scholarly journals Comparing Online and Face-to-Face Student Counselling: What Therapeutic Goals Are Identified and What Are the Implications for Educational Providers?

2016 ◽  
Vol 27 (1) ◽  
pp. 37-54 ◽  
Author(s):  
Terry Hanley ◽  
Zehra Ersahin ◽  
Aaron Sefi ◽  
Judith Hebron
Keyword(s):  
Young People ◽  
Routine Practice ◽  
Mixed Methods Design ◽  
Community Based ◽  
Therapeutic Goals ◽  
Face To Face ◽  
Counselling Services ◽  
Online Counselling ◽  
Student Counselling ◽  
Interpersonal Goals

Online counselling is increasingly being used as an alternative to face-to-face student counselling. Using an exploratory mixed methods design, this project investigated the practice by examining the types of therapeutic goals that 11- to 25-year-olds identify online in routine practice. These goals were then compared to goals identified in equivalent school and community-based counselling services; 1,137 online goals (expressed by 504 young people) and 221 face-to-face goals (expressed by 220 young people) were analysed for key themes using grounded theory techniques. This analysis identified three core categories: (1) Intrapersonal Goals, (2) Interpersonal Goals, and (3) Intrapersonal Goals Directly Related to Others. Further statistical analysis of these themes indicated that online and face-to-face services appear to be used in different ways by students. These differences are discussed alongside the implications for professionals working in educational settings.

Necessary and good: a literature review exploring ethical issues for online counselling with children and young people who have experienced maltreatment

2020 ◽  
Vol 45 (4) ◽  
pp. 266-278
Author(s):  
Mary Jo McVeigh ◽  
Susan Heward-Belle
Keyword(s):  
Young People ◽  
Ethical Issues ◽  
Health And Safety ◽  
World Health ◽  
Australian Government ◽  
Online Service ◽  
Children And Young People ◽  
Face To Face ◽  
Online Counselling ◽  
Health Organization

AbstractThe World Health Organization categorised the Corona virus as a public health emergency of international concern. As a result of this declaration, a raft of procedures to stem the spread of the virus to safeguard the health and safety of its citizens was enacted by the Australian Government. The promotion of social isolation and distancing were among these measures. The governmental social distancing measures put in place in Australia resulted in a curtailing of face-to-face work and moving to online service delivery for many agencies who provide counselling for children/young people who have experienced maltreatment. This article presents the findings of a review of the literature on the pertinent ethical issues in relation to online counselling. The results of the review highlighted common ethical issues discussed across the literature, with a major gap in the literature focusing on issues for children and young people and a continued privileging of the adult voice over children and young people’s needs.

Assessing the need of young people using online counselling services: how useful are standardised measures?

2021 ◽  
Author(s):  
Charlotte Mindel ◽  
Crystal Oppong ◽  
Emily Rothwell ◽  
Aaron Sefi ◽  
Jenna Jacob
Keyword(s):  
Young People ◽  
Counselling Services ◽  
Online Counselling

scholarly journals A Thematic Analysis of Preferences of Young People using Online Support to Discuss Suicide

2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Sally Evans
Keyword(s):  
Young People ◽  
Thematic Analysis ◽  
Online Support ◽  
Main Theme ◽  
Face To Face ◽  
Online Counselling ◽  
Analysis Of Results ◽  
And Control

Young people (mainly 15-17 years) using an online counselling, support and advice website were asked about their preferences for online versus face-to-face discussion of suicidal feelings.  Thematic analysis of results (n = 24) yielded a main theme of ‘anonymity’ with sub-themes of ‘safety and freedom’, ‘confidentiality’ and ‘control’.  Issues of safeguarding distressed young people who have chosen to remain anonymous are raised.

Online counselling: The motives and experiences of young people who choose the Internet instead of face to face or telephone counselling

2006 ◽  
Vol 6 (3) ◽  
pp. 169-174 ◽  
Author(s):  
Robert King ◽  
Matthew Bambling ◽  
Chris Lloyd ◽  
Rio Gomurra ◽  
Stacy Smith ◽  
...  
Keyword(s):  
Young People ◽  
The Internet ◽  
Telephone Counselling ◽  
Face To Face ◽  
Online Counselling

Redefining ‘Industry’: Young People and Cultural Policy in Australia

1999 ◽  
Vol 90 (1) ◽  
pp. 123-138 ◽  
Author(s):  
Mary Ann Hunter
Keyword(s):  
Young People ◽  
Cultural Policy ◽  
Culture Industry ◽  
Cultural Development ◽  
New Paradigm ◽  
Community Based ◽  
Policy Responses ◽  
Statistical Framework ◽  
Leisure Industry

