While previous research has explored women’s experiences of intimate partner violence (IPV), their help-seeking experiences and the barriers they encounter when seeking support, little research has explored the perspectives of women with disabilities regarding helpful IPV prevention, intervention and healing strategies. My qualitative research project sought to address two research questions: what have women with disabilities experienced when accessing support (from family, friends, and services) for IPV; and what do women with disabilities say would be helpful in the prevention or intervention of intimate partner violence. I undertook a secondary analysis of six interviews of women with disabilities who had been interviewed as part of a larger research study. My thematic analysis revealed many themes including experiences with sources of support—such as family, friends, counselling, and shelters—and strategies for prevention, including education and awareness; support system; affordable childcare and transportation; and self-care, spirituality, community, and social change. Barriers to support I identified include lack of education and awareness, lack of resources, lack of services, community size and dynamics, and potentially exclusive admission criteria. My intersectional analysis revealed the ways in which women’s social locations—such as their gender, cultural background, socio-economic situation, religion, disability and relationship status—influenced and shaped their help-seeking behaviours and their access to support systems. Several recommendations to address gaps in service provision are provided.

Addendum and errata are pasted in onto back end papers & back pages. / Copy of author's previously published article inserted. / Bibliography: leaves 451-466. / 466 leaves ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Deals with two issues: (1) teacher's implementation and utilisation of a personal safety program in South Australia (the Protective Behaviours program) and (2) what children learn about personal safety by participating in the program. / Thesis (Ph.D.)--University of Adelaide, Dept. of Psychiatry, 1996

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2008. / Typescript. Includes bibliographical references (leaves 65-69).

No description available.

Les communautés sont des acteurs de premier plan dans les efforts de prévention de la radicalisation. En effet, la famille et les amis sont parmi les premiers à pouvoir observer certains comportements laissant présager l’adhésion à une forme d’extrémisme violent. Néanmoins, nous n’en savons encore que très peu quant au point de vue des communautés relativement au fait de contacter une ressource formelle ou informelle pour un cas de radicalisation. Cette étude s’intéresse alors à mieux comprendre les enjeux qui influencent la volonté de contacter le Centre de prévention de la radicalisation menant à la violence (CPRMV), un organisme indépendant de la police, pour un proche dans une situation de radicalisation. Pour ce faire, nous avons réalisé des entretiens et des focus group menés auprès de 29 individus habitant le Grand Montréal et s’identifiant soit en tant que Québécois, Juif, Musulman, Latino-Américain ou Africain. Les résultats suggèrent la présence d’une multitude d’enjeux à la prise de contact avec une ressource ; certains ayant été identifiés par la majorité des participants, alors que d’autres semblent être plutôt propres à une communauté particulière. Parmi les résultats partagés par l’ensemble des répondants, il a été possible d’observer que la méconnaissance des ressources disponibles et la crainte des répercussions apparaissent comme des enjeux centraux. De plus, les résultats suggèrent que les participants entrevoient la radicalisation comme un phénomène essentiellement lié à l’islam, ce qui pourrait être expliqué par l’influence des représentations véhiculées par les médias, et qui pourrait conséquemment avoir une incidence sur la manière de comprendre et d’identifier un cas de radicalisation. Enfin, la zone grise que représentent les comportements associés à la radicalisation semble poser problème dans l’évaluation de la gravité de la situation et ultimement la décision de faire appel à une ressource d’aide, telle que le CPRMV, ou à la police. / Communities are key players in efforts to prevent radicalization. In fact, family members and friends are among the first to observe changes or early signs suggesting that someone might be heading toward a form of violent extremism. Yet, we still know very little about communitybased views on reaching out to a formal or informal resource regarding a possible case of radicalization. This study seeks to better understand the issues that influence the willingness to contact the Center for the Prevention of Radicalization leading to Violence (CPRLV), a Montreal-based independent organization. For this purpose, we conducted interviews and focus groups with 29 individuals living in Greater Montreal, who self-identify as Quebecers or as Jewish, Muslim, Latin American or African. The results suggest the presence of a multitude of issues inhibiting reaching out to a specific resource; while some have been identified by most participants, others seem to be rather specific to a community. Among the results shared by all respondents, it has been observed that the lack of knowledge of available resources and the fear of repercussions appear to be central issues. Moreover, the results suggest that the participants perceive radicalization as a phenomenon essentially linked to Islam, which could be explained by the influence of media representation of the issue and could consequently have an impact on their way of understanding and identifying a radicalization-prone case. Finally, the gray area surrounding the behaviors associated with radicalization appears to be a problem in assessing the severity of the situation and ultimately the decision to reach out to an aid resource, such as the CPRLV, or the police.

