Service needs of young people affected by adverse childhood experiences (ACEs): A systematic review of UK qualitative evidence

Lester, Sarah; Khatwa, Meena; Sutcliffe, Katy

doi:10.1016/j.childyouth.2020.105429

Cited by 35 publications

(53 citation statements)

References 51 publications

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“…An important means of ascertaining the service needs of people affected by ACEs is to ask them directly about what they need and thereby develop a more complete understanding of what might be helpful (Whitehead et al, 2019). Children's views are especially valuable as they can draw attention to needs and concerns of which adults may be unaware (Lester et al, 2020). In an extensive review of multiple qualitative research study consultations with young people across a broad range of ACEs, Lester and colleagues (2020) found that young people appreciate both emotional and practical support, together with supportive relationships with trusted adults.…”

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

“…Children's views are especially valuable as they can draw attention to needs and concerns of which adults may be unaware (Lester et al, 2020). In an extensive review of multiple qualitative research study consultations with young people across a broad range of ACEs, Lester and colleagues (2020) found that young people appreciate both emotional and practical support, together with supportive relationships with trusted adults. This finding regarding supportive relationships with trusted adults is reinforced in another systematic review by Whitehead and colleagues (2019) who reported that young people consistently see the role of trusted adults as helpful and one that leads to positive outcomes, such as attaining better educational results, developing improved confidence, and decreasing their symptoms of anxiety and depression.…”

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

“…Further, Hughes and colleagues (2018) report strong relationships between the presence of a trusted adult relationship in the lives of children affected by ACEs and better mental health outcomes. Indeed, because of the emotional stresses that ACEs produce in young people's lives and the social isolation that can result, young people have expressed a clear wish for supportive relationships from services (Lester et al, 2020). However, interventions that are provided in community or clinical settings are often delivered by practitioners that the young person does not know (Lester et al, 2020).…”

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

“…Indeed, because of the emotional stresses that ACEs produce in young people's lives and the social isolation that can result, young people have expressed a clear wish for supportive relationships from services (Lester et al, 2020). However, interventions that are provided in community or clinical settings are often delivered by practitioners that the young person does not know (Lester et al, 2020).…”

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

“…This is particularly the case for many young people who have had previous experiences of being let down by adults; therefore, these relationships need to be dependable and longer-term if they are to lead to improved outcomes (Whitehead et al, 2019). Qualities in adults that facilitate trusted relationships for these young people include genuineness and empathy, as well as being accessible, reliable, pro-active, non-judgemental, and active listeners (Sulimani-Aidan, 2018; Whitehead et al, 2019; Lester et al, 2020). It is also most important that structures are in place that facilitate consistent, long-term engagement (Whitehead et al, 2019), with length of time of being linked to the success of the relationship (Sulimani-Aidan, 2018).…”

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

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New understandings in childhood research and their implications for child and family services

Spratt

Frederick

Devaney

2022

Journal of Social Work

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In recent times the production of research linking childhood experiences with later life outcomes has had the effect of producing new understandings of child development, with increased attribution given to this stage in the life cycle as being foundational for future outcomes. In turn, this has generated the development of models which combine physiological, psychological and social impacts of adversity to challenge services to deliver interventions which are trauma aware and consequently designed to either prevent the occurrence, or ameliorate the effects, of childhood adversities. In this article we examine the implications of these developments for services delivered at community, familial and individual levels. While there have been attempts to incorporate advances in research with respect to what is harmful to children, the space for action remains limited both by structural constraints and the lag in the development of an evidential base supportive of interventions designed to make a positive difference in the lives of children.

