“Witness” to violence? Psychological discourses of children in situations of domestic violence

This paper takes a critical discursive and feminist perspective on psychological accounts of children who experience domestic violence. Academic, popular and professional discourses around domestic violence (DV) tend to represent children and young people (CYP) as passive witnesses and victims - as individuals who watch, who suffer from and who are damaged by the violence (e.g. Rivett and Howarth, 2006; Spilsbury et al, 2007). We consider how constructs like ‘witness’, ‘trauma’ and ‘exposure’ operate in psychological and other health and social care discourses of children, exploring the implications of such constructions for young people’s identities. In particular we explore how such accounts constrain the articulation of more agentic and resistant subjectivities in children living with domestic violenc

Giving voice to women in the sex industry: A voice-centred relational model based qualitative study

This qualitative, exploratory research examines the barriers that prevent women in sex work in Ireland from accessing co-ordinated health and social care services. Using an adapted voice centred relational model (VCRM), the study examines the experiences of women engaged in sex work. The study underpins a feminist standpoint epistemology theoretical framework, and gives voice to minority groups who remain excluded from research, policy and practice. The findings indicate that women involved in sex work are primarily working indoors, hold precarious legal status and are in Ireland as a response to global migration and economic necessity. Street based sex work too, remains evident with a strong link to family breakdown and addiction. The women discussed their experiences of their health and well-being and the impact of minimal health and social care supports available to them. The research highlights the need for further health and social care service development throughout the country of Ireland that is respectful to the various social determinants which impact on the lives of women in sex work. This study contributes to Irish knowledge and, in particular, pertaining to the psychosocial experiences of women involved in sex work and the Irish health and social care service. It has profound implications for future studies in the field of Irish sex work and proposes a strong case for qualitative research as a tool to address practice and policy change, alongside, extending the debate on sex work both nationally and internationally to include the perspectives of women involved in the sex industry

Knights in Armored Vehicles: The HALO Trust in the Caucasus

The demise of the Soviet Union and the resultant rush to establish claims over disputed areas and to assert ethnic identity led to a widespread call to arms. Nowhere was this more the case than in the Caucasus. T he former southern Caucasian soviets of Azerbaijan, Armenia and Georgia have all asserted their independence from Russia and all have witnessed bloodshed resulting from inter-ethnic fighting. In the north Caucasus there has been fighting in Dagestan, lngushetia, North Ossetia and most notably in Chechnya. The virtual abandonment of former weapons stockpiles accompanied by some very definite mischief by the departing Russian troops has led to munitions, including mines falling into the hands of almost every potential warring faction. To no one\u27s surprise the region has been troubled ever since Soviet domination ceased

Ethical review and children’s research in Ireland.

A substantial increase in research into the lives of children has been experienced over the last 20 years in many countries, including Ireland. This increase is not only in the amount of research undertaken, but also in the multidisciplinary range of such research. Research with children involves working with potentially vulnerable participants, who not only require specific protection but also have the capacity for independent agency that necessitates respect from researchers. With the increase in research, there has been a related increase in awareness by the research community of the need to ensure that all research with children is carried out to the highest ethical standards. Until recently, ethical review of research was left to the discretion of the researchers, who were generally considered sufficiently trustworthy to safeguard their participants’ rights and well-being by virtue of their education and professional standing. Over the last two decades, however, it has become more common to convene Research Ethics Committees to review research proposals with the goal of ensuring that ethical requirements are fulfilled and to provide ethical oversight to researchers. This has resulted in an increase in the number of Research Ethics Committees operating worldwide, including in Ireland. In relation to children’s research, ethical review attempts to ensure that research projects have provisions in place that will enable researchers to do justice to the duties of both protection and respect of child participants. However, a variety of problematic issues have been highlighted. Research with children into the ethics of children’s research has identified tensions between balancing risk and benefit, on the one hand, and autonomy, competence and parental authority, on the other. The reliability and validity of review by Research Ethics Committee has also been brought into question: not only are requirements vastly different between countries (Hearnshaw, 2004), but there is ample evidence to show that decision-making by different Research Ethics Committees In the same country can differ significantly (Garfield, 1995), even when they are governed by the same authority (Angell et al, 2006). In order to counter this variability, it has been argued that increased regulation needs to be put in place and this has happened in some countries

Outcomes and Critical Factors for Successful Implementation of Organizational Health Literacy Interventions:A Scoping Review

