Disturbed Children Research Articles

IndiGo Airlines in India: managing “moments of truth”

Learning outcomes The learning outcomes of this study are as follows:▪ to analyze service attributes that influence customers’ decisions to purchase services;▪ to identify the factors that influence customers’ perceptions of service quality;▪ to identify the “moments of truth” that the service provider (IndiGo) would need to monitor and manage through the service encounter; and▪ to use the Servuction model to analyze the various elements of the service process. Case overview/synopsis In May 2022, the chief executive officer of IndiGo Airlines - India’s largest passenger airline by market share, Ronojoy Dutta, faced flak over the airline staff's handling of a specially abled child travelling with his parents on IndiGo Airlines. The staff member, reacting to the tantrums of the disturbed child, had refused to allow the boy and his parents to board the flight. He had cited the “risk to other passengers” from the boy as the reason for such a refusal (Biswas, 2022). In spite of the boy’s parents being supported by their fellow passengers, the IndiGo staff member refused to relent, and the flight took off without the trio (Firstpost, 2022). The incident goes viral when a fellow flyer shares a Facebook post describing it first-hand and provokes widespread condemnation of the nation's “preferred airline” (IndiGo, 2023) by citizens and politicians on various social media platforms besides Facebook (Gupta, 2022). Dutta initially supports his employee even as he issues a statement expressing his regret at the “unfortunate incident” (Business Standard, 2022a). The regulatory body for aviation in India, the Directorate General of Civil Aviation, imposes a fine of INR 5 lakh on IndiGo for denying boarding to a specially abled child (Indian Express, 2022). How could an incident like this impact the perception of IndiGo’s service quality? How could Dutta better ensure that IndiGo managed the various touch points with the customer over the entire service encounter – the “moments of truth”? How could he prevent such a fiasco in the future, ensuring that IndiGo remains India’s “preferred airline”? Complexity academic level This case is intended to be taught in an undergraduate or MBA marketing course in a module on service marketing. The case can also form a 90-min module in a service marketing course within an advanced management or executive education program. Supplementary materials Teaching Notes are available for educators only. Subject code CCS 8: Marketing.

The Joint Commission on the Mental Health of Children, 1965-1970: Emotional disturbance, race and paths not taken in child psychiatry.

The Joint Commission on the Mental Health of Children (JCMHC) was a sprawling, multidisciplinary project that took shape in the years immediately after the assassination of President John F. Kennedy. Participants included child psychiatrists, educators, psychologists, social workers, philanthropists and other laypeople and professionals interested in the plight of children. While the original inspiration for the JCMHC was to address the potential for violence from disturbed children and adolescents, its findings and recommendations were an indictment of American society itself in which poor children went hungry, minority children were oppressed and there were not sufficient resources dedicated to the mental health of the nation's population of young people. The task forces and committees of the JCMHC spent significantly more time addressing prevention and mental health rather than mental illness. Two years into the work of the JCMHC, the leadership formed a committee to specifically examine issues related to race. The final report, published in popular book form as Crisis in Child Mental Health, arrived after the unraveling of the liberal consensus that had fueled President Lyndon Johnson's Great Society programs. Most of the proposed solutions for government intervention were ignored by the Nixon administration. The focus on mental health and the willingness to take a critical look at the detrimental effects of racism had represented child psychiatry at that time. In the decades that followed, however, child psychiatrists turned away from issues about prevention, race and environment and instead focused on the problems of mental illness in individual children.

