Rehabilitation Of Young People Research Articles

Outcomes following intensive day rehabilitation for young people in Western Australia.

Intensive rehabilitation aims to improve and maintain functioning in young people who experience disability due to illness or injury. Day rehabilitation may have advantages for families and healthcare systems over inpatient models of rehabilitation. This study evaluated the goals and outcomes of a cohort of young people in Western Australia who attended a specialist intensive day rehabilitation programme ("iRehab") at Perth Children's Hospital. Analysis of the iRehab service database was performed. Rehabilitation goals and outcomes were recorded as per the Canadian Occupational Performance Measure (COPM), Children's Functional Independence Measure (WeeFIM), and Goal Attainment Scale (GAS). There were 586 iRehab admissions between August 11, 2011, and December 31, 2018. Admissions were divided by diagnosis: Cerebral Palsy (228, 38.5%), Acquired Brain Injury (125, 21.3%), Spinal Cord Disorders (91, 15.5%), and Other (141, 24.2%). Mean COPM Performance increased by 2.78 points from admission to discharge (95% CI 2.58 to 2.98, p < 0.001). Mean COPM Satisfaction was 3.29 points higher at discharge than admission (95% CI 3.07 to 3.51, p < 0.001). Mean total WeeFIM score improved by 6.51 points between admission and discharge (95% CI 5.56 to 7.45, p < 0.001), and by 3.33 additional points by six months post discharge (95% CI 2.14 to 4.53, p < 0.001). Mean GAS T-scores increased by 27.85 (95% CI 26.73 to 28.97, p < 0.001) from admission to discharge, and by 29.64 (95% CI 28.26 to 31.02, p < 0.001) from admission to six months post discharge, representing improvement consistent with team expectations. This study describes a model by which intensive rehabilitation can be delivered in a day rehabilitation setting. A diverse population of young people who experienced disability achieved significant improvements in occupational performance, independence, and goal attainment after accessing intensive day rehabilitation. Improvements were measured in all diagnostic subgroups and were maintained six months after discharge.

Kokon: Rehabilitation for Young People in Rohrbach-Berg, Austria

kokon Rohrbach-Berg ist das erste österreichische Rehabilitationszentrum, das ausschließlich für Kinder- und Jugendliche von 0–18 Jahren neu errichtet wurde. Im kokon Rohrbach-Berg stehen den Rehabilitanden insgesamt 77 Betten zur Verfügung. Dazu kommen 67 Betten für Begleitpersonen. Das Rehabilitationsangebot umfasst die Indikationsbereiche Mobilisierung, Rehabilitation bei kardiologischen und pulmologischen Erkrankungen sowie die Mental-health-Rehabilitation. Im Mittelpunkt stehen immer die chronisch erkrankten Kinder und Jugendlichen in einer ganzheitlichen Sichtweise. Das Rehabilitationsprogramm ist komplett auf die Bedürfnisse der Kinder und Jugendlichen ausgerichtet. Die interdisziplinären Teams erstellen individuelle Therapiepläne, helfen mit kindgerechten Angeboten mehr Selbstständigkeit zu erreichen und die Teilhabe am täglichen Leben zu verbessern.

THE PSYCHOLOGICAL CORRECTIVE MODEL FOR PSYCHOLOGICAL MECHANISMS OF SOCIAL ADAPTATION OF YOUNG PEOPLE WITH MOTOR DISORDERS

Due to the rapid economic and political changes in Ukraine, the problem of psychological assistance is becoming increasingly important. The demand for psycho-correctional, counselling and psychotherapeutic services for the country population is growing. The psychological services to disabled young people, including anti-terrorist operation veterans with past-damage motor disorders, are of particular importance. The programs of socio-psychological support for disabled young people with are being implemented at the state level, but this problem is not sufficiently developed. In order to provide comprehensive psychological assistance to young people with motor disorders, we developed and tested a new program aimed at overcoming the socio-psychological maladaptation of young people with motor disorders. Its main component is a psychological corrective model of psychological mechanisms of social adaptation of young people with motor disorders. The basic structure of the model is the theoretical model of psychological mechanisms of social adaptation of young people with motor disorders proposed by Shevtsov A.G., Chukhrii I.V. The proposed model covers the psychological means correcting the psychological mechanisms of social adaptation of young people with motor disorders and consisted of an educational part (educational seminars for young disabled people; summer camps for them; press-conferences; lectures; programs of socio-psychological support of young people with motor disorders; round tables) and the psychological corrective work (psychological counselling, individual and group psychotherapy). The psychological corrective means influence the psychological adaptive strategies of social adaptation used by young people with disabilities. As a result of the proposed means application, these young people can experience the following personal changes: a more stable self-concept; balancing and developed adaptive strategies of social adaptation; increased adaptability, improved self-acceptance, acceptance of others, better emotional comfort, higher independence, deeper cooperation; reduced maladaptation, self-rejection, emotional discomfort, submissiveness, lower external control, less manifestations of aggression, competition, avoidance, depression, defence mechanisms, frustration; increased social activity. The program proposed in the article is effective and can be implemented in the centres for social and psychological rehabilitation of young people with disabilities.

