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Article
Publication date: 4 April 2018

Marsha de Vries and Ronald Wolbink

Since January 2015, the Dutch youth care system has been under construction. Its focus has shifted from the problematic to the normal development of children. Emphasis on the…

Abstract

Purpose

Since January 2015, the Dutch youth care system has been under construction. Its focus has shifted from the problematic to the normal development of children. Emphasis on the capacities of both youths and parents, on customized care and on better cooperation between professionals should decrease the use of specialized services. This reconstruction of the youth care system not only appeals to the competencies and skills of professionals, but also requires innovations in terms of leadership. The purpose of this paper is to describe the struggle managers face when working to transform the youth care system, and to provide some suggestions for how managers can be supported.

Design/methodology/approach

This paper is based on the results of two empirical, qualitative studies that were recently conducted by the Research Institute Youth, which is part of the Health Care and Social Work Research Centre of Windesheim University of Applied Sciences in Zwolle, the Netherlands. Over the course of a preliminary study, executive managers of five youth care organizations were interviewed on the ongoing transformations of their organizations and the changing roles and needs of managers within these transformations. Subsequently, 13 middle- and first-line managers of 3 youth care organizations were interviewed about their experiences and the ways in which they have handled the new roles they have taken on in transforming their organizations.

Findings

The management of youth care organizations is responsible for facilitating professionals in taking on and shaping their new roles, thus affecting not only the structure but also the culture and practices of youth care organizations and of management itself. This research shows that managers are struggling with these changes in their own ways. While youth care managers are struggling with their new roles and responsibilities, the intended transformation of the youth care system lags behind. Appropriate support of managers is essential, but is currently lacking. This paper provides some suggestions for how managers can be supported.

Originality/value

This paper identifies and explains the challenges that top-, middle- and lower-level managers face in current transformation processes in social service organizations, and provides some suggestions for how managers can be supported in these processes.

Details

International Journal of Public Leadership, vol. 14 no. 2
Type: Research Article
ISSN: 2056-4929

Keywords

Book part
Publication date: 10 May 2017

Bernard P. Perlmutter

In this chapter, I examine stories that foster care youth tell to legislatures, courts, policymakers, and the public to influence policy decisions. The stories told by these…

Abstract

In this chapter, I examine stories that foster care youth tell to legislatures, courts, policymakers, and the public to influence policy decisions. The stories told by these children are analogized to victim truth testimony, analyzed as a therapeutic, procedural, and developmental process, and examined as a catalyst for systemic accountability and change. Youth stories take different forms and appear in different media: testimony in legislatures, courts, research surveys or studies; opinion editorials and interviews in newspapers or blog posts; digital stories on YouTube; and artistic expression. Lawyers often serve as conduits for youth storytelling, translating their clients’ stories to the public. Organized advocacy by youth also informs and animates policy development. One recent example fosters youth organizing to promote “normalcy” in child welfare practices in Florida, and in related federal legislation.

Details

Studies in Law, Politics, and Society
Type: Book
ISBN: 978-1-78714-344-9

Keywords

Book part
Publication date: 5 August 2011

Beatrix F. Perez and Harriett D. Romo

Purpose – Mobility of youth in multiple foster care placements contributes to diminished life chances and outcomes. Foster care youth mobility during care results in numerous…

Abstract

Purpose – Mobility of youth in multiple foster care placements contributes to diminished life chances and outcomes. Foster care youth mobility during care results in numerous school changes within one academic year which hinders educational achievement. This qualitative study examines a group of Latino alumni of foster care and their experiences related to housing and education.

Methodology – Interviews with 25 young Latino adults ranging in age from 18 to 22 examined foster care placement, transitions to independence, and experiences after foster care. Researchers used a semi-structured interview guide, and tape-recorded interviews transcribed and coded for emergent themes.

Findings – Results suggest that as youth experience school mobility, social capital aids in promoting positive educational experiences. This research emphasizes the importance of positive social capital for Latino foster care youth and their educational achievement, evidenced in both adult and peer social networks. Few studies have examined Latino foster care youth experiences, and currently there are no studies that address educational experiences of these youth.

Details

The Well-Being, Peer Cultures and Rights of Children
Type: Book
ISBN: 978-1-78052-075-9

Keywords

Article
Publication date: 22 April 2022

Elizabeth McGhee Hassrick, Guy Weissinger, Catherine VanFossen, Rose Milani, Jonas Ventimiglia, Isaiah Delane-Vir Hoffman, Matthew Wintersteen, Tita Atte, Sherira Fernandes and Guy Diamond

Autistic youth face higher risks for experiencing mental health crises. To develop and test a county-level social network measure of care coordination between police departments…

Abstract

Purpose

Autistic youth face higher risks for experiencing mental health crises. To develop and test a county-level social network measure of care coordination between police departments and other systems that support autistic youth experiencing suicidal crisis.

