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Lecture 6

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10 views43 pages

Lecture 6

Uploaded by

petrasignup
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Resilience to Violence

Lecture 6:

Implications for action


and future research

Dr. Elizabeth Buimer


In this lecture we
will discuss..
Implications of resilience science Objective 1

Interventions at the family level Objective 2

School-based and technology-based Objective 3


interventions

Interventions at the macro level Objective 4

Closing remarks Objective 5


2
Exam material
lecture 6

Chapter 11 and 12 of Ordinary Magic. Resilience in development by


Ann Masten

This lecture

3
Implications of
resilience science
Resilience science has
transformed practice
• Clinical psychology
• Pediatrics, Psychiatry
• School psychology
• Counseling
• Social work
• Family social science

Ann Masten at UCTV - https://www.youtube.com/watch?v=XJZ_c70liaQ


Shifting the focus
• From a deficit-based model to a strength-based model
• A resilience framework for action:
1. Mission
2. Models
3. Measures
4. Methods
5. Multiple systems
1. Mission
Frame:
• positive goals
• positive future perspectives
• positive parts of individual’s behaviour

→ More motivation to partake in interventions, fund interventions


and offer interventions
2. Models
Model:
• Strengths
• Resources
• Positive outcomes
• Adaptive processes

Masten, 2014. Ordinary Magic.


3. Measures
Assess:
• Strengths
• Resources
• Positive outcomes
• Adaptive processes
4. Methods

Develop interventions that:


• Reduce or mitigate risk
• Boost resources and adaptive capacity
• Mobilize adaptive systems
5. Multiple systems
Consider:
• Possibilities at multiple levels
• Expertise from multiple disciplines
• Co-creating different stakeholders
• Co-developing with the target population
Example: Ready? Set. Go!
• Study on preschoolers
experiencing homelessness and
high mobility (HHM)
• Executive functioning (EF) predicts
school success
• Intervention to boost EF

Screenshot from the weblecture

Obradovic 2010
Masten et al 2012
Kalstabakken 2016
Example: Ready? Set. Go!
• Participatory approach applied with many benefits
• Promising results in pilot study
• Strategic timing
• Promising effects in pilot study → EF can be boosted in high-risk
populations

Distefano et al., (2020). European Journal of


Developmental Psychology, 17(6).
Interventions at the
family level
Interventions
• Universal versus targeted
• Preventive versus Curative

• In the Netherlands → Databank Effectieve Jeugdinterventies


van het Nederlands Jeugdinstituut (NJi)

15
Examples: Interventions building resilient families
Quality criteria based on how strong the scientific support is
‘The current types of home visiting and parenting programs seem
insufficiently effective at significantly reducing the number of maltreatment
cases reported to child protection services.’
‘the scarcity of evidence-based
means is deplorable’.
School-based and
technology-based
interventions
2017
Re si l ie nc e b o os ti ng in te r ve nt io n s
in a school setting

“ceiling effect” since many of the students


enrolled in universal-based programs have
high baseline mental health and social and
emotional competence
Evidence of publication bias
For example, the serious games SPARX, Mindlight and Dojo help train users in the target behaviour of
deep breathing for relaxation (Merry et al., 2012; Scholten et al., 2016; Schoneveld et al., 2016). Users
who frequently practised the target behaviours perceived SPARX as being helpful (Kuosmanen et al.,
2017).

‘Poppelaars et al. (2016) found all three groups in their study (control group, SPARX, Op Volle Kracht –
a Dutch school-based resilience intervention) all experienced a decrease in depressive symptoms, again
with a higher dropout rate of 29%’

‘Less than half of the adolescents in Poppelaars et al. (2016) study liked SPARX or found it attractive’

‘the game was received poorly with only 38% of participants saying they would use it themselves, let
alone recommend it to a friend. A lack of engagement in the game is concerning because it could
reduce the effectiveness of the intervention.’
Har nessing digital
technologies
Conclusion on school and
technolo gy -base d inter ventions

• Heterogeneous outcomes
Age, type of intervention, type of student and type of teacher influences
outcomes
• Most did not assess change in resilience:
No definition of resilience, no actual measurement of better mental health to
future stress
• Methodological weak
Small samples, publication bias, no follow-ups, no baselines, no control groups
• Small effects, possible iatrogenic effects of universal school-
wide approaches
Interventions at the
macro level
Housing first
Universal basic income

‘Findingsare generally positive that UBI- type


programs alleviate poverty and improve health
and education outcomes and that the effects on
labor market participation are minimal.’
Add ressin g p ove r t y help s to
reduce child maltreatment
• A negative earnings shock of > 30% led to ~ 18% increased
likelihood of CPS involvement

• Social benefits as supplemental income buffered against the


risk of child maltreatment (esp. children ages 0–4)
Racism and discrimination
Racism can affect health in multiple ways:
• Residence in poor neighborhoods
• Less opportunities
• Racial bias in medical care
• The stress of experiences of discrimination
• Societal stigma

Schools and policy makers play a crucial role in reducing (the


effects of) systemic racism
Williams, D. R. (1999). Annals of the New York Academy
of Sciences, 896(1), 173-188. 35
Int er ve ntio n aft er mass trau ma or
disasters
Five intervention principles ( Hobfoll et al., 2007):
1. promote a sense of safety
2. promote calming
3. promote a sense of self- and collective efficacy
4. promote connectedness
5. promote hope
Int er ve ntio n aft er mass trau ma or
disasters
Other important points:
• Keep families together or reunite family members as quickly as
possible
• Consider families when planning for disasters
• Parents and teachers should be considered first responders
• Don’t intervene too much or too soon
Closing notes
Closing notes from the book that were not
covered in the lectures so far
• Resilience is common
• Adaptive systems can be hijacked
• No child is invulnerable
• Perturbations in systems provide potential for positive
and negative change
Enduring problems
in resilience science
• Definition?
• Measurement?
• Rebranding of risk research?
• Resilience trait?
• Resilience takes its toll?
Looking back:
Which topics require
further explanation?
Lecture 4: Chapter 8-10

Effective families

Parenting

Friendship support

Effective schools

The immigrant paradox

Cultural niche

42
Lecture 6: Chapter 11-12
Deficit versus strength-based focus

Different models of interventions

Strategic timing of interventions

Dutch databank of youth interventions

Family interventions

School and technology-based interventions

Macro interventions

43

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