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Article

Kathleen A. Rounds and Traci L. Wike

Although rates of adolescent pregnancy have exhibited a downward trend since 1991, the United States continues to have a significantly higher rate than other industrialized nations. Adolescent pregnancy, especially in early and middle adolescence, has long-term developmental and economic impact on the teen and her child, in addition to high social costs. This entry describes the current trends in adolescent pregnancy in the United States, and examines factors reported in the research literature as associated with adolescent pregnancy, discusses federal policy directed toward adolescent pregnancy prevention, and identifies various intervention programs.

Article

Sadye L. M. Logan

Georgia L. McMurray (1934–1992) was a tireless advocate and activist on behalf of children and adolescents. She dedicated her life to championing their cause.

Article

This entry begins with a presentation of demographic data from the U.S. Census 2010 on the adolescent population 12 to 19 years by age, gender, and ethnicity. A summary of the information available on major issues and problems affecting adolescent populations is presented from numerous governmental and empirical research sources on the following topics: education, runaway and homeless youth, sexual behavior, substance abuse, suicide, victimization and criminal behavior, and texting while driving.

Article

Cynthia Franklin and Melissa Reeder

Adolescent parenthood continues to be a public health concern despite the fact that the numbers of adolescent births have been declining over the past decade. The United States ranks number one in adolescent pregnancies out of all the industrialized nations. While reducing the number of adolescent pregnancies is important, supporting those who do become young parents is equally vital and an important concern for social workers. This chapter covers the demographics of adolescent parents as well as the risk and protective factors associated with adolescent pregnancy and parenthood. In addition, it reviews the current state of program development and the need for additional research and evaluation.

Article

Carol M. Lewis and Shanti Kulkarni

Despite downward trends in the U.S. teen birth rate overall, the associated social and economic costs are still significant. Historically, teen pregnancy prevention policy and program adoption have been influenced by the sociopolitical environment at national, state, and local levels. Recent federal efforts have begun to re-emphasize the importance of developing and supporting evidence-based prevention efforts. Current teen pregnancy prevention approaches are reviewed with attention to the range of program philosophies, components, settings, populations served, and documented effectiveness. Promising directions in pregnancy prevention program development for adolescents are also highlighted.

Article

Larry D. Icard, Jacqueline J. Lloyd, and Gisoo Barnes

HIV/AIDS has introduced an array of issues and needs for children, youth, and their families. Family-focused interventions have emerged as a viable strategy for researchers and practitioners seeking effective and appropriate responses for the prevention, treatment, and care of children, youth, and families affected by HIV/AIDS. This discussion provides an overview of the epidemiology of HIV infection among children and youth, and highlights common elements and trends in the development, implementation, and testing of family-focused interventions. The discussion concludes with a commentary on areas for future attention.

Article

Susan Frauenholtz and Amy Mendenhall

Mental-health disorders are widely prevalent in children and adolescents, and social workers are the primary service providers for children and families experiencing these disorders. This entry provides an overview of some of the most commonly seen disorders in children and adolescents: attention deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder, separation anxiety disorder, and specific learning disorders. The prevalence, course, diagnostic criteria, assessment guidelines, and treatment interventions are reviewed for each disorder. In addition, the key role of social workers in the identification and intervention of these disorders, as well as ways social workers can support the children and families experiencing these disorders, is discussed.

Article

This entry will provide an overview of psychosocial issues and social work intervention relevant to working with lesbians. Practice issues related to the impact of heterosexism, coming out, lesbian identity development, and lesbian couple and family formation will be discussed. Assessment and intervention methods appropriate for social work practice with lesbians will be addressed.

Article

Sadye L. M. Logan

Mary Ann Quaranta (1926–2009) was a visionary and a builder of partnerships and collaborative efforts. At the forefront of her visions were individuals across the life cycle, families, communities, and organizations. She was a formidable leader and was recognized nationally within and outside the social work profession for her important contribution to social work practice, education, and research.

Article

This article explores the most effective approaches to reducing unintended pregnancies and improving girls’ education. Unintended adolescent pregnancies have gained substantial media attention across the globe over the past 20 years as the number of pregnant girls has increased annually. Multiple approaches have been implemented in attempt to reduce unintended adolescent pregnancies, such as sex education, the provision of contraceptives by the Department of Health, and addressing the role of young men, which are deemed to be the most commonly used approaches in South African schools. Study findings reveal that the most effective approaches to reducing adolescent pregnancies are sex education, access to contraceptives, peer education programs, and life skills training.

