A pilot study of a family focused, psychosocial intervention with war-exposed youth at risk of attack and abduction in north-eastern Democratic Republic of Congo

Rural communities in the Haut-Uele Province of northern Democratic Republic of Congo live in constant danger of attack and/or abduction by units of the Lord's Resistance Army operating in the region. This pilot study sought to develop and evaluate a community-participative psychosocial intervention involving life skills and relaxation training and Mobile Cinema screenings with this war-affected population living under current threat. 159 war-affected children and young people (aged 7-18) from the villages of Kiliwa and Li-May in north-eastern DR Congo took part in this study. In total, 22% of participants had been abduction previously while 73% had a family member abducted. Symptoms of post-traumatic stress reactions, internalising problems, conduct problems and pro-social behaviour were assessed by blinded interviewers at pre- and post-intervention and at 3-month follow-up. Participants were randomised (with an accompanying caregiver) to 8 sessions of a group-based, community-participative, psychosocial intervention (n=79) carried out by supervised local, lay facilitators or a wait-list control group (n=80). Average seminar attendance rates were high: 88% for participants and 84% for caregivers. Drop-out was low: 97% of participants were assessed at post-intervention and 88% at 3 month follow-up. At post-test, participants reported significantly fewer symptoms of post-traumatic stress reactions compared to controls (Cohen's d=0.40). At 3 month follow up, large improvements in internalising symptoms and moderate improvements in pro-social scores were reported, with caregivers noting a moderate to large decline in conduct problems among the young people. Trial Registration clinicalTrials.gov, Identifier: NCT01542398.

Social impact bond feasibility study: Children and youth at risk: the Projecto Família program

Social impact bonds are an increasingly popular method of unlocking typical social investment barriers and fuelling social innovation. This feasibility study aims to understand whether a social impact bond is a suitable tool for decreasing unnecessary foster care placements in Portugal, which have been proven to cause significant social and financial damage to societies. This research question is answered through a financial model which combines the costs of this social problem with Projecto Família’s intervention model, a leading intensive family preservation service. Main findings suggest using SIB funding for a 5-year project with the goal of generating the proper impact measurement metrics lacking in the field.

Impact of an empowerment-based parent education program on the reduction of youth suicide risk factors

Purpose: To evaluate the impact of parent education groups on youth suicide risk factors. The potential for informal transmission of intervention impacts within school communities was assessed.

Methods: Parent education groups were offered to volunteers from 14 high schools that were closely matched to 14 comparison schools. The professionally led groups aimed to empower parents to assist one another to improve communication skills and relationships with adolescents. Australian 8th-grade students (aged 14 years) responded to classroom surveys repeated at baseline and after 3 months. Logistic regression was used to test for intervention impacts on adolescent substance use, deliquency, self-harm behavior, and depression. There were no differences between the intervention (n = 305) and comparison (n = 272) samples at baseline on the measures of depression, health behavior, or family relationships.

Results: Students in the intervention schools demonstrated increased maternal care (adjusted odds ratio [AOR] 1.9), reductions in conflict with parents (AOR .5), reduced substance use (AOR .5 to .6), and less delinquency (AOR .2). Parent education group participants were more likely to be sole parents and their children reported higher rates of substance use at baseline. Intervention impacts revealed a dose-response with the largest impacts associated with directly participating parents, but significant impacts were also evident for others in the intervention schools. Where best friend dyads were identified, the best friend’s positive family relationships reduced subsequent substance use among respondents. This and other social contagion processes were posited to explain the transfer of positive impacts beyond the minority of directly participating families.

Conclusions: A whole-school parent education intervention demonstrated promising impacts on a range of risk behaviors and protective factors relevant to youth self-harm and suicide.

Governing individualized risk biographies : new class intellectuals and the problem of youth at-risk

An apparent crisis of youth at-risk is a key marker in contemporary debates about young people among a range of intellectuals, social commentators and experts in various domains and centres of expertise. Drawing on aspects of the reflexive modernization, governmentality and feminist literatures, this paper explores how risk discourses emerge as a means for rendering reality knowable—a technique that facilitates the management of individual biographies in institutionally structured risk environments. In this context there is intellectual work to be done in the social sciences that takes as its object the possibilities and limits of institutionalized intellectual abstraction for problematizing youth via rationalities of risk—and the limits of these rationalities for providing resources for governing our thoughts, actions and dispositions—our freedom.

The entrepreneurial self and youth at-risk : exploring the horizons of identity in the 21st century

This paper argues that a particular form of selfhood has come to dominate the horizons of identity in the Western democracies at this time - I refer to this form of personhood as the entrepreneurial self. The paper argues that the figure (population) of ‘Youth at-risk’, in its negativity, illuminates the positivity that is the entrepreneurial Self. That is, the discourses that construct Youth at-risk reveal the truths about whom we should, as adults, become. The paper engages with Foucault’s theories of government, of (Neo)Liberalism as a problematisation of the practise of Liberal welfare government, and of the ways in which certain psychological discourses articulate with (Neo)Liberal views of enterprise to produce a view of the Self as the entrepreneurial Self.

Breath : allegory, knowledge practices, youth at-risk

Youth and risk are artefacts of expertise, constructed at the intersection of a wide range of knowledges about Youth and so-called Youth issues: an intersection marked by institutionalised, scientific representations of education, family, the life course, risk, and so on. In this paper I suggest that the messiness of human experiences and existence requires knowledge practices in the social sciences that can rethink what counts as truth. These interests – which are grounded in the knowledge practices that frame the work being undertaken in a large scale, qualitative investigation of the cultural drivers shaping the alcohol practices of 14 to 24 year old Australian’s - will be addressed through a discussion of the ways in which Tim Winton’s (2008) new novel Breath can be read as an allegorical tale about the terror of being ordinary: and of the teenage years as being a time in a life in which the fear of being ordinary compels Winton’s key characters to seek out, sometimes stumble upon, and embrace that which promises to make their’s a life less ordinary. In these recollections risk is something that breathes energy and purpose into lifeworlds that are dominated by the institutionalised ordinariness of family, school, and work.

Breath and the truths of youth at risk : allegory and the social scientific imagination

The ways that we have invented for knowing young people are governmentalised. This governmentalisation produces powerful incentives to conform to the rule-bound and institutionalised knowledge practices that institutions, government departments, corporations, and NGOs understand as being capable of telling truths about young people and about risk. I argue that knowledge practices in the social sciences should trouble what counts as truth, as evidence, and the ways in which these truths can be produced.

These interests will be examined through a discussion of the ways in which Tim Winton's novel Breath can be read as an allegorical tale about the terror of being ordinary: and of the teenage years as being a time in a life in which the fear of being ordinary compels Winton's key characters to seek out, sometimes stumble upon that which promises to make their's a life less ordinary. Here risk is something that breathes energy and purpose into lifeworlds that are dominated by the institutionalised ordinariness of family, school, and work. As an allegorical tale told from the vantage point of hindsight, Breath unsettles what it is that the social sciences can tell us about youth (as becoming) and risk (as mitigated by prudential foresight).