young father independently of adolescent criminality, were conduct problems, being born to a young father and having a mother with a low educational level. Having repeatedly committed criminal offences in adolescence was associated with becoming a young father independently of psychosocial factors in childhood. Antisocial tendencies both in childhood and adolescence are associated with becoming a young father. They should be taken into consideration when designing preventive or supportive interventions. |
| URI: | http://hdl.handle.net/10037/4901 |
| Abstract: | The mental health of children seeking asylum and their families is a somewhat neglected area of research. Research on refugee children and children living with adversities suggests that environmental factors are crucial in preventing mental health problems. This study aims at identifying central environmental conditions that affect the mental health of children living with their families at governmental asylum processing centers in Northern Norway. This study has a qualitative design, and is based on 11 focus group interviews with the staff at asylum processing centers. The interviews were transcribed verbatim and analyzed focusing on important risk and protective factors for mental health problems presented by the informants. Results pointed out time spent at asylum centers and the parent’s mental health as the most important risk factors. Schooling, activities, general living conditions and poor economy were also seen as crucial. The findings suggest that these children are indeed vulnerable, and in high risk of developing mental health problems. Their rights are however open to local interpretations, and they fall between two stools; their right to proper healthcare, and national and international immigration policies. |
| URI: | http://hdl.handle.net/10037/4367 |
| Abstract: | Although some attempts are being made to increase children's participation in Norwegian child protection cases, much needs to be done in order to comply with the participation principle in the United Nations Convention on the Rights of the Child. This paper reports on a study of factors that are likely to predict if social workers will attempt to give children an effective voice in decision making processes. 53 child protection case managers and 33 social work students participated in a questionnaire survey in which they were asked to agree or disagree with 20 statements about child participation. Statistical factor analysis was used in order to identify underlying factors in the dataset. The results suggest three main reasons for children not being allowed to participate: communication difficulties (communication factor); because child participation was not deemed necessary (participation advocacy factor); or that participation was considered inappropriate because it might be harmful (protectionism factor). This research suggests that, if we are to improve participation within the child protection system, formal regulations and guidelines need to be accompanied by a greater attention to development of social work skills in working with children through participatory processes |
| URI: | http://hdl.handle.net/10037/4226 |
| Abstract: | Children of parents with a mental illness are at risk of developing mental health problems themselves (Beardslee, Versage & Gladstone, 1998; Hosman, van Doesum, & van Santvoort, 2009; Reupert & Maybery, 2007). In order to prevent children of mentally ill parents from developing serious problems, it is therefore beneficial to include a child perspective in the treatment of mentally ill parents by identifying the children of patients, and supporting patients in their parenting role. Norwegian authorities have in 2010 made several changes to existing health legislation (the Health Personnel Act) in order to increase early identification of children who have parents with a mental illness including making it mandatory to assess whether or not patients have children. Negative attitudes to including a child perspective in adult mental health care is regarded as an important barrier in the work of establishing routines to identify and support children of mentally ill parents, and the key to achieving change may be the professionals in the workforce. |
| URI: | http://hdl.handle.net/10037/4130 |
| Abstract: | According to new Norwegian laws, mental healthcare for adults are obligated to assess all patients who are parents and to act on their children's needs. This article describes the study protocol of implementing the interventions Family Assessment and Child Talks for children of patients in the adult psychiatry of the University Hospital of Northern Norway. The project is designed to evaluate the process of changes in clinical practice due to the implementation of two interventions. The interventions to be implemented are a standardised Family Assessment Form and the intervention called Child Talks. The family assessment form is an intervention to identify children of mentally ill parents and their needs. The intervention Child Talks is a health-promoting and preventive intervention where the mental health workers talk with the family about the situation of the children and their needs. There are two groups of participants in this study: (1) mental health workers in the clinic (N=220) and (2) patients who are parents (N=200) receiving treatment in the clinic. (1) In the evaluation of clinical practice, the authors use a pre-test, post-test and 1-year follow-up design. At pre-test, the authors evaluate status quo among mental health workers in the clinic regarding knowledge, attitudes, collaborative routines and clinical practice related to families with parental mental illness. After the pre-test is finished, the project move on to implement the interventions Family Assessment Form and Child Talks in the clinic. At post-test and 1-year follow-up, the authors evaluate the impact of implementing the Family Assessment Form in terms of how many children were identified and offered Child Talks in the clinic or referred to other services for additional support. (2) In the evaluation of parents/patients experience with the interventions, the authors use a pre-test post-test design. To identify children of mentally ill patients, the authors collect data on demographical variables for the patient and the child at pre-measures, as well as data on parental competence (PSOC) and parental concerns (PEDS) about their children. At post-measures, the authors evaluate the impact of the intervention in terms of user satisfaction, as well as changes between pre- and post-measures on parental competence (PSOC) and parental concerns (PEDS) about their children. The implication of implementing new interventions to safeguard children of mentally ill patients and the limitation of not measuring child development directly are discussed. |
| URI: | http://hdl.handle.net/10037/4223 |
Now showing items 1-9 of 9
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