Zeitschriftenartikel: „Young clients“

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Maclachlan, Kathy. „Encouraging the Clients- Parents and Young Children“. Management in Education 9, Nr. 1 (Februar 1995): 6–7. http://dx.doi.org/10.1177/089202069500900103.

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KATZ, KAREN, und CHRISTINE NARÉ. „REPRODUCTIVE HEALTH KNOWLEDGE AND USE OF SERVICES AMONG YOUNG ADULTS IN DAKAR, SENEGAL“. Journal of Biosocial Science 34, Nr. 2 (26.03.2002): 215–31. http://dx.doi.org/10.1017/s0021932002002158.

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A study was conducted in Dakar, Senegal, to measure reproductive health knowledge and contraceptive use among young adults, and access to family planning services. A household survey was conducted with 1973 single and married women aged 15–24 and 936 single men aged 15–19. Two focus groups and a simulated client study were also conducted. The survey and focus groups noted gaps in knowledge of family planning methods and reproductive health. There were misconceptions about methods and only one-third of men and women aged 15–19 correctly identified the time of the menstrual cycle when a women is most likely to get pregnant. Contraceptive use at time of first premarital sexual experience was less than 30%. The simulated client study noted many barriers to services. ‘Clients’ felt uncomfortable in the clinics and felt that providers were reluctant to take care of them. None of the ‘clients’ who requested contraception received it.

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Praise God Zungu, Nkululeko, und Roger B. Mason. „Young clients’ attitudes to service quality at retail banks in a developing country“. Banks and Bank Systems 12, Nr. 1 (24.03.2017): 44–53. http://dx.doi.org/10.21511/bbs.12(1).2017.05.

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The aim of this paper is to investigate service quality as perceived by younger customers of retail banks in a developing country. The objectives include identifying customers’ levels of satisfaction and loyalty to their banks and to identify the levels of service quality associated with such satisfaction and loyalty. The instrument used to collect data via a survey of retail bank customers was an adaptation of the SERVQUAL questionnaire. A total of 448 students were surveyed, using a mix of systematic and quota sampling, with data being collected on university campuses. Data were analyzed using descriptive statistical techniques. The main conclusions were that most young customers are reasonably satisfied with, and loyal to, their banks. There was little difference, on all the service quality constructs, between the different banks, and between expectations and perceptions of service quality. However, there was no evidence of any bank providing a service that delighted their customers or exceeded their expectations and so all banks are at risk from a competitor who adopts strategies to meet these goals. The study has contributed to knowledge by focusing on attitudes to service quality of young bank customers in a developing country, an aspect that has been under-researched. Keywords: service quality, retail banking, expectations, perceptions, customer satisfaction, loyalty, SERVQUAL, South Africa. JEL Classification: G21, L84, M31

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Greipp, Mary Elizabeth. „Client Age, Gender, Behaviour: Effects On Quality of Predicted Self-Reactions and Colleague Reactions“. Nursing Ethics 3, Nr. 2 (Juni 1996): 126–39. http://dx.doi.org/10.1177/096973309600300205.

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This comparative study shows biases relative to client age, gender and behaviour demon strated by 268 female nurse subjects. A repeated measures design was utilized. All three main effects were significant (p < 0.001) for how respondents predicted that they would react to various clients and also how they predicted that their colleagues would react. Most two-way and three-way interaction effects were significant. Subjects demonstrated more favourable reactions to nice, young, male clients and least favourable reactions to not nice, old, male clients. Study subjects predicted more favourable self-reactions to simulated clients than for their colleagues. What should be important to every professional as a result of this study is the need to be aware of self-biases, which may cause errors in decision-making and nursing care interventions and lead to ethical violations with clients.

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EVENS, EMILY, ROSE OTIENO-MASABA, MARGARET EICHLEAY, DONNA McCARRAHER, GWYN HAINSWORTH, CATE LANE, MARGARET MAKUMI und PAMELA ONDUSO. „POST-ABORTION CARE SERVICES FOR YOUTH AND ADULT CLIENTS IN KENYA: A COMPARISON OF SERVICES, CLIENT SATISFACTION AND PROVIDER ATTITUDES“. Journal of Biosocial Science 46, Nr. 1 (10.06.2013): 1–15. http://dx.doi.org/10.1017/s0021932013000230.

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SummaryUnsafe abortion accounts for 35% of maternal mortality in Kenya. Post-abortion care (PAC) reduces maternal death and provides an opportunity to prevent unwanted pregnancies. Few studies have documented how the receipt of PAC services varies by client age. In this study, descriptive data were collected from clients, providers and eight health facilities in Kenya's Central and Nairobi provinces to examine receipt of PAC services by client age, client satisfaction and provider attitudes. Delivery of PAC treatment, pain management, HIV and STI services and violence screening did not vary by age. However, fewer youth between the ages of 15 and 24 received a contraceptive method compared with adult clients (35% versus 48%; p=0.02). Forty-nine per cent of youth reported not using a family planning method due to fears of infertility, side-effects or lack of knowledge compared with 22% of adults. Additional efforts are needed in Kenya to bolster the family planning services that young PAC clients receive and increase the uptake of contraception.

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Rickwood, Debra, Marianne Webb, Vanessa Kennedy und Nic Telford. „Who Are the Young People Choosing Web-based Mental Health Support? Findings From the Implementation of Australia's National Web-based Youth Mental Health Service, eheadspace“. JMIR Mental Health 3, Nr. 3 (25.08.2016): e40. http://dx.doi.org/10.2196/mental.5988.

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Background The adolescent and early adult years are periods of peak prevalence and incidence for most mental disorders. Despite the rapid expansion of Web-based mental health care, and increasing evidence of its effectiveness, there is little research investigating the characteristics of young people who access Web-based mental health care. headspace, Australia’s national youth mental health foundation, is ideally placed to explore differences between young people who seek Web-based mental health care and in-person mental health care as it offers both service modes for young people, and collects corresponding data from each service type. Objective The objective of this study was to provide a comprehensive profile of young people seeking Web-based mental health care through eheadspace (the headspace Web-based counseling platform), and to compare this with the profile of those accessing help in-person through a headspace center. Methods Demographic and clinical presentation data were collected from all eheadspace clients aged 12 to 25 years (the headspace target age range) who received their first counseling session between November 1, 2014 and April 30, 2015 via online chat or email (n=3414). These Web-based clients were compared with all headspace clients aged 12 to 25 who received their first center-based counseling service between October 1, 2014 and March 31, 2015 (n=20,015). Results More eheadspace than headspace center clients were female (78.1% compared with 59.1%), and they tended to be older. A higher percentage of eheadspace clients presented with high or very high levels of psychological distress (86.6% compared with 73.2%), but they were at an earlier stage of illness on other indicators of clinical presentation compared with center clients. Conclusions The findings of this study suggest that eheadspace is reaching a unique client group who may not otherwise seek help or who might wait longer before seeking help if in-person mental health support was their only option. Web-based support can lead young people to seek help at an earlier stage of illness and appears to be an important component in a stepped continuum of mental health care.

