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Considerations for working with youth with socially complex needs.

Dawn T Bounds1,2, Dominka A Winiarski2, Caitlin H Otwell2

  • 1Rush University College of Nursing, Chicago, Illinois, USA.

Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
|July 22, 2020
PubMed
Summary

Youth facing social complexities, often from minority backgrounds, experience significant adversity. A strengths-based, multisystemic approach is recommended for ethical care and research with these vulnerable populations.

Keywords:
adversitysocially complex needsyouth

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Area of Science:

  • Social Sciences
  • Psychology
  • Public Health

Background:

  • Adverse childhood experiences highlight social complexity in youth.
  • Current "at-risk" or "vulnerable" labels use a deficits-based framework, stigmatizing youth.
  • Proposes "youth with socially complex needs" to combat marginalization.

Purpose of the Study:

  • Conceptualize unique considerations for working with youth with socially complex needs.
  • Address increased vulnerability for social marginalization in this population.
  • Explore ethical principles and care delivery models for this demographic.

Main Methods:

  • Exploration of ethical principles.
  • Review of relevant care delivery models.
  • Conceptual framework development.

Main Results:

  • Youth with socially complex needs often belong to minority ethnic/racial and/or sexual/gender groups.
  • These youth face repeated adversity and discrimination.
  • Ethical considerations and care models are crucial for effective engagement.

Conclusions:

  • A strengths-based, individualized approach is proposed for working with youth with socially complex needs.
  • Requires a dynamic, fluid, and multisystemic approach to care and research.
  • Emphasizes ethical practice and tailored support for marginalized youth.