Including At-Risk Adolescents in Their Own Health and Mental Health Care

Díaz, Ángela; Peake, Ken; Surko, Michael; Bhandarkar, Kalpana

doi:10.1300/j200v03n01_01

Social Work in Mental Health

2005

DOI: 10.1300/j200v03n01_01

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Including At-Risk Adolescents in Their Own Health and Mental Health Care

Ángela Díaz

Ken Peake²,

Michael Surko³

et al.

Abstract: As urban adolescents encounter serious health and mental health risks, they present the allied health professions with important opportunities for health promotion and risk reduction interventions. However, the prevailing emphasis on adolescents' risk behaviors rather than on their vulnerability has limited our capacity to understand and serve them. Further limiting are the widely held myths that adolescents as a

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Cited by 14 publications

References 38 publications

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Health Care Use and Status Among Abused Young People

Díaz

Peake

Nucci-Sack

et al. 2017

Annals of Global Health

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Importance Childhood abuse negatively impacts young people’s health. Little is known about its impact on health care utilization patterns or on perception of health status during a life-stage when learning to use care independently is a key developmental task. Objectives In non-clinical study settings, abuse has been found to be associated with disorganized utilization of care and perceived poorer health: our objective was to determine whether abused youth receiving health care show similar outcomes. Design This observational study, conducted between December 5, 2005 – April 13, 2007, screened for childhood abuse in 532 young people seeking services at a primary care clinic. Setting A New York City young people’s free health clinic. Participants ages 12 – 24 years; recruited during a visit; mostly female (86%); Latino or Black (94%); currently in school or college (79%). Exclusions: not English fluent or difficulty understanding the study/consent process. Outcomes Health care utilization (routine versus urgent care) in the prior 12 months and perceived health status were measured using the Health Service Utilization Scale. Potential demographic covariates were controlled for, as was depression (using the Beck Depression Inventory for Primary Care-Fast Screen). Results Fifty four percent disclosed abuse. Compared to non-abused, those reporting sexual abuse had 1.4 times more odds of choosing both urgent and routine care over routine care only. Those reporting any type of abuse had lower odds of selecting urgent care only over routine care. No association was found between childhood abuse and perceived health status. Conclusions/Relevance In contrast to studies conducted among youth in non-clinic settings, in this study childhood abuse was not associated with health care utilization patterns or with poorer perception of health. Further research is needed regarding the impact receiving health care has on perceived health and health care utilization in abused youth.

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Health Care Use and Status Among Abused Young People

Díaz

Peake

Nucci-Sack

et al. 2017

Annals of Global Health

Self Cite

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Promoting Harmony Where There Is Commonly Conflict: Evidence-Informed Practice as an Integrative Strategy

Epstein

2009

Social Work in Health Care

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This article identifies dualisms in the continuing and sometimes acrimonious discourse concerning the relationship between social work practice and research. In so doing, it describes the epistemological assumptions of and differences between evidence-based practice, research-based practice, practice-based research, and reflective practice. In the spirit of the Hong Kong conference, the author extends McNeill's concept of "evidence-informed practice" to suggest a more inclusive and harmonious conception of practice-research integration. The article concludes by considering what such a model might look like.

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Taking back our streets: A clinical model for empowering urban youths through participation in peace promotion.

Tawa

2011

Peace and Conflict: Journal of Peace Psychology

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A three-stage empowerment model is developed based on the experience of a psychotherapy group conducted with Black and Latino youth residents in an urban housing project with high rates of community violence. The model aims to not only ameliorate mental health symptoms related to exposure to community violence, but also enhance youths' ability to transform their sociocultural context through peace promotion. The three stages are (a) addressing chief complaints and symptom reduction, (b) exploring narratives, and (c) fostering empowerment and peace through community action. Conceptual and clinical strategies are described within each stage, using case illustrations from the psychotherapy group.The goal of this article is to describe a three-stage clinical model that aims to empower adolescents through peace promotion, addressing not only the impact of episodic violence (e.g., witnessing a shooting), but also challenging Correspondence should be addressed to Martı ´n La Roche,

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Including At-Risk Adolescents in Their Own Health and Mental Health Care

Cited by 14 publications

References 38 publications

Health Care Use and Status Among Abused Young People

Health Care Use and Status Among Abused Young People

Promoting Harmony Where There Is Commonly Conflict: Evidence-Informed Practice as an Integrative Strategy

Taking back our streets: A clinical model for empowering urban youths through participation in peace promotion.

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