DELINQUENCY PRONENESS, METACOGNITION, SOCIAL AND EMOTIONAL COMPETENCE AMONG SOCIALLY CHALLENGED ADOLESCENT STUDENTS

Background Socially challenged adolescents are a sensitive group of disturbed children whose opportunity for healthy personal development and full unfolding of their potentialities are hampered due to certain elements in his /her social environment. A problematic social environment can directly or indirectly affect the emotional, social, cognitive and behavioural development of an adolescent. As a repercussion the adolescents are facing mental health issues leading to suicidal attempts, major and minor crimes and substance abuse making them at risk. Statistical reports show that in adolescent's major and minor crimes, suicidal attempts and misconduct have risen by leaps and bounds in the last few years. Objective The aim of the study is to identify the relationship among Delinquency proneness, Metacognition, Social competence and Emotional competence in socially challenged adolescent students. Methods By using purposive sampling technique seventy five socially challenged adolescent students of age 14-16 were identified through the schools in Kerala with the help of Socially challenged Adolescent Scale (SCAS),a standardised tool developed by the researcher and Dr.R.Nithya . After the screening procedure with the help of the Socially challenged Adolescent Scale (SCAS) personal sheet and other four standardised tools including Delinquency Proneness Scale, Meta-Cognitive Skills Scale, Adolescents Social Competence Scale and Emotional Competence Scale were administered among Socially Challenged Adolescent students. Results Based on research objectives and hypotheses statistical technique such as correlation was used to find out if there is any significant relationship between the variables among Socially Challenged Adolescent students. The results showed that there exist a significant relationship between Deliquency proneness, Metacognition, Social competence and Emotional competence among the samples. Conclusion This study throws light on the emerging issues faced by adolescents thus giving insight to the society to give immediate, friendly and accessible supporting hand for the young generation.

Validity of the Gait Deviation Index in children and adolescents with juvenile idiopathic arthritis

Purpose: Effectiveness of the Gait Deviation Index (GDI) in patients with juvenile idiopathic arthritis (JIA) is unknown. The aim of this study was to investigate the validity of the GDI as an outcome measure of gait disturbance children with JIA. Methods: Fifty children and adolescents with JIA were included into the study. The control group included 50 healthy children without gait disorders, matched for age and gender. The kinematic gait parameters were measured using a 3D movement analysis system. Walking speed, walking distance, cadence, step length and single support time were also evaluated. Results: The findings show a statistically significant difference between the values of GDI for the right leg in the study group and the controls (p = 0.036). The individuals included in the study group achieved significantly lower values in this parameter (mean 94.92 ± 8.38 vs. mean 100.00 ± 10.00). The GDI value for right and left leg and the mean GDI value showed low (0.3 ≤ |R| < 0.5, p < 0.005) to moderate (0.5 ≤ |R| < 0.7, p < 0.001) correlations with the other gait parameters and measures. Conclusions: The GDI scores were lower in individuals with JIA compared to controls. This difference in the GDI values was only significant for the right leg. The GDI values showed low to moderate correlations with other gait parameters.

Câteva observații privind unele morminte de copii descoperite în necropola de la Caransebeș-Centru în anul 2017, pe baza analizelor antropologice și fizico-chimice

The archaeological excavations in the medieval town of Caransebeș, outside the fortified area, led to the discovery of a cult monument and of the related cemetery. This one was preceded by another cemetery, dated during 11th- 12th centuries. Several crypts were researched inside the church and graves dated to 14th-16th centuries were found in the sections excavated outside the church. A group of disturbed children inhumation graves was found in the southern part of the nave of the church. A coin dated to the 16th century, issued during Ferdinand I reign (1526- 1564), and remains of a tissue were found in grave 33/2017. These remains were identified a few centimeters behind the skull. Traces of green, result of the oxidation on the skull bones, have been preserved.

Medicaid Behavioral Health Homes: Lessons Learned and Early Findings From Maine.

Individuals with serious mental illnesses represent a high-need, high-cost population. To address this population's needs under the State Innovation Models Initiative, Maine assisted Medicaid-participating behavioral health providers in changing to behavioral health homes (BHHs). The authors explored BHHs' experiences in transforming care from 2014 to 2017 and investigated changes in utilization, care coordination, and Medicaid expenditures before and after Medicaid-covered individuals enrolled in a BHH. The authors interviewed stakeholders, conducted focus groups with BHH consumers and providers, and used pre-post analyses of Medicaid fee-for-service claims. Program features such as capitated payments, connection to the state's health information exchange, and one-on-one technical assistance altered delivery of behavioral health care. Interviewees reported some challenges, such as understanding team roles, sharing clinical data, and integrating care with primary care providers. Analyses of data for 7,560 BHH enrollees with serious and persistent mental illness (adults) or serious emotional disturbance (children) indicated no changes in inpatient admissions, 30-day inpatient readmissions, emergency department visits, behavioral health-related expenditures, and professional expenditures after the switch to the BHH model. Total Medicaid expenditures increased by $170 per beneficiary per month. The BHH model did not change several measures of utilization and expenditures, but it was well received by behavioral health providers. Medicaid programs experimenting with new care delivery models for individuals with complex conditions may look to the Maine experience for guidance in program design.

