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The purpose of this qualitative case study was to explore perceptions of the impact of program participation on parenting styles and behavioral changes using observations and in-depth semi-structured interviews with Black and Coloured staff and mothers at a community-based organization (CBO) in the Western Cape Province (WCP) in South Africa (SA). Purposive sampling was utilized in this research via the CBO and narratives from a total of twenty-three (twelve mothers and eleven staff) interviews form the basis of this manuscript. Data was collected between January – February 2017 and was analyzed through the phenomenological and inductive thematic analysis approach. The staff interviews revealed that child abandonment and neglect and the abuse of women are the two main environmental contextual factors that impact program participation. According to staff, improved self-esteem and positive life changes were identified as successful outcomes of participant involvement. The parent interviews provided examples of emotional issues such as domestic abuse and personal issues with alcohol and drugs as individual factors that impact their program participation. Changes in parenting styles was identified as successful outcomes among parent participants. The goal of this study was to provide much-needed insight into this community by presenting a variety of voices, specifically Black and Coloured men and women, that are underreported in the literature. Findings from this research adds to the knowledge of community-based parenting programs (CBPPs) for low-income and underserved populations in SA and internationally.

Systems of care and evidence-based practice possess distinct histories. Though each developed out of attempts to improve services to youth with emotional and behavioral disorders, they did so from perspectives so different as to appear diametrically opposed. Service systems exist at multiple levels, including the practice, program, and system levels (Rosenblatt, 1988, 2005; Rosenblatt & Woodbridge, 2003). Research on health and mental health service systems similarly varies, often by level of the service system, with the research methods, independent and dependent variables, populations of interest, and ultimately the consumers of the research product interacting differentially in the creation and understanding of what constitutes a knowledge base for service delivery. Systems of care and, with limited exceptions, evidence-based practices exist at different levels of the service delivery structure, require and derive from different research approaches, and speak to overlapping but historically different audiences.

Improvements in neonatal and paediatric care mean that many children with complex care needs (CCNs) now survive into adulthood. This cohort of children places great challenges on health and social care delivery in the community: they require dynamic and responsive health and social care over a long period of time; they require organisational and delivery coordination functions; and health issues such as minor illnesses, normally presented to primary care, must be addressed in the context of the complex health issues. Their clinical presentation may challenge local care management. The project explored the interface between primary care and specialised health services and found that it is not easily navigated by children with CCNs and their families across the European Union and the European Economic Area countries. We described the referral-discharge interface, the management of a child with CCNs at the acute–community interface, social care, nursing preparedness for practice and the experiences of the child and family in all Models of Child Health Appraised countries. We investigated data integration and the presence of validated standards of care, including governance and co-creation of care. A separate enquiry was conducted into how care is accessed for children with enduring mental health disorders. This included the level of parental involvement and the presence of multidisciplinary teams in their care. For all children with CCNs, we found wide variation in access to, and governance of, care. Effective communication between the child, family and health services remains challenging, often with fragmentation of care delivery across the health and social care sector and limited service availability.

This chapter aims to give an overview of key mental health policy and service provision, highlighting the need for specific attention to Black and minority ethnic children and young people. The focus is on mental health provision in the UK provided through the statutory sector and the voluntary and community sector, the issues raised are likely to have resonance across wider geographic locations. The themes examined include: the relevance of terminology regarding race and ethnicity and related impact on the planning and provision of services; the extent to which policy and commissioning of services give due focus and attention to the mental health of Black and minority ethnic children and young people; views young people themselves have contributed on the issue; and a case study illustrating work being undertaken to redress some of the imbalances encountered by young people in accessing appropriate support. The chapter argues that the supply chain to young people receiving support that is relevant and appropriate to their needs is a long and complex one. It is fundamental to take a holistic approach and consider how the components of this chain impact specifically on the mental health of children and young people from Black and minority ethnic communities.

Child and adolescent mental health services (CAMHS) – This term refers to all services that work with children and young people to address their behavioural and emotional wellbeing needs. The services may be provided by the National Health Service (NHS), local authority, school, private sector or charitable organisation and span early intervention support through to specialist treatment.

Care Quality Commission – The independent regulator of health and social care services in England.

Commissioning – The process by which health services are procured and should be based on an up-to-date assessment and understanding of needs of the target population.

Co-production – A process for planning and delivery of health and social care services that involves partnership working and power sharing between those responsible for the planning and provision of services, service users, their family members, carers and other citizens.

National Service Framework – Ten year programmes that, until the health and social care reforms started in 2010, defined standards of care in the NHS including measurable goals within set timeframes.