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Coon, David W. „Cognitive—Behavioral Interventions with Avoidant Personality: A Single Case Study“. Journal of Cognitive Psychotherapy 8, Nr. 3 (Januar 1994): 243–53. http://dx.doi.org/10.1891/0889-8391.8.3.243.

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Studies of the outcome of cognitive-behavioral treatment of clients diagnosed with personality disorders are few and need further replication. This case study examines how Beck’s (Beck, Freeman, & Associates, 1990) and Young’s (Young, 1990; Young & Lindemann, 1992) schema-focused approach offers a helpful framework to use with an Avoidant Personality Disorder (APD) client. The findings point to the value of cognitive/behavioral strategies in restructuring Early Maladaptive Schema (Young, 1990) historically associated with APD, and in modifying many of the behavior patterns characteristic of APD.

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Dowling, Mitchell J., und Debra J. Rickwood. „Experiences of Counsellors Providing Online Chat Counselling to Young People“. Australian Journal of Guidance and Counselling 24, Nr. 2 (20.01.2014): 183–96. http://dx.doi.org/10.1017/jgc.2013.28.

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Online counselling is a rapidly growing field and, while there is emerging evidence of its comparative effectiveness, there has been little research into what techniques are being applied in practice and which clients will most likely benefit from this medium. Using a focus group methodology, this study examines the experiences of 19 online clinicians employed by a youth mental health service, investigating their perception of online clients, views on their counsellor roles, the approaches and techniques they employ, and the unique aspects of counselling in an online environment. Overall, online clinicians perceived their clients as presenting with highly complex problems and a high level of psychological distress. They noted online clients would most often use the service once or twice, and that some would use online chat as an adjunct to face-to-face counselling. The online clinicians described various roles, including: assessments, gatekeeping, providing emotional support, and therapeutic interventions. According to the online clinicians, they used a variety of techniques online, but favoured person-centred techniques, as these helped keep the clients engaged with the service. Areas of further research and implications for practice are discussed.

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Gallagher, Bridget, Sharon T. Cameron, Alison Craig, Annette Gallimore und Fatim Lakha. „Antenatal contraception counselling and provision of contraception after delivery for first-time young mothers enrolled with a Family Nurse Partnership programme“. BMJ Sexual & Reproductive Health 45, Nr. 4 (07.08.2019): 243–48. http://dx.doi.org/10.1136/bmjsrh-2018-200214.

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ObjectiveTo evaluate antenatal contraceptive counselling and provision of postpartum contraception on contraceptive choices of first-time teenage mothers enrolled with a Family Nurse Partnership (FNP) programme.DesignHealth service research evaluation.PopulationCohort of FNP clients (n=195), Scotland, UK.MethodsAntenatal contraceptive counselling and provision of chosen method from the hospital. Evaluation consisted of (i) self-administered questionnaires of FNP clients and (ii) interviews with FNP clients and FNP nurses.Main outcome measuresFNP client views on intervention. Secondary outcomes included: contraceptive choice antenatally, at day 10 postpartum, 3 and 12 months after delivery, and views of FNP nurses on the intervention.ResultsAntenatal questionnaires were completed by 118/195 (61%) clients. 96/118 (81%) agreed that it was very or quite helpful to receive antenatal contraceptive counselling and 80/118 (68%) were planning to use a long-acting reversible method of contraception (LARC). 97/121 (80%) wished to receive contraception before leaving the hospital. 104/195 (53%) completed a questionnaire at day 10 postpartum, of which 33 (32%) indicated that they had received contraception from the hospital. FNP nurses expressed frustration when contraception was not provided; this was usually attributed to the busy workload of the maternity department.ConclusionsAntenatal contraceptive counselling was appreciated by FNP clients and they expressed a preference for contraception provision following delivery. Over two-thirds planned to use a LARC method but many did not receive this from the hospital. Further interventions are required to ensure that the provision of postpartum contraception is prioritised for this group of young women.

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Chen, Charles J. P., Xijia Su und Xi Wu. „Auditor Changes Following a Big 4 Merger with a Local Chinese Firm: A Case Study“. AUDITING: A Journal of Practice & Theory 29, Nr. 1 (01.05.2010): 41–72. http://dx.doi.org/10.2308/aud.2010.29.1.41.

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SUMMARY: This study examines auditor-client relationships following the high-profile merger of a local Chinese audit firm, Da-Hua CPAs, with a Big 4 firm, Ernst & Young, to create EYDH in early 2002. Of the 46 domestically listed clients Da-Hua had at the time of the merger, 30 switched to other audit firms during 2002–04. This large loss of clients could be attributed either anecdotally to a lack of post-merger managerial and cultural congruence, or to a lack of demand for high quality audits. We examine 11 (13) switching clients in 2002 (2004) as early (late) switchers. Although our archival analyses suggest that the switching decisions of early switchers are more likely to be explained by common factors such as changes in client structural characteristics, post-merger client portfolio management, and client-auditor friction over accounting treatments, late switchers do not differ from late non-switchers in terms of these factors. However, we find some time-serial evidence that late switchers follow their audit partners to a local audit firm mainly for greater discretion over financial reporting. Further, semi-structured focused interviews reveal that late switchers found it difficult to adapt to EYDH’s practices which, in their view, were less cooperative and too risk aversive. Overall, the results of our case study are consistent with the notion that clients switch from Big 4 to local firms mainly for more lenient audit treatments.

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Stubbs, Joanne M., und Helen M. Achat. „Health home visiting for vulnerable families: what has occurred and what is yet to arrive?“ Australian Journal of Primary Health 18, Nr. 1 (2012): 23. http://dx.doi.org/10.1071/py11035.

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Sustained health home visiting (SHHV) is a valuable means of implementing early intervention for vulnerable families with infants or young children. This first of a two-part report describes clients and identifies nurses’ activities with or on behalf of clients as part of a pilot SHHV program undertaken within a socioeconomically disadvantaged suburban area of Sydney, New South Wales, Australia. A forthcoming report describes the results of the intervention. Child and family health nurses visited vulnerable clients who were pregnant and/or had an infant aged 36 months or younger. Interventions consisted of direct and indirect (i.e. services involving a third party) client contact. Nurses documented all activities undertaken with or on behalf of clients using pre-determined codes. Over 29 months, the program accepted 136 referrals and 118 (87%) consented to the evaluation. Families had a mean of eight risk factors, which commonly included current mental health symptoms or disorders (49%), a history or current experience of domestic violence (51%) and being known to the Department of Community Services (40%). Nurses’ most frequent interventions addressed the main carer’s emotional and health needs, and infant development. Clients’ level of need required coordinated care from a specialised multidisciplinary team, which was unavailable to program clients and their families.