Article

Ndola Prata and Karen Weidert

Adolescence, spanning 10 to 19 years of age, begins with biological changes while transitioning from a social status of a child to an adult. For millions of adolescents in low- and middle-income countries (LMICs), this is a period of exposure to vulnerabilities and risks related to sexual and reproductive health (SRH), compounded by challenges in having their SHR needs met. Globally, adolescent sexual and reproductive ill-health disease burden is concentrated in LMICs, with sexually transmitted infections and complications from pregnancy and childbirth accounting for the majority of the burden. Adolescents around the world are using their voices to champion access to high-quality, comprehensive SRH information and services. Thus, it is imperative that adolescents’ SRH and rights be reinforced and that investments in services be prioritized.

Article

Cynthia Franklin and Constanta Belciug

One of the most promising areas of intervention for Solution-Focused Brief Therapy (SFBT) is with children, adolescents, and teachers in school settings. SFBT was applied in schools during the beginning of the 1990s and since that time the use of SFBT in schools has grown across disciplines with reports of SFBT interventions and programs implemented in schools in the United States, Canada, Europe, Australia, South Africa, and in the provinces of Mainland China and Taiwan. The brief and flexible nature of SFBT, and its applicability to work with diverse problems, make SFBT a practical intervention approach for social workers to use in schools. SFBT has been used in schools with student behavioral and emotional issues, academic problems, social skills, and dropout prevention. SFBT addresses the pressing needs of public school students that struggle with poverty, substance use, bullying, and teen pregnancy. It can be applied in group sessions, as well as individual ones, and in teacher consultations. There is also increasing empirical support that validates its use with students and teachers. SFBT has been applied to improve academic achievement, truancy, classroom disruptions, and substance use. The history and development of SFBT in schools, basic tenets of SFBT, the techniques that are used to help people change, and the current research are covered along with the implications for the practice of social work.

Article

Jessica M. Black

Although it was once widely held that development through toddlerhood was the only significant time of tremendous brain growth, findings from neuroscience have identified adolescence as a second significant period of brain-based changes. Profound modification of brain structure, function, and connectivity, paired with heightened sensitivity to environment, places adolescence both as a heightened period of risk and importantly as a time of tremendous opportunity. These findings are of key relevance for social-work policy and practice, for they speak to the ways in which the adolescent brain both is vulnerable to adverse conditions and remains responsive to positive environmental input such as interventions that support recovery and resilience.

Article

Paula Allen-Meares

In 2006, School social work celebrated 100 years as a vibrant profession. This entry details the genesis and development of this particular specialization to the early 21st century, exploring the history of the profession, including policy and legislation that has either resulted from or affected schools on a national level. Additionally, the entry explains the knowledge base of school social work, examines the regulation and standards for both practice and practitioners, and considers future trends for the field.

Article

Marcia Guedes Vieira

The International Labour Organization estimates that there are 12.5 million children and adolescents under the age of fifteen currently working in Latin America and the Caribbean. Of these, 9.6 million (77%) perform tasks that pose a risk to their physical and psychological health. This article presents a brief comparative analysis of child labor in Brazil and Uruguay in order to discuss the challenges of confronting this phenomenon in two very different countries that have embraced divergent strategies to deal with similar problems. To do this, the article presents an overview of the incidence of child labor in Brazil and Uruguay and seeks to demonstrate how far the category of labor is from a universal definition in the academic world, which is also repeated in the debate on the definition of child labor. It is possible to identify different moments of the debate in Latin America regarding the concept of child labor. Some approaches have been more contextualized than others, but all remain controversial and are sometimes considered incomplete. It will also consider the changes in the world of labor and how they interfere in this phenomenon. Despite advances in the fight against child labor overall, Brazil is starting to stagnate in its efforts to reduce the number of child and adolescent workers, and its challenge is to find new political solutions to address this problem. Uruguay still needs to place the issue more centrally on the nation’s political and social agenda in order to guarantee consistent research on the problem that can guide its policy responses.

