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This thesis is an investigation of the needs and experiences of transition-aged youth with emotional and/or behavioural problems who accessed mental health services at a local child and adolescent clinic. Longitudinal studies have demonstrated that youth with mental health problems tend to have poor outcomes in adulthood. Moreover, many young adults do not make the transition from child- to adult-focused care even when they acknowledge their need for support. This study used a mixed methods approach, consisting of a survey design and phenomenological inquiry. In general, participants did not appear ready for an institutional transition, reporting only moderate levels of mental health self-efficacy. Youth disclosed their fears, underscoring the importance of supportive relationships, and stated the negative expectations they had concerning adult-focused care. The implementation of clinical supports to increase transition-aged youths’ mental health self-efficacy, by actively involving them in service-related decision-making processes, are likely to promote successful service transitions.

Few studies currently exist which examine expressed emotion in depressed fathers, despite considerable evidence linking expressed emotion and depression in mothers. These findings are important as they indicate that mothers’ depressed mood is associated with an increase in child-directed critical comments and a decrease in positive comments, which have been linked to poorer child emotional and behavioural outcomes. There are limited findings exploring how depressed mood may impact fathers’ expressed emotion, and how this is in turn may impact upon the child. This paper reports findings from part of a longitudinal study examining fathers with depression in the postnatal period. The aim of this study was to determine whether child emotional and behavioural problems at age 2 years were associated with increased critical comments and decreased positive comments made by fathers (N = 143). It was predicted that fathers who were depressed when their child was 3 months or 12 months old would make more critical comments and fewer positive comments about their children at age 24 months, and that fathers’ critical comments would predict child emotional and behavioural problems at 24 months. Fathers’ depression at 12 months was found to be significantly related to child emotional and behavioural problems at 24 months. The children of fathers who made more positive comments had fewer reported emotional and behavioural difficulties at 24 months. Fathers’ positive comments were found to remain stable from 12 months to 24 months. There were no significant relationships found between fathers’ depression and the frequency of positive or critical comments. This study has implications for increasing fathers’ child-directed positive comments in order to prevent the development of child emotional and behavioural difficulties.

The Department of Social Development introduced the Community Shepherds life skills Project at two schools in the Ficksburg community, in the Thabo Mofutsanyane district of the Free State in 2007 due to the high rate of crime that occurred in the schools. The project targeted children with a history of criminal behaviour and learners who exhibited other forms of anti-social behaviour, and provided them with life skills that could help them face life challenges. No systematic evaluation of the project has been made since its inception and, therefore, the aim of the study was to investigate the perceived impact of the Community Shepherds Project in reducing crime in schools in the Ficksburg community in the Free State province. To achieve the aim the following objectives were identified: To establish the perceived impact of the Community Shepherds Project’s life skills programme on the behaviour and conduct of learners who are participating in the project; to identify factors impacting on the successful implementation of the Community Shepherds project; and to suggest ways of strengthening the Community Shepherds Project. The study population consisted of learners who were members of the Community Shepherds Project in Ficksburg, who had participated in the project since its inception, and their parents. Teachers from the schools participating in the project and the police in Ficksburg constituted the key informants. The sample included 15 learners who were participating in the project who had been arrested for committing different offences and who displayed anti-social behaviour at home and in school, their 12 parents and 4 key informants from the police and the schools. A qualitative research design was used to collect data from the participants in order to obtain in-depth information concerning the perceived impact of the life skills programme on the behaviour and conduct of learners who participated in the programme. Different semi-structured interview schedules were administered to the learners, their parents and the key informants. The findings reveal that the perceptions of the respondents was that the life skills programme had an impact on the behaviour of learners because the life skills that they had gained from the programme helped them to stop committing the offences that they used to commit. The life skills also helped them to stop displaying the anti-social behaviour that they used to exhibit. 2 The findings revealed that the factors that contributed to the success of the project included the approaches that the facilitators used to run the project, like motivating the learners in everything that they did, and the cooperation between the facilitators, the school and the parents. The findings also reveal that the good team work that occurred between the learners, support from the parents, as well as support from the Department of Social Development, all contributed to the success of the project. The suggested ways of strengthening the Community Shepherds Project were that the project should be implemented in all schools in the community, including the primary and multiracial schools. It was also suggested that the project should include all youths in the community. The final suggestion was that the project should include all stakeholders in the community. The life skill projects should target unemployed youths in the communities so that they can gain skills that can help them become self-employed. The study also recommends that the life skills project should be implemented in all schools in South Africa to provide learners with life skills that can help them to face life challenges. Learners who have been involved in criminal activities should not be the only ones who are taught life skills – all learners should have the same opportunity.