Population Needs Assessments – The collection and study of relevant data to understand and estimate current and future needs of a population in order to inform the planning of services that meet identified needs.

Voluntary and Community Sector – Also referred to as the Third Sector and encompassing a diverse range of organisations, services and groups that are seen as distinct from the public (also referred to as statutory) and private sectors.

Youth Information, Advice and Counselling Services (YIACS) – Most YIACS have charitable status and provide services to young people on a range of issues, a key feature associated with YIACS is the provision of holistic, young person centred support provided under one roof.

The Whole Child Initiative (WCI) was developed over the past 15 years as a blueprint to promote long-term development and success of all children, as well as their families and communities. This chapter describes three aspects of the WCI model: (a) the need for a public health approach to sustainable, communitywide change targeting the whole child; (b) a clear, future-oriented vision for equipping educators, caregivers, and service providers with the skills and attitudes required to deliver high-quality instruction; and (c) the infusion of social and emotional learning practices to transform environments in which youth live and play. We provide examples of how schools, communities, and families can come together to create a common culture fostering stable and nurturing relationships essential for enhancing youth well-being. We close with recommended “super strategies” – low-cost, simple, and effective practices that can be broadly implemented to keep every child healthy, safe, engaged, supported, and challenged in the community at large.

Purpose – This chapter discusses the promise of and challenges to providing effective and culturally responsive trauma-focused mental health services to immigrant and refugee youth and their families within school settings.

Design/methodology/approach – This chapter utilizes “practice-based evidence” to outline successes and address the barriers associated with the implementation of school-based, trauma-focused, evidence-based interventions in four immigrant or refugee-dense cities: Los Angeles, Chicago, Minneapolis, and Boston.

Findings – Making cultural adaptations to identified trauma interventions that were consistent with community priorities, cultural norms, and values resulted in more accessible programs and greater engagement in treatment services.

Practical implications – The strategies tested in these real-world settings contribute to the development of culturally competent trauma-informed services for immigrant and refugee youth and their families. Mental health providers and program developers will better understand the need for multilevel engagement strategies and for culturally driven modifications when employing evidence-based programs with immigrant and refugee youth.

Originality/value – This chapter adds to the scarce evidence about useful methods to engage immigrant and refugee youth and families in treatment and to increase the likelihood of positive outcomes.

Two major reform movements have shaped child and adolescent mental health services over the past quarter-century: the Systems of Care movement, and more recently, the movement toward evidence-based practice. Results from several studies indicate that youth served in traditional residential or inpatient care may experience difficulty re-entering their natural environments, or were released into physically and emotionally unsafe homes (Bruns & Burchard, 2000; President's Commission on Mental Health, 1978; Stortz, 2000; Stroul & Friedman, 1986; U.S. Department of Health and Human Services, 1999). The cost of hospitalizing youth also became a policy concern (Henggeler et al., 1999b; Kielser, 1993; U.S. Department of Health and Human Services, 1999). For example, it is estimated that from the late 1980s through 1990 inpatient treatment consumed nearly half of all expenditures for child and adolescent mental health care although the services were found not to be very effective (Burns, 1991; Burns & Friedman, 1990). More recent analyses indicate that at least 1/3 of all mental health expenditures for youth are associated with inpatient hospitalization (Ringel & Sturm, 2001).

This chapter provides a comprehensive exploration of the pivotal role of family planning in advancing sustainable development goals (SDGs). It elucidates the intrinsic connection between family planning and sustainable development, scrutinizes the harmonization of family planning initiatives with SDG targets and indicators, gleans insights from global approaches, and identifies formidable challenges, with a particular focus on marginalized communities. This chapter culminates with a set of substantial recommendations aimed at surmounting these challenges and propelling SDG attainment through the prism of family planning.

This chapter draws from the authors’ experiences with service-learning pedagogy in allied health training programs, and illustrates ways in which community-engaged teaching and learning can prepare students to become ethical healthcare practitioners. The authors infuse examples from their own courses throughout the chapter, mostly from the clinical fields of speech-language pathology, audiology, and occupational therapy. However, the chapter is applicable and generalizable to faculty from a wide scope of allied health training programs. The chapter introduces considerations for establishing campus–community partnerships in an ethical manner, as well as ways to foster student self-reflection and critical thinking through an ethical lens. Principles from the codes of ethics of various allied health professions are incorporated throughout the chapter along with examples of how each can be applied in community-based clinical experiences. Through a review of relevant literature, analysis of professional codes of ethics, case-based examples, and a step-by-step guide to course development, this chapter provides readers with a mechanism to ground their courses in professional ethics in a way that is relatable and relevant to students.