THE EFFECTIVENESS OF A FAMILY THERAPEUTIC PROGRAM FOR THE REHABILITATION OF THE PSYCHOLOGICALLY- DISORDERED CHILDREN AFTER A SHOCK AN EXPERIMENTAL STUDY ON A SAMPLE OF CHILDREN SUFFERING DOMESTIC DISASSOCIATION

This study belongs to the pattern of semi-experimental studies aimed at measuring the effectiveness of the family therapy program in reducing PTSD for children as a result of parental separation,The study was based on theories of family therapy, theory of behavior and behavioral theory in its theoretical premise. The sample size of the study was single children in late childhood who receive psychological and family counseling services within Al-Iman Family Care Foundation. The study relied on two tools namely family therapy program and a measure to determine the effectiveness A family therapy program for disturbed children after the shock of separation of spouses, and the results of the study found that there are significant differences statistically significant at the level (0.05) between pre and post measurement in the self-confidence index on the scale of the effectiveness of the family treatment program in favor Yas Al-Baadi. There are also significant statistical differences (0.05) between the pre- and post-measurement in the psychological pressure index on the scale of the effectiveness of the family therapy program in favor of telemetry. There are significant differences (0.05) between the pre- and post-measurement in the emotional disorders index. (0.05) between pre and post measurement in the psychosocial compatibility index on the scale of the effectiveness of psychological rehabilitation programs in favor of telemetry.

Disrupting Intergenerational Maternal Maltreatment in Middle Childhood: Therapeutic Objectives and Clinical Translation.

Background: Child Maltreatment is a concerning worldwide problem. The population of distressed mothers with their highly disturbed children, in middle-childhood, often present to child and adolescent mental health services (CAMHS). Finding effective therapies for this population has proved elusive. This led the authors to undertake a theory-driven research program to better understand intergenerational child maltreatment from a clinical perspective, in order to determine how best to treat the entrenched distressing and destructive behaviors.Methods: The model describing the mechanisms of the intergenerational transmission of maternal maltreatment is briefly described, from which the objectives of any effective treatment for these mothers and children are derived. A clinical model for achieving the therapeutic objectives is then elucidated.Findings: Core objectives of therapy are; first to support the mother and child to develop differentiated senses of self and, second to disrupt a relationship style built on a competitive dominance and submission hierarchy, replacing it with a hedonic (cooperative and compassionate relationship style). This requires a deep healing of the mother and child's trauma histories. A clinical operationalization of these objectives, through a novel dyadic psychotherapeutic protocol, Parallel Parent and Child Therapy is described, which addresses the therapeutic objectives while attending to the safety of mother and child.Interpretation: This research contributes to a better understanding of the components of effective treatment in what is a notoriously hard to treat population. It also illustrates the value of clinically informed theory development in understanding and refining treatment strategies for highly distressed and distressing populations.

Qualitative Development and Content Validation of the PROMIS Pediatric Sleep Health Items