Main Psychological Factors of Life Perspective Formation in the Context of Medical-Social Expertise and Rehabilitation for Young People with the Status of Disabled Child

Main Psychological Factors of Life Perspective Formation in the Context of Medical-Social Expertise and Rehabilitation for Young People with the Status of Disabled Child

SUBJECTIVE QUALITY OF LIFE IN THE STRUCTURE OF PERSONAL POTENTIAL AMONG THE NORTH-SIBERIAN YOUTH WITH AND WITHOUT ALCOHOL DEPENDENCE*

The paper features the identification of individual-specific patterns of personal potential among the rural youth of the North of Siberia with and without alcohol dependence. The research methods included E. Y. Mandrikova’s questionnaire "Selfactivity", S. Maddi’s test in resilience (adapted by D. A. Leontiev and E. I. Rasskazova), D. A. Leontiev’s questionnaire "Reflection", E. Diener scale of subjective well-being, M.Ritsner’s questionnaire of quality of life satisfaction, R. Janoff-Bulman’s scale of basic beliefs, and B. Scheldon’s scale of self-determination. The research revealed some general trends in the structure of personal potential among the rural youth of the North of Siberia. It also made it possible to establish the types of deformations of personal potential among the young people with alcohol dependence syndrome. The resources and personal potential deficiencies identified by the present research may help to determine the targets of psychological correction, as well as to choose psychotherapeutic and psychocorrectional methods in the provision of specialized medical and psychological assistance in the prevention, therapy, and rehabilitation of young people with alcohol addiction.

Социальная реабилитация молодёжи подросткового возраста с асоциальным поведением

Социальная реабилитация молодёжи подросткового возраста с асоциальным поведением

Spiritual rehabilitation of young people through communion with the spiritual singing orthodox tradition

Spiritual rehabilitation of young people through communion with the spiritual singing orthodox tradition

Emerging use of interactive technology in rehabilitation for young people

Learning objectives: 1. To describe the current state of the science through presentation of review of the literature and recent original research on interactive technology for children or youth with disabilities. 2. To understand interactive technology and its application as an emerging therapy as it applies to rehabilitation of children and youth with disabilities in different contexts. 3. To discuss application and clinical relevance of the utilization of interactive technology as an emerging therapy for children and youth with disabilities.

The field of work in Brazil – a paradoxical reality

The opportunity to present part of the construction of the knowledge of Brazil in the field of work is rewarding. This presentation allows sharing issues that arise, sometimes so close, sometimes so far away from other global realities. The research and the pursuit of knowledge in the field of work, as it could be expected, reflecting the continental dimensions of Brazil, a country of many contrasts. Brazil is a country that fights for the inclusion of individuals with impairments of disabled people in work, for the emancipation through social inclusion, for the preservation and rescue of the work as a health value and not the disease, and at the same time, is also the 7th world economy today. These contrasts are reflected in the scientific development in the area of work, as these studies have shown similarity to international studies, multicenter or local, while living with the implementation and experimentation in the Brazilian reality of consolidated international work. In presenting these articles we see health professional authors who identify work as a mediator of citizenship and emancipation. Highlight the manifestation of the subjectivity of the worker on the job as a mediator of the interaction with the actual production of goods and services. They are five studies that turn to the perception of the subject employee to understand the reality of work. On a conceptual presentation of a French school, the article presented by Lima and daMata rescues the positive function of labor to the full health arising from participation in society. The work presents itself as a mediator of the transformation of the individual to a social subject. The experience of the case study with work as a rehabilitating vehicle for drug addicts rescues the origin of the use of mental health work when inserting therapeutic workshops in hospital environments gave humanity to treatment in psychiatric institutions and today serves a huge social demand to control the drug abuse. The biographical method proposed by French psychiatrist Louis Le Guillant allowed to rescue the interactions and broaden prospects who turn to socially accepted values, where work is the major mediator of health and social reintegration. The authors Lima and da Mata report the experience of activity workshops and of responsible participation routine by care with the maintenance of an institution country dedicated to the care and rehabilitation of young people with a history of drug abuse. Today, with the dominance of the world economy depend on the tertiary sector of production, the provision of service, the employee is asked to a maximum about the personal control and psychic expression in service to the public. The provision of services in health, in particular, emphasizes the internal and interpersonal conflicts in different ways. The outbreak of violence, understood as beyond that manifested in the behavior of those who are served during the service provision and interactionwith co-worker who also goes to the public, but manifests itself hidden by the violation of values, principles and spirituality that hurt the subjectivity the worker subject is constant. The observation of the work and direct contact with the workers through interviews shows that the professional segments are organized differentially, even about the psychic dimension to addressing violence at work. In a hospital emergency rooms reality, the au-

Social Work Inputs, Change-Inducing Group Mechanisms, and Mutual Aid among Young People with Emotional and Behavioral Problems