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Aaltonen, Sanna, Päivi Berg und Sakari Karvonen. „Affordances of Welfare Services – Perspectives of Young Clients“. Nordisk välfärdsforskning | Nordic Welfare Research 2, Nr. 01 (05.09.2017): 30–38. http://dx.doi.org/10.18261/issn.2464-4161-2017-01-04.

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Bates, Timothy, und Alicia Robb. „Analysis of young neighborhood firms serving urban minority clients“. Journal of Economics and Business 60, Nr. 1-2 (Januar 2008): 139–48. http://dx.doi.org/10.1016/j.jeconbus.2007.09.004.

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Mansell, Nicky. „The privilege of connecting with your clients“. Veterinary Record 181, Nr. 9 (01.09.2017): 246.3–246. http://dx.doi.org/10.1136/vr.j4082.

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Liddiard, Mark, und Susan Hutson. „Homeless Young People and Runaways—Agency Definitions and Processes“. Journal of Social Policy 20, Nr. 3 (Juli 1991): 365–88. http://dx.doi.org/10.1017/s0047279400018924.

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ABSTRACTThis article looks at the problems of youth homelessness and running away, and analyses how the agencies who deal with these problems define them. Based on extensive research material, it presents three main findings. It illustrates that agencies appear to present the problems with which they deal to an outside audience, externally, in a number of different ways and that these statements do not depend solely on the characteristics of their clients. Instead, they also reflect the structure, purpose and resources of the involved agencies themselves. Additionally, however, agencies also appear to categorise their potential clients internally, in terms of who they can and cannot assist. To help reach these decisions, many of these organisations use a set of classifications linked to whether or not they perceive their potential clients to be deserving or undeserving. The paper concludes with the recognition that these labels are not in any way fixed. Rather, there are identifiable processes involved in these classifications.

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Pomerance, Philip L. „The Ethical Health Lawyer“. Journal of Law, Medicine & Ethics 33, Nr. 2 (2005): 375–79. http://dx.doi.org/10.1111/j.1748-720x.2005.tb00503.x.

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Health care may be the most regulated industry in the United States, at least in terms of the volume of State and Federal laws and regulations that affect business practices. Lawyers who counsel health care clients often face a dilemma: is the client seeing legitimate advice about the legal limitations on his or her conduct, or is the client seeking to use the lawyer's skills to evade the law? The history of health care fraud prosecutions involving lawyers and other professional advisors in recent years makes this an issue of more than academic interest. The well publicized case of U.S. v. Anderson, in which health care counsel faced charges as co-defendants for purported kickback violations, the recent prosecution of Ernst & Young for allegedly aiding Medicare fraud on behalf of client hospitals, and the recent indictment and conviction of an in-house lawyer in a national durable medical equipment fraud case, make clear that the wrongful use of legal advice by health care clients can lead to significant criminal and civil charges against attorneys.

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Berg, Insoo Kim, und Peter De Jong. „Solution-Building Conversations: Co-Constructing a Sense of Competence with Clients“. Families in Society: The Journal of Contemporary Social Services 77, Nr. 6 (Juni 1996): 376–91. http://dx.doi.org/10.1606/1044-3894.934.

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The authors examine the social constructionist nature of solution-focused therapy. The therapy's components are illustrated through the presentation of a first-session conversation between Insoo Kim Berg as therapist and a 19-year-old mother, who states that she is “stressed out and depressed.” As the conversation develops, the young mother's sense of herself changes and the integration of the therapy's components become apparent. Next, existing outcome research is reviewed. Although descriptive in nature and limited in scope, research suggests positive outcomes for diverse clients and presenting problems. Finally, several connections are made between solution-focused procedures and social constructionist theory: the social construction of reality, language as the medium and substance of meaning, client change through the construction of new meanings, the client as expert, taking a collaborative stance, reflexivity, drawing on client strengths, and solutions as co-constructions.

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Browning, Christine. „Therapeutic Issues and Intervention Strategies with Young Adult Lesbian Clients:“. Journal of Homosexuality 14, Nr. 1-2 (03.09.1987): 45–52. http://dx.doi.org/10.1300/j082v14n01_04.

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Gibson, Kerry, und Claire Cartwright. „Young clients' narratives of the purpose and outcome of counselling“. British Journal of Guidance & Counselling 42, Nr. 5 (19.06.2014): 511–24. http://dx.doi.org/10.1080/03069885.2014.925084.

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Hafiz, SULEIMAN Femi. „AGE AND GENDER SENSITIVITIES TO CONTINGENCY MANAGEMENT AND TOKEN REINFOREMENT STRATEGIES ON SELF CONTROL LEVELS OF REMAND HOME INMATES IN NIGERIA.“ International Journal for Innovation Education and Research 5, Nr. 5 (31.05.2017): 166–83. http://dx.doi.org/10.31686/ijier.vol5.iss5.729.

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The study examined Age and Gender Sensitivities to Contingency Management and Token Reinforcement strategies on Self Control levels of Remand home inmates in Nigeria.The study adopted the quasi-experimental non-organized pre-test, post-test and control group involving 3x2 factorial designs. The participants were randomly assigned to three groups. Seventy two (72) clients formed the sample for the study. Three remand homes- Akure (Ondo state), Osgbo (Osun state) and Ibadan (Oyo state) were purposively sampled for the study. The clients were randomly assigned to two treatment groups and a control group. The first group was treated with Contingency Management while the second with Token reinforcement and the third served as control. Self Control Scale (SCS) was employed in gathering data and descriptive statistics, ANCOVA, and scheffe posthoc analysis were used to analyze the data. The result revealed that both Contingency Management and token reinforcement strategies were adequately effective therapies in enhancing self control levels of the clients. However no significant difference on the self-control levels of male and female was found as well as that of old and young clients, this implies that both male and females as well as old and young clients are sensitive to Contingency Management and Token Reinforcement strategies. On the basis of these findings, it was highly recommended that government at various levels should employ well trained counseling psychologies who are competent in the use of various behavior modification techniques in solving different maladjustment problems among our youths and clients should avail the opportunity of the training exposed to at various homes and realized that both male and female clients deserve the treatment while the old and the young clients need treatment equally. Though the level of their involvement on delinquent behavior differ from one another, however, both need adequate and qualified counseling psychologies in behavior modification techniques

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Corwin, Maria DeOca. „Early Intervention Strategies with Borderline Clients“. Families in Society: The Journal of Contemporary Social Services 77, Nr. 1 (Januar 1996): 40–49. http://dx.doi.org/10.1606/1044-3894.837.

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The author discusses the treatment needs of the young, self-destructive, unstable borderline client. A practice approach reformulated on the basis of recent research findings on borderline developmental history and course of illness is presented. This approach employs strategies derived from trauma recovery and brief treatment to address self-destructveness and high rates of attrition in this clinic population as well as the demands of managed mental health care for briefer, more effective treatment. Pragmatic goals and structured, focused interventions for initial contacts or the early stage of treatment are outlined and illustrated.

