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  1. Home
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Browsing by Subject "adolescence"

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    Creating a Sustainable Future: Task-shifting for Adolescent Mental Health Care
    (2022) Faku, Nqabisa; Ward, Catherine; Lund, Crick
    South African adolescents face many historical, political, social, cultural, and economic influences in their lives that are perpetuated based on race and class. Unfortunately, the availability of mental health treatment for at-risk adolescents is inadequate in the current mental healthcare system in South Africa. Project ASPIRE is a counselling mental health programme designed for registered counsellors to deliver age-appropriate mental health services to meet the mental health needs of adolescents in community-based settings. This study aimed to explore the facilitators and barriers to task-shifting in Project ASPIRE through the views and experiences of the registered counsellors, the supervisor, and the adolescents. The researcher conducted semi-structured interviews and used the framework analysis method and thematic narrative analysis to analyze the data. The facilitating factors associated with making the intervention successful were intervention-related factors such as the value of the counselling techniques, flexibility and adaptability of the structure of the sessions and content relevance; supervision and supervisor-related factors such as ongoing supervision and monitoring and evaluation assessments; counsellor-related factors such as patient-tracking duties and upholding diversity, equity and inclusion; and adolescent-related factors such as intrinsic motivation and accessible and appropriate counselling services and sites. The barriers associated with posing challenges to the conditions, design, and structure of the ASPIRE counselling programme were intervention-related factors such as weak referral pathways and the amount of reading required by the patient handbook; contextual factors such as the multiple deprivations that severely disadvantaged Black adolescents and the impact of the COVID-19 pandemic; supervisor-related factors such as experiencing imposter syndrome, lacking cultural sensitivity training for the Xhosa population and high case volumes; and counsellor-related factors such as the constant disruption of work and supervision schedules caused by fulfilling patient-tracking duties and appointment availability issues. Moving forward, the ASPIRE principal investigators must strategically address the unique challenges that the adolescents, counsellors, and the counsellor supervisor experienced because of the conditions, design, structure, and the limited workforce of the ASPIRE counselling programme to improve the intervention for future trials.
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    Do antisocial and prosocial traits vary across different socioeconomic status groups in a sample of South African adolescents?
    (2024) Knipe, Candice; Schrieff-Brown, Leigh
    South Africa, globally recognized for its high crime rates, prompts a nuanced exploration of the interconnections between crime, antisocial traits, and protective factors such as prosocial traits within its unique context. The current research therefore aimed to examine the prevalence of antisocial and prosocial traits in adolescents from different socioeconomic backgrounds within this context. Existing research predominantly focuses on higher income countries, leaving a notable gap in understanding within the South African low - to middle income country landscape. Despite its middle-income classification, South Africa grapples with pervasive inequality with much of the population living in poorer socioeconomic settings, emphasizing the importance of investigating the extent of both antisocial and prosocial traits across diverse socio-economic settings. The study utilized a cross-sectional and correlation design. Online self-report questionnaires were used to gather demographic and socio-economic status information, antisocial scores using the Inventory of Callous Unemotional Traits, and prosocial scores using the Prosocial Tendency Measure. The sample, comprised of South African adolescents, of which 52% were male, 45% were female, 3% were non-binary, aged 13-18 (N=44). I used multiple linear regression to analyse the collected data. The study's findings demonstrated that gender emerged as a significant predictor for both prosocial and antisocial behaviours among adolescents (ICU: p=0.03; PTM: p=0.04). However, the results did not support a significant association between socioeconomic status and these outcomes. This research contributes to a more comprehensive understanding of the factors shaping antisocial and prosocial traits, particularly during adolescence, within the South African context
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    Growing up in the new South Africa: childhood and adolescence in post-apartheid Cape Town
    (2011) Bray, Rachel; Gooskens, Imke; Moses, Sue; Kahn, Lauren; Seekings, Jeremy
    How has the end of apartheid affected the experiences of South African children and adolescents? This pioneering study provides a compelling account of the realities of everyday life for the first generation of children and adolescents growing up in a democratic South Africa. The authors examine the lives of young people across historically divided communities at home, in the neighbourhoods where they live, and at school. This resource can be used be anyone interested in developing their knowledge on the experiences of children in post-apartheid South Africa.
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