ABSTRACT Current research shows that emotional and behavioral problems (EBP) are amenable to social work support, notably through group work that promotes mutual aid. This kind of intervention has become increasingly crucial in maximizing the contribution of social work and minimizing its cost. Nevertheless, research on youth involvement in such groups remains scarce and the extant findings are mostly drawn from instances of mutual help among adults and older people. They do not give much insight into mutual aid among EBP youth, suggesting there is still a need for research on mutual aid groups among this population. In view of this need, the study reported in this paper examined factors that are conducive to the mutual aid and rehabilitation of young people with EBP in Hong Kong. Of particular concern were the relationships between EBP alleviation and the key factors of social work inputs, change-inducing group mechanisms, and mutual aid. To investigate these issues, the study employed survey data collected from 433 youth participants (aged 12–24) recruited from 60 mutual aid groups in secondary schools, community-based youth service centers, and residential homes located in different districts of Hong Kong. The results support the hypothesis that change-inducing group mechanisms and mutual aid affect EBP. Nonetheless, the results do not support the hypothesized negative relationship between social work inputs and EBP. The implications of the findings for further research and the promotion of mutual aid and rehabilitation among EBP youth are discussed.

The impact of co-occurring mood and anxiety disorders among substance-abusing youth

Background Co-occurring mood and anxiety disorders are highly prevalent amongst substance-using young adolescents, and have been associated with a range of adverse outcomes. Few studies however have examined the impact of affective disorders in samples of older adolescents and young adults attending youth drug treatment services. Methods One hundred young people (mean age 19.4 years) were recruited from two youth drug treatment services in Melbourne, Australia. A structured interview and questionnaires assessing drug use, psychopathology, risk-taking behaviours and quality of life were administered at a mutually convenient location. Results Fifty percent of the sample met criteria for at least one current mental health disorder. Excluding individuals with a current psychotic illness ( n = 3), 49% met criteria for a current mood or anxiety disorder, with 68% reporting a lifetime history. There were high rates of current Major Depressive Disorder (MDD; 27%) and Post-traumatic Stress Disorder (PTSD; 26%) within the sample. Participants with these disorders were more likely to have a higher number of comorbid disorders, report more substance-related problems and a poorer quality of life. Limitations Cross-sectional design, lack of biological assays. Conclusions In older adolescence and emerging adulthood, young drug users with comorbid affective disorders have greater mental health and substance use morbidity than those with substance use problems alone. These findings have important clinical implications for the management and rehabilitation of young people with substance use disorders.

Using acceptance and commitment therapy in the rehabilitation of an adolescent female with chronic pain: A case example

This case example illustrates how Acceptance and Commitment Therapy (ACT) within a behavior medicine approach was used in the rehabilitation of an adolescent with debilitating chronic pain. For chronic pain with unclear etiology (idiopathic pain), pharmacological therapy alone is often insufficient. Psychological treatment strategies have been developed and evaluated for adults with chronic pain. However, few such studies have been conducted with youths. To date, there is limited empirical evidence regarding the effectiveness of psychological treatment for generalized musculoskeletal pain syndromes in children and adolescents. This patient was a 14-year-old girl severely disabled by idiopathic generalized pain. It was hypothesized that avoidance of pain and pain-related stimuli was central to the subject's disability. ACT, a development of cognitive behavior therapy, was used as the treatment model in this study, focusing on building the behavior repertoire in valued life directions rather than emphasizing reductions in pain and distress. As the subject moved in valued directions, exposure to avoided pain stimuli took place naturally. Following treatment, improvements in valued life activities and functional ability was seen, as evidenced by increased school attendance, lower pain ratings, and individual goal achievement. The outcome of this treatment indicates that ACT and a behavioral medicine approach can be useful in the rehabilitation of young people with chronic disabling pain. Empirical studies are needed to investigate the clinical effectiveness of this approach.

Rehabilitation of Young People with Physical Disablement--Scientific Meeting, April 26, 2003 in Gladenbach

Rehabilitation of Young People with Physical Disablement--Scientific Meeting, April 26, 2003 in Gladenbach

Life in a secure unit: the rehabilitation of young people through the use of sport

Sport is used widely in the rehabilitation of British young people who are resident in secure facilities following criminal sentencing, during remand or for welfare reasons. The research uses a quasi-longitudinal observational study in a secure unit, located in Southern England, and questions the suitability of sporting activities used as a primary vehicle for, and mechanism of, rehabilitation. Through the analysis of experiences at the unit, the paper supports the use of those sporting activities which de-emphasise regulations and winning, and argues for an emphasis on choice for participants, the tailoring of programmes to suit individual needs, and on positive feedback. Sport evidently has an important role in youth rehabilitation. However, it should be used selectively because, if unsuitable activities and programmes are used, they may have a detrimental effect on participants. The paper demonstrates the usefulness of qualitative research methods in rehabilitation studies.

The trainee project: family-aided vocational rehabilitation of young people with schizophrenia.

This study explored the initial results of a family-aided vocational rehabilitation program for young people with schizophrenia in The Netherlands. Their parents act as 'job-finders" and traineeship providers. The traineeships obtained for the participants reflect their interests and capabilities, and the participants reported an increase in self-esteem. Some trainees entered paid employment within one year. The results suggest that family involvement, if it is tailored to individual possibilities and combined with key elements of the Individual Placement and Support model, can make a useful contribution to the vocational rehabilitation of young people with schizophrenia.