Loretta Bass, Assistant Professor of Sociology at the University of Oklahoma, earned her Ph.D. in Sociology from the University of Connecticut in 1998. Dr. Bass focuses her research on children and stratification issues in West Africa and the U.S. For her dissertation, Working for Peanuts: Children’s Work in Open-Air Markets in Senegal, she collected and examined both qualitative and quantitative data of child workers and their families. Dr. Bass lived in Senegal from 1994 to 1996, and completed follow-up research in Senegal during the summer of 2000. Her chapter in this collection draws on this research. Her research has appeared in the Population Research and Policy Review, Political Behavior, Anthropology of Work Review, and the International Journal of Sociology and Social Policy.Marilou C. Legazpi Blair is the Assistant Director of Institutional Research at Erie Community College. She received her Ph.D. from Penn State, and has performed a substantial amount of research on issues of child development. Aside from her interests in adolescent status attainment, she has also studied the impact of immigration on both adults and children in the United States. She is currently involved in an examination of adults who return to school for the continuation of uncompleted degree work.Sampson Lee Blair is an Associate Professor at The State University of New York at Buffalo. As a family sociologist, most of his research to date has focused on family relationships, and particularly those between parents and children. More recently, he has been involved in studies of justice issues within the familial context. He recently completed his term as editor of Sociological Inquiry, and is scheduled to be a co-editor of Social Justice Research next year.Sally Bould is Professor of Sociology at the University of Delaware with a joint appointment in the department of Individual and Family Studies. She has published numerous articles in the area of the family, family policy and poverty policy. Another article on this research concerning families and neighborhoods will appear in the 2003 Journal of Family Issues. She is the author of the book, Eighty-five Plus, which examines issues of state and family responsibilities for the oldest old and several articles on the oldest old population in the United States, including disability, caregiving and living arrangements. Currently she is a member of the board of The Carework Network.Tiffani Chin recently finished her Ph.D. in Sociology at UCLA. Her dissertation examined how children’s peer cultures intersect with the schools’ social, academic, and evaluative objectives to influence children’s educational experiences. She is currently a Post-Doctoral Scholar with the Middle School Transition Study, studying oppositional culture and students’ transition from elementary school to middle school. Chin is the author of “‘Sixth Grade Madness’: Parental emotion work in the private high school application process” (Journal of Contemporary Ethnography, April 2000) and a co-author of Tutoring Matters: Everything you ever wanted to know about how to tutor (Temple 1999).Amitai Etzioni is the first University Professor of The George Washington University. He served as president of the American Sociological Association from 1994 to 1995, was Senior Advisor to the White House from 1979 to 1980, and was guest scholar at the Brookings Institution in 1978–1979. From 1958 to 1978, he served as Professor of Sociology at Columbia University. He is the editor of The Responsive Community: Rights and Responsibilities, a Communitarian quarterly. He is the author of twenty-one books, including The Monochrome Society (Princeton: Princeton University Press, 2001), Next: The Road to the Good Society (New York: Basic Books, 2001), The Limits of Privacy (New York: Basic Books, 1999), and The New Golden Rule: Community and Morality in a Democratic Society (New York: Basic Books, 1996), which received the Simon Wiesenthal Center’s 1997 Tolerance Book Award.David A. Kinney received his Ph.D. in Sociology from Indiana University-Bloomington and did post-doctoral work at the University of Chicago. He is currently Associate Professor of Sociology at Central Michigan University and a faculty affiliate at the Center for the Ethnography of Everyday Life at the University of Michigan. His publications have appeared in Sociology of Education, Youth and Society, Personal Relationships During Adolescence (Sage), and New Directions for Child and Adolescent Development (Jossey-Bass). He is currently conducting ethnographic research with children and their parents in a study of how families manage work, home life, and children’s activity involvement in a fast-paced society.Jennie Jacobs Kronenfeld is a Professor in the Department of Sociology, Arizona State University. She holds a doctorate (1976) and a master’s (1973) in sociology from Brown University and a B.A. (1971) in sociology and history from the University of North Carolina. She has published over ninety articles and book chapters in medical sociology, public health, medicine, and health services research. She has authored or co-authored fifteen books, on topics such as the social and economic impact of coronary artery bypass surgery, the federal role in health policy, public versus private models of service delivery in several different human services areas, controversial issues in health care policy and schools and child health services. Her current research interests include health policy issues, especially access to health care and child health care issues, and research on preventive aspects of health care.Yun-Suk Lee is a Ph.D. candidate in the Department of Sociology