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Gamage, Deepa G., Candice A. Fuller, Rosey Cummings, Jane E. Tomnay, Mark Chung, Marcus Chen, Cameryn C. Garrett, Jane S. Hocking, Catriona S. Bradshaw und Christopher K. Fairley. „Advertising sexual health services that provide sexually transmissible infection screening for rural young people - what works and what doesn't“. Sexual Health 8, Nr. 3 (2011): 407. http://dx.doi.org/10.1071/sh10144.

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Background ‘TESTme’ is a sexually transmissible infection (STI) screening service for Victorian young people living in rural areas. We evaluated the effectiveness of advertising for this service over an 11-month pilot period. Methods: The advertising that was used included websites, a Facebook page, posters, flyers, business cards, wrist bands and professional development sessions for health nurses that occurred throughout the pilot period. We also used once-off methods including advertisements in newspapers, student diaries and short messages to mobile phones. Results: Twenty-eight clients had a consultation through TESTme. Twenty found the service through health professionals, six through the Melbourne Sexual Health Centre (MSHC) web page, one through the Facebook page and one through the student diary. The total direct costs incurred by the centre for advertising were $20 850. The advertising cost per client reached for each advertising method was $26 for health professionals, $80 for the MSHC web advertisement, $1408 for Facebook and $790 for the student diary. Other advertising methods cost $12 248 and did not attract any clients. Conclusion: Advertising STI health services for rural young people would be best to focus on referrals from other health services or health care websites.

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Newman, Sally, und Christopher Ward. „An Observational Study of Intergenerational Activities and Behavior Change in Dementing Elders at Adult Day Care Centers“. International Journal of Aging and Human Development 36, Nr. 4 (Juni 1993): 321–33. http://dx.doi.org/10.2190/7pn1-l2e1-ulu1-69ft.

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This study investigated whether dementing adult day care clients demonstrate consistent positive behaviors (i.e., eye contact, smiling, attentiveness, etc.) during structured, weekly activities with young children that these adults do not demonstrate during similar activities when the young children are not present. The study built on a preliminary informal study conducted in conjunction with an intergenerational adult day care project. Participants for the study were twenty-one adult day care clients who have behavioral characteristics of Alzheimer's or related disorders. The study involved five consective weeks of planned, structured music activities prepared by a musical therapist as part of the regular intergenerational activities of the adult day care center. The same activities were repeated twice in the same day at each site, once with children present and once without them present. Two fixed videotape cameras recorded client behaviors in three-minute segments. Scoring was completed by trained, “blind” scorers. The scorers tallied positive behaviors by individuals for randomly selected ten-second segments of the taped intervals. Sessions with and without children were compared using non-parametric tests. Categories of behaviors were compared and specific observed behavioral changes were reported.

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Kluczyńska, Joanna. „Selected aspects of shaping the adulthood attributes of clients in social work“. Studia z Teorii Wychowania XII, Nr. 2(35) (01.07.2021): 115–29. http://dx.doi.org/10.5604/01.3001.0015.0459.

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The article presents the elements of social work, which are important for shaping the aspects of clients' adulthood. The methods, techniques and forms of help should mobilize the client to be active and independent. In the process of help, it is important to build a mutual relationship between a social worker and a client based on the treating as a subject, showing respect and listening. Such an attitude towards the assisted person is aimed at strengthening him/her on the way to regain control over his/her own life, to build a faith in his/her own possibilities and to take responsibility for his/her own fate and the fate of people dependent on the client. The social worker participates also in the process of empowering young people, who are brought up in foster care, and in the case of children from dysfunctional families, the social worker makes sure that they are not overwhelmed by the challenges of adulthood.

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Smith, Jessica L., und Michael T. Kalkbrenner. „Young Adults’ Attitudes About Corporal Punishment: Implications for Mental Health Counseling“. Journal of Mental Health Counseling 42, Nr. 3 (22.06.2020): 251–64. http://dx.doi.org/10.17744/mehc.42.3.05.

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Corporal punishment, defined as the application of physical pain (e.g., spanking, slapping, or grabbing) to decrease a child’s undesirable behavior, is associated with negative mental health outcomes. Clients may present to mental health counselors with concerns that stem from their experience of corporal punishment. Mental health counselors work to prevent deleterious consequences of corporal punishment through the provision of psychoeducation on effective parenting strategies. Given that young adults are the largest group of prospective parents in the United States, the present investigators examined attitudes about the utility of corporal punishment as a disciplinary strategy among young adults who do not have children. Results revealed differences in the rates of endorsement of corporal punishment as a disciplinary strategy by gender and ethnicity. Higher rates were found among young adults who identified as male and those who identified as White relative to those who identified as female and those who identified as Latinx, respectively. These findings have a number of implications for challenging stereotypes (e.g., that Latinx clients endorse corporal punishment at higher rates than clients who identify as White) and enhancing mental health counselors’ prevention efforts (e.g., targeting attitudes about corporal punishment among those likely to become parents).

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Arcuri, Anthony J., John Howard, Melissa Norberg, Jan Copeland und Barbara Toson. „Young Cannabis Users in Residential Treatment: As Distressed as Other Clients“. Substance Use & Misuse 46, Nr. 10 (26.05.2011): 1335–45. http://dx.doi.org/10.3109/10826084.2011.580034.

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Jerrell, Jeanette M. „Effect of ethnic matching of young clients and mental health staff.“ Cultural Diversity and Mental Health 4, Nr. 4 (1998): 297–302. http://dx.doi.org/10.1037/1099-9809.4.4.297.

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Adam-Terem, Rosemary. „Lasting Change—An Empirically Based Approach for Therapy With Young Clients“. Contemporary Psychology: A Journal of Reviews 33, Nr. 9 (September 1988): 799–800. http://dx.doi.org/10.1037/026007.

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Garrett, Cameryn C., Maggie Kirkman, Marcus Y. Chen, Rosey Cummings, Candice Fuller, Jane Hocking, Jane E. Tomnay und Christopher K. Fairley. „Clients' views on a piloted telemedicine sexual health service for rural youth“. Sexual Health 9, Nr. 2 (2012): 192. http://dx.doi.org/10.1071/sh11022.

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Background Given the high rate of sexually transmissible infections among young people and limited rural access to specialist healthcare, an Australian telemedicine service was piloted. Clients’ views were investigated. Methods: All clients aged 15–24 were given a questionnaire. A sub-sample was interviewed. Results: The service was used by 25 rural youths aged 15–24; 18 returned the questionnaire, 4 were interviewed. All had a telephone consultation. They reported being satisfied with the service; most preferred the telemedicine service to consulting a doctor in person. Conclusions: Online video consultations for sexual health may not yet be accep to young people in Australia.

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Tuominen, Tiina, und Mervi Hasu. „Public servants coping with competing demands on their agency in client relationships“. International Journal of Public Sector Management 33, Nr. 5 (04.06.2020): 595–611. http://dx.doi.org/10.1108/ijpsm-05-2019-0120.

