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Define Youth at Risk
"A set of cause and effect (behavioral) dynamics that have the potential to place an individual in danger of a negative future event."
Define risk factors and protective factors
The socioecological Model:
Risk- anxiety, low social support, homophobia, lack of legal protections for LGBTQ+ individuals
Protective- high self-efficacy, strong family relationship, mental health services available at school, some legal protections for LGBTQ+ individuals (marriage equality)
Socioecological Model
individual level, relationship level, community level, societal level
Define different types of microaggressions
Verbal, behavioral, or environmental
Different microaggression dilemmas from Sue et. al (2007)
Clash of realities- the person who experiences a microaggression sees it as offensive, but the person delivering it sees it as harmless.
Invisibility of Unintentional Expressions- when microaggressions are subtle, so its hard to target to know if what happened was biased or not.
Perceived Minimal Harm of Microaggressions- when microaggressions are dismissed as small or "no big deal", but for the person on the receiving end, the impact builds up over time and feels harmful
Catch-22 of Responding- when someone who receives a microaggression and is unsure whether to call it out or stay quiet
Multicultural competencies
Set of multicultural competencies that predict positive treatment outcomes
We can clearly distinguish competent vs non-competent therapists
Competencies are characteristics of the therapist
Characteristics of multicultural counseling approach
1. Counselor self-awareness
2. client worldview
3. counseling relationship
4. counseling and advocacy interventions
difference between multicultural competencies and multicultural orientation
MCC theory not well supported by research
MCO is a better approach than MCC as it complements existing therapy modalities
MCC - set of competencies vs. MCO - way of approaching therapy
Constructs of multicultural orientation framework
1. Cultural humility: intrapersonal- accurate view of oneself
interpersonal- other-oriented with lack of superiority (client is expert of their life
2. Cultural opportunity: markers that occur in therapy in which the client's cultural beliefs, values, and other aspects of the client's cultural identity could be explored
3. Cultural comfort: feeling at ease, open, and relaxed with others of diverse cultural backgrounds
Risk behaviors defined in YRBSS
1. Unintentional injuries and violence - risky actions like unsafe driving, fighting, or weapon carrying.
2. Tobacco use - smoking, vaping, or chewing tobacco.
3. Alcohol and other drug use - drinking, binge drinking, or using drugs.
4. Sexual behaviors - unsafe sex that can lead to pregnancy or STIs.
5. Unhealthy dietary behaviors - poor eating habits, like skipping meals or eating too much junk food.
6. Physical inactivity - not getting enough daily exercise.
Define prevention and its goals
It is a proactive approach designed to empower the individual, change the systemic variables, and forestall the development of dysfunction."
Goal is to change the influences on development to aid in an individual's optimal development and functioning
Risk factors associated with youth at risk
1. Family factors- Low parental involvement, poor supervision, family conflict, parental substance abuse, or domestic violence.
2. School factors- Poor academic performance, low engagement in school, truancy, or negative relationships with teachers and peers.
3. Peer influences- Friends who engage in risky behaviors, such as substance use, delinquency, or unsafe sexual activity.
4. Individual characteristics- Low self-esteem, impulsivity, mental health issues (like depression or anxiety), or difficulty managing emotions.
5. Community and environmental factors- Living in unsafe neighborhoods, exposure to crime or violence, lack of access to recreational activities or positive role models.
6. Socioeconomic factors- Poverty, lack of stable housing, limited access to healthcare, or food insecurity.
7. Cultural or systemic factors- Experiences of discrimination, racism, or marginalization that increase stress and limit opportunities.
Qualities of prevention
Proactive: focus on functional people and those who are at risk, cumulative and transferable, used to reduce incidence.
Promote peer helping: Can be population based, individually based, or group-based, can be used early in the life span, targets more than a single system
Culturally sensitive: Applicable in more than one context
Empowering: should enhance protective factors and reverse or reduce risk factors
Types of prevention (primary, secondary, tertiary)
primary: before anything has happened and aims to reduce new cases of a problem
secondary: early intervention with someone in crisis or showing early signs of a problem
tertiary: reduces the residual impairment following resolution of a crisis or reduces the impact of a particular problem
Populations targeted by prevention programs (universal, selective, indicated)
universal: general population, not directed at any specific risk group
selective: target subsets of the population who are at a higher-than-average risk
indicated: targets those who are already engaging in some level of the risk behavior or showing signs of engaging
Steps for developing prevention programs
1. Read the research on prevention programs
2. Assess needs
3. Meet with administrators, elected officials, and business owners
4. Establish a broad-based planning group
5. Target the population, the causative factors, or the at-risk behaviors
6. Identify existing prevention programs and resources
7. Carefully describe policies and procedures
8. Plan variations for diversity
9. Plan staff development
10. Make sure adjunct services and referral options have been identified
11. Plan evaluation procedures prior to program implementation
Define resilience
a dynamic developmental process of healthy human development growing out of nurturing relationships and advocacy for systems change that support social, academic, and vocational competence and the self-righting capacity to spring back from exposure to adversity and other environmental stressors.
Factors that support resilience
Individual factors: temperament; learning strengths; self-concept; emotions; ways of thinking; adaptive skills; social skills
Family Factors: attachment; communication; parent relations; parenting style; support outside of the family
Social Environmental Factors: fairness of opportunity; social justice; practice, policies, and laws; social conditions; inclusion; access; involvement
Risk factors for dysfunctional family dynamics
At-risk adults who become parents
Parental conflict
Family denial
The parentification of children
Serious illness and disability within the family
Attachment Styles
secure: want to be close to caregiver but they are comfortable exploring, upset when caregiver leaves and comforted when they return
Insecure avoidant: Distant toward their caregivers, they are equally as upset (or not) when caregiver is present or absent; child avoids too much contact with caregiver; under-attached; caregiver is not a consistent and secure source of comfort; return of caregiver provides no comfort
Insecure ambivalent: cling to caregivers ,extremely upset when caregivers are gone, not easily comforted when caregivers return; can seem angry at care givers; long time to calm down
Insecure disorganized: Distant toward caregivers; upset when gone yet do not seek proximity on return; it's disorganized because there is no clear pattern as to how they were behaving in attachment sense
Parenting Styles
authoritarian: high control/strictness and demandingness, low warmth
permissive: high responsiveness/warmth, low control/strictness and demandingness
authoritative: high responsiveness and warmth, high demandingness and control/strictness
uninvolved: low control/strictness and demandingness, low responsiveness and warmth