Young People In Northern Ireland Research Articles

Mental health and capacity laws in Northern Ireland: examining the position of children and young people.

Mental health and capacity laws applicable to children and young people in Northern Ireland (NI) lack clarity and coherence, with significant gaps in service provision and safeguarding. Drawing on an examination of such laws, we argue that law reform is needed. In the short term, we suggest there is merit in publishing statutory guidance, such as a Code of Practice, to address both the issue of evolving capacity in children and to facilitate best practice in policy and practice. This modest reform in the short term should be accompanied by a firm political commitment to ensuring that NI's innovative fusion mental capacity legislation is fully brought into force in the medium term. Meanwhile, law reform should form part of a holistic approach on the part of NI's policy-makers towards improving mental healthcare provision for children and young people in line with a human rights-based approach. This would include the following: increased allocation of funding and resources to facilitate more timely access to suitable treatment and related services; enhancing participation in policy, judicial, and clinical decision-making that impacts their lives; and employing a range of executive accountability mechanisms to drive improvements in such provision over time.

The structure of the Prodromal Questionnaire-16 (PQ-16) in a non-help-seeking youth population: Exploratory and confirmatory factor analyses study.

The present study aimed to examine the structure of the Prodromal Questionnaire-16 (PQ-16) in a non-help-seeking youth population through exploratory and confirmatory factor analysis. Previous studies have not examined the structure of this self-report measure in this age group outside a clinical setting. Participants (n=1165) aged 11-19years were recruited to an epidemiological study of young people in Northern Ireland, and completed the PQ-16 alongside other measures. The dataset was split randomly in two for separate factor analyses. A polychoric correlation matrix was created and exploratory factor analysis was used to identify the optimal number of factors. In addition, based on previous studies, six models were tested through confirmatory factor analysis to determine best fit. A one-factor, 3 two-factor, a three-factor and a four-factor model were all tested. The exploratory factor analysis indicated a two-factor structure of the PQ-16 in this population, which we have labelled 'general unusual experiences' and 'hallucinations'. Confirmatory analysis indicated that the two-factor model identified through the exploratory analysis was the best fit for the data. The present study suggests that the structure of the PQ-16 may vary across age groups in non-clinical settings, and adds further support to the validity of the PQ-16 is a cost-effective, easy to administer self-report measure that is suitable for use in non-help-seeking populations as a screening tool for prodromal symptoms.

A Mental Health Pandemic? Assessing the Impact of COVID-19 on Young People's Mental Health.

Research indicates that young people have been a particularly vulnerable group when it comes to negative mental health outcomes following COVID-19, with some authors warning of a 'mental health pandemic'. Using a survey approach, this study explored the effects of lockdowns on the mental health of 1995 16-year-olds in Northern Ireland. Respondents completed the 12-item version of the General Health Questionnaire (GHQ-12) along with closed- and open-ended questions about COVID-19. Results from regression analysis showed that being female, identifying as non-heterosexual and perceiving that mental health had worsened during lockdown were the best predictors of poor mental health. In the open responses, young people reported significant concerns about their mental health and their educational outcomes. They also felt that their needs were not given the same priority as those of adults during lockdown. The results suggest that the COVID-19 lockdowns adversely affected the mental health of many young people in Northern Ireland with the effects most acute for females and those identifying as non-heterosexual. Future research should explore the longer-term impact of the pandemic on the mental health of these vulnerable young people and identify what support mechanisms need to be put in place to mitigate the negative effects of any future crises.

Exploring the effects of socio-economic inequalities on health and disability in Northern Irish adolescents: evidence from a nationally representative longitudinal study.