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PurposeThis paper analyzes how public servants who work with young people discursively cope with competing demands on their agency, defined as their orientation toward and capabilities to influence their clients. Previous studies revealed how public servants treat their clients when facing competing demands but paid less attention to how public servants define their agency.Design/methodology/approachMicro-level discourse analysis is applied to analyze how public servants represent their agency in client relationships, drawing on interviews with nine individuals in a Finnish city who work with young people lacking jobs or school placements.FindingsInstead of describing their agency coherently, the interviewees applied several discourses to represent their agency differently in relation to different demands. This ability to navigate contradictory discourses is discussed as reflexive discursive coping strategy, which enables public servants to maintain a positive image of their agency despite tensions at work.Research limitations/implicationsAlthough the method does not allow direct generalizations, it reveals discursive strategies likely to be found in many contemporary public organizations.Practical implicationsThe study indicates a need to better acknowledge and nurture the multifaceted nature of agency to improve service quality.Originality/valueThe findings deepen the view on tensions in public servants' work and show that diverse discourses not only create anxiety but also help individuals dealing with contradictory work.

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Mulugeta, Betebebu, Meseret Girma, Gemechu Kejela, Feleke Gebre Meskel, Eshetu Andarge und Eshetu Zerihun. „Assessment of Youth-Friendly Service Quality and Associated Factors at Public Health Facilities in Southern Ethiopia: A Facility-Based Cross-Sectional Study“. BioMed Research International 2019 (23.05.2019): 1–11. http://dx.doi.org/10.1155/2019/9696278.

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Background. Evidence shows that services for youths are poorly coordinated and uneven in quality. There is a lack of evidence which informs the level of youth-friendly service quality in the study area. So, this study fills the information gaps and recommends practical solutions. Objective. The main aim of the study was to assess youth-friendly service quality and associated factors at public health facilities in Arba Minch town, Southern Ethiopia. Methods. Facility-based quantitative cross-sectional study supplemented with the qualitative design was conducted from September to December 2017 at two public health centers in Arba Minch town. Sample sizes of 403 young clients were included in the study using a systematic sampling technique. Data was collected by using an interview-administered questionnaire and observation checklist. Quantitative data analysis was made using SPSS version 20.0 to identify the association between the dependent and independent variables. Qualitative findings were coded and analyzed by using content analysis in Microsoft Excel. Finally, results are presented using narrations, tables, and figures. Results. A total of 403 youth-friendly service clients participated in the study. The overall score input, process, and youth clients’ satisfaction was 54.41%, 42.0%, and 49.1%, respectively. Age (15-19) [AOR (95% CI) = 3.2 (1.4-7.8)], employment [AOR (95% CI) = 6.4 (2-17)], place of YFS [AOR (95% CI) = 0.35 (0.1-0.8)], frequency of visit [AOR (95% CI) = 0.03 (0.0-0.3)], waiting time [AOR (95% CI) = 0.02 (0.0-0.09)], and comfort with providers’ sex [AOR (95% CI) = 0.07 (0.02-0.2)] were factors which are significantly associated with client satisfaction in this study. Conclusion and Recommendation. The study revealed that the overall quality of youth-friendly health service is below-set criteria (not good quality) in its all components, i.e., structural, process, and output. So, improvement of facility setup, client-provider interaction, and service sensitivity to all young groups and waiting time of services is essential.

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Kenny, Amanda, Susan Kidd, Jenni Tuena, Melanie Jarvis und Angela Roberston. „Falling Through the Cracks: Supporting Young People with Dual Diagnosis in Rural and Regional Victoria“. Australian Journal of Primary Health 12, Nr. 3 (2006): 12. http://dx.doi.org/10.1071/py06040.

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Research has indicated that people with a dual diagnosis of mental illness and substance abuse are more difficult to manage than any other group of mentally ill clients. For young people with a dual diagnosis, particularly in rural and regional areas, there are significant barriers to the provision of optimal care. Currently, a lack of communication between mental health, drug and alcohol services and consumers results in the inadequate provision of treatment for young people, with a resultant significant service gap. Dual diagnosis programs that focus on both substance abuse and mental health issues demonstrate greatly improved client outcomes. Developing a peer education program provides one constructive way of involving dual diagnosis consumers in developing more responsive health services. It provides a highly structured and supported way of involving consumers who ordinarily find mental health services bewildering and inaccessible. By drawing on the knowledge and skills of young people with dual diagnosis, and involving them as peer educators, the notion of expertise in lived experience is captured and harnessed to provide the establishment of a consumer-focused service that better meets the needs of this complex, often neglected, client group.

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Missiuna, Cheryl, und Nancy Pollock. „Perceived Efficacy and Goal Setting in Young Children“. Canadian Journal of Occupational Therapy 67, Nr. 3 (April 2000): 101–9. http://dx.doi.org/10.1177/000841740006700303.

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One of the central tenets of client-centred occupational therapy is to enable clients to select goals to work on in therapy (Law, 1998). The process of identifying and prioritizing goals is fairly abstract, therefore occupational therapy goals for children are often prescribed by the therapist or by parents and teachers. The purpose of this study was to pilot test a measure and a process that would provide young children with the opportunity to assess their performance on daily tasks and to establish goals for occupational therapy intervention. Parents and children completed the Perceived Efficacy and Goal Setting System (PEGS), a measure of children's perception of their competence performing fine and gross motor tasks. Children 5–9 years of age were able to discriminate among tasks and to rate whether or not they were able to perform each task competently. They were also able to use this information to select and prioritize goals for intervention. While parents often rated the child's competence lower than the child did, there was a high level of agreement regarding which tasks were difficult for the child. Parents and children often did not agree about the specific selection or priority of these tasks for intervention, however, which highlights the need for further research.

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Sussman, Joleen Carol, und William Ming Liu. „Perceptions of two therapeutic approaches for palliative care patients experiencing death anxiety“. Palliative and Supportive Care 12, Nr. 4 (06.08.2013): 251–60. http://dx.doi.org/10.1017/s1478951513000199.

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AbstractObjective:Evidenced-based psychotherapies are not well researched for palliative care patients experiencing unrelenting anxiety about dying, even less research is focused on young adult palliative care patients with death anxiety. The aim of this study is to provide preliminary data regarding potential clients' perceptions of using evidenced based treatments with dying populations who are experiencing death anxiety.Methods:104 college students were used as potential clients and randomly assigned to watch either a short video of a cognitive therapy (CT) session or of an acceptance and commitment therapy (ACT) session focused on treating a young adult diagnosed with an acute lymphoid leukemia expressing death anxiety. After watching the video, potential clients rated the session impact of the therapy approach using the Session Evaluation Questionnaire.Results:No differences in ratings of session impact were found between potential clients who viewed the CT session and the ACT session. In regards to potential clients' views of session impact variables, their view of session smoothness was positively related to their post-session positivity, but inversely related to their view of session depth. Additionally, a positive correlation was found between potential clients' views of the therapist and session depth.Significance of results:This preliminary study suggests that palliative care patients expressing death anxiety may benefit from either ACT or CT for death anxiety, however, future research is needed to explore the usefulness of each approach. Findings of this study support the theory that ACT and CT are viewed to have a similar session impact in the palliative care population.