This article considers the place of youth arts and cultures in the cultural industries approach to cultural policy. It argues that the ‘covert economic overlay’ (Brokensha, 1996: 101) of the Australian National Culture–Leisure Industry Statistical Framework privileges certain processes in a ‘government convenient’ model of industry inputs and outcomes, and that the assumptions of this model are challenged by youth-specific and community-based modes of production. Furthermore, it argues that the philosophies and practices of contemporary youth-specific arts organisations have the potential to redefine ‘culture industry’ and contribute to a ‘coherent new paradigm’ of cultural policy (UNESCO, 1995: 232). This paper makes these arguments by examining the place of youth arts and cultures in the existing environment of cultural industrialisation, by considering recent government policy responses to young people's cultural activity and by addressing long-term policy issues for the support of young people and cultural development.

Marginal assessment of the cost and benefits of aphasia treatment: Evidence from community-based telerehabilitation treatment for aphasia

2021 ◽  
pp. 1357633X2098277
Author(s):  
Molly Jacobs ◽  
Patrick M Briley ◽  
Heather Harris Wright ◽  
Charles Ellis
Keyword(s):  
Cost Effectiveness ◽  
Economies Of Scale ◽  
Reference Group ◽  
Unit Cost ◽  
Community Based ◽  
Face To Face ◽  
Conduction Aphasia ◽  
Aphasia Treatment ◽  
The Cost ◽  
The Relationship

Introduction Few studies have reported information related to the cost-effectiveness of traditional face-to-face treatments for aphasia. The emergence and demand for telepractice approaches to aphasia treatment has resulted in an urgent need to understand the costs and cost-benefits of this approach. Methods Eighteen stroke survivors with aphasia completed community-based aphasia telerehabilitation treatment, utilizing the Language-Oriented Treatment (LOT) delivered via Webex videoconferencing program. Marginal benefits to treatment were calculated as the change in Western Aphasia Battery-Revised (WAB-R) score pre- and post-treatment and marginal cost of treatment was calculated as the relationship between change in WAB-R aphasia quotient (AQ) and the average cost per treatment. Controlling for demographic variables, Bayesian estimation evaluated the primary contributors to WAB-R change and assessed cost-effectiveness of treatment by aphasia type. Results Thirteen out of 18 participants experienced significant improvement in WAB-R AQ following telerehabilitation delivered therapy. Compared to anomic aphasia (reference group), those with conduction aphasia had relatively similar levels of improvement whereas those with Broca’s aphasia had smaller improvement. Those with global aphasia had the largest improvement. Each one-point of improvement cost between US$89 and US$864 for those who improved (mean = US$200) depending on aphasia type/severity. Discussion Individuals with severe aphasia may have the greatest gains per unit cost from treatment. Both improvement magnitude and the cost per unit of improvement were driven by aphasia type, severity and race. Economies of scale to aphasia treatment–cost may be minimized by treating a variety of types of aphasia at various levels of severity.

scholarly journals Engaging young people in the design of a sexual reproductive health intervention: Lessons learnt from the Yathu Yathu (“For us, by us”) formative study in Zambia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Melvin Simuyaba ◽  
Bernadette Hensen ◽  
Mwelwa Phiri ◽  
Chisanga Mwansa ◽  
Lawrence Mwenge ◽  
...  
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Iterative Process ◽  
Service Use ◽  
Service Providers ◽  
Peer Pressure ◽  
Post Exposure Prophylaxis ◽  
Community Based ◽  
Research Activities ◽  
Lessons Learnt

Abstract Background Meeting the sexual and reproductive health (SRH) needs of adolescents and young people (AYP) requires their meaningful engagement in intervention design. We describe an iterative process of engaging AYP to finalise the design of a community-based, peer-led and incentivised SRH intervention for AYP aged 15–24 in Lusaka and the lessons learnt. Methods Between November 2018 and March 2019, 18 focus group discussions, eight in-depth interviews and six observations were conducted to assess AYP’s knowledge of HIV/SRH services, factors influencing AYP’s sexual behaviour and elicit views on core elements of a proposed intervention, including: community-based spaces (hubs) for service delivery, type of service providers and incentivising service use through prevention points cards (PPC; “loyalty” cards to gain points for accessing services and redeem these for rewards). A total of 230 AYP (15 participated twice in different research activities) and 21 adults (only participated in the community mapping discussions) participated in the research. Participants were purposively selected based on age, sex, where they lived and their roles in the study communities. Data were analysed thematically. Results Alcohol and drug abuse, peer pressure, poverty, unemployment and limited recreation facilities influenced AYP’s sexual behaviours. Adolescent boys and young men lacked knowledge of contraceptive services and all AYP of pre and post exposure prophylaxis for HIV prevention. AYP stated a preference for accessing services at “hubs” located in the community rather than the health facility. AYP considered the age, sex and training of the providers when choosing whom they were comfortable accessing services from. PPCs were acceptable among AYP despite the loyalty card concept being new to them. AYP suggested financial and school support, electronic devices, clothing and food supplies as rewards. Conclusions Engaging AYP in the design of an SRH intervention was feasible, informative and considered responsive to their needs. Although AYP’s suggestions were diverse, the iterative process of AYP engagement facilitated the design of an intervention that is informed by AYP and implementable. Trial registration This formative study informed the design of this trial: ClinicalTrials.gov, NCT04060420. Registered 19 August, 2019.