Les adolescents sont de plus en plus nombreux à chercher des réponses à leurs questions en matière de santé par les technologies de l’information et de la communication (TIC), surtout en santé mentale. Ainsi, plus les adolescents ont un risque suicidaire élevé, moins ils cherchent de l’aide en personne et plus ils se tournent vers les TIC. À ce jour, aucune étude québécoise n’a exploré le processus de recherche d'aide par les TIC chez des adolescents ayant un risque suicidaire. Le but de la présente étude était donc de comprendre et générer une théorie sur le processus de recherche d'aide par les TIC chez des adolescents ayant un risque suicidaire. Les objectifs de recherche étaient : (1) de décrire l’utilisation des TIC par des adolescents à risque de suicide pour rechercher de l’aide et (2) de comprendre le processus de recherche d'aide des adolescents par les TIC pour trouver des ressources en lien avec le suicide. La méthode de la théorisation ancrée a été utilisée pour répondre à ces objectifs et modéliser le processus. La collecte de données a été effectuée à partir d’entrevues individuelles semi-structurées, d’un questionnaire sur la recherche d’aide par les TIC et d’observations d’une recherche d’aide réelle par les adolescents de l’étude. Un n de 15 participants, âgés de 13 à 17 ans ayant un suivi pour leur risque suicidaire a été atteint par la saturation théorique. Les données recueillies ont été transcrites, puis soumises à une analyse de contenu par codification ouverte, axiale et sélective. Le modèle paradigmatique de Corbin et Strauss (2015) et la méthode de la comparaison constante ont été utilisés jusqu’à la saturation des données et l’émergence d’une théorie substantive, soit la théorie de la noyade émotive virtuelle. Il en résulte que les TIC les plus utilisées par les jeunes de l’étude étaient les sites Internet d’information et de ressources, les vidéos en ligne ainsi que les outils d’autoformation. Cette utilisation des TIC s’avérait fréquente, rapide et efficace. Pour « composer virtuellement avec sa noyade émotive » (catégorie centrale), l’adolescent peut adopter plusieurs stratégies, parfois dans une même séance: se distraire, s’informer, se dévoiler et aider les autres. Ces stratégies peuvent entraîner une croissance émotive, l’obtention d’aide, un soulagement temporaire, aucun changement, une exacerbation des idées suicidaires ou un passage à l’acte. Des recommandations pour la pratique clinique, la formation ainsi que la recherche sont émises. / A growing number of adolescents are seeking answers to health problems through Information and Communication Technologies (ICT), especially regarding mental health. Some studies even report that adolescents highly at risk of suicide do not seek help in person and prefer seeking help through ICT. To our knowledge, no study in Quebec has yet explored the ICT help-seeking process of adolescents at risk of suicide. Thus, the aim of this study was to understand and generate a theory on the ICT help-seeking process of adolescents at risk of suicide. The objectives were to: (1) describe the use of ICT by adolescents at risk of suicide seeking help and (2) understand the ICT help-seeking process of adolescents at risk of suicide. Grounded theory methodology was used in response to these objectives to help model the help-seeking process of adolescents at risk of suicide. Data was collected through semi-structured interviews, an ICT help-seeking questionnaire and live observations of ICT help-seeking by the adolescents of this study. Theoretical saturation was reached with a total of 15 adolescents, aged 13 to 17, at risk of suicide. Data was analyzed using Corbin and Strauss’s paradigm model and the constant comparative method until data saturation occurred and a substantive theory was generated called the virtual emotional drowning theory. In order to “virtually cope with emotional drowning” (central category), the participating adolescents tried different strategies and sometimes, more than one strategy was used in the same session. These strategies included distracting themselves, getting informed, revealing themselves and helping others. The use of these strategies resulted in emotional growth, getting help, getting temporary relief, having no changes or sadly, having an exacerbation of suicidal thoughts or an actual suicide attempt. Finally, suggestions for clinical practice, training programs and future research are presented. The results of this study allow a better understanding of the use of ICT by adolescents at risk of suicide in order to develop, implement and evaluate ICT nursing interventions that will better respond to these adolescents’ needs.