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Van Vliet, K., und Genevieve Kalnins. „A Compassion-Focused Approach to Nonsuicidal Self-Injury“. Journal of Mental Health Counseling 33, Nr. 4 (29.09.2011): 295–311. http://dx.doi.org/10.17744/mehc.33.4.j7540338q223t417.

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Mental health counselors working with adolescents and young adults often encounter nonsuicidal self-injury. Compassion-focused therapy (CFT), a form of cognitive behavioral therapy designed to help people relate to themselves with greater compassion, is proposed as an approach for addressing the most common underlying functions of nonsuicidal self-injury. This article reviews the theoretical underpinnings and goals of CFT and discusses how it can be used in counseling clients who self-injure. It describes strategies and techniques that target client attention, imagery, feeling, thinking, and behaviors and offers guidelines and considerations for using compassion-focused interventions for nonsuicidal self-injury.

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Guterman, Neil B., und Mark Cameron. „Young clients' exposure to community violence: How much do their therapists know?“ American Journal of Orthopsychiatry 69, Nr. 3 (Juli 1999): 382–91. http://dx.doi.org/10.1037/h0080412.

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Sackett, Corrine R., und Ryan M. Cook. „An Exploration of Young Clients' Experiences in Counseling With Post‐Master's Counselors“. Journal of Counseling & Development 99, Nr. 1 (10.12.2020): 72–83. http://dx.doi.org/10.1002/jcad.12355.

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Knibbs, Catherine, Stephen Goss und Kate Anthony. „Counsellors' Phenomenological Experiences of Working with Children or Young People who have been Cyberbullied“. International Journal of Technoethics 8, Nr. 1 (Januar 2017): 68–86. http://dx.doi.org/10.4018/ijt.2017010106.

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There is currently a large body of quantitative evidence to support the prevalence of cyberbullying behaviours, however operationalising the term and measuring this consistently is proving difficult. Aim: The present study aimed to explore qualitatively how counsellors define, understand and work with this issue with clients. Method: Six child counsellors were interviewed about their experiences of working with clients who had been cyberbullied. Analysis: Data was analysed using Braun and Clarke's (2006) thematic analysis. Results: Seven themes emerged with three sub-themes arising from these. Discussion: The research provides a balanced argument for appropriate training and continuing professional development for counsellors and supervisors working with this issue.

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Yusri, Fadilla. „Pemanfaatan Model-model dalam Pelayanan Konseling untuk Membentuk Generasi Berkarakter Bebas Narkoba“. Jurnal Konseling dan Pendidikan 2, Nr. 3 (30.11.2014): 17. http://dx.doi.org/10.29210/110200.

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One of the unsettling society not only in Indonesia but also in the rest of the world is the circulation of drugs, especially among students. Not only consume, nowadays there are also students and the young generation which helped distribution, ranging from airport to the courier. Drug abuse is a social problem that always comes up in the midst of the community. Drug circulation increasingly bolder worrying; drugs became one of the nation's character Assassin. Indonesia was in a crisis of character. The spread of drug prevention efforts among the younger generation is supposed to be a shared responsibility, in this case all parties including parents, teachers, and the public should be aware of are active in contributing to the threat of drugs towards the younger generation. One way is to establish and improve the character of the young generation is by providing help through counseling. Counseling counselor should be done through a clear procedure, so that the process happens more effectively and right on target. Counselling is not solely the verbal sentence formulation, but also load the roles that run by counsellors and clients, the procedure is, and the behavior of clients that will be transformed in the process. Because of that in providing services to the client whether or not there are nine Sha-counseling model that can be used by counselors.

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Katamba, Cibangu. „Healthcare providers’ perspective on barriers to optimal HIV index testing: an interview-based study“. F1000Research 9 (19.10.2020): 1258. http://dx.doi.org/10.12688/f1000research.26378.1.

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Background: HIV testing services (HTS) and antiretroviral therapy have seen a substantial scale-up. Poorly targeted HTS have continued to miss people living with HIV who do not know their HIV status. This requires new and targeted approaches to reach undiagnosed people with HIV, such as HIV partner services. The aim of this study was to assess the barriers to optimal index testing for improved HIV testing yield in Lusaka, Zambia. Methods: One-to-one interviews were conducted with index testing providers to explore provider-related and client-related barriers to testing, and document other experiences arising during the process of HIV index testing. An interview guide was utilized for consistency of information collected. Results: Provider related challenges included inadequate elicitation skills among healthcare workers; low number of volunteers trained in index testing; inadequate index testing knowledge among staff; limited elicitation of index partners to only wife and husband (not eliciting all sexual partners); and limited transport for contact tracing. On the other hand, client-related challenges were mobile communities due to seasonal activities such as cross boarder trades, sex work and farming; some key populations and adolescent index clients do not have contact details for their casual relationships; provider’s age or gender difference for some clients; missing details on client locator forms or wrong details provided; and limited space dedicated to conduct elicitation of index clients. Discussion: The challenges identified have future implications for index partner testing. These barriers were also gender and age specific. HIV testing services need to adapt to the social context of Zambia where HIV-related stigma and discrimination is still persistent and overwhelming. As Zambia makes significant progress towards achieving HIV epidemic control, more effort is needed to reach specific high risk but hard to reach populations in HIV programs, such as men and adolescent girls and young women.

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Makoni, Talent M., Pruthu Thekkur, Kudakwashe C. Takarinda, Sinokuthemba Xaba, Getrude Ncube, Nonhlahla Zwangobani, Julia Samuelson et al. „Linkage of voluntary medical male circumcision clients to adolescent sexual and reproductive health (ASRH) services through Smart-LyncAges project in Zimbabwe: a cohort study“. BMJ Open 10, Nr. 5 (Mai 2020): e033035. http://dx.doi.org/10.1136/bmjopen-2019-033035.

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ObjectivesWHO recommended strengthening the linkages between various HIV prevention programmes and adolescent sexual reproductive health (ASRH) services. The Smart-LyncAges project piloted in Bulawayo city and Mt Darwin district of Zimbabwe established a referral system to link the voluntary medical male circumcision (VMMC) clients to ASRH services provided at youth centres. Since its inception in 2016, there has been no assessment of the performance of the referral system. Thus, we aimed to assess the proportion of young (10–24 years) VMMC clients getting ‘successfully linked’ to ASRH services and factors associated with ‘not being linked’.DesignThis was a cohort study using routinely collected secondary data.SettingAll three VMMC clinics of Mt Darwin district and Bulawayo province.Primary outcome measuresThe proportion of ‘successfully linked’ was summarised as the percentage with a 95% CI. Adjusted relative risks (aRR) using a generalised linear model was calculated as a measure of association between client characteristics and ‘not being linked’.ResultsOf 1773 young people registered for VMMC services, 1478 (83%) were referred for ASRH services as they had not registered for ASRH previously. Of those referred for ASRH services, the mean (SD) age of study participants was 13.7 (4.3) years and 427 (28.9%) were out of school. Of the referred, 463 (31.3%, 95% CI: 30.0 to 33.8) were ‘successfully linked’ to ASRH services and the median (IQR) duration for linkage was 6 (0–56) days. On adjusted analysis, receiving referral from Bulawayo circumcision clinic (aRR: 1.5 (95% CI: 1.3 to 1.7)) and undergoing circumcision at outreach sites (aRR: 1.2 (95% CI: 1.1 to 1.3)) were associated with ‘not being linked’ to ASRH services.ConclusionLinkage to ASRH services from VMMC is feasible as one-third VMMC clients were successfully linked. However, there is need to explore reasons for not accessing ASRH services and take corrective actions to improve the linkages.