Although a negative association between socio-economic inequalities and health has been established, there is a dearth of robust longitudinal studies examining this relationship in adolescents. This study used a large, nationally representative longitudinal data set to investigate the association between socio-economic inequality, subjective health status and disabilities among young people in Northern Ireland over a ten-year period. Data were from the Northern Ireland Longitudinal Study, a census-based record linkage study (N = 46,535). Logistic regression models were estimated in which health and disability variables from the 2011 census were predicted by household deprivation in education, housing quality, housing tenure and employment from the 2001 census. Models were adjusted for health and disability status in 2001. Deprivation in employment, housing tenure and coming from a single-parent household in 2001 independently predicted poorer subjective health and disability status ten years later [ORs = 1.28-1.93]. Deprivation in education in 2001 was also associated with increased risk of disability in 2011 [OR = 1.15; 95% CI = 1.06-1.25]. These results show that there is a need to dedicate more resources and support for economically disadvantaged children and young people in Northern Ireland, where child health outcomes are poorer than in the rest of the UK.

Children's lives and rights under lockdown: A Northern Irish perspective by autistic young people

AbstractBy June 2021, children and young people had experienced two periods of lockdown and home learning in Northern Ireland. The detrimental impact of these periods of indefinite confinement is wider reaching than reported educational stagnation, with the fundamental rights of childhood: play; rest; and leisure; all adversely implicated. Autistic children's experiences of Covid‐19 have been largely absent from current crisis and recovery discourse. This is the first published study to directly and specifically involve autistic children both as research advisors and as research participants in a rights‐based participatory study relating to the pandemic. Drawing on concepts of ableist childism and epistemic injustice, this article presents, through Photovoice, the emotional, social and educational experiences of post‐ primary aged autistic young people in Northern Ireland during the first 2020 lockdown of the Covid‐19 pandemic. The project was grounded in a child rights‐based approach and was guided by a group of four autistic young advisors aged 11–15. The paper concludes by arguing that government responses to the pandemic, as experienced by autistic young people, act as forms of oppression that prioritises and further embeds normative non‐autistic structures and responses under the guise of public health necessity.

CHOICE - structured diabetes education programme for children and young people in northern ireland

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Prevalence and risk factors of mood and anxiety disorders in children and young people: Findings from the Northern Ireland Youth Wellbeing Survey.

Objective:This paper presents the key findings from the Northern Ireland Youth Wellbeing Prevalence Survey (NIYWS), specifically the prevalence of common mental health disorders and their association with personal, familial and socio-economic risk factors.Methods:The Northern Ireland Youth Wellbeing Survey (NIYWS) is a large nationally representative household survey of young people aged 2–19 years (N = 3074) and their parents (N = 2816). Data collection was by means of a stratified random probability household survey. Children and young people were eligible to take part if they were aged 2 to 19 and lived in Northern Ireland. Mood and anxiety disorders were measured using the Revised Children’s Anxiety and Depression Scale (RCADS: Chorpita et al., 2000).Results:Based on the cut-off scores for the RCADS 11.5% of the sample met the criteria for any mental health disorder. The most prevalent disorder was panic disorder (6.76%) and the least common was generalised anxiety disorder (2.69%). Poor child health, special educational needs, parental separation, living in a household in receipt of benefits, living in an area of deprivation and living in an urban area were all significant predictors of any mood or anxiety disorder.Conclusions:The results indicate somewhat elevated prevalence rates of mood and anxiety disorders in children and young people in Northern Ireland compared to England and other international countries. These findings can be used to help inform mental health policy and practice.

The Prevalence, Patterns and Correlates of Childhood Trauma Exposure in a Nationally Representative Sample of Young People in Northern Ireland