Hintergrund und Fragestellung: Weiter steigende Raten des Konsums psychotroper Substanzen und klinisch bedeutsamer Substanzstörungen vor allem bei Jugendlichen und jungen Erwachsenen, veränderte Gebrauchs- und Problemkonstellationen der Konsumentengruppen und die Einführung neuer Therapien und Versorgungsmodelle (Prävention, Frühintervention, Therapie und Rehabilitation) erfordern insbesondere angesichts der begrenzten Finanz- und Versorgungsressourcen neue Bedarfs- und Allokationsmodelle. Diese sollen praxisnah und effizient zu entscheiden helfen wann, bei welchen Rahmenbedingungen, welche Interventionsart und -strategie die individuell erfolgversprechendste ist. Diese Fragen werden in einem Forschungsprojekt des Suchtforschungsverbundes ASAT bearbeitet, das in einer umschriebenen Region mittels schrittweiser, epidemiologisch basierter Bedarfsund Bedürfnisanalysen die Ableitung und Priorisierung von institutionellen und therapeutischen Zuordnungsstrategien untersucht. Methodik: Basierend auf einem prospektiv-epidemiologischen Design wurden (1) bei einer repräsentativen regionalen Bevölkerungsstichprobe (EDSP-Studie) Inzidenzmuster, Spontanverlauf, Risikofaktoren und Konsequenzen des Substanzgebrauchs, -missbrauchs und der -abhängigkeit sowie Inanspruchnahmeverhalten, gedeckter und ungedeckter Bedarf beurteilt. (2) Ergänzt wird diese Erhebung durch eine Gesamterfassung und Evaluation des regionalen Suchthilfesystems. (3) Über statistische Analysen von Verläufen und Suchthilfeangeboten in der Region sollen "natürliche" Allokationsprozesse dargestellt und "outcome"-orientiert bewertet werden. (4) Anhand der dabei sichtbaren Mängel und Defizite können dann zusammen mit den Einrichtungen verbesserte Allokationsrichtlinien für einzelne sowie Gruppen von Patienten abgeleitet werden. Die Ergebnisse sollen in das regionale Suchhilfesystem übertragen werden. Ergebnisse und Diskussion: Erste Ergebnisse des Projekts bestätigen die Möglichkeit, Risikogruppen über spezifische Verlaufsanalysen zu identifizieren (z.B. regelmäßige Cannabiskonsumenten, Mehrfachkonsumenten, mehr weibliche Konsumenten mit einem höherem Abhängigkeitsrisiko). Die Inanspruchnahmemuster deuten in Teilbereichen (Frühintervention) auf ein hohes Ausmaß ungedeckten Bedarfs hin und scheinen neue Allokationsentwürfe zu erfordern. Den Einrichtungsträgern und regional Verantwortlichen der Suchthilfe können nach Auswertung weiterer Daten umfassende Bedarfsabschätzungen und verschiedene alternative Allokationsmodelle basierend auf der Perspektive von KlientInnen/ PatientInnen bereitgestellt werden. / Background and Aims: Increasing rates of substance use and substance use disorders especially in adolescents and young adults, changing patterns of use and associated problems and the introduction of new therapies and programs of care (prevention, early intervention, therapy, rehabilitation) require new need and allocation models especially because of restricted financial and care resources. These models should provide a rational basis for the improvement of allocation processes as well as setting priorities in the provision and restructuring of community and patientoriented interventions. In the present paper, we will present a project of the ASAT research network program which aims at a multi-staged, integrated epidemiology-based need and program evaluation in an area to determine institutional and therapeutical allocation processes. Methods: Based on a prospective epidemiological design, (1) prevalence and incidence, risk factors and course of substance use, abuse and dependence are investigated in a representative sample of the community-based EDSP study. Additionally, helpseeking behaviors, met and unmet need are assessed. (2) The investigation is supplemented by a survey of all substance use services in the area. (3) Course of substance use and service provision of substance use services in the area will be analyzed and reviewed to identify natural allocation processes and to determine the outcome. (4) With the knowledge of deficits and unmet need, improved allocation guidelines for specific groups of clients and patients will be developed. The results will be transferred into the regional health care system. Results and discussion: First results show that the identification of new risk groups with the help of course typologies is possible. The patterns of help-seeking point to a high rate of unmet need, especially with regard to the targeted early intervention, and a need of alternative allocation models. After the assessment and the overall data analyses, need evaluations and several alternative allocation models based on the clients'/patients' perspective will be provided.