Organizational health literacy (OHL)-interventions can reduce inequality and demands in health care encountered by patients. However, an overview of their impact and critical factors for organization-wide implementation is lacking. The aim of this scoping review is to summarize the evidence on: (1) the outcomes of OHL-interventions at patient, professional and organizational levels; and (2) the factors and strategies that affect implementation and outcomes of OHL-interventions. We reviewed empirical studies following the five-stage framework of Arksey and O'Malley. The databases Scopus, PubMed, PsychInfo and CINAHL were searched from 1 January 2010 to 31 December 2019, focusing on OHL-interventions using terms related to "health literacy", "health care organization" and "intervention characteristics". After a full-text review, we selected 24 descriptive stu-dies. Of these, 23 studies reported health literacy problems in relation to OHL-assessment tools. Nine out of thirteen studies reported that the use of interventions resulted in positive changes on OHL-domains regarding comprehensible communication, professionals' competencies and practices, and strategic organizational changes. Organization-wide OHL-interventions resulted in some improvement of patient outcomes but evidence was scarce. Critical factors for organization-wide implementation of OHL-interventions were leadership support, top-down and bottom-up approaches, a change champion, and staff commitment. Organization-wide interventions lead to more positive change on OHL-domains, but evidence regarding OHL-outcomes needs strengthening

Children’s experiences of domestic violence and abuse: siblings’ accounts of relational coping

This article explores how young people see their relationships, particularly their sibling relationships, in families affected by domestic violence, and how relationality emerges in their accounts as a resource to build an agentic sense of self. The ‘voice’ of children is largely absent from domestic violence literature, which typically portrays them as passive, damaged and relationally incompetent. Children’s own understandings of their relational worlds are often overlooked, and consequently existing models of children’s social interactions give inadequate accounts of their meaning-making-in-context. Drawn from a larger study of children’s experiences of domestic violence and abuse, this paper uses two case studies of sibling relationships to explore young people’s use of relational resources, for coping with violence in the home. The paper explores how relationality and coping intertwine in young people’s accounts, and disrupts the taken for granted assumption that children’s ‘premature caring’ or ‘parentification’ is (only) pathological in children’s responses to domestic violence. This has implications for understanding young people’s experiences in the present, and supporting their capacity for relationship building in the future

Scoping review of case management in the treatment of drug and alcohol misuse, 2003–2013.

This is the final report of a scoping review commissioned by the HRB National Drugs Library. The objective of the review was to examine the peer-reviewed non-experimental literature on case management and substance use published between 2003 and 2013, and to answer specific research questions based on the literature. These comprised questions on the nature of case management, the outcomes that have been studied, and gaps in the literature

Part of the Family:Children’s Experiences with Their Companion Animals in the Context of Domestic Violence and Abuse

Purpose: Children who experience Domestic Violence and Abuse (DVA) draw on a range of strategies to manage the complex dynamics of family life. This article explored children’s experiences of their relationships with pets and other animals, considering how children understood these relationships.Methods: This qualitative study is based on semi-structured interviews and visual methods-based research with 22 children (aged 9–17), drawn from a larger study on how children cope with DVA. The data were analysed using reflexive thematic analysis.Findings: Five themes are discussed: Part of the family explores how children positioned animals as relational beings who occupied an important place in their lives; caring for animals considers the reciprocal caring relationship children described; listening and support details how children interacted with animals to allow themselves to feel more heard and supported; in the theme control and abuse, we consider children’s experiences of perpetrators’ use of companion animals as part of a pattern of abuse and control; and in disruption, uncertainty and loss, we discuss how children feel and relate to their animals when leaving situations of domestic abuse.Conclusions: The implications of our analysis are considered in relation to providing support for children impacted by domestic abuse, and the importance of ensuring companion animals are provided for in housing policy and planning for domestic abuse survivors

Implementation and Long-Term Outcomes of Organisational Health Literacy Interventions in Ireland and The Netherlands:A Longitudinal Mixed-Methods Study

Organisational Health Literacy (OHL)-interventions are needed to overcome health inequality. OHL-interventions have successfully identified communication barriers at the organisational level, but evidence is limited on the extent to which this leads to sustainable organisational change. This study aims to assess the implementation fidelity, moderators (barriers and facilitators), and long-term impact of OHL-interventions in hospitals in Ireland and The Netherlands. We used a longitudinal mixed-methods approach to assess two similar OHL-interventions in one Irish and three Dutch hospitals. The OHL-interventions concerned the improvement of navigation and implementation of health literacy-friendly communication throughout organisations. Participants were 24 hospital employees and 40 older adults who use hospital services. At six, eight, and eighteen months, we assessed the level of implementation, barriers and facilitators, and impact through questionnaires and in-depth semi-structured interviews. After older adults and professionals had identified a number of communication problems, we found that professionals had successfully implemented OHL-interventions to promote navigation and comprehensible communication. Limited resources and variation in organisational structures and procedures were perceived as barriers to implementation. The participation of service users, leadership support, and a stepwise implementation of interventions were perceived to facilitate implementation. In the long term, the OHL-interventions led to system-wide improvements, as shown by better embedding of health literacy policies, enhanced patient engagement, provision of plain language training and comprehensible information. Findings were similar for the two countries. Embedded OHL-interventions resulted in sustainable and system-wide health literacy changes in all four hospitals. Following implementation, OHL-interventions have the potential to promote health equity and empowerment among health service users