Design/methodology/approach

To measure the structure of care coordination for autistic youth experiencing suicidal crisis, the authors created a roster of all police departments and youth servicing organizations in two East Coast counties in the United States. They met or exceeded the whole network recruitment threshold of 70% completion in both counties. From the data, the authors created a directed matrix for each county of all reported connections, which they used to create sociograms and calculate standard network measures, including indegree, outdegree and total degree for each organization in the network. Data management and processing were done using R-programming and ORA.

Findings

Social network findings indicated that about half of all police departments surveyed coordinate care for autistic youth in suicidal crisis. Coordination varied by county, with nonpolice organizations acting as connectors between police and other nonpolice organizations. Two structural configurations were found, including a nonpolice organizational hub structure and a lead police structure. More research is needed to determine how different police integration structures shape care coordination for autistic youth.

Research limitations/implications

Limitations include the small number of counties included in the study. A larger sample of counties is required for generalizable results.

Practical implications

This article introduces new tools and approaches to assist police in building their capacity to measure and improve their coordination of care with other community systems during crisis situations for youth on the autism spectrum. Network science (e.g. matrix and graph theoretic algebra methods) can be used to measure the configuration of relationships police departments have with complex multi-level healthcare systems.

Social implications

Implications for findings include the consideration of police integration across systems in ways that produce new collaboration possibilities to support autistic youth experiencing suicidal crisis.

Originality/value

While police departments play a critical role in coordinating care for youth in suicidal crisis, little is known if or how police departments collaborate with other systems to provide assistance for autistic youth during a suicidal crisis. Improving care continuity within and between systems could potentially address clinical and structural challenges and reduce risk for autistic youth experiencing a suicidal crisis.

Details

Policing: An International Journal, vol. 45 no. 3
Type: Research Article
ISSN: 1363-951X

Keywords

Book part
Publication date: 2 May 2023

Natalie Glynn

Abstract

Details

Youth Transitions Out of State Care: Being Recognized as Worthy of Care, Respect, and Support
Type: Book
ISBN: 978-1-80262-487-8

Book part
Publication date: 8 August 2005

Robert A. McMackin and Elliot Pittel

The Lemuel Shattuck Hospital Youth Service Program adopted a public health approach to address the mental health needs of incarcerated juvenile offenders in Massachusetts. The…

Abstract

The Lemuel Shattuck Hospital Youth Service Program adopted a public health approach to address the mental health needs of incarcerated juvenile offenders in Massachusetts. The program, which operated for 6 years, provided psychiatric care and neuropsychological assessment to delinquent youth as well as training for psychiatry residents, neuropsychology fellows and Massachusetts Department of Youth Services’ staff. The program recognized and attempted to address the health care disparity of limited access to quality mental health services for incarcerated youth, particularly those from disadvantaged and minority backgrounds. The program was a collaborative venture among the Massachusetts Departments of Public Health and Youth Services, and Tufts-New England Medical Center. The scope of the problem of mental health care for incarcerated youth will be first outlined, followed by a history and evaluation of the program from a public health and system integration perspective.

Details

The Organizational Response to Persons with Mental Illness Involved with the Criminal Justice System
Type: Book
ISBN: 978-0-76231-231-3

Book part
Publication date: 28 December 2006

Tracy J. Pinkard and Leonard Bickman

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…

Abstract

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).

Details

Research on Community-Based Mental Health Services for Children and Adolescents
Type: Book
ISBN: 978-1-84950-416-4

Article
Publication date: 27 July 2022

Ozalle Marie Toms, James C. Collins and Gloria D. Campbell-Whatley

The purpose of this exploratory paper is to define the characteristics of foster youth, discuss the impacts of trauma on their lives, present results from a foster youth survey…

Abstract

Purpose

The purpose of this exploratory paper is to define the characteristics of foster youth, discuss the impacts of trauma on their lives, present results from a foster youth survey conducted at a university in the Midwest to assess the needs of former foster youth and discuss the ways universities can support this vulnerable population of students. Several themes emerged from the study. The financial need emerged at the top. The number of essential needs was striking. For example, more than half of the respondents did not have their basic needs met. These needs included food, medical/dental services, clothing and transportation needs.

Design/methodology/approach

Faculty researchers who were part of a university task force developed a survey to assess the needs of former foster youth who were enrolled in classes at the time that this research was conducted. The survey was developed and disseminated through Qualtrics, a software that distributed survey links via email in a confidential manner. The survey consisted of a variety of general questions related to participants’ background and demographic information, as well as the specific needs and services that they were interested in receiving. The survey was sent out one-time peer week for three weeks in the late fall semester.