Råd och stöd via internetbaserad stödchatt har blivit en kontaktväg för ungdomar som vill söka hjälp. Tjänsten innebär att ungdomarna från mobil och dator kan skriva med professionella eller volontärer som ger dem stöd och råd kring olika problem. Denna studie ämnar ge en översikt av forskningsläget de senaste tio åren kring varför ungdomar, 13 – 25 år, väljer att använda sig av internetbaserad stödchatt. Genom en litteraturstudie har 13 artiklar mött kriterierna för att inkluderas i översikten. Tre stycken teman identifierades i resultatet. 1) Användaren som rör vilken typ av person, vilken typ av problem och attityder användaren har, 2) Anonymitet och Kontroll och 3) Svararen som handlar om rollen som svararen har. De tre teman ger en översikt på forskningsläget och visar att användarna har en annan typ av problem och att det finns andra aspekter av makt och kontroll än i ett fysiskt möte. / Counselling through online chat has become a source of contact for youths who wants to seek help. Through the service youths can from their cell phones and computer chat with professionals and peers who can give them support to various problems. This study wants to give an overview on the research on the subject made the last ten years on why youths, 13 – 25 years, choose to use counselling through online chat. With a literature review 13 studies matched the inclusion criteria. Three themes were identified in the result. 1) The user, which revolves around what kind of person, problem and attitudes the user has, 2) Anonymity and control and 3) The Answerer, which revolves around the answerer's role. The three themes give an overview on the current research and shows that the users have a different kind of problems and that there are different dimensions of control compared to a physical session.

This thesis explores the stigmas and taboos surrounding youth health centers in Sweden and how this might be hindering young people to visit the youth health centers. It’s exploring how this can be challenged and how the threshold can be lowered by involving the informal support system and bringing the youth health center to the youth arena which allows for a more informal type of support and guidance. The youth health centers in Sweden have been around since 1970 and are a well known and established form of healthcare, yet the majority of the visitors are young women. How come? I’ve been working from the hypothesis that there is a need for more youth to seek help but that they for various reasons don’t manage to make it all the way there. There are many stigmas surrounding topics that the youth health center is dealing with, such as sex, depression, or domestic violence. This is especially true for young people on the edge between childhood and adulthood. Using a human-centered design approach this project has through the involvement of adolescents, midwives and youth workers among others, been exploring challenges and finding opportunities where interaction design can be used to improve the situation for the youth that do not make it to the youth health centers but that want and would benefit from their services. The final design proposal is an ambassadorship, aimed towards adults already part of the informal support system, that will enable youth to feel more empowered to seek help. It is set up to reach the youth in new ways, in an informal manner to bring the solution to the youth and to create a more comfortable space for them to open up within. Part of this is also a service for youth to effortlessly get in contact with the youth health center and to create personal connections to its personnel through link cards and video presentations. These connections are there to prepare the youth and to lower the bar of contact by building trust and humanize the help-seeking process. To make it clear that they are not trying to contact an institution but a person.

People experiencing mental health illnesses such as posttraumatic stress disorder (PTSD) who do not receive mental health treatment services (MHTS) are at a higher risk of committing crimes. The research problem of this study was to fill the gap in the literature concerning gender, sex at birth, and gender identity differences as predictors of attitudes toward perceived stigma in help-seeking behavior (HSB) and use of MHTS. The sample size included 5,000 participants in the de-identified secondary data set of students from 26 universities and colleges across the United States. The Healthy Minds Study collected these data in 2016-2017 using the Patient Health Questionnaire. To address the research questions guiding the study, one-way ANOVA was used to test for differences in groups based on sexual orientation and gender identity for measures of perception of stigma, use of MHTS, and HSB regarding receiving mental health services. Between groups, MANOVA was used to assess differences in groups based on gender identity and sexual orientation on a linear combination of the dependent measures of perception of stigma in use of MHTS and HSB. There were directional differences between groups based on independent variables gender and sexual orientation on measures of the dependent variables perception of stigma in use of MHTS and of HSB. However, a closer examination of the results indicated that the effect size associated with the directional differences was weak. The results from this study may help clinicians to identify treatment challenges related to biological sex and gender identity and help to influence future interventions to better accommodate the contemporary population of men and women experiencing symptoms of PTSD.