Adolescence is a period of enormous adjustment for both teenagers and families. As children transition from childhood to adulthood, they go through many physical, emotional and behavioural changes. Not surprisingly, many parents describe adolescence as the most difficult and anxiety-provoking period of their children’s life. Parents’ concerns are well justified, considering the high prevalence of emotional and behavioural problems during adolescence. Although health professionals and researchers share parents’ view of adolescence as a challenging period of life, the scope of research on adolescents is scarce compared to research on children and adults. However, this is now changing. Research on adolescent development and adolescent psychopathology has increased dramatically during the last two decades. Reducing risk factors in adolescents’ development has been receiving more and more attention both from researchers and policy makers. Family risk factors such as inadequate parental monitoring and family conflict are among potentially modifiable risk factors that can be targeted in order to reduce the rate of emotional and behavioural problems in adolescents. Behavioural family intervention is considered to be one of the promising intervention systems in this area because of the extensive empirical support it has received in research with families of preadolescence children. The research presented in this thesis focuses on parenting programs for parents of teenagers. The first study evaluates the efficacy of a behavioural family intervention (Triple P – Positive Parenting Program) targeting parents of teenagers. The second study explores factors which affect parents’ decisions to participate in parenting programs. The first study outlines a randomised control trial (RCT), assessing the efficacy of a parenting intervention in reducing behavioural problems in adolescents. The study provides support for an intensive individual version of Teen Triple P – a behavioural family intervention designed specifically for parents of high risk adolescents. The intervention aims to improve adolescent behaviour by reducing parents’ use of ineffective parenting. Participants were 46 families with a teenager aged 11 to 16. The outcomes of the intervention included a reduction in teen disruptive behaviours (d > .85) and parent-adolescent conflict (d = .1.21), as well as decreased parental use of harsh and coercive parenting strategies (d = 1.15) and a decrease in parents’ conflict over child rearing issues (d = .64). These positive changes were maintained at the three-month follow up. In spite of the growing recognition of parents’ need for information, guidance and support during the crucial and challenging years of adolescence, little is known about the factors which affect parents’ engagement in programs designed to help them in their parenting roles. The second study aimed to provide a conceptual framework for understanding parents’ decisions to accept or decline participation in a parenting program by employing the Health Belief Model (HBM). The model suggested that parents are more likely to participate in a program when they (a) perceive their adolescents to be susceptible to development of problem behaviours, (b) perceive the problem behaviours to have serious consequences, (c) believe the parenting program to be beneficial in reducing the risk of development of problem behaviours in their adolescent, (d) perceive the personal, social and financial cost of attending the program to be low, and (e) are confident in their ability to successfully learn and apply what they learn in these programs. The model explained 31% of the variance in parents’ inclination to participate in parenting programs. The study also showed that parents differ in their preferences of delivery format for parenting programs. These two studies contribute to the literature in a number of ways. Firstly, they demonstrate that parent training is an effective intervention in the treatment of adolescent problem behaviours. Secondly, they highlight the importance of addressing parents’ beliefs and attitudes about the benefits of parenting programs as well as reducing participation barriers to encourage greater parental engagement in prevention and intervention programs. Finally, the research emphasises that in order to increase participation rate, parenting programs should be made available in a range of delivery formats. The implications of the current research and future directions are presented and discussed.

Adolescence is a period of enormous adjustment for both teenagers and families. As children transition from childhood to adulthood, they go through many physical, emotional and behavioural changes. Not surprisingly, many parents describe adolescence as the most difficult and anxiety-provoking period of their children’s life. Parents’ concerns are well justified, considering the high prevalence of emotional and behavioural problems during adolescence. Although health professionals and researchers share parents’ view of adolescence as a challenging period of life, the scope of research on adolescents is scarce compared to research on children and adults. However, this is now changing. Research on adolescent development and adolescent psychopathology has increased dramatically during the last two decades. Reducing risk factors in adolescents’ development has been receiving more and more attention both from researchers and policy makers. Family risk factors such as inadequate parental monitoring and family conflict are among potentially modifiable risk factors that can be targeted in order to reduce the rate of emotional and behavioural problems in adolescents. Behavioural family intervention is considered to be one of the promising intervention systems in this area because of the extensive empirical support it has received in research with families of preadolescence children. The research presented in this thesis focuses on parenting programs for parents of teenagers. The first study evaluates the efficacy of a behavioural family intervention (Triple P – Positive Parenting Program) targeting parents of teenagers. The second study explores factors which affect parents’ decisions to participate in parenting programs. The first study outlines a randomised control trial (RCT), assessing the efficacy of a parenting intervention in reducing behavioural problems in adolescents. The study provides support for an intensive individual version of Teen Triple P – a behavioural family intervention designed specifically for parents of high risk adolescents. The intervention aims to improve adolescent behaviour by reducing parents’ use of ineffective parenting. Participants were 46 families with a teenager aged 11 to 16. The outcomes of the intervention included a reduction in teen disruptive behaviours (d > .85) and parent-adolescent conflict (d = .1.21), as well as decreased parental use of harsh and coercive parenting strategies (d = 1.15) and a decrease in parents’ conflict over child rearing issues (d = .64). These positive changes were maintained at the three-month follow up. In spite of the growing recognition of parents’ need for information, guidance and support during the crucial and challenging years of adolescence, little is known about the factors which affect parents’ engagement in programs designed to help them in their parenting roles. The second study aimed to provide a conceptual framework for understanding parents’ decisions to accept or decline participation in a parenting program by employing the Health Belief Model (HBM). The model suggested that parents are more likely to participate in a program when they (a) perceive their adolescents to be susceptible to development of problem behaviours, (b) perceive the problem behaviours to have serious consequences, (c) believe the parenting program to be beneficial in reducing the risk of development of problem behaviours in their adolescent, (d) perceive the personal, social and financial cost of attending the program to be low, and (e) are confident in their ability to successfully learn and apply what they learn in these programs. The model explained 31% of the variance in parents’ inclination to participate in parenting programs. The study also showed that parents differ in their preferences of delivery format for parenting programs. These two studies contribute to the literature in a number of ways. Firstly, they demonstrate that parent training is an effective intervention in the treatment of adolescent problem behaviours. Secondly, they highlight the importance of addressing parents’ beliefs and attitudes about the benefits of parenting programs as well as reducing participation barriers to encourage greater parental engagement in prevention and intervention programs. Finally, the research emphasises that in order to increase participation rate, parenting programs should be made available in a range of delivery formats. The implications of the current research and future directions are presented and discussed.