at the University of Chicago. He is completing his doctoral dissertation on the role of familial relationship in the effect of performance of household tasks on subjective outcomes for children and married people. His research includes comparing several measures of time spent on housework, and studying about changes in working time. In the fall of 2002, he became a Postdoctoral Research Associate with the Cornell Employment and Family Careers Institute.Anna B. V. Madamba is a Research Associate at TIAA-CREF in New York City. With a doctorate in demography, most of her research interests are in the field of educational attainment and performance. Her current research involves the examination of the academic performance of children of single mothers.Kimberly A. Mahaffy is Assistant Professor of Sociology. Her research interests are gender, transitions to adulthood, and adolescent sexual risk taking. She recently edited a special issue for the Journal of Mundane Behavior entitled Mundane Sex. She teaches statistics, research methods, social psychology, social problems, and a senior seminar in gender and adolescence at Millersville University of Pennsylvania.Sarah H. Matthews is Professor of Sociology at Cleveland State University. Her current research focuses on the everyday lives of children whose mothers are in a drug treatment program. Her earlier research in the sociology of aging has appeared in gerontology and family journals. Her research on relationships among members of older families is reported in a forthcoming book, Sisters and Brothers/Daughters and Sons: Meeting the Needs of Old Parents.Kathleen M. Mathieson is currently a doctoral student in the Department of Sociology, Arizona State University. She holds a master’s degree in Sociology from ASU. Her research interests focus on medical sociology, including concerns of aging, child health and mental health as impacted by work and family conflicts. She has published on the maintenance of functional independence for the elderly, and has presented papers on this topic as well as on child health and child health policy issues.Meredith Phillips is Assistant Professor of Policy Studies and Sociology at UCLA. Phillips’s research focuses on the relationship between social inequality and academic success. Her current projects include a mixed-method study of the academic achievement of college students at a highly-selective university, an ethnographic study of the development of oppositional culture during students’ transition from elementary to middle school, and a statistical study of the distribution of school quality nationally. Phillips is the co-editor of The Black-White Test Score Gap (Brookings, 1998).Katherine Brown Rosier is currently Assistant Professor of Sociology at Central Michigan University. Her recent book, Mothering Inner-city Children. The Early School Years, was published in 2000 by Rutgers University Press. Other publications have appeared in The Journal of Contemporary Ethnography, Human Development, The Journal of Comparative Family Studies, and several other journals and edited volumes. While continuing to write on experiences of low-income African American children and families, she is also conducting research and writing a book with colleague Scott L. Feld on Louisiana’s Covenant Marriage.Barbara Schneider is Professor of Sociology at the University of Chicago and the Co-Director of the Alfred P. Sloan Center on Parents, Children, and Work. Author of several books, articles and monographs, Dr. Schneider is concerned with encouraging the cognitive and social development of America’s children by reshaping the responsibilities of families, schools, and society. Most recently Dr. Schneider has completed two books, The Ambitious Generation: America’s Teenagers, Motivated but Directionless, and Becoming Adult: How Teenagers Prepare for the World of Work. In both works she discusses how adolescents develop attitudes, skills and expectations about their adult careers.Kimberly A. Scott, Ed.D. is Assistant Professor in Hofstra University’s Foundations, Leadership, and Policy Studies department. She specializes in sociology of education, sociology of childhood, and qualitative research methods. Her research interests include examinations of race, class, and gender influences on the social and academic self-development of elementary school students. She has publications in Equity and Excellence, Journal of Negro Education, and Childhood: A Global Journal of Childhood Research. Currently, she is co-authoring a Rowmann and Littlefield book with Sarane Book entitled, Sociology of Children and Childhood.Linda J. Waite, Ph.D. is the Lucy Flower Professor of Sociology and Co-Director of the Alfred P. Sloan Center on Parents, Children and Work at the University of Chicago, where she also directs the Center on Aging. She is past Chair of the Family Section of the American Sociological Association and Past President of the Population Association of America. Her current research interests include the working family, especially dual-career couples with children and the impact of job characteristics on parenting. She is also interested in the role of the family at older ages in functioning of individuals, intergenerational transfers and exchanges, and employment. She has published widely on the family, including an award-winning book with Frances Goldscheider, New Families, No Families: The Transformation of the American Home. Her most recent book, The Case for Marriage: Why Married People are Happier, Healthier, and Better Off Financially, with Maggie Gallagher, won the 2000 book award from the Coalition for Marriage, Family, and Couples Education.