Lecture 15 and 16 Flashcards

Question

What is Youth in Alternative Education?

Answer 1

Whole classes of young people excluded form mainstream education -Intervention immediately (n=20) vs. Delayed intervention (5 weeks later)(n=12) Reduction in depression: SPARX(-14.7 point) Waitlist (-1.1 points) -p = 0.001

Answer 2

1. Kaumatua 2. Bi-cultural team 3. Maori computer games developer

Answer 3

1. Focus groups Whanau, Tamariki, Kaumatua 2. Advice from Maori mental health clinicians 3. Used Maori symbols 4. Used Maori actor as the Guide (telepresence)

Answer 4

RCT design (Merry et al., 2012) -attempter to recruit high numbers of Maori -Included an analysis that showed no difference in effect for Maori (but underpowered) Open Trial (Shepherd et al., 2014) -Decrease was maintained at five month followup

Answer 5

1. Development of RAINBOW SPARX - in collaboration with transgender young people (focus groups and expert advisory group) 2. Open trial of Rainbow SPARX with sexual minority youth and comparisons to RCT - showed Rainbow SPARX effective and acceptable 3. Post Rainbow SPARX interviews with sexual minority youth: well accepted - suggested improvements (increase 'rainbow' content further)

Answer 6

1. Monitoring up-take 2. Move to touch screen technology 3. Smart phones 4. Maori version 5. Release Rainbow SPARX 6. Develop apps etc for other common mental health problems 7. virtual interviewer- a sensor and webcam to scan your facial and body movements and tone of voice

Answer 7

Focused on the individual Focused on impairment and loss of function -Disability = impairment = loss of function Views the 'disables' person as being dependant, and needing to be cured or cared for Their 'disables' person must adapt (or be adapted) to live in society -puts the focus on 'fixing' individuals - medical care and individual adaptation

Answer 8

Focus on measuring impairment - classify types of impairment --e.g. hearing, vision, physical, mental health, intellectual, neurological etc. - measuring the degree of functional loss or the impact of that functional loss --e.g. severe, moderate, mild - usually used to establish fitness for work or reviewing claims for compensation - typically tools developed for older people or those living with chronic conditions

Answer 9

what is wrong with you? "What complaint causes your difficulty " "invalid"

Answer 10

Impairment = loss of function Focused on society Focused on the way society disables people with impairments Disability is caused by society - physical, organisational and attitudinal barrier to living a 'normal' life Society can change to reduce disablement - puts the focus on 'fixing' society

Answer 11

No widely used tool for assessing disability fro a social model perspective Would need to include measures of: Impairment, physical environment, organisational environment, attitudinal environment etc. There have been some recent moves towards establishing social model assessment

Answer 12

1. Impairment 2. Physical environment 3. Organisational environment 4. Attitudinal environment

Answer 13

``` Definitions = treatment Definitions = identity and empowerment Definitions = means to identify, classify and measure and these may link directly to entitlement to health resources ```

Answer 14

New Zealand Disability survey (2001) - 1/5 New Zealanders has an impairment - Survey of 'disabled' New Zealanders shows that in comparison to non-disabled kiwis " disables people have" 1. Lower levels of educational attainment 2. Lower incomes 3. A poorer general health status 4. Less choice in housing 5. Higher unemployment rates 6. Poor access to support services and working arrangements that might allow them to move from a marginalised position in society

Answer 15

Less likely to be employed and therefore income is limited more reliant on welfare/benefits less availability of suitable housing Higher costs of living- greater power bills and transport cost

Answer 16

Access barrier to services, including health - physical barriers and non-physical barriers Barrier to accessing information and education etc.

Answer 17

There is evidence to show that disabled people are more likely to have less healthy lifestyles -smoking, physical activity, diet, substance abuse But remember they often face situational constraints and experience higher levels of stress

Answer 18

People with health problems or impairments are more likely to face barrier in life -Directly- through direct discrimination Indirectly - through living in a society that is not structures in a way that allows them to lead a 'normal' life

Answer 19

Institutionalisation --> to de-institutionalisation (as institutions were shut down) Medical model --> to social model -Rehabilitation --> to participation/emancipation Human rights, equal opportunities, civil rights movements

Answer 20

Middle: Material/structural, Natural/social selection, Historical events, Cultural/Behavioural Ring: Low income/Poverty --> Fewer choices, Poorer Housing and diet --> Increased risk of Ill health --> Disability and increased secondary health issues --> Fewer opportunities for employment and education -->

Answer 21

Impairment-medical model? Oppression-depressive thinking about why you can't live a different life? or maybe Diversity-dont recognise and celebrate the diversity?

Answer 22

send text reminders when mood scores are getting low when you have been absent from the website for a period of time send text reminders to go back on can link to youth health online from sparx adaptation of CBT

Answer 23

wifi available anytime, anywhere most people have smart phones-trying to get mobile app accounting for gender differences - avatars of both boys and girls, and gender differing interactions (social vs shooting) difficulty of the game play-simple for avid game players(lose interest)