Adolescence is a period of enormous adjustment for both teenagers and families. As children transition from childhood to adulthood, they go through many physical, emotional and behavioural changes. Not surprisingly, many parents describe adolescence as the most difficult and anxiety-provoking period of their children’s life. Parents’ concerns are well justified, considering the high prevalence of emotional and behavioural problems during adolescence. Although health professionals and researchers share parents’ view of adolescence as a challenging period of life, the scope of research on adolescents is scarce compared to research on children and adults. However, this is now changing. Research on adolescent development and adolescent psychopathology has increased dramatically during the last two decades. Reducing risk factors in adolescents’ development has been receiving more and more attention both from researchers and policy makers. Family risk factors such as inadequate parental monitoring and family conflict are among potentially modifiable risk factors that can be targeted in order to reduce the rate of emotional and behavioural problems in adolescents. Behavioural family intervention is considered to be one of the promising intervention systems in this area because of the extensive empirical support it has received in research with families of preadolescence children. The research presented in this thesis focuses on parenting programs for parents of teenagers. The first study evaluates the efficacy of a behavioural family intervention (Triple P – Positive Parenting Program) targeting parents of teenagers. The second study explores factors which affect parents’ decisions to participate in parenting programs. The first study outlines a randomised control trial (RCT), assessing the efficacy of a parenting intervention in reducing behavioural problems in adolescents. The study provides support for an intensive individual version of Teen Triple P – a behavioural family intervention designed specifically for parents of high risk adolescents. The intervention aims to improve adolescent behaviour by reducing parents’ use of ineffective parenting. Participants were 46 families with a teenager aged 11 to 16. The outcomes of the intervention included a reduction in teen disruptive behaviours (d > .85) and parent-adolescent conflict (d = .1.21), as well as decreased parental use of harsh and coercive parenting strategies (d = 1.15) and a decrease in parents’ conflict over child rearing issues (d = .64). These positive changes were maintained at the three-month follow up. In spite of the growing recognition of parents’ need for information, guidance and support during the crucial and challenging years of adolescence, little is known about the factors which affect parents’ engagement in programs designed to help them in their parenting roles. The second study aimed to provide a conceptual framework for understanding parents’ decisions to accept or decline participation in a parenting program by employing the Health Belief Model (HBM). The model suggested that parents are more likely to participate in a program when they (a) perceive their adolescents to be susceptible to development of problem behaviours, (b) perceive the problem behaviours to have serious consequences, (c) believe the parenting program to be beneficial in reducing the risk of development of problem behaviours in their adolescent, (d) perceive the personal, social and financial cost of attending the program to be low, and (e) are confident in their ability to successfully learn and apply what they learn in these programs. The model explained 31% of the variance in parents’ inclination to participate in parenting programs. The study also showed that parents differ in their preferences of delivery format for parenting programs. These two studies contribute to the literature in a number of ways. Firstly, they demonstrate that parent training is an effective intervention in the treatment of adolescent problem behaviours. Secondly, they highlight the importance of addressing parents’ beliefs and attitudes about the benefits of parenting programs as well as reducing participation barriers to encourage greater parental engagement in prevention and intervention programs. Finally, the research emphasises that in order to increase participation rate, parenting programs should be made available in a range of delivery formats. The implications of the current research and future directions are presented and discussed.

The aim of this research was to make recommendations how parents and educators can select and use audio-visual media for supporting learners with behavioural problems (LBP). A literature study was conducted on behavioural problems and on the use of audio-visual media to address these. Thereafter an empirical investigation was done by means of a case study design. A purposive sample was chosen from Grades 10 and 12 learners in Pietermaritzburg. Websites were also selected for addressing a variety of topics. The most important findings were that audio-visual media can be selected by means of five criteria related to content accuracy and appropriateness, diversity and quality. The findings indicate that visual media can stimulate cognitive skills (including problem solving and critical thinking) and reflection about the acceptance of responsibility, positive attitudes and respect for authority, among others. It is concluded that audio-visual media can be used by educators to support LBP. / Educational Studies / M.Ed. (Specialisation in Psychology of Education)