PurposeChildhood trauma (CT) exposure is common, with many young people affected by multiple co-occurring traumas.MethodsParticipants were a representative sample of 11–19-year-olds (n = 1293), who participated in the largest ever representative survey of youth mental health in Northern Ireland (NI) – the NI Youth Wellbeing Prevalence Survey 2020. This study used latent class analysis (LCA) to identify typologies that were most representative of trauma experience and co-occurrence among young people living in NI. Demographic, parental and deprivation variables were then used within a multinomial logistic regression analysis to describe trauma class membership.ResultsOver 35% (n = 478) of participants reported exposure to at least one CT, with over 50% (n = 259) of trauma-exposed young people reporting multiple trauma exposure. LCA results provided support for a three-class model; ‘low-exposure’, ‘moderate-exposure: community-victimization’ and ‘high-exposure: sexual-trauma’. While none of the child, parental or familial covariates differentiated members of the ‘moderate-exposure: community-victimization’ from ‘low-exposure’, those in ‘high-exposure: sexual-trauma’ were over four and a half times more likely to belong to a family in receipt of income benefits and over ten times more likely to have experienced some form of out-of-home care.ConclusionsThis study highlights the presence of three distinct trauma classes in the NI adolescent population. In particular, this study identifies a small minority of young people who have experienced multiple CT’s, including sexually based traumas, with these traumas most likely to have occurred in the context of out-of-home care and familial poverty.

Attitudes to sexting amongst post-primary pupils in Northern Ireland: a liberal feminist approach

ABSTRACT This study focuses on sexting amongst young people in Northern Ireland about which there is, as yet, very little qualitative research. To address the gap, and using a liberal philosophical feminist framework, focus group interviews were conducted with seventeen (ten girls and seven boys) 16–17-year-olds to explore their views on sexting. The young people in this study regard sexting as normal behaviour and report that it is more likely to be boys who pressure girls for a picture, a common finding in sexting research. Unlike the literature, however, this study found that girls also instigate sexting and put pressure on boys to send pictures. Despite this finding, there is still an unequal relationship between girls and boys largely because of the objectification of girls (and, rarely, boys).

Finding our true north: On languages, understanding and curriculum in Northern Ireland

AbstractLanguage learning can open up new worlds and deepen understanding of our own. It can foster awareness of other people, other places and cultures, and bring social and educational benefits. Northern Ireland (NI) is an increasingly multilingual region that is emerging from conflict into a welcome, but fragile, peace. It faces unique uncertainties caused by Brexit, as well as the need to develop empathy in face of the COVID‐19 pandemic. Concerns have been expressed also about academic underachievement and mental health amongst its young people. Against such a background, this paper explores the current context in NI relating to languages, and curriculum policy and practice in language education. It argues that young people in NI are poorly served, and that curriculum reform with respect to languages is timely. The paper makes five key recommendations: (1) Reform of curriculum, policy and practice relating to language education in NI; (2) Introduction of statutory language learning in primary schools; (3) Investment in teacher development; (4) Valuing of linguistic diversity and plurality in curriculum policy and practice; and (5) Further practice‐based research to explore pedagogy and outcomes in language education in NI.

Reviewing Mental Health Services and Support for Children and Young People in Northern Ireland: A Rights-Based Approach

ABSTRACT Objective: In Northern Ireland, it is widely agreed that mental health service provision for children and young people is inadequate and that there is a need for much greater prioritisation and strategic planning in this area. Successive Governments have made commitments to improve services, and although progress has been made, considerable reform is still required. Using a child rights framework, this paper provides an overview of children and young people's direct experiences of accessing mental health services or support. Methods: An online survey was used to gather respondents experience of six statutory and non-statutory health services. Respondents were asked to rate services against nine rights-based service quality statements. A likert agreement rating scale was used to gather quantitative data and qualitative information was captured using open-ended questions. Excel and NVivo were used to analyse the data. Results: Overall, 607 children and young people aged 11–21 years old shared their experiences of mental health services. The survey results show that young people are reaching out to a wide range of services to access support. However, there was considerable variation in young people’s satisfaction levels with different services. Conclusions: This paper brings a child rights focus to the research that exists on the child and adolescent mental health system by assessing it against a range of rights-based statements. This study found that although many services are improving, more is required to ensure that Northern Ireland has a rights compliant system.

