scholarly journals A Qualitative Evaluation of Young People’s, Parents’ and Carers’ Experiences of a National and Specialist CAMHS Dialectical Behaviour Therapy Outpatient Service

2021 ◽  
Vol 18 (11) ◽  
pp. 5927
Author(s):  
Namali Ratnaweera ◽  
Katrina Hunt ◽  
Jake Camp
Keyword(s):  
Young People ◽  
Qualitative Methodology ◽  
Outpatient Service ◽  
Qualitative Evaluation ◽  
Young Person ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Recommended Treatment ◽  
Service Data

(1) Background: Dialectical Behaviour Therapy (DBT) is the recommended treatment for Borderline Personality Disorder (BPD) symptoms in adults, however, research investigating the effectiveness of DBT for adolescents is limited. The present study explores the experiences of young people and their parents/carers of a DBT service using qualitative methodology. (2) Methods: Young people and their parents/carers, who completed DBT within the National and Specialist Child and Adolescent Mental Health DBT Service based at the Maudsley Hospital in London, were asked questions regarding their experience of the service. Data was collected from young people who completed treatment between July 2019 and July 2020 (n = 18) and their parents and carers (n = 7). (3) Results: Amongst young people, the themes identified were: a new way of living, better understanding of self, new skills, person-centred approach, and relationships with others. Parent and carer interviews revealed themes of improved relationships, feeling supported, improved quality of life, and time/timing. (4) Conclusions: Young people reported improvements in emerging BPD symptomology after completing DBT. Parents and carers reported improvements in their young person and families since starting DBT. A longer DBT programme, earlier DBT intervention, and the time-consuming nature of DBT were highlighted as areas for improvement.

scholarly journals Impact of organisational practices on the relationships between young people with disabilities and paid social support workers

2020 ◽  
pp. 146801732095435 ◽  
Author(s):  
Karen R Fisher ◽  
Sally Robinson ◽  
Kate Neale ◽  
Anne Graham ◽  
Kelley Johnson ◽  
...  
Keyword(s):  
Young People ◽  
Interpersonal Relationships ◽  
Young Person ◽  
Support Worker ◽  
Institutional Practices ◽  
Social Mapping ◽  
Supervision And Training ◽  
Interpersonal Recognition ◽  
And Training

Summary This article uses Ikäheimo’s concept of institutionally mediated recognition to explore how organisational norms and rules facilitate and constrain interpersonal recognition between a young person with disabilities and their paid support worker. The experience of recognition is important because it reflects the quality of this relationship and shapes the identity of both people in the paid support relationship. To understand the relationships between the pairs, Honneth’s interpersonal modes of recognition were applied as the theoretical lens. The data were generated from photovoice, social mapping, interviews and workshops with 42 pairs of young people and their support workers in six organisations. These data were then analysed for the ways institutional practices mediated the interpersonal relationships. Findings The findings revealed four practices in which the organisational context mediated interpersonal recognition: the support sites, application of organisation policies, practices to manage staff and practices to organise young people’s support. Some organisational practices facilitated recognition within the relationships, whereas others were viewed by the pair or managers as constraints on conditions for recognition. Some young people and support workers also exercised initiative or resisted the organisational constraints in the way they conducted their relationship. Applications The findings imply that to promote quality relationships, organisations must create the practice conditions for recognition, respond to misrecognition, and encourage practices that make room for initiative and change within the paid relationship. This requires supervision and training for and by support workers and people with disability.

Assistance to young people in choosing a profession on the example of the activities of youth clubs in St. Petersburg

2020 ◽  
pp. 81-89
Author(s):  
Anna Redyuk ◽  
Victoria Belyaeva
Keyword(s):  
Professional Development ◽  
Young People ◽  
Educational Institution ◽  
Career Path ◽  
Young Person ◽  
Economic Changes ◽  
Entire Life

One of the most important decisions that a person makes in their life is the choice of profession and career path, which will determine the quality of their entire life. A young person should choose a future profession, an appropriate educational institution, and be prepared for possible changes in the path of their professional development in connection with the General socio-economic changes in the country. This article is devoted to this problem.

Dialectical Behaviour Therapy in Routine Clinical Settings

2018 ◽  
pp. 466-496
Author(s):  
Carla Walton ◽  
Katherine Anne Comtois
Keyword(s):  
Psychiatric Symptoms ◽  
Skills Training ◽  
Routine Care ◽  
Clinical Settings ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Training And Supervision ◽  
The Us ◽  
Fidelity Monitoring

