scholarly journals A Theory of Change for online therapy and support services for children and young people (Preprint)

2020 ◽  
Author(s):  
Terry Hanley ◽  
Aaron Sefi ◽  
Janet Grauberg ◽  
Julie Prescott ◽  
Andre Etchebarne

BACKGROUND Online counselling and support has become increasingly commonplace for children and young people (CYP). Currently there is limited research that focuses upon the mechanisms of change within complex telepsychology platforms, a factor that makes designing and implementing outcome measures challenging. OBJECTIVE This project set out to articulate a Theory of Change (ToC) for Kooth, an online therapy and support platform for children and young people (CYP). METHODS A collaborative qualitative research design, involving professional staff, academic partners, and young people was utilised to develop the ToC. Three major reflective phases were engaged in. These were, (i) a scoping workshop involving professional staff and academic partners, (ii) a series of explorative projects were completed to inform the development of the ToC, and (iii) the draft ToC was reviewed for coherence by key stakeholders (young people, online professionals and service managers). RESULTS The collaboratively developed ToC is presented. This is divided up into (i) the conditions that lead to individuals wanting to access online therapy and support (e.g. individuals wanting support there and then/quickly), (ii) the mode of service delivery (e.g. skilled and experienced professionals able to build empathetic relationships with CYP), and (iii) the observed and reported changes that occur as a consequence of using the service (e.g. individuals being better able to manage current and future situations). CONCLUSIONS Developing the ToC helps to shed light upon how online therapy and support services aid the mental health and wellbeing of CYP. Further, it helps to understand the development of ‘Positive Virtual Ecosystems’ (+VE) and can be used to devise evaluative tools for CYP telepsychology providers.

2021 ◽  
Vol 2 (5) ◽  
pp. 241-242
Author(s):  
Sharon White

School nursing is characterised by a small but unique workforce that plays an essential role in the health and wellbeing of children and young people. Sharon White explains why it is important to protect the profession.


2019 ◽  
Vol 22 (3) ◽  
pp. 204-223 ◽  
Author(s):  
Joan Gaynor Mowat

The poverty-related attainment gap is an internationally recognised problem. There is growing recognition that it cannot either be understood or addressed without taking cognisance of children’s mental health and wellbeing. The focus of this conceptual article is to examine the impact of social inequality and poverty on the mental health and wellbeing and attainment of children and young people in Scotland through the lens of resilience. While not a ‘state of the art’ literature review, a systematic approach was adopted in the selection of the literature and in the identification of themes to emerge from it. A range of risk and protective factors at the individual, social, societal and political levels emerged as impacting on the mental health and wellbeing and attainment of children living in poverty, and three important mediating variables are the negative impact of social stratification and adverse childhood experiences and the positive impact of a supportive adult. Schools alone cannot solve the problem. The findings revealed that there is a need to build a strong infrastructure around families and schools and to examine how economic, social, health and educational policy interact with each other as a starting point in addressing the problem, supported by inter-disciplinary research.


Author(s):  
Elizabeth Stewart ◽  
Alyssa Clare Milton ◽  
Hannah Yee ◽  
Michael Song ◽  
Anna Roberts ◽  
...  

2013 ◽  
Vol 95 ◽  
pp. 115-127 ◽  
Author(s):  
Naomi Priest ◽  
Yin Paradies ◽  
Brigid Trenerry ◽  
Mandy Truong ◽  
Saffron Karlsen ◽  
...  

2016 ◽  
Vol 40 (2) ◽  
pp. 213 ◽  
Author(s):  
Liza J. Hopkins

Objective To examine the evidence for best practice in educational support to hospitalised students and describe the existing supports available across each Australian state and territory. Methods A descriptive approach to the diversity of current practice and a review of the published evidence for best practice. Results We have constructed a model of best-practice in education support to hospitalised students. We found that education support services in each state met some of the criteria for best practice, but no one state service met all of the criteria. Conclusions All Australian states and territories make provision for hospitalised students to continue with their education, however the services in some states are closer to the best-practice model than others. What is known about the topic? It is well known that children and young people living with health conditions are at higher risk of educational underachievement and premature disengagement from school than their healthy peers. Although each state and territory across Australia offers some form of educational support to students during periods of hospitalisation, this support differs widely in each jurisdiction in fundamentals such as which students are eligible for support, where the support is delivered, how it is delivered and who coordinates the support. Published evidence in the literature suggests that the elements of good practice in education support have been well identified but, in practice, lack of policy direction can hinder the implementation of coordinated support. What does this paper add? This paper draws together the different models in place to support students in hospital in each state and territory and identifies the common issues that are faced by hospital education support services, as well as identifying areas where practice differs across settings. It also identifies the elements of good practice from the literature and links the elements of theory and practice to present a model of education support that addresses the needs of students with health conditions in an integrated and child-centred way. What are the implications for practitioners? Education support has developed over many decades in a variety of different forms across the states and territories of Australia. This paper brings together for the first time the published evidence for good practice in this area with existing models of practice to identify ways in which both healthcare professionals and education professionals can work together to improve the health, well being and education of children and young people living with health conditions.


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