Addressing the mental healthcare needs of foster children: perspectives of stakeholders from the child welfare system

A qualitative study was conducted to better understand the factors that contribute to psychotropic medication (PM) overuse among children in the child welfare system in Kentucky, including barriers to providing psychosocial interventions that potentially minimize the need for PM. Semi-structured interviews were conducted with personnel in the Department of Community-Based Services (DCBS). Participants identified important areas to target for system-wide quality improvement efforts, which included improved exchange of health information, training, and communications on the use of PM, and measures to improve access to non-pharmacological psychosocial interventions to address the mental healthcare needs of children in the child welfare system.     

Emotional Distress Among LGBT Youth: The Influence of Perceived Discrimination Based on Sexual Orientation

The authors evaluated emotional distress among 9th–12th grade students, and examined whether the association between being lesbian, gay, bisexual, and/or transgendered (i.e., “LGBT”) and emotional distress was mediated by perceptions of having been treated badly or discriminated against because others thought they were gay or lesbian. Data come from a school-based survey in Boston, Massachusetts (n = 1,032); 10% were LGBT, 58% were female, and ages ranged from 13 to 19 years. About 45% were Black, 31% were Hispanic, and 14% were White. LGBT youth scored significantly higher on the scale of depressive symptomatology. They were also more likely than heterosexual, non-transgendered youth to report suicidal ideation (30% vs. 6%, p < 0.0001) and self-harm (21% vs. 6%, p < 0.0001). Mediation analyses showed that perceived discrimination accounted for increased depressive symptomatology among LGBT males and females, and accounted for an elevated risk of self-harm and suicidal ideation among LGBT males. Perceived discrimination is a likely contributor to emotional distress among LGBT youth.     

Evolution,Language and the Battle of the Sexes

This paper argues that the power of evolutionary psychology (EP) and the challenge it poses for feminists reside less in any new scientific knowledge EP has produced, and more in the meta-narrative it has provided for scientists whose work is not directly concerned with evolution. Using the study of sex/gender differences in language as a case study, the paper shows how EP's meta-narrative has been taken up in both expert and popular scientific discourse. It considers what gives the meta-narrative its appeal, and how feminists have contested it. It also locates the argument within the longer history of feminist responses to evolutionary science, comparing current debates with those that took place in the late nineteenth century.     

Integrating a youth participation model in a youth mental health service: Challenges and lessons learned

Youth participation in mental health settings is fundamental to service design and delivery, and is beneficial for the young people involved as well as the organisation. This paper presents the findings of an evaluation of a youth participation model where tiered participation was attempted in a clinical youth mental health setting. To inform the ongoing development and improvement of a youth participation model, an evaluation was conducted consisting of three focus groups with the youth consultants, consultations with management about the implementation of the tiered participation model, and a review of records. The purpose of this evaluation was to identify possible barriers to implementation early on so these could be addressed and a youth participation model that meets the needs of all key stakeholders could be developed. The findings of this evaluation and the way in which these findings informed the model's development are discussed.     

Youth Worker Professional Development Participation,Preferences, and Agency Support

Using a Web-based survey, this study examined youth workers' professional development participation, preferences, and levels of agency support and the relationships between these variables and youth worker characteristics. Results revealed a positive relationship between participation in professional development opportunities and youth workers' self-reported job competency but also indicated low levels of agency support for participation in continuing education. Though perceptions of critical training topics varied among program staff from different geographic areas, most youth workers reported similar training experiences and interests regardless of their individual characteristics. Collaborative approaches to training and professional development may result in increased exposure to a broad range of professional development opportunities and significantly enhance the quality of youth programming.