Dialectical Behaviour Therapy (DBT) has been researched in routine clinical settings in Europe, the US, and Australasia. This chapter reports on those studies, five evaluated outcomes over 12 months of intervention, and eight studies over five or six months. The majority of studies showed a significant reduction in self-injurious behaviour, but significant differences were found in secondary outcomes of depression, quality of life, psychiatric hospital admission days, and general psychiatric symptoms. Adaptations of DBT in routine care settings included briefer phone coaching time, reduced length of skills training, individual skills training, and skills training only. Two studies evaluated an intervention following completion of standard DBT. Overall, the studies reported showed a large difference in the amount of training and supervision received by clinicians and fidelity monitoring was included in only four studies. In addition to quantitative outcomes, this chapter reports on qualitative research describing the experience of DBT participants.

scholarly journals HEALTH-RELATED FAMILY QUALITY OF LIFE WHEN A CHILD OR YOUNG PERSON HAS A DISABILITY

2018 ◽  
Vol 9 (4) ◽  
pp. 49-74 ◽  
Author(s):  
Margaret R. Kyrkou
Keyword(s):  
Quality Of Life ◽  
Young People ◽  
Emotional Health ◽  
Family Members ◽  
Young Person ◽  
Family Quality Of Life ◽  
Children And Young People ◽  
People With Disability ◽  
Health Related

Parents of a child or young person with disability face not only the same challenges as parents of typically developing children and young people, but also the extra challenges of supporting the child or young person with disability in such a way as to maximise both their own quality of life (QOL) and family quality of life (FQOL) for all family members. Health-related quality of life (HRQOL) encompasses not only physical health but also mental and emotional health, equally important for FQOL. This article builds on information from previous publications, and illustrates relevant issues and the innovative methods parents, caregivers, and professionals have devised to enhance the HRQOL for children and young people with disability, and to improve FQOL. The author draws upon her personal lived experiences of having two daughters, the eldest an adult with disability, as well as being the medical consultant and manager of a newly created health unit tasked with supporting students with disability, who often have high health needs, in educational settings. The health conditions selected are those that have a major impact, not only on the young person with disability but also on family members. Vignettes, all deidentified true stories, will be included to illustrate the multiple issues faced by children and young people with disability, their families and extended families, and treating clinicians. These stories will hopefully resonate with families in particular.

Dialectical behaviour therapy ‘Skills for Living’ for young people leaving care: A qualitative exploration of participants’ experiences

2021 ◽  
pp. 135910452110566
Author(s):  
Charlene Rouski ◽  
Sinitta Yu ◽  
Amanda Edwards ◽  
Lisa Hibbert ◽  
Andi Covax ◽  
...  
Keyword(s):  
Qualitative Evaluation ◽  
Psychosocial Needs ◽  
Behaviour Therapy ◽  
Structured Interviews ◽  
Dialectical Behaviour Therapy ◽  
Emotional Acceptance ◽  
Care Leavers ◽  
Transition Into Adulthood ◽  
Skills Group ◽  
Qualitative Exploration

It is acknowledged that care leavers experience an accelerated transition into adulthood, despite often having complex psychosocial needs with limited support networks. The ‘Skills for Living’ programme was designed to improve the psychological wellbeing of care leavers and offers an adapted Dialectical Behaviour Therapy skills group as its primary intervention. This paper provides a qualitative evaluation of the programme. Semi-structured interviews were undertaken with 10 participants, and the data were analysed using thematic analysis ( Braun & Clarke, 2006 ). Four key themes emerged: ‘Initial Apprehension and Reluctance to Participate’, ‘Connection, Understanding and Validation’, ‘Confidence with Social Skills’, and ‘Emotional Acceptance and Self-Soothing’. Clinical implications and recommendations are discussed.

scholarly journals Assessment of the potential of Varna City as a smart tourist destination

Tourism ◽  
2020 ◽  
Vol 68 (3) ◽  
pp. 308-321
Author(s):  
Katina Kostadinova Popova ◽  
Miroslava Malinova Malcheva
Keyword(s):  
Young People ◽  
Swot Analysis ◽  
Smart Cities ◽  
Young Person ◽  
Tourist Destinations ◽  
Advantages And Disadvantages ◽  
The City ◽  
Precise Assessment ◽  
Selection Of

In recent years digitalization became a mainstream factor for socio-economic development and improvement of quality of life. The concepts of “smart cities” and “smart tourist destinations” are real consequences of the global urbanization process. Nowadays, digitalization is a privilege for every destination oriented towards young people and innovation initiatives. Intelligent destinations require development of optimal urban management models bound by considerable investments. The current study examines the potential of the Sea capital of Bulgaria – Varna to become a smart tourism destination. The used methodology is based on the selection of three scientific tools – PESTEL analysis, SWOT analysis and Delphi method. The major findings showed that the need of digitalization will become an important feature of the tourist supply in Varna. The city is a fast-growing academic destination and an attractive center for many young people. The tendency to use innovative technologies before and during the stay in a destination, typical for every young person, creates numerous opportunities for Varna. The introduction of ICT in the modern life of the residents and the guests of the city should be done through a precise assessment of the advantages and disadvantages of the digitalization process

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