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A family history of mental illness, particularly parental depression, is a risk factor for mental health difficulties in young people, with this heightened risk extending into adulthood. Evidence suggests low rates of formal mental health support in children/adolescents with depressed parents, but it is unknown whether this pattern persists into adulthood and applies to informal support.
Aims
We examined the prevalence of formal and informal mental health support accessed by young adults with recurrently depressed parents. We identified factors associated with access to different support, and report satisfaction with support.
Method
The sample included 144 young adults (mean age 23 years, range 18–28 years) who completed psychiatric assessments and reported on their use of mental health support in a cross-sectional analysis of a longitudinal cohort study (wave 4). Regression analyses explored predictors for support.
Results
Young adults accessed a range of formal (29%) and informal (56%) support. Among those with a psychiatric disorder, nearly half had not accessed formal support and a fifth had not accessed any support. Predictors of support included psychiatric disorder, severity indicators (e.g. self-harm/suicidal thoughts, impairment) and demographic factors (e.g. education, gender). Predictors varied by type of support. Most participants reported satisfaction with support.
Conclusions
Young adults at high risk of mental disorders accessed various mental health support. However, many did not access/receive support when needed. Further work is required to improve access to tailored support.
This study aimed to adapt and validate the Mental Health Support Scale (MHSS) for Chile and Argentina, hypothesising that it would correlate positively with mental health literacy, negatively with stigma measures, and differ by mental health first aid (MHFA) training history. The MHSS involves the ‘Intended’ scale (assessing intended support) and the ‘Provided’ scale (evaluating actual help), capturing recommended and not-recommended actions. The scales were translated into Spanish, piloted with 17 adults to explore cultural relevance, and validated with 554 Chilean and Argentinian adults using concurrent measures of stigma, social distance and mental health literacy. Factor analysis of the MHSS-Intended identified a recommended factor (16 items) and a not-recommended factor (5 items). The recommended factor correlated positively with mental health literacy (r = 0.19) and negatively with weak-not-sick stigma (r = −0.16) and social distance (r = −0.16). Support scores significantly discriminated between participants with and without MHFA training (recommended d = 0.99, not-recommended d = 1.35) and within participants pre- and post-MHFA training (recommended d = 0.90, not recommend d = 0.47). Overall, the adapted MHSS demonstrates acceptable psychometric properties and is a promising tool for evaluating mental health first aid support in Chile and Argentina.
Although technology has transformed the landscape of pedagogy, some language teachers are still reluctant to use educational technology, and this is referred to as “resistance to change.” This resistance is complex, and as a result, the biggest challenge in language pedagogy is to prepare teachers to integrate technology into their classrooms. This chapter provides an overview of historical and current explanations for teacher resistance to computer-assisted language learning (CALL), discusses factors influencing teachers’ technology use, and critically examines challenges for CALL teacher education in specific sociocultural contexts. Additionally, suggestions for breaking down resistance are provided for educational institutions, teacher educators, in-service and pre-service teachers. Finally, this chapter concludes with recommendations for future research and classroom practice to guide professional development.
Neuromuscular disorders cause respiratory failure when they significantly impair the respiratory muscle pump. This is a complex system involving the diaphragm, intercostal, neck, shoulder girdle, abdominal wall and possibly paraspinal muscles. The dilator muscles of the palate, pharynx and larynx maintain a patent airway and air conduit. The diaphragm is the main muscle of inspiration, but is aided by the parasternal intercostals, and additionally by the accessory respiratory muscles in forceful inspiration, diaphragmatic weakness or compromised diaphragmatic function as is the case in lung emphysema. Exhalation is passive, but forceful expiration and cough require the abdominal wall and a portion of the intercostals. This chapter focuses on the physiology of the muscles involved in respiration, and the recognition of developing neuromuscular respiratory failure, its clinical evaluation and assessment, and basic principles of management.
No one needs a tracheostomy tube only for being too weak to breathe, that is, for people with ventilatory pump failure. Noninvasive ventilatory support is safer, better tolerated and better maintains quality of life than does ventilatory support via tracheostomy. People at any age can become continuously dependent on (noninvasive) ventilatory support (CNVS) without ever going to a hospital or developing acute respiratory failure. People who depend on CNVS are more safely managed in their homes by trained care providers than in institutions or hospitals where supplemental oxygen therapy can result in acute respiratory failure. Here we discuss the management with respect to noninvasive ventilation or noninvasive ventilatory support for patients with ventilatory pump failure and discuss mechanical insufflation-exsufflation, intubation and extubation criteria for these patients.