‘Sitting on a wobbly chair’: mental health and wellbeing among newcomer pupils in Northern Irish schools

ABSTRACT Schools in Northern Ireland (NI) have become increasingly diverse with the numbers of newly arrived migrant pupils more than doubling over the past decade. While studies have shown an increasingly high prevalence of mental health difficulties among young people in NI generally, there is a paucity of research with at risk groups, including members of ethnic minority communities. This paper draws on data from a study commissioned by The Education Authority (NI) that investigated the mental health needs of newcomer pupils in schools in NI according to newcomer pupils themselves, as well as school staff and youth workers who support them, and to make recommendations for future development. Participant views and lived experiences were explored through questionnaires, online surveys, semi-structured interviews, and focus group discussions. Results suggest that, while many newcomer pupils have adapted well and display average levels of emotional well-being, many have experienced a range of adversities that may negatively impact mental health. Recommendations are made that relate to the emergent themes: to consider pre-existing stress and trauma (especially among refugees); respect socio-cultural differences and perspectives; foster relationships and collaboration; and empower and support schools.

Risk Factors for Self-Harm: Narratives from a Sample of Young People in Northern Ireland

ABSTRACT Self-harm continues to be a growing concern within adolescence and is a globally recognised public health and social problem. Adolescents living in the community who self-harm are extremely common however less is known about these young people. This study focussed on capturing the voice of young people who engage in cutting behaviour to provide insight into the risks associated with this phenomenon. Single semi-structured interviews were conducted with 9 adolescents aged 16–18 years who lived within one Trust area in Northern Ireland. Thematic analysis was applied to the transcribed interviews in which themes emerged. The three subordinate themes of onset, persistence and ending of the behaviour encompassed six sub-themes which were further identified as risk factors for the behaviour. Risk factors identified were: ACE’s, poor relationships and difficulties in support networks, exposure to self-harm, psychological issues, “addiction” to self-harm, concealment of harming behaviour—to control and professional and peer support that helps or hinders. These factors support the current literature base however individual and diverse explanations are highlighted which provide further depth, particularly around the concept of addiction and support that hinders young people. Despite the small nature of the study, recommendations for social work practice, clinical practice and other relevant professional practice as well as future research are considered in view of the findings. Key direction outlines the importance of building trusting relationships, continuity of care and continuing to listen to young people as vital to the helping relationship.

Beyond group engagement: Multiple pathways from encounters with the police to cooperation and compliance in Northern Ireland.

In a sample of young people in Northern Ireland (N = 819), we examine the relationships between the quality of experience with police officers and police legitimacy. We examine potential pathways through which experiences may either support or undermine the legitimacy of the police, and thus cooperation and compliance with them. We find evidence that perceptions of the police as having goals that align with those of wider society, and as being fair in general, mediate relations between the quality of encounters and legitimacy, which in turn mediates the relation with cooperation and compliance. Identification with wider society was not a reliable mediator, contrary to our predictions based on the Group Engagement Model. Moreover, our analysis of the structure of police fairness perceptions finds no support for the distinction between procedural and distributive police fairness as usually conceived. Implications for the social psychological understanding of legitimate authority are discussed.

Fund-mapping: the investment of public resources in the well-being of children and young people in Northern Ireland

ABSTRACTAcross Europe many states are experiencing severe pressures on public services, both from escalating need and from diminishing budgets. As a result, there is increasing interest in understanding how much is spent on services for children and to what effect. All government departments and selected voluntary organisations in Northern Ireland were asked to share financial information about expenditure on services for children and families in the financial year 2012–2013. Respondents were also asked to list evidence-based programmes (EBPs) being implemented and the annual cost in 2012/13.In 2012/13, £2.28 billion was invested in services for children, young people and their families (on average £5,175 per child). This was spread across 10 departments, with the majority spent by the Department of Education (£1.64 billion, 72%). The split across levels of intervention was 57% prevention (mostly education), 13% early intervention and 19% treatment and maintenance (mostly social care). Unit costs ranged, from £79 for health visiting to £36,730 for youth custody. Government departments were generally unaware of whether there was any expenditure on EBPs. The routine collection and analysis of cost data can be improved and there is a benefit to be had from (1) decommissioning services that are ineffective or not cost beneficial to release resource for reinvestment, and (2) re-deploying a proportion of the time of staff who work directly with children to more effective activities.