Article

Frank Vitaro and Richard E. Tremblay

Traditionally, the term targeted prevention refers to interventions designed to prevent the development of adjustment problems in individuals by reducing risk factors or by implementing protective factors identified in studies of human development. Because risk and protective factors vary with development, a developmental perspective is necessary in order to identify which factors are most relevant at each period of life, based on well-defined and empirically supported etiological models. Moreover, because prevention strategies vary greatly depending on the factors that are targeted at different developmental periods and ages, a developmental perspective suggests that they need to be shaped accordingly. A further expansion of the concept of developmental targeted prevention includes the notion of “stepwise continuous prevention” for the extreme cases who do not revert to normative behavior during a given developmental period. This notion draws on the chronic-disease model of conduct problems and encompasses several developmental periods. The current debate around these issues is important as they apply to the prevention of conduct problems in youth by targeting risk factors during maternal pregnancy, early childhood, childhood, and adolescence. A consensual view of developmental targeted prevention is, however, necessary for prevention efforts to be coordinated and fruitful.

Article

Jo Holliday, Suzanne Audrey, Rona Campbell, and Laurence Moore

Addictive behaviors with detrimental outcomes can quickly become embedded in daily life. It therefore remains a priority to prevent or modify these health behaviors early in the life course. Diffusion theory suggests that community norms are shaped by credible and influential “opinion leaders” who may be characterized by their values and traits, competence or expertise, and social position. With respect to health behaviors, opinion leaders can assume a variety of roles, including changing social norms and facilitating behavioral change. There is considerable variation in the methods used to identify opinion leaders for behavior change interventions, and these may have differential success. However, despite the potential consequences for intervention success, few studies have documented the processes for identifying, recruiting, and training opinion leaders to promote health, or have discussed the characteristics of those identified. One study that has acknowledged this is the effective UK-based ASSIST smoking-prevention program. The ASSIST Programme is an example of a peer-led intervention that has been shown to be successful in utilizing opinion leaders to influence health behaviors in schools. A “whole community” peer nomination process to identify opinion leaders underwent extensive developmental and piloting work prior to being administered in a randomized trial context. Influential students were identified through the use of three simple questions and trained as “peer supporters” to disseminate smoke-free messages through everyday conversations with their peers. In response to a need to understand the contribution of various elements of the intervention, and the degree to which these achieve their aim, a comprehensive assessment of the nomination process was conducted following intervention implementation. The nomination process was successful in identifying a diverse group of young people who represented a variety of social groups, and whom were predominantly considered suitable by their peers. The successful outcome of this approach demonstrates the importance of paying close attention to the design and development of strategies to identify opinion leaders. Importantly, the involvement of young people during the development phase may be key to increasing the effectiveness of peer education that relies on young people taking the lead role.

Article

Clare S. Gaskins, Melissa A. Bitalvo, and Michele R. Cohen

There is growing evidence that obsessive-compulsive disorder (OCD) is much more common in children and adolescents than originally believed. While some youth with mild to moderate OCD may be able to navigate their school day with minimal interference, for others the disorder can cause significant impairment in the ability to concentrate on school work, complete homework, and make and maintain peer relationships. School social workers and staff can play a pivotal role in shaping learning environments that support students with OCD. This article provides an overview of clinical characteristics of OCD, its assessment and treatment, how children with the disorder may present in the school setting, and ways in which school staff can assist students with OCD.

Article

Maria Ojala and Yuliya Lakew

One important group to include in efforts to combat climate change is young people. This group comprises the future leaders of society, besides being citizens of today, and they will be the ones handling the future negative consequences of this global problem. This article provides an overview of some research about climate change communication and young people. The aim is to gain a better understanding of how this group relates to and communicates about climate change in different contexts, and how to best promote knowledge, a sense of efficacy, and engagement concerning this problem. The focus is on young people who are between late childhood and young adulthood. Questions in focus are: How do media messages about climate change influence young people, and how do they themselves use media, for instance social networks, to engage with this issue? Can art-based and entertainment approaches to communication overcome the distant and complex character of climate change and make young people feel more empowered and engaged? Is it possible to communicate about climate change and raise awareness by promoting contact with nature and animals? How do young people cope with the negative emotions that are often evoked by information about this problem? In what way do young people communicate in everyday life with parents, peers, and teachers about climate change? Are participatory approaches to climate change communication a good way to prepare young people for future extreme climate events?

Article

Paul H. Ephross

William D. Bechill (1928–2007) was a social worker who raised public and governmental consciousness about the needs of older Americans. He was responsible for the original design of the Medi–Cal legislation in California, which anticipated much of the Federal Medicare.