Risk and resilience Flashcards

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1
Q

What is mental health?

A

'’Our emotional, psychological and social wellbeing. Its affects out thinking, moods and behaviours. Everyone has mental health, and it is normal for mental health to change during times of stress. Positive mental health does not mean always being happy, but feeling empowered to talk about, cope with and overcome the things we might encounter in life’’
(Anna Freud Centre=)

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2
Q

The 100 Acre Wood (Shea et al/., 2000)

A
Social anxiety
OCD
Narcissistic personality disorder
Anxiety
ADHD
Autism
Depression 
Impulsivity learning/ learning difficulties/ eating disorders
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3
Q

Prevalence of MHDs in young people

A

NHS digit 2018
Significant increase in prevalence of mental health difficulties from early (2-4; 5.5.%) to middle childhood (5-10; 9.5%) and then again in adolescence (11-16; 14.4.%) and young adults (17-19; 16.9%)
-1 in 8, 5-19 year olds had at least 1 mental disorder
-emotional disorder most common
-females high rates (emotional) males higher rates (behavioural)
-first onset age 14

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4
Q

Bronfenbrenner’s ecological systems theory

A

-human development involves interactions between children and environment

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5
Q

Ecological systems theory

A
  • Microsystems- innermost levels, direct effects
  • Mesosystems- Interaction between microsystems and ore distal domains
  • Excosystems- social structures, indirect effect
  • Macrosystems- Abstract broader societal and cultural values - Chronosystems- timing of development and historical time
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6
Q

Ecological systems theory

A
  • child is active
  • two directional interaction with child and environment
  • interactions include interconnections with multiple settings
  • properties and perceptions of environment
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7
Q

What is risk

A

Risk factors are factors that increase the likelihood of children experiencing negative developmental outcomes (Arther et al., 2002)
-Fixed and mixed variables
-Socio-demographic, relationships
-Stable over time (Stouthamer-Loeber et al., 2002)
-Duration of exposure
risk is about probability doesn’t effect everyone (Zolkoski & Bullock, 2012)
-Markers or proxies

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8
Q

Cumulative risk

A
  • The number of RFs can predict childhood development outcomes better than a single RF
  • Those who experience more RF = more problems/ -no. of RFs more important than their relative independent strength (Appleyard et al., 2013)
  • CR effects found range of children outcomes e/.g. academic attainment, behaviour, mental health (Evans et al., 2013)
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9
Q

CR assumptions

A
  1. Greater no. of RFs, greater likelihood of problems

2. its the accumulation of RF, rather than the presence/absence of particular RF that impacts development

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10
Q

Form of the CR risk relationship

A
  • often non-linear= quadratic relationship
  • exponential or disproportionate increase in negative outcomes
  • threshold effect
  • saturation effect
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11
Q

Explanations of CR (Evans et al., 2013)

A
  1. Allostatic load

2. Disruption o proximal processes of development

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12
Q

What is resilience?

A

“The ability to withstand, recover from or thrive despite adversity”

(Anna Freud Centre)

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13
Q

Protective and promotive factors

A
  • “resilience arises from ordinary resources and processes” (Masten, 2014, p.3)
  • Resilience made up of P&P factors that contribute to positive outcomes despite exposure to greater than average risk (Brooks, 2006)
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14
Q

What are protective factors?

A
  • factor that moderate the relationship between RFs and mental health difficulties
  • “a predictor of positive outcomes particularly in situations of risk or adversity” (Wright, Narayan & Masten, 2013, p.17)
  • influences the extent to which risk exposure affects outcomes
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15
Q

What are promotive facts?

A

factors that directly improve mental health difficulties, counteracting the negative effects of risk exposure

  • independent influence – opposite pole of a variable to a RF
  • counteracts negative exposure to RFs
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16
Q

Extra information on resilience

A
  • everyone capable with the appropriate mechanisms are in place (Masten, 2001)
  • shift in focus from resilience as a personality trait within the individual, to the individuals interactions with their environment, factors that facilitate wellbeing under stress- socio-ecological/ personality traits (Unbar, 2011, 2012)
  • is it fait to discuss resilience in relation to ‘vulnerable’ children
17
Q

Different types of prevention and promotion

A
  • Prevention as a science
  • Prevention through promotion
  • Prevention in relation to risk and resilience
  • Schools
18
Q

School-based intervention

A
  • Early intervention (universal screening, Humphrey & Wigelsworth, 2016)
  • universal prevention intervention
  • later interventions- programmes for children already showing signs/symptoms of MHDs
19
Q

Types of school-based interventions

A
  1. Universal- everyone
  2. Selective- specific public with potential risk
  3. Indication- specific people who demonstrate signs of MHDs
20
Q

Levels of intervention

A
Graduated approach to prevention and intervention
-Universal/primary
-Selective/secondary
-Indicated/tertiary
Widely used across the UK
21
Q
A
  • % children reduces
  • Size of group reduces
  • Intervention agent specialism/expertise increases
  • Location of intervention changes
  • Intensity and frequency of intervention increases
  • Introduction of referral and/or diagnostic thresholds
  • Progress monitoring and routine outcome measurement increases
21
Q
A
  • % children reduces
  • Size of group reduces
  • Intervention agent specialism/expertise increases
  • Location of intervention changes
  • Intensity and frequency of intervention increases
  • Introduction of referral and/or diagnostic thresholds
  • Progress monitoring and routine outcome measurement increases
22
Q

Universal school-based interventions

A
  • immunisation quality
  • intervening early= prevention= promotion of adaptive behaviours+coping strategies (Embry, 2004)
  • structured and unstructured
  • target underpinnings of onset
  • parenting/neighbourhood/community element
23
Q

Social and emotional learning

A
  • SEL used universal, dominant in education
  • SEL all protective factors
  • equip children with tools/resources to address life events that may challenge their mental health
24
Q

Promoting alternative thinking strategies (PATHS)

A

-universal SEL curriculum, helps children manage behaviour
-based on affective-behavioural-cognitive-developmental model of development (emphasises developmental integration of affect, emotion language etc.)
-series of twice weekly sessions
delivered by class teacher

25
Q

Three main components of PATHS

A
  1. Taught curriculum
  2. Generalisation activities
  3. Parent materials