ABSTRACTObjective: To develop the Patient Reported Outcome Measurement Information System (PROMIS) Pediatric Sleep Health item pool and evaluate its content validity. Participants: Participants included 8 expert sleep clinician-researchers, 64 children ages 8–17 years, and 54 parents of children ages 5–17 years. Methods: We started with item concepts and expressions from the PROMIS Sleep Disturbance and Sleep Related Impairment adult measures. Additional pediatric sleep health concepts were generated by expert (n = 8), child (n = 28), and parent (n = 33) concept elicitation interviews and a systematic review of existing pediatric sleep health questionnaires. Content validity of the item pool was evaluated with item translatability review, readability analysis, and child (n = 36) and parent (n = 21) cognitive interviews. Results: The final pediatric Sleep Health item pool includes 43 items that assess sleep disturbance (children’s capacity to fall and stay asleep, sleep quality, dreams, and parasomnias) and sleep-related impairments (daytime sleepiness, low energy, difficulty waking up, and the impact of sleep and sleepiness on cognition, affect, behavior, and daily activities). Items are translatable and relevant and well understood by children ages 8–17 and parents of children ages 5–17. Conclusions: Rigorous qualitative procedures were used to develop and evaluate the content validity of the PROMIS Pediatric Sleep Health item pool. Once the item pool’s psychometric properties are established, the scales will be useful for measuring children’s subjective experiences of sleep.

Seven Lives from Mass Observation: Britain in the late Twentieth Century. By James Hinton

Mass Observation (MO), its diarists, and its directives continue to fascinate historians of twentieth-century Britain. Coinciding with the eightieth anniversary of the social surveying project's foundation, James Hinton’s Seven Lives from Mass Observation is a timely reminder of the richness of the material at the heart of this ‘anthropology of ourselves’. Historians tend to have particular expectations of MO histories, envisaging that they will address the dynamics of daily diary-keeping, the mechanisms of the survey, and the representativeness of responses. These questions remain important, and much of Hinton’s previous work has offered astute answers to them, but they are not the primary focus of this moving and skilfully written book. Rather than simply focusing on methodological issues, this small book is teeming with life. Bob Rust—a lorry driver by profession and the only one of Hinton’s respondents who refused his offer of anonymity—describes how academic history has ‘nothing to do with real life’ (p. 122). Not so with this book. As its rather unassuming title indicates, the book is built around the lives of seven MO diarists, born between the two world wars and writing under MO’s second phase (often called the Mass Observation Project) which was launched by anthropologist David Pocock in 1981. Hinton pieces together these seven lives—of four women and three men—reading the archives ‘vertically’ to extract their responses to particular directives and assemble their life stories. It uses a mixture of the diarists’ own inimitable words alongside summaries of their lives. In doing so, this book does not repeat the well-rehearsed methodological debates surrounding MO, but reveals the stories at the core of the archive. As one respondent, social worker ‘Stella’, states when describing her work with disturbed children: ‘the pressure to appear normal is a tyrannical social force’ (p. 77). The same can perhaps be said of MO: rather than flattening people’s experiences to make them appear representative, Hinton’s book conveys the personalities, writing practices, and detailed viewpoints of the respondents, aiming to show these lives in all their ‘fullness, ambiguity [and] complexity’ (p. 161).

Blame Game

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

Free Checking!, and: Chicken Brick'n, and: Smote

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

Editors' Shelf: Book Recommendations from Our Advisory Editors

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

Song of Myself

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

Fathers Never Answer, and: Someone Asks, What Makes This Poem American?, and: Energy Policy

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

What Happened to Us?

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

Ghost Lessons, and: The Monastery

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

To the Language Spoken in the Country of Urgency

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

About Jean Thompson: A Profile by Ladette Randolph

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.

Introduction

Acclaimed novelist and short-story writer Jean Thompson (The Year We Left Home) guest-edits this issue of prose and poetry. As she writes in her introduction, "The thing that gives me hope for the enterprise of writing is the incredible variety and vigor of the terrain." With poets ranging from Erin Belieu to the Uruguayan Tatiana Orono, and stories that move from the eerie (Peter Rock's dreamlike story of a mysterious stalker, "Go-Between") to the comic (Elizabeth McCracken's story "Hungry," about an overweight young girl) to the tragic (Dan Chaon's "What Happened to Us," about a family transformed by fostering a disturbed child), Thompson's issue celebrates writers as they "grapple or dance with the world we live in, reflect or distort it, embrace or escape it." The issue also features Jesse Lee Kercheval's Plan B essay about learning to play the accordion ("Welcome to Hell"), and an exploration of Italo Calvino's Invisible Cities by John Domini.