A Literature Review on the Role of Hope in Promoting Positive Youth Development across Non-WEIRD Contexts.

Theoretical and empirical evidence has identified hope as a key adolescent strength that is linked to positive youth developmental outcomes. Although hope must be understood from a cultural lens, most of the evidence regarding adolescent hope is derived from samples of white youth from Western, educated, industrialized, rich, and democratic (WEIRD) nations. Therefore, in order to have a more comprehensive and global understanding of the antecedents, outcomes, and processes of hope, we apply a positive youth development perspective in order to review the literature (N = 52 studies) on hope from diverse cultural and international contexts. In organizing the findings by global region, our review provides evidence of the shared function of hope in promoting positive youth developmental outcomes and the usefulness of the Child Hope Scale across contexts. Family and parental relationships were identified as key assets in promoting hope; however, there exists cultural and contextual variation in what aspects of these relationships promote hope. We conclude this review by considering the priorities for research, practice, and policy, based on these findings.

A multimethod, multi-informant, and multidimensional perspective on psychosocial adjustment in preadolescents with spina bifida.

This study examined the psychosocial adjustment of preadolescents with spina bifida in relation to a comparison sample of able-bodied preadolescents (8- and 9-year-olds; n = 68 in each sample). The study also examined the potential clinical utility of a narrowband multimethod, multi-informant, and multidimensional perspective on the assessment of psychosocial functioning in children and adolescents with pediatric conditions. Findings revealed that children with spina bifida tended to be socially immature and passive, less likely to have social contacts outside of school, more dependent on adults for guidance, less competent scholastically, less physically active, less likely to make independent decisions, and more likely to exhibit attention and concentration difficulties. No group differences were found for externalizing symptoms, affective functioning, or global self-worth, suggesting resilience in these domains for the spina bifida sample. Findings also suggest that low socioeconomic status and the presence of a physical disability may be additive risk factors for certain psychosocial adjustment difficulties.

Pediatric provider processes for behavioral health screening, decision making, and referral in sites with colocated mental health services.

OBJECTIVE: Validated behavioral health (BH) screens are recommended for use at well-child visits. This study aimed to explore how pediatricians experience and use these screens for subsequent care decisions in primary care. METHODS: The study took place at 4 safety net health centers. Fourteen interviews were conducted with pediatricians who were mandated to use validated BH screens at well-child visits. Interview questions focused on key domains, including clinic BH context, screening processes, assessment of screening scores, and decision making about referral to mental health services. Qualitative analysis used the Framework Approach. RESULTS: A variety of themes emerged: BH screens were well accepted and valued for the way they facilitated discussion of mental health issues. However, screening results were not always used in the way that instrument designers intended. Providers' beliefs about the face validity of the instruments, and their observations about performance of instruments, led to discounting scored results. As a result, clinical decisions were made based on a variety of evidence, including individual item responses, parent or patient concerns, and perceived readiness for treatment. Additionally, providers, although interested in expanding their mental health discussions, perceived a lack of time and of their own skills to be major obstacles in this pursuit. CONCLUSIONS: Screens act as important prompts to stimulate discussion of BH problems, but their actual scored results play a variable role in problem identification and treatment decisions. Modifications to scheduling policies, additional provider training, and enhanced collaboration with mental health professionals could support better BH integration in pediatric primary care.