This research explores the narratives told by five young adults aged 18 to 25 about their journeys of transitioning out of a large residential treatment facility into less structured settings, in Calgary, Alberta. Participants engaged in in-depth interviews designed to elicit storytelling regarding their time in care. Interviews were transcribed and analyzed using a narrative lens, paying particular attention to the way participants told their stories. Three main storylines emerged from participants’ narratives, including; standardized approaches in residential care, multiple interpretations of what “independence” looks like, and life “after care”. The findings in this study raise questions about the over reliance on behaviour management models within residential care, the limited role of young people in planning and decision making, and restrictive indicators of “successful” transitions. These findings suggest the need for multiple treatment strategies and approaches that are responsive to individual needs and circumstances, especially when making the transition out of care. / Graduate

Children around the world need care outside their families for a variety of reasons including poverty, war and epidemics such as HIV/AIDS. The majority of these children live in developing countries where there are limited resources to care for them. As a result of concerns about the effects of institutional care on children, and following trends in the developed world, there is a movement in developing countries to replace large residential institutions with a system of adoption, foster care and small group homes. The aim of this study is to examine the experience of orphan, abandoned, and neglected or abused children who grew up in residential institutions in the Caribbean nation of Trinidad and Tobago, to learn the positives and negatives of residential care in order to contribute to developing a model of care suited for high need, low resource countries. Oral history methodology was used to collect the stories of 24 alumni (12 men and 12 women) from seven homes in Trinidad and Tobago. The homes were categorized as 1) state— partially funded by the state but managed by the Anglican and Catholic dioceses, 2) faith-based— run by religious communities, and 3) community homes run by individuals in the community. The findings of the study show that overall experiences were positive. For poor and working-class children, life in the home was better than their life would have been if they had remained with their families. However, discharge and transition from the homes were less favourable. Alumni from the state-funded homes experienced more difficulties than the faith-based and community homes as a result of poor planning and a lack of post-departure supports. Women suffered more hardships than men, often leading to sexual exploitation. The findings also show that being admitted with siblings and staying at the same home over the duration of care—as was the norm—correlated positively with educational outcomes for the majority of alumni. Some life-long relationships were maintained with volunteers and with friends made among peers at the homes. The study concludes that large group care is not necessarily harmful for children. It may be even beneficial and may be cost effective—a factor that is very important for low resource countries. An aftercare plan, with planning beginning at admission might ease the transition process and gender must be considered in discharge and transition policies. / October 2016

Basic communication skills are foundational for children's success in school and are dependent largely on their language experiences early in life. The purpose of this study was to examine two professional development models and family child care providers' use of turn-taking strategies that promote language in young children. The first professional development model consisted of a 10-hour nonformal training focused on supporting early language development. The second included the nonformal training and on-site mentoring. The 48 family child care programs were randomly assigned to one of the professional development models or a control group. Hierarchical linear modeling was used to examine the average increase in the frequency of providers' use of turn-taking strategies over three observations. Results indicate that both forms of professional development support increased use of language promoting turn-taking strategies as compared to a control group. Professional development that includes on-site mentoring support appears to be related to greater increases in providers' use of informational talk and didactic utterances over training only.

Made available in DSpace on 2016-04-28T20:39:12Z (GMT). No. of bitstreams: 1 Luzia Cristiana da Silva.pdf: 798803 bytes, checksum: c6b09982c05a627fb9f964a9b58c42fe (MD5) Previous issue date: 2016-03-11 / Pontificia Universidade de São Paulo / The CAPSi, field of this study, is located on the southern edge of the city of São Paulo, a region that presents a high social vulnerability. As a multidisciplinary Public Service of mental health care for children and adolescents, it mainly proposes actions and activities in dimensions and perspective of the communities in order to reintegrate the users on social network. This research aimed to explain how the weekly workshop called "Reading Nook" held at this CAPSi, contributed to support participants anguish and psychic pain, trying mainly to show the construction of this clinical group device, the role of coordinator-mediator and the effects of reading/tale usage as a therapeutic mediator. Were also explored new ways of psychoanalytic therapy and were open new perspectives of institutional care in mental health field. This is a qualitative research of psychoanalytic theory, in group context with adolescents affected by various psychopathologies. The consultations were based on reading usage experience at times of crisis by anthropologist Michèle Petit, and concepts proposed by psychoanalysts D.W. Winnicott, René Kaës, Luis Claudio Figueiredo and other pertinent authors. The service benefited from clinical results in order to cope with various complaints, demands and existential questioning as it receives since individuals who suffer deep anguish related to fragmentation and annihilation of being until those who express diffuse feelings of lack of sense and inner void. In the clinical experiences at the workshop space, opportunities for self discovery were offered, allowing to young people more mobility in access to cultural experiences, which contributed for that their often terrible and threatening histories could be retold more calmly, in a setting protected by art/culture, metaphor, symbol and helping them to trigger intra-psychic and inter-subjective connection work / O Cento de Atenção Psicossocial infanto-juvenil (CAPSi), campo deste estudo, está localizado no extremo sul da cidade de São Paulo, região que apresenta alta vulnerabilidade social. Serviço público de atendimento multiprofissional à Saúde Mental da infância e adolescência, propõe, principalmente, ações e atividades na perspectiva e dimensão comunitárias, com a finalidade de reintegrar os usuários à rede social. Esta pesquisa teve como objetivo principal explicitar de que forma a oficina semanal denominada Recanto da Leitura , realizada nesse CAPSi, contribuiu para a sustentação de angústias e dores psíquicas dos participantes, buscando explicitar, principalmente, a construção desse dispositivo clínico grupal, o papel da coordenadora-mediadora e os efeitos do uso da leitura/conto como mediador terapêutico. Foram exploradas, ainda, novas vias da terapia psicanalítica e abertas novas perspectivas de atendimento institucional no campo da saúde mental. Trata-se de pesquisa qualitativa de referencial teórico psicanalítico, em contexto grupal com adolescentes acometidos por variadas psicopatologias. Os atendimentos realizados apoiaram-se na experiência de uso da leitura em contextos de crise, pela antropóloga Michèle Petit, e em conceitos propostos pelos psicanalistas D. W. Winnicott, René Kaës, Luis Claudio Figueiredo e outros autores pertinentes. O serviço se beneficiou de resultados clínicos, no sentido de dar conta de diferentes queixas, demandas e questionamentos existenciais, uma vez que acolhe desde sujeitos que sofrem profundas angústias relacionadas à fragmentação e aniquilação do ser até aqueles que expressam sentimentos difusos de falta de sentido e vazio interior. Nas experiências clínicas vividas no espaço da oficina, foram ofertadas oportunidades para descobertas, possibilitando aos jovens, inclusive, maior mobilidade no acesso a experiências culturais, que contribuíram para que suas histórias, muitas vezes terríveis e ameaçadoras, fossem recontadas mais tranquilamente, num enquadre protegido pela arte/cultura, pela metáfora, pelo símbolo, ajudando-os a acionar trabalhos de ligação intrapsíquica e intersubjetiva