This study is concerned with a set of cases referred to Children's .Services Division, Marion County, by the Marion County Juvenile Court for placement. Placements include foster homes and residential treatment facilities, including group homes. The goal of this study is to uncover criteria to determine the appropriateness and the efficacy of foster and residential placements for adolescents in order to provide feedback necessary for the development of practice theory.

published_or_final_version / Social Work / Master / Master of Social Work

This thesis inquires into the lived experience of five foster care alumni as they re-member and explore negotiations of time, space, and being made/becoming as young people formerly in government care. Informed by arts-based living inquiry (Irwin & de Cosson, 2004) and a collaborative research ethic, I undertook an emergent, rhizomatic exploration of new ways of viewing/thinking about the culture of care and about problematic representations of youth in care as irrevocably “broken,” “damaged,” and “deficient”. This process of inquiry allowed for movement between tangled lines of power, resistance, becoming, and desire informed by concepts central to the works of Foucault (1982), Deleuze and Guattari (1987), Tuck (2010), and Skott-Myhre (2008). Five foster care alumni explored their inquiry into “being in care” through arts-based methods that included collage, painting and drawing, and individual and group interviews. Important themes identified by participants included being seen/being heard, “foster child,” time, space, labels, disrupting “normal,” becoming complex, becoming political, and the importance of spirituality, belonging, Indigenous ways of knowing, and community. Such layered, complex representations foreground creativity and dignity while troubling the problematic representations of youth in care that permeate dominant discourses, practices, and policies shaping foster care systems and interventions. / Graduate

The purposes of this study were: (1) to examine a select sample of both runaways and nonrunaways at six Oregon residential treatment facilities; (2) to determine the amount and type of preplacement visitation and counseling done within these agencies; (3) to determine the effect preplacement visitation and counseling has upon the studied sample of runaways and nonrunaways in decreasing or controlling the number of runs from the agencies involved; and (4) to determine significant characteristics between runaway and nonrunaway populations. Testing materials included a two-part questionnaire, part of which was developed with girls from one of the participating agencies. Running, which today is looked upon as a status offense, is costly in the effect it has upon the mind and emotions of the young runners, as well as the effect it has upon the budgets of the agencies involved. Running from a residential treatment program is also disruptive to the treatment plan which has been set up for that particular youth. The work which has been done to date in this area is sketchy and incomplete. It does not clearly tell us whether or not preplacement counseling actually reduces the desire to run and helps to create a more comfortable atmosphere for the teen-ager. Our sample consisted of both runners and a random sample of nonrunners from the participating agencies for the month of October.

In 2017 the Ontario government moved forward with new child welfare legislation, Bill 89, spelling out that the 47 Children’s Aid Societies in Ontario will be much more ‘child-centric’. I explore the historical context of the ‘child-centric’ language and commitments in the new Act, including tracing its origin by the Act’s incorporation of the Katelynn Principle and Article 12 of the 1989 United Nations Convention On The Rights Of The Child. How best to consult youth in-care is an essential, but a mostly unanswered question. Children Aid Societies across the province have a unique opportunity to implement alternative methods in engaging young people in consultation, should they pan out as viable and reliable strategies when consulting youth in-care. Tradition interview approaches are not always the best strategies when engaging youth. Visual research methods, such as photo-elicitation, have the potential of offering useful insights into children’s perspectives and experiences. The focus of my thesis is youth voice. I explore this topic through a study with young people in-care involved in a music group. I used focus groups and photo-elicitation as methods for data collection. An important question addressed by my thesis is whether a visual research method, such as photo-elicitation, helps in the consultation process with young people and whether some of the claims made about the approach are accurate when working with youth. Specifically, I explored claims made about photo-elicitation helping with increasing 'emotional type talk' and inquired into how the method may enhance the consultation process with young people. I consider these questions in the context of important epistemological and theoretical debates about arts-informed and visual research methodologies. Five youth who had involvement of being in-care and were a part of a music group at a local Children’s Aid Society participated in my study. My study found that the youth overall felt consulted and did feel a degree of influence in shared decision making with being in-care. My study also showed that although photo-elicitation did not generate more ‘emotional-type talk’, it does appear to enhance self-confidence, which seemed to support meaningful participation in the interview process. Although much more needs to be explored with the application of visual research methods, and social science researchers should be cautious in making exaggerated claims in support of the approaches, youth in-care can surely benefit from visual research methods such as photo-elicitation. / Thesis / Master of Social Work (MSW)