scholarly journals Disrupted prevention: condom and contraception access and use among young adults during the initial months of the COVID-19 pandemic. An online survey

2021 ◽  
pp. bmjsrh-2020-200975
Author(s):  
Ruth Lewis ◽  
Carolyn Blake ◽  
Michal Shimonovich ◽  
Nicky Coia ◽  
Johann Duffy ◽  
...  
Keyword(s):  
Young People ◽  
Online Survey ◽  
Unmet Need ◽  
Initial Response ◽  
Mitigation Measures ◽  
Routine Practice ◽  
Sexual Risk Taking ◽  
Transmitted Infection ◽  
Convenience Sample ◽  
Preventive Practices

BackgroundThe initial response to COVID-19 in the UK involved a rapid contraction of face-to-face sexual and reproductive health (SRH) services and widespread use of remote workarounds. This study sought to illuminate young people’s experiences of accessing and using condoms and contraception in the early months of the pandemic.MethodsWe analysed data, including open-text responses, from an online survey conducted in June–July 2020 with a convenience sample of 2005 16–24-year-olds living in Scotland.ResultsAmong those who used condoms and contraception, one quarter reported that COVID-19 mitigation measures had made a difference to their access or use. Open-text responses revealed a landscape of disrupted prevention, including changes to sexual risk-taking and preventive practices, unwanted contraceptive pathways, unmet need for sexually transmitted infection (STI) testing, and switches from freely provided to commercially sold condoms and contraception. Pandemic-related barriers to accessing free condoms and contraception included: (1) uncertainty about the legitimacy of accessing SRH care and self-censorship of need; (2) confusion about differences between SRH care and advice received from healthcare professionals during the pandemic compared with routine practice; and (3) exacerbation of existing access barriers, alongside reduced social support and resources to navigate SRH care.ConclusionsEmerging barriers to STI and pregnancy prevention within the context of COVID-19 have the potential to undermine positive SRH practices, and widen inequalities, among young people. As SRH services are restored amid evolving pandemic restrictions, messaging to support navigation of condom and contraception services should be co-created with young people.

Physiotherapy via telehealth for acute respiratory exacerbations in paediatric cystic fibrosis

2021 ◽  
pp. 1357633X2199820
Author(s):  
Cloe Benz ◽  
Anna Middleton ◽  
Alison Elliott ◽  
Adrienne Harvey
Keyword(s):  
Cystic Fibrosis ◽  
Young People ◽  
Adverse Events ◽  
Travel Time ◽  
Standard Care ◽  
Limiting Factor ◽  
Specialist Care ◽  
Face To Face ◽  
Respiratory Exacerbations ◽  
Hybrid Group

Introduction The demand for Hospital in the Home has increased, especially as an avenue for treatment of respiratory exacerbations. However, a limiting factor of Hospital in the Home efficiency is excess travel. Telehealth can potentially increase in-home access to specialist care such as physiotherapy. This study examined clinical outcomes achieved with a hybrid telehealth model and assessed safety and efficiency. Method This study was an observational benchmarking study of Hospital in the Home physiotherapy episodes of care during respiratory exacerbations between January 2017–June 2019. The participants were young people aged 8–18 years, with cystic fibrosis receiving intravenous antibiotics and bi-daily physiotherapy. The intervention was physiotherapy via either a hybrid model (1× telehealth, 1× face-to-face session) or standard care (2× face-to-face sessions). The outcomes were frequency of return to at least 95% of baseline percentage predicted forced expiratory volume in the first second (ppFEV1), ppFEV1 change, adverse events, travel time and distance saved. Results There were 82 episodes of Hospital in the Home; 41 hybrid and 41 standard care. Return to at least 95% of baseline was achieved in 49% of the hybrid group and 32% of standard care. Median ppFEV1 change was +6% for the hybrid group and +2% standard care. There were no adverse events. Estimated travel time and distance saved was 16,520 min and 12,301.2 km. Conclusion Preliminary information supports a hybrid telehealth physiotherapy model as an alternative to standard care for young people with cystic fibrosis during an exacerbation. Safety of telehealth in conjunction with home visits favoured its use to improve efficiency and capacity without added risk.

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