Continuing professional development (CPD) is examined, emphasising the importance of maintaining skills and keeping abreast of current research and curriculum developments in the teaching of modern languages. Examples of professional learning are given, as well as advice on how collaborative working with colleagues locally, nationally and internationally can enhance learning and teaching. In addition, links are given to sources of further information and advice on a range of opportunities available to teachers to help them with their career-long professional learning (CLPL). Finally, the chapter discusses the important area of teacher well-being and gives guidance and advice on how student teachers can build emotional resilience that prepares them for a career in the classroom, noting sources of support for their own mental health and well-being.
Research on workplace bullying often considers those in managerial positions as perpetrators or resources in the process. There is a lack of studies focusing on them as targets, with most existing research centred on upward bullying. The aim of this study was to investigate all forms of bullying, comparing first-line managers with those higher up in the hierarchy and with workers, and examining how perceived social support and laissez-faire leadership affect exposure. Using a probability sample of the Swedish workforce, the results showed that managers are generally as exposed to bullying as workers. For first-line managers, exposure depended on the perception of laissez-faire leadership from their immediate superior. Social support was beneficial for all but did not have a differential effect. Organizational efforts to mitigate bullying must ensure that anti-bullying measures explicitly include all hierarchical levels, with extra focus on first-line managers.
How do children learn the language-to-concept mappings within the domain of Mechanical Support – a spatial domain involving varied and complex force-dynamic relations between objects based on specific mechanisms (stickiness, clips, etc.)? We explore how four- and six-year-olds, and adults encode dynamic events and static configurations of Mechanical Support via attachment (picture put on a door). Participants viewed spatial configurations (Experiment 1 – in dynamic events or Experiment 2 – in static states) and were then prompted with the question, “Can you tell me what my sister did with my toy?” Children and adults used lexical verbs, and the visibility of the mechanism influenced the type of verb used. Also, whereas children preferentially used Orientation Verbs (e.g., “hang”), adults preferentially used Verbs of Attaching (e.g., “tape,” “stick”). Our findings shed light on how children acquire mechanical support language and the linguistic and cognitive constraints involved.
In this chapter participants reflect on the steps that senior academics and academic institutions could do to better support early career autistic academics. They also reflect candidly on the things that non-autistic colleagues and friends could do to make them feel more comfortable in both work and social settings.
I begin with those categories that involve neutral terminology. The inherent connection of neutral terms with the ground, the likeness of an image, has been indicated already. Interaction of other kinds does not have this characteristic. It is worth stressing that, in many ways, the more apparent the connection with the ground, the less interesting the interaction. This applies especially to explicit imagery, where, of course, the ground, or part of it, is usually made explicit as a matter of predictable organisation.
At a time of increased demand for specialist mental health services, a more nuanced understanding of how adolescents navigate systems of care and support is essential. We mapped ‘networks of care’ to explore patterns of mental health help-seeking alongside the perceived helpfulness of support accessed.
Methods
We examined data from 23 927 adolescents aged 11–18 years who participated in the 2023 OxWell Student Survey, an English school-based, repeated cross-sectional survey of mental health and wellbeing. Students self-reported past-year access to 18 types of support across informal (e.g. friends and family), semi-formal (e.g. school and charities), and formal (e.g. health and social care) domains, alongside how helpful they found the support. We used a network approach to explore interconnections between sources of support accessed and perceived helpfulness.
Results
One in four (27.0%, 6449/23927) adolescents reported past-year access to mental health support, of which 56.7% (3658/6449) reported accessing multiple types. Informal networks were the most commonly accessed (23.1%, 5523/23927), followed by semi-formal (9.7%, 2317/23927) and formal (6.8%, 1623/23927) supports. Informal sources had high acceptability, with around 80–90% reporting them as helpful, whereas child and adolescent mental health services (CAMHS), helplines, and online supports were perceived to be the least helpful. The networks also identified groups who might not be optimally served by current systems, including gender diverse adolescents and adolescents who found mental health support from their parents unhelpful.
Conclusions
Adolescents are accessing mental health support across informal, semi-formal, and formal sources of care. Services can no longer be developed, delivered, or evaluated in isolation from these networks.
