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Aetiology of Coexisting Mental Health and Alcohol and Other Drug Disorders: Perspectives of Refugee Youth and Service Providers 下载免费PDF全文
Miriam Posselt Nicholas Procter Cherrie Galletly Charlotte de Crespigny 《Australian psychologist》2015,50(2):130-140
In the general population, people with comorbid mental health (MH) and alcohol and other drug (AOD) disorders (comorbidity) have great difficulty accessing appropriate services, and poor outcomes. Little is known about comorbidity in resettled refugees in Australia. This study was designed to identify risk factors and patterns of comorbidity development in young people from refugee backgrounds living in a disadvantaged urban region of Adelaide, South Australia. This qualitative study utilised in‐depth semi‐structured interviews (n = 30) with resettled refugee youth and workers from MH, AOD, and refugee support services. Thematic analyses were conducted to investigate the aetiology of MH and AOD disorders in young refugees. Interviews with both groups revealed how the interrelated nature of risk factors may place young people from refugee backgrounds at heightened risk of experiencing MH and AOD problems. The situations and conditions described by both groups are discussed under six main themes: pre‐migration experiences of torture and trauma; familial factors of intergenerational conflict; post‐migration adjustment difficulties in terms of language, culture, education, and employment; exposure to and availability of substances; maladaptive coping strategies and self‐medication; and access to information and services. Implications for psychologists and MH professionals are identified, emphasising the need for clinicians to understand the complexities surrounding the aetiology of comorbidity in these youth. The initial assessment needs to be comprehensive, including pre‐ and post‐settlement experiences and cultural and family dimensions of their current situation. Treatment may often need to simultaneously address multiple contributing factors and involve culturally sensitive psycho‐education. 相似文献
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Best Practice Recommendations Still Fail to Result in Action: A National 10‐Year Follow‐up Study of Investigative Interviews in CSA Cases 下载免费PDF全文
Miriam Johnson Svein Magnussen Christian Thoresen Kyrre Lønnum Lisa Victoria Burrell Annika Melinder 《Applied cognitive psychology》2015,29(5):661-668
The present study examined a national sample of Norwegian investigative interviews in alleged child sexual abuse cases (N = 224) across a 10‐year period (2002–2012), in order to decide whether practice had improved over the decade in terms of the types of questions asked. The results indicate that the frequency of open‐ended, directive, option‐posing, and suggestive questions asked was unchanged during the 10‐year period, but that the frequency of repeated questions had increased significantly. When analyzed together with the results from a previous study of interview practice covering the period of 1990–2002, long‐term trends were found to be similarly stable, with no change in the frequency of open‐ended and suggestive questions asked over a 22‐year perspective. However, a decreasing frequency of option‐posing questions observed accompanied by an increasing frequency of directive questions may be considered a positive trend. Copyright © 2015 John Wiley & Sons, Ltd. 相似文献
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PREDICTORS OF SELF‐REPORTED GAINS IN A RELATIONSHIP‐BASED HOME‐VISITING PROJECT FOR MOTHERS AFTER CHILDBIRTH 下载免费PDF全文
Marsha Kaitz Miriam Chriki Naomi Tessler Judith Levy 《Infant mental health journal》2018,39(2):123-133
We assessed mothers’ self‐reported gains from a postpartum home‐visiting (HV) project in which home visitors are volunteer mothers from the community. Hypotheses were that gains are positively related to (a) mothers’ felt‐closeness with their home visitor, (b) mothers’ level of sociodemographic risk, and (c) the home visitors’ preproject training in support services for families or children (Professionalism). One hundred sixty‐four clients returned written evaluations of the HV project. Items assessing gains were reduced to two factors: Improved Well‐Being (“Self”) and Improved Infant Care (“Infant”). Repeated measures general linear models, with Gains (Self, Infant) as the repeated measure, and multiple regression analyses evaluated the hypotheses. Across the sample, gains on both factors were moderate, although gain scores were higher regarding Self than for Infant. Results show that (a) Mothers’ felt‐closeness with their volunteer was strongly related to mothers’ gains; (b) high‐risk mothers gained more from the project than did mothers of lower risk, particularly regarding Infant Care; and (c) mothers visited by volunteers who were professionals reported more substantial gains than did mothers visited by volunteers who were not professionals. Findings can help explain variance in mothers’ gains from such projects and could be useful in improving their efficacy. 相似文献
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Applied Research in Quality of Life - 相似文献