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Struthers, Ashley, Catherine Charette, Sunita Bayyavarapu Bapuji, Shannon Winters, Xibiao Ye, Colleen Metge, Sara Kreindler et al. „The Acceptability of E-mental Health Services for Children, Adolescents, and Young Adults: A Systematic Search and Review“. Canadian Journal of Community Mental Health 34, Nr. 2 (01.07.2015): 1–21. http://dx.doi.org/10.7870/cjcmh-2015-006.

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This paper presents the findings of a systematic search and review examining the acceptability of e-mental health services for children, adolescents, and young adults and their parents and healthcare providers. Multiple databases were searched and abstracts were screened to determine if they met study inclusion criteria. Findings from included studies were synthesized within five dimensions of acceptability: satisfaction, client expectations, uptake, adherence and patient/provider experiences. Twenty-four studies were included, and findings suggest that although clients are generally satisfied with e-mental health and report positive experiences, adherence and uptake can be challenges. In conclusion, e-mental health appears to be an acceptable intervention option for children, adolescents, and young adults and their parents and healthcare providers. Further research is needed to better understand the effectiveness and acceptability of e-mental health for this population, including adherence, patient and provider experiences and integration into existing health systems.

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Sauter, Floor M., David Heyne, Anke W. Blöte, Brigit M. van Widenfelt und P. Michiel Westenberg. „Assessing Therapy-Relevant Cognitive Capacities in Young People: Development and Psychometric Evaluation of the Self-Reflection and Insight Scale for Youth“. Behavioural and Cognitive Psychotherapy 38, Nr. 3 (12.04.2010): 303–17. http://dx.doi.org/10.1017/s1352465810000020.

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Background: The effectiveness of cognitive-behaviour therapy with young people may be influenced by a young person's capacity for self-reflection and insight. Clinicians who assess clients' proficiencies in these cognitive capacities can better tailor cognitive and behavioural techniques to the client, facilitating engagement and enhancing treatment outcome. It is therefore important that sound instruments for assessing self-reflection and insight in young people are available. Aims: The aim of the current study was to translate and adapt the Self-Reflection and Insight Scale (SRIS) for use with a child and adolescent population (Study 1), and to evaluate the psychometric properties of the resulting measure, the Self-Reflection and Insight Scale for Youth (SRIS-Y; Study 2). Method: In Study 1 (n = 145), the comprehensibility of the SRIS-Y was assessed in a community sample of children and adolescents. Study 2 (n = 215) then explored the reliability and structural, convergent, and divergent validity of the SRIS-Y. Results: The SRIS-Y was found to be comprehensible to young people, and had good reliability and structural validity. Conclusions: It appears that the SRIS-Y is a sound instrument for assessing therapy-relevant cognitive capacities in young people, of potential benefit in both research and clinical contexts. Future research foci include the predictive validity of the instrument.

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Varma, Rick, Charles Chung, Amanda Townsend und Melissa Power. „Sexual health-related information delivery – are patient information leaflets still relevant?“ Sexual Health 13, Nr. 3 (2016): 289. http://dx.doi.org/10.1071/sh15205.

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Background Patient information leaflets (PILs) are widely utilised within publically funded sexual health clinics to deliver sexual health-related information (SHRI); however, their continued value to clients in the era of social media is unclear. This study aimed to evaluate clients’ opinions on three newly developed PILs and examine client views on other forms of SHRI delivery. Methods: An anonymous self-administered questionnaire was completed by clients attending the Western Sydney Sexual Health Centre (WSSHC) in 2012. High-risk population (HRP) vs non-high-risk population (non-HRP) views on PILs vs alternative methods of SHRI delivery were analysed by using Mann–Whitney U, Wilcoxon, McNemar and χ2 tests. Results: Over half (210/315; (67%)) of the consecutive clients from a culturally diverse population completed the survey. Sex workers (SW) and young people (YP) were significantly likely to have a high school education than non-HRP (P < 0.039 and P < 0.032). Overall, PILs, a clinic website and the Sexual Health Information Link (SHIL), a state-wide website and telephone line, were ranked significantly higher as a means of SHRI delivery on a Likert scale than newer technologies including Facebook (P < 0.001), email (P < 0.001), mobile phone applications (P < 0.001), TVs in waiting rooms (P < 0.001) and business cards (P < 0.001). There was no significant difference in opinion between HRP and non-HRP. Conclusions: This study provides evidence for the ongoing use of PILs to deliver SHRI to clinic attendees, in conjunction with other forms of SHRI delivery such as websites and SHIL. Novel methods may require additional consumer engagement and a greater understanding of specific population’s needs.

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McLachlan, Niel Hugo, Lynne Eastwood und Robert D. Friedberg. „Socratic Questions With Children: Recommendations and Cautionary Tales“. Journal of Cognitive Psychotherapy 30, Nr. 2 (2016): 105–19. http://dx.doi.org/10.1891/0889-8391.30.2.105.

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This clinically focused article offers cognitive behavior therapists recommendations and cautionary tales for using the Socratic method when working with children. The importance of the therapeutic relationship in combination with developmental considerations is discussed. The use of Socratic method in various cognitive behavioral modules is illustrated by means of case examples. Dialogues provide examples of how the cognitive specificity hypothesis and downward arrow technique can be used to support young clients in eliciting negative automatic thoughts. The importance of pacing, the mixing of closed and open-ended questions, and behavioral experiments to aid cognitive restructuring are also highlighted through extracts from clinical conversations. Finally, the article emphasizes that the purpose of the Socratic method is to broaden thinking and to access new knowledge rather than just giving young clients new thoughts and problem solving strategies.

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Knutson, Douglas, und Julie M. Koch. „A Cotherapy Supervision Approach using Person-Centered Theory with a Gender Fluid Client“. Clinical Case Studies 20, Nr. 5 (17.03.2021): 368–84. http://dx.doi.org/10.1177/15346501211003157.