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Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

Section: What Is the Evidence That Familial/individual Level Interven...mentioning

confidence: 99%

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New understandings in childhood research and their implications for child and family services

Spratt

Frederick

Devaney

2022

Journal of Social Work

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Community views on active case finding for tuberculosis in low- and middle-income countries: a qualitative evidence synthesis

Taylor,

Medley,

van Wyk

et al. 2024

Cochrane Database of Systematic Reviews

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Background Active case finding (ACF) refers to the systematic identification of people with tuberculosis in communities and amongst populations who do not present to health facilities, through approaches such as door‐to‐door screening or contact tracing. ACF may improve access to tuberculosis diagnosis and treatment for the poor and for people remote from diagnostic and treatment facilities. As a result, ACF may also reduce onward transmission. However, there is a need to understand how these programmes are experienced by communities in order to design appropriate services. Objectives To synthesize community views on tuberculosis active case finding (ACF) programmes in low‐ and middle‐income countries. Search methods We searched MEDLINE, Embase, and eight other databases up to 22 June 2023, together with reference checking, citation searching, and contact with study authors to identify additional studies. We did not include grey literature. Selection criteria This review synthesized qualitative research and mixed‐methods studies with separate qualitative data. Eligible studies explored community experiences, perceptions, or attitudes towards ACF programmes for tuberculosis in any endemic low‐ or middle‐income country, with no time restrictions. Data collection and analysis Due to the large volume of studies identified, we chose to sample studies that had 'thick' description and that investigated key subgroups of children and refugees. We followed standard Cochrane methods for study description and appraisal of methodological limitations. We conducted thematic synthesis and developed codes inductively using ATLAS.ti software. We examined codes for underlying ideas, connections, and interpretations and, from this, generated analytical themes. We assessed the confidence in the findings using the GRADE‐CERQual approach, and produced a conceptual model to display how the different findings interact. Main results We included 45 studies in this synthesis, and sampled 20. The studies covered a broad range of World Health Organization (WHO) regions (Africa, South‐East Asia, Eastern Mediterranean, and the Americas) and explored the views and experiences of community members, community health workers, and clinical staff in low‐ and middle‐income countries endemic for tuberculosis. The following five themes emerged. • ACF improves access to diagnosis for many, but does little to help communities on the edge. Tuberculosis ACF and contact tracing improve access to health services for people with worse health and fewer resources (High confidence). ACF helps to find this population, exposed to deprived living conditions, but is not sensitive to additional dimensions of their plight (High confidence) and out‐of‐pocket costs necessary to continue care (High confidence). Finally, migration and difficult geography further reduc...

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‘From their own words’: A co‐produced study interpreting children and young people's experiences of emotional abuse and neglect expressed in anonymous, online peer‐peer message forums

et al. 2023

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This naturalistic study researched online help‐seeking conversations between children and young people (CYP) experiencing emotional abuse and/or neglect and their peers. We believe this is the first study internationally to perform such research. Engagement with anonymous, online communities potentially offer children a source of knowledge and a platform to express and understand their experiences with peers on their own terms, using their own words. This study, co‐produced with 10 young co‐researchers (YCoR) (aged 14–18 years), aimed to explore the experiences, psychological characteristics and interactions of CYP engaging with an online peer‐peer message board service to explore theoretical and methodological approaches to examine such ‘real world’ data and inform service evaluation. Incorporating contextualised interpretations by the YCoR, a phenomenological approach explored how the experiences of abuse were constructed and questioned by CYP in online texts, and what motivates help‐seeking. Findings detail the context of CYPs emotionally abusive or neglectful experiences, their language, disclosed mental health challenges, explicit and inferred help‐seeking motivations. The co‐produced methodology facilitated a nuanced interpretation of CYPs' experiences to convey the impacts of emotional abuse and neglect disclosed in this anonymous environment. Validation with YCoR with diverse experiences would facilitate further translation of findings.

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Service needs of young people affected by adverse childhood experiences (ACEs): A systematic review of UK qualitative evidence

Abstract: Highlights Emotional support through supportive relationships with adults is valued highly. How services are delivered is just as important as what is delivered. Flexible and dependable services give a much-needed sense of control and autonomy.

Cited by 35 publications

References 51 publications

New understandings in childhood research and their implications for child and family services

New understandings in childhood research and their implications for child and family services

Community views on active case finding for tuberculosis in low- and middle-income countries: a qualitative evidence synthesis

‘From their own words’: A co‐produced study interpreting children and young people's experiences of emotional abuse and neglect expressed in anonymous, online peer‐peer message forums

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