Findings

Findings indicated that 9% of respondents (n = 4) ranked the greatest areas of need as being financial assistance for school supplies, medical/dental care and financial aid advice. Similarly, 7% of respondents (n = 3) expressed the greatest needs as being affordable housing, housing during semester breaks, financial support for a laptop, financial counseling, counseling services, emergency financial assistance and internship and career counseling.

Research limitations/implications

Limitations of this research include the use of a small and homogenous participant sample size, with data collected from one university campus. Therefore, results do not necessarily generalize elsewhere and replication is necessary for other geographical regions that include additional participants from varying backgrounds. Because data were not collected from a control group of nonfoster students, it is also unknown whether the identified student needs from this research substantially differ from the general population.

Practical implications

All students do not need the same support, so a menu of services should be provided. These services could include care packages that include basic academic necessities (e.g., laptops, school supplies, book vouchers, health and beauty supplies), financial literacy training, mentorship opportunities, a one-credit course on independent living skills, providing connections to community resources (e.g., childcare, housing, employment) and targeted advising for this specific student population, many of which who are from the first generation and low-income backgrounds. Another opportunity is to provide, possibly mandate, professional development for faculty and staff on the characteristics and needs of these vulnerable students.

Originality/value

Institutions have an opportunity, and arguably an obligation, to identify these students as early as possible. This can be done through collaboration with state human service departments, high school counselors and using demographic data found in the Free Application for Federal Student Aid form. Recruiting, retaining and supporting this population of students are critical because many have needs similar to other marginalized populations that the authors are so intensely focused on.

Details

Journal for Multicultural Education, vol. 17 no. 1
Type: Research Article
ISSN: 2053-535X

Keywords

Article
Publication date: 18 May 2015

Ann Dadich, Carmen Jarrett, Fiona Robards and David Bennett

The primary care sector is experiencing considerable change. How change and uncertainty are accommodated by the professional identity of medicine has not been examined. The…

12780

Abstract

Purpose

The primary care sector is experiencing considerable change. How change and uncertainty are accommodated by the professional identity of medicine has not been examined. The purpose of this paper is to address the youth healthcare as an exemplar as this field is often a source of uncertainty for general practitioners (GPs).

Design/methodology/approach

Using heterogeneity sampling, 22 GPs participated in focus groups to explore perceptions of youth healthcare, factors that help and hinder it, and training needs. Analysis of the research material was guided by a theoretical model on professional identity.

Findings

GPs described tensions that challenged their professional identity – the challenges of working with young people and their complex issues, the extent to which youth healthcare sits within the purview of general practice, and the scope of training required. These tensions appeared to destabilise professional identity. Some participants had customised their identity by enriching understandings of and approach to general practice. Participants also reported work customisation as a way of managing the complex demands of the general practice role. Deepened insight appeared to bolster perceived capacity to support a complex patient cohort.

Research limitations/implications

Participants are not representative of the primary care sector – furthermore, the methodology limits the generalisability of the findings.

Practical implications

To bolster youth health, mere clinician training is insufficient. Youth health requires explicit support from governments and training providers to be incorporated into the healthcare landscape.

Originality/value

This study extends current research on professional identity by examining youth healthcare within the changing context of primary care.

Details

Journal of Health Organization and Management, vol. 29 no. 3
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 10 July 2017

Alan M. Delamater, Adriana Guzman and Katherine Aparicio

The purpose of this paper is to consider mental health issues in children and adolescents with chronic illness or health conditions, including their treatment, and issues related…

1222

Abstract

Purpose

The purpose of this paper is to consider mental health issues in children and adolescents with chronic illness or health conditions, including their treatment, and issues related to delivery of services.

Design/methodology/approach

A selective review of the literature was conducted to highlight significant mental health issues and their treatment in youth with various types of chronic illness.

Findings

A significant portion of youth experience mental health problems related to their chronic health conditions. While evidence-based treatments are available to address these problems, significant barriers exist that impede the delivery of psychological and behavioral interventions for many youth.

Research limitations/implications

More controlled studies are needed to demonstrate the effectiveness and cost offset of delivering psychological and behavioral interventions for the population of youth with various types of chronic health conditions, particularly in clinical and community settings.

Social implications

Policy reform can ensure that mental health issues are effectively addressed for children with chronic illness. Policy is needed that promotes integrated health care, whereby psychological and behavioral interventions are delivered in health care settings along with medical interventions to reduce barriers to care.

Originality/value

Significant numbers of children and adolescents have chronic health conditions and many experience mental health problems related to their conditions. While evidence-based treatments are available to address these problems, significant barriers impede the delivery of psychological and behavioral interventions for many youth. Health care policy promoting integrated health care to deliver psychological and behavioral interventions in health care settings along with medical interventions should reduce barriers to care and improve both physical and mental health outcomes for youth.

Details

International Journal of Human Rights in Healthcare, vol. 10 no. 3
Type: Research Article
ISSN: 2056-4902

Keywords

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