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The authors discuss their work with a young adult client who identified as gender fluid. The client was a college student in a rural, mid-south town. The authors are two faculty members who worked with the client for a period of 2 years using a cotherapy supervision approach. The counseling approach was affirmative and person-centered. By keeping a focus on the exploration of gender foremost, the clinicians saw an abatement of other symptoms (depression, suicidality, self-harm, disordered eating, low self-confidence, emotion dysregulation, dissociation, and so on) and an improvement in wellness (relationships, emotion regulation, self-concept, assertiveness, appropriate boundary-setting, and so on) over time. The authors offer specific interventions such as collaborative letter writing and the creation of a transition roadmap. They also highlight the advantages and utility of a collaborative, person-centered, consent-based, affirmative approach to therapy with rural transgender and nonbinary clients with complex presenting concerns.

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Derksen, Marloes E., Monique WM Jaspers, Sander van Strijp und Mirjam P. Fransen. „Mobile Health for Smoking Cessation Among Disadvantaged Young Women During and After Pregnancy: User-Centered Design and Usability Study“. JMIR Formative Research 5, Nr. 8 (04.08.2021): e24112. http://dx.doi.org/10.2196/24112.

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Background Smoking prevalence during and after pregnancy remains high among socioeconomically disadvantaged women. Mobile health (mHealth) apps with game and social support elements seem promising to support smoking cessation. Objective This study aims to describe the user-centered design and usability evaluation of Kindle, an mHealth app with game and social support elements, to support disadvantaged young women during and after pregnancy through the first stages of smoking cessation. Methods Disadvantaged women (n=9), members of their social networks (n=4), and nurses supporting these women (n=51) were informants throughout the iterative prototype development of Kindle according to the International Organization for Standardization 9241-11:2018. Specific phases included understanding the context of use through secondary analysis of qualitative interview data (phase 1), establishing the user and organizational requirements (phase 2), production of design solutions (phase 3), and usability inspection of the prototype through a heuristic evaluation (3 experts) along with user testing by a think aloud method (5 disadvantaged women and 5 nurses; phase 4). Usability problems were categorized according to the principles of the Healthcare Information and Management Systems Society. Results Phase 1 resulted in an understanding of the VoorZorg program and the needs of VoorZorg nurses and clients (eg, focus on early stages of change and building new supportive networks to aid clients in smoking cessation). In phase 2, we established requirements (n=22; eg, mHealth app, secure communication between nurses and clients, easy-to-use interfaces, inclusion of game elements, and tailoring at early stages of change in smoking cessation). Phase 3 resulted in a prototype of Kindle, combining the interface for nurses and clients, including the following functionalities: personal goal setting with earning points; secured chat function between nurses and other clients; and tips, diary, and profile creation. The heuristic evaluation and thinking aloud method in phase 4 revealed 78 usability problems in the interfaces. Most usability problems concerned simplicity (eg, unclear clickable button) and naturalness (eg, unclear icon). Conclusions The user-centered design and usability testing of the mHealth app Kindle yielded useful insights. The involvement of end users, specifically socioeconomically disadvantaged women during and after their pregnancy, resulted in a prototype that met their needs and requirements (eg, mHealth app, secure communication between nurses and clients, easy-to-use interfaces, inclusion of game elements, and tailoring to the early stages of change in smoking cessation) to achieve readiness for smoking cessation. Moreover, the usability evaluation by end users and experts revealed unique usability problems for this population. These insights allow for further optimization of Kindle and encourage future studies to engage disadvantaged populations in all phases of mHealth intervention design and usability testing.

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Delman, Jonathan, Jack A. Clark, Susan V. Eisen und Victoria A. Parker. „Facilitators and Barriers to the Active Participation of Clients with Serious Mental Illnesses in Medication Decision Making: the Perceptions of Young Adult Clients“. Journal of Behavioral Health Services & Research 42, Nr. 2 (24.07.2014): 238–53. http://dx.doi.org/10.1007/s11414-014-9431-x.

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Sniekers, Marijke, und Els Rommes. „Acting Their Age? An Intersectional Approach on Young Motherhood From Young Mothers’ Perspectives“. Affilia 35, Nr. 4 (18.02.2020): 466–84. http://dx.doi.org/10.1177/0886109920906783.

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This article challenges the assumptions in social policy and practice of how the combination of youth and motherhood is problematic and morally wrong. Using an intersectional approach, this study uncovers how young mothers’ social categories of youth and motherhood collide, concur with, or reinforce each other. The research question is the following: What are young mothers’ perceptions and practices of youth when combining youth with motherhood? The research methods include 18 months of participant observation and 41 semi-structured interviews with young mothers in the Netherlands. Analysis shows that young motherhood should not be conflated with problematic motherhood. Young mothers position themselves as “new” parents, single mothers, and working parents. Their motherhood practices illustrate adherence to an ideology of child-centered, omnipresent, and responsible motherhood. They might not be good girls, but they show they are good mothers. Young mothers navigate intersecting dimensions of youth, age, motherhood, and gender through (1) discontinuing youth practices, (2) alternating between motherhood and youthfulness, (3) transforming youth practices into young motherhood practices, and (4) reinforcing youth through young motherhood. Professionals can use the strengths of these practices more to the advantage of the youth to provide support that is tailored to clients’ needs.

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Phiri, John, Gina M. Smith, Felix Tembo, Gertrude Silungwe, Doris Ngosa Mwape, George Katyetye, Loyce Munthali et al. „Introduction of subcutaneous depot medroxyprogesterone acetate through use of community-based distributors in Zambia“. Gates Open Research 3 (28.05.2019): 1474. http://dx.doi.org/10.12688/gatesopenres.13020.1.

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Background: The majority of women in Sub-Saharan countries including Zambia use intramuscular Depot Medroxyprogesterone Acetate (DMPA IM) as their preferred method of contraception. However, nearly one-third of the women who start on DMPA IM discontinue within 12 months due to access barriers. Sayana® Press, low-dose, prefilled subcutaneous depot medroxyprogesterone acetate (DMPA-SC), suitable for even lower-level healthcare providers and potential for self-injection administration, has been developed. This pilot aimed to understand the feasibility of DMPA-SC in Zambia through use of community-based distributors (CBDs). Methods: The pilot was implemented from May 2017 to July 2017 in 29 public health facilities in three districts. A total of 161 CBDs received a comprehensive training in DMPA-SC, which included counselling about the method, potential side effects, correct administration and waste management. Post-training mentorship and supervision was conducted. Routine client level data was collected through Ministry of Health management information system. Results: During the pilot, 12,818 clients were provided with modern voluntary FP methods, with 16.4% (2,100) opting for DMPA-SC. The age range of clients opting for DMPA-SC was between 15 and 50 years, with an average of 31 years. Slightly less than half (43%) of DMPA-SC clients were adolescents and young women, with 11% aged 15–19 and 32% aged 20–24. No adverse events were reported during or immediately subsequent to the introduction of DMPA-SC administration by CBDs. Conclusion: The pilot demonstrated that CBDs can safely provide DMPA-SC at the community level with appropriate public sector coordination and oversight.

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