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Recently, a national priority has been set to improve mental health services for children and families. It has been identified in epidemiological literature that in the United States, an approximate 15% of youth meet diagnostic criteria for emotional or behavioral problems. Furthermore, less than one in every five children that present with such needs receive mental health services. Individual, family, and system barriers such as transportation, competing demands, and long waiting lists have negatively impacted access to mental health services. Therefore, the school system has become the “de facto” mental health system for children and adolescents, in part because of the significant time students spend at school. However, meeting the needs of students with behavioral or emotional problems within the school system poses its own challenges. Schools have reported being limited in their ability to deliver basic mental wellness to students due to the lack of available resources. Specifically, there is a shortage of school-employed mental health personnel and the ratio of student to mental health professional is two to three times larger than recommended. Expanded school mental health programs are partnered systems that utilize existing services and collaborate with community mental health (CMH) professionals at each level of the three-tiered system. This partnership enables CMH staff gain access to youth with emotional and behavioral problems, resulting in increased prevention and intervention services for students. Additionally, a coordinated effort such as student-transition services has an integral role of facilitating the process from the school system to postsecondary employment, training, and or additional education.

Students with emotional and behavioral challenges are significantly impacted by mental health issues. Teachers and other school staff need mental health knowledge to work more effectively with these students. Collaboration with mental health professionals and sharing of information is essential.

The pretty girl with raven hair sings as she works and dreams of wonderful days ahead. The girl's dream is deferred by the wickedly jealous stepmother who sends a trusted guard to commit murder. The man, overwhelmed by the girl's inherent goodness is unable to complete his deed, and warns her to run away and never return. She travels deep into the woods and is helped by friendly forest creatures with big eyes. They take her to a small cottage and she falls asleep, to be awakened by several small men who find it in their hearts to allow her to remain. The miniature men leave for work the next day, warning the girl of the stepmother and her trickery. The nasty woman disguises herself and easily convinces the girl to take a bite of the religiously symbolic apple, after which the girl is induced into a coma. The small men return, chase after the horrible stepmother and cause her to fall to her death, after which they do not bury the beauty-girl, but instead leave her ensconced in a glass tomb for all to see. The gallant prince finally arrives and kisses her, true love breaking the apple's spell and allowing the girl to ride away on the horse with the true hero, leaving behind the woodland creatures and small men forever. Sunlight beaming, girl beaming, small men and creatures beaming. All is right with the world.

The purpose of this paper is to contribute to the understanding of women’s experiences of living with and surviving HIV/AIDS. We argue that strong conceptualization of this experience will lead to more efficient health care delivery for this growing population, within the general framework of managed care. Our analytical strategy is to integrate the nursing concept of inner strength with ideas from the sociological concept of the existential self. There are numerous definitions of the increasingly popular concept of inner strength in the health care literature, largely developed through the experiences of women living with breast cancer. In general, this concept is useful because it focuses research attention on patients’ experiences and perceptions of illness. Nevertheless, current definitions can be critiqued for their tendency: (1) view inner strength as a thing-like phenomenon, as if it were like a disease, to be measured, treated and supplemented; (2) describe inner strength in overly metaphoric and romanticized terms that do not reflect the everyday life of living with a serious illness; and (3) assume that inner strength is equivalent to doing well. We argue that this concept can be of greater scholarly and clinical use if it is defined as follows: Inner strength refers to the different ways women with serious illnesses experience and, subsequently, talk about the deepest, existential resources available to and used by them to manage severe threats to body and self. We developed this concept through a series of 19 biographical and conversational interviews with women living with HIV/AIDS. Our interviews found that these women describe their experiences in terms of three types of narratives or stories. Faith stories recount the ways reliance upon a higher power (spiritual or religious) provides a sense of inner strength. Character stories recount the ways women experience inner strength as a resource available to them before as well as during their illness. Uncertainty stories recount the ways women perceive their inner strength as problematic. We conclude with specific suggestions for the application of our revised concept of Inner strength to the role of nursing in the delivery of managed care to women living with HIV/AIDS.

In March 2014, the minister responsible for public housing in the state of New South Wales in Australia announced that all 600 public housing tenants living in the historic heritage-listed adjacent inner-city neighbourhoods of Millers Point and The Rocks in Sydney were to be moved and the homes sold to the highest bidder on the open market. There were to be no exceptions, and the last public housing resident was moved from the area in July 2018. A common view is that public housing areas in countries with a residualised welfare system are characterised by attenuated social ties, anomie and bleakness. This chapter examines neighbouring, social ties, mutual assistance and sense of community among public housing tenants in Millers Point and demonstrates that this is not always the case. Drawing on 48 in-depth interviews with residents, plus observation, I show that the social connections among public housing tenants in the area were unusually strong and enduring. I argue that in order to understand why this was so, we need to look at the physical and social features of the area. Following on from the seminal work of Jane Jacobs, the New Urbanism movement argues that compactness, mixed land use and walkability are crucial enablers of social interaction and neighbourliness. These physical features were present in Millers Point. There is now a recognition by New Urbanism scholars that physical elements in themselves rarely create community and that the social features of neighbourhoods also have to be taken into account. In the case of the public housing tenants in inner Sydney, the key social features were longevity of residence and homogeneity. Another crucial aspect was a strong sense of social obligation. This was partially due to the presence of strong trade unionism in the area historically and the intermittent nature of employment at certain periods, which ensured neighbours rallied round to help those who were less fortunate.

As narrative inquirers in the midst of our journeys as researchers and teacher educators, we restory a portion of our journeys here, as an invitation for readers to live alongside us – living, telling, reliving, retelling (Clandinin & Connelly, 1994). What resonance, tension, questions, or stories emerge as we enter the past?

In the introductory chapter to this book, we invited the reader to join us along the banks of the braided rivers of narrative inquiry research. We hoped to convey through that metaphor the interconnections we find among the work of our contributing colleagues. As we conclude this book, we ask the reader to join us as we visit the headwaters and tributaries of this research tradition. Nearly three decades ago, Michael Connelly and Jean Clandinin embarked upon a study at Bay Street School (Clandinin, 1986; Clandinin & Connelly, 1992; Connelly & Clandinin, 1988; Connelly, Phillion, & He, 2003) to investigate teachers’ personal practical knowledge (Connelly & Clandinin, 1985). Using narrative as both phenomenon and methodology (Connelly & Clandinin, 1988; Clandinin & Connelly, 1992, 2000; Clandinin, 2008) for this study, their work in the field was integral to the adoption of narrative inquiry as a research methodology in the, then, burgeoning study of teacher knowledge (Connelly & Clandinin, 1988, 1990, 1999), teacher education (Clandinin, 1991, 1992; Connelly & Clandinin, 2000), and curriculum studies (Clandinin & Connelly, 2002). In these areas, as well as in others (i.e., Nursing; Chan, 2008; Chan & Schwind, 2006; Lindsay, 2006a, 2006b), this research, which focused on experience, became well-established and expanded.