published_or_final_version / Dentistry / Master / Master of Dental Surgery

Thesis (M.A.)--Catholic Theology Union at Chicago, 2004. / Includes abstract. "December 2004." Includes bibliographical references (leaves 72-73).

Thesis (M.A.)--Catholic Theology Union at Chicago, 2004. / Includes abstract. "December 2004." Includes bibliographical references (leaves 72-73).

Introduction: In recent years, high quality contraceptive care for adolescents has shifted away from tiered effectiveness counseling and toward youth-friendly, patient-centered counseling (YFPCCC). YFPCCC is essential in the South, which has higher rates of sexual activity, lower rates of contraception use, and higher teen birth rates. This study examined Southern clinics’ characteristics which support YFPCCC and youth’s perceptions of the contraceptive care they receive. Methods: This mixed methods study examined secondary data collected in two surveys and primary data collected through key-informant interviews. The first survey examined clinic characteristics impacting YFPCCC, and the second survey examined adolescents’ (aged 16-24) perspectives of their care. For each survey, outcome measures were dichotomized and examined through logistic regression models. Lastly, interviews with administrators at FQHCs and HDs in AL and SC and examined the facilitators and barriers to providing YFPCCC in these clinics. Results: FQHCs were 89% less likely to notify youth of their right to confidentiality (aOR 0.11, 95% CI (0.05, 0.26)) and 80% less likely to notify youth of their right to consent to care (aOF 0.20, 95% CI (0.10, 0.40)). Non-Hispanic Black youth were 47% less likely to receive patient-centered contraceptive care (aOR 0.53, 95% CI (0.40, 0.70)). Minor youth (ages 16-17) were 34% less likely to receive patient-centered contraceptive care (ages 20-24) (aOR 0.66, 95% CI (0.45, 0.98)). Clinic administrators noted the continued use of tiered effectiveness counseling. SC administrators noted that minor youth were allowed to consent to receiving the implant but could not consent to removing it. Discussion: Overall, clinic capacity to provide YFPCCC varied by clinic type, with FQHCs less likely to have notify youth of their rights to consent to and receive confidential contraceptive care. The receipt of YFPCCC varied by youth’s age and race/ethnicity, with minors and non-Hispanic Black youth being less likely to report YFPCCC. Clinic administrators noted that they continue to use the tiered effectiveness model of counseling, which may inadvertently pressure or coerce youth. To improve their capacity to provide YFPCCC, clinics should enhance their policies protecting consent and confidentiality and ensure that their providers are trained in patient-centered contraceptive care for youth.

Through the small-scale and imaginative application of a Speculative Institutional Ethnographical study, fictionalised stories have been created based upon observations in the field at three different Youth Care Home Facilities in Sweden. The locations and characters in these stories are composite narratives comprised of actual details from multiple real life places and people, amalgamated to form fictionalised narratives so as to protect the anonymity of real life people. The researcher’s primary motivation with the research is to develop a better understanding of the way in which individual differences between staff members working at these facilities impact their decision making in an environment which is supposedly value-neutral. It is argued that a multitude of factors will influence staff members perceptions of youths at these homes and that a degree of bias or partiality is unavoidable. An awareness of this and a development of critical reflexivity is encouraged. Through drawing data from real life observations in the field to create credible, realistic fictionalised stories, the research project is combining academic and creative writing processes in an innovative and progressive way. The goal of the research is not to prove or disprove a specific hypothesis but rather to explore an issue and develop a better understanding of the complexity and nuances of working at a Youth Care Home facility in view of Intersectional Gender Studies.