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1.
Am J Community Psychol ; 50(3-4): 530-40, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22434328

RESUMO

Over the past two decades schools have been identified as the de facto mental health system for youth. Therefore, improving and expanding school mental health (SMH) has become a pressing agenda item for researchers, practitioners, policy makers, and funders. Advancing this agenda includes not only translating intervention research into practice within schools, but building capacities for these interventions to occur. The interactive systems framework (ISF) of Wandersman and colleagues, and the focus of this special issue, provides guidance in bridging the gap between research and practice through multisystem capacity building. There is some evidence that application of the ISF has helped to build capacity for SMH in states, but this evidence is preliminary. In addition, application of the ISF has not occurred in SMH at the community level or in relation to the specific stresses a community undergoes in relation to a disaster. The purpose of this article was to conduct a preliminary attempt to connect these three areas-the ISF, SMH and strengthening SMH through the ISF to better address impacts of a community level disaster; in this case, we explore the impacts of Hurricane Katrina on New Orleans schools, their students and families, and SMH programming within them.


Assuntos
Fortalecimento Institucional , Serviços de Saúde Mental/organização & administração , Desenvolvimento de Programas , Serviços de Saúde Escolar/organização & administração , Planejamento em Saúde Comunitária , Tempestades Ciclônicas , Desastres , Prática Clínica Baseada em Evidências , Humanos , Modelos Organizacionais , Nova Orleans , Estresse Psicológico/terapia
2.
J Nutr ; 141(6): 1114-9, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21525257

RESUMO

Child food insecurity is measured using parental reports of children's experiences based on an adult-generated conceptualization. Research on other child experiences (e.g. pain, exposure to domestic violence) cautions that children generally best report their own experiences, and parents' reports of children's experiences may lack adequate validity and impede effective intervention. Because this may be true of child food insecurity, we conducted semistructured interviews with mothers, children (age 9-16 y), and other household adults in 26 South Carolina families at risk for food insecurity. Interview transcripts were analyzed using a constant comparative process combining a priori with inductive coding. Child interviews revealed experiences of food insecurity distinct from parent experiences and from parent reports of children's experiences. Children experienced cognitive, emotional, and physical awareness of food insecurity. Children took responsibility for managing food resources through participation in parental strategies, initiation of their own strategies, and generation of resources to provide food for the family. Adults were not always aware of children's experiences. Where adult experiences of food insecurity are conditioned on inadequate money for food, child experiences were grounded in the immediate household social and food environment: quality of child/parent interactions, parent affect and behavior, and types and quantities of foods made available for children to eat. The new, child-derived understanding of what children experience that results from this study provides a critical basis from which to build effective approaches to identify, assess, and respond to children suffering from food insecurity.


Assuntos
Alimentos , Fome , Adolescente , Adulto , Criança , Ciências da Nutrição Infantil , Comunicação , Família/psicologia , Características da Família , Feminino , Abastecimento de Alimentos , Humanos , Masculino , Pobreza , Meio Social , South Carolina
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