Asking questions and analysing answers about religious experience: developing the Greer tradition

ABSTRACTAlister Hardy’s initiative in starting a programme of empirical research into religious experience in the UK employing the methods of the social sciences continues through the work of the Religious Experience Research Centres. John Greer initiated a similar research tradition through his questionnaire surveys of the incidence and nature of religious experience among children and young people in Northern Ireland. Leslie Francis and Tania ap Siôn replicated Greer’s classic surveys, with ap Siôn extending Greer’s analysis into nine categories of religious experience (Guidance and help, Exam concerns, God’s presence, Answered prayer, Death, Sickness, Conversion, Difficulty of description, and Miscellaneous), while also noting their setting and frequency. This paper develops the Greer tradition further, drawing on more recent data from pupils in the Republic of Ireland, and arguing for a modified analytical process in order to provide a more nuanced understanding of reports of religious experience.

If you are not one of them you feel out of place: understanding divisions in a Northern Irish town

ABSTRACTThis paper examines and reflects on the use of Global Positioning System (GPS) tracking devices as a method to understand and analyse young people’s everyday movement in Northern Ireland, a divided society emerging from conflict. The paper also seeks to contribute to the extensive body of literature which already exists on young people’s geographies and movements within the Northern Ireland context. We highlight how the use of GPS together with more traditional methods gives us considerable insights of movements of young people in Northern Ireland and sheds light on the communal divisions in one town in Northern Ireland, Coleraine. We argue that the use of a GPS methodology significantly adds to the understanding of young people’s movements and geographies, particularly in a post-conflict context where notions of place and territory have particular significance.

Children and Terrorism and commentaries

Children and Terrorism and commentaries

Collecting sensitive information for a sexual health trial with young people: experiences of using electronic data collection and traditional paper methods

Electronic data collection for randomised trials is attractive as it can, in theory, provide great financial advantages by reducing fieldwork costs and data inputting time, as well as increasing the accuracy of responses over and above paper based methods. For trials involving young people, electronic methods provide other advantages such as the ability to adapt questions to meet the needs of young people of differing ages and abilities. Researchers have also suggested that young people prefer electronic methods over traditional ones and have found equal validity across both methods. This presentation will discuss issues relating to the collection of sensitive information from young people in Northern Ireland, using electronic and paper formats. We will draw on experience gained across several research studies that have collected data on sexual risks and behaviours, particularly in school-based research; including a recent trial on adolescent pregnancy. We will examine the feasibility, reliability and validity of data collected along with an evaluation of the cost implications and ease of using both methods (including the merging of the resulting datasets if both methods are offered). The views of the researchers and participants will also be reflected upon.

Navigating Risk: Understanding the Impact of the Conflict on Children and Young People in Northern Ireland

Twenty years on from the 1994 cease-fires, Northern Ireland is a markedly safer place for children and young people to grow up. However, for a significant number, growing up in post-conflict Northern Ireland has brought with it continued risks and high levels of marginalization. Many young people growing up on the sharp edge of the transition have continued to experience troubling levels of poverty, lower educational attainment, poor standards of childhood health, and sustained exposure to risk-laden environments. Reflecting on interdisciplinary research carried out since the start of the “transition” to peace, this article emphasizes the impact that embedded structural inequalities continue to have on the social, physical, mental, and emotional well-being of many children and young people. In shining a light on the enduring legacy of the conflict, this article moves to argue that greater attention needs to be given to the ongoing socioeconomic factors that result in limited lifetime opportunities, marginalization, and sustained poverty for many young people growing up in “peacetime” Northern Ireland.