US legislators show a remarkable variation in how many bills and resolutions they sponsor and cosponsor to support Taiwan. I argue that legislators’ perception of China and their partisan identity play a crucial role in shaping their support for Taiwan. To test my hypotheses, I conducted a quantitative analysis of all Taiwan-specific bills and resolutions introduced from the 110th to 116th House of Representatives. The results indicate that legislators who view China as a security threat to the US or a non-democracy and a human rights violator exhibit a higher level of support for Taiwan. However, seeing China as an economic challenger has the least significant effect. Furthermore, although there is a general consensus that Taiwan is a bipartisan issue in Congress, my research demonstrates that Republicans display a greater level of interest in supporting Taiwan compared to Democrats.
Based on a range of detailed case studies, this innovative book presents a model for early career language teacher development. It showcases the lived experiences of English language teachers in their training years, as well as the reflections of two more experienced English language teachers, and uses these case studies to provide practical guidelines on early career needs and development. It outlines four essential and highly connected conditions that will enable teachers to survive and thrive in the profession: reflection, support, resilience, and well-being. Using an innovative, evidence-based, data-informed approach to reflective practice, the book covers teachers' philosophy, principles, theory, practice, and critical reflection beyond practice. Each chapter contains practical reflection activities, to encourage reflection throughout from the reader on what the research reveals. It is essential reading for graduate students who are training to become language teachers, as well as language teacher trainers and lecturers.
Preparation is key and hopefully this book will have provided useful information to allow you to link with key people and develop a strategy. The emotional and practical impact on the professional and personal lives of those involved cannot be underestimated. This chapter considers the psychological and practical impact and provides some advice on managing often conflicting emotions.
Many nurses will be asked to give evidence at a coroner’s inquest during their nursing career. Being asked to give evidence can feel incredibly daunting and generate complex feelings. It’s important to remember that the coroner is looking for your help with the inquiry. The coroner can also seek an expert opinion by a nursing professional on the care of the person who has died. This chapter provides advice on how best to fulfil your duty.
Workplace violence and aggression toward healthcare staff has a significant impact on the individual, causing self-blame, isolation and burnout. Timely and appropriate support can mitigate harm, but there is little research into how this should be delivered. We conducted multi-speciality peer groups for London doctors in postgraduate training (DPT), held over a 6-week period. Pre- and post-group burnout questionnaires and semi-structured interviews were used to evaluate peer support. Thematic analysis and descriptive statistical methods were used to describe the data.
Results
We found four themes: (a) the experience and impact of workplace violence and aggression on DPT, (b) the experience of support following incidents of workplace violence and aggression, (c) the impact and experience of the peer groups and (d) future improvements to support. DPTs showed a reduction in burnout scores.
Clinical implications
Peer groups are effective support for DPT following workplace violence and aggression. Embedding support within postgraduate training programmes would improve access and availability.
Au cours du vieillissement, les adultes ayant une déficience intellectuelle (DI) vivent de nombreux changements susceptibles d’influencer leurs possibilités d’exercer leurs activités quotidiennes et leurs rôles sociaux. Une bonne connaissance de leurs points de vue sur le sujet apparaît cruciale pour mieux adapter l’offre de services à leurs besoins. Cette recherche a pour but de mieux comprendre les points de vue des personnes ayant une DI à l’égard de leurs possibilités de participation sociale à travers l’avancée en âge. Des entrevues individuelles et un atelier participatif ont été réalisés avec des adultes âgés de 40 à 75 ans dans la ville de Québec. L’analyse de leurs propos a permis d’identifier leurs points de vue relatifs à trois thèmes, soit leurs capacités, les possibilités d’exercer leur participation sociale et les soutiens reçus. Pour conclure, des recommandations sont proposées afin que les pratiques soutiennent réellement leur participation sociale à travers l’avancée en âge.
Convex polytopes, or simply polytopes, are geometric objects in some space $\R^{d}$; in fact, they are bounded intersections of finitely many closed halfspaces in $\R^{d}$.The space $\R^{d}$ can be regarded as a linear space or an affine space, and its linear or affine subspaces can be described by linear or affine equations. We introduce the basic concepts and results from linear algebra that allow the description and analysis of these subspaces. A polytope can alternatively be described as the convex hull of a finite set of points in $\R^{d}$, and so it is a convex set. Convex sets are therefore introduced, as well as their topological properties, with emphasis on relative notions as these are based on a more natural setting, the affine hull of the set. We then review the separation and support of convex sets by hyperplanes. A convex set is formed by fitting together other polytopes of smaller dimensions, its faces; Section 1.7 discusses them.Finally, the chapter studies convex cones and lineality spaces of convex sets; these sets are closely connected to the structure of unbounded convex sets.