1,115 research outputs found

    A multilevel bioecological analysis of factors influencing the mental health and psychosocial wellbeing of refugee children

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    Stella Arakelyan - ORCID: 0000-0003-0326-707X https://orcid.org/0000-0003-0326-707XAlastair Ager - ORCID: 0000-0002-9474-3563 https://orcid.org/0000-0002-9474-3563Replaced AM with VoR 2020-12-07. Replaced VoR with publisher updated version 2021-01-13.Background: This paper revisits the themes of an influential 1993 review regarding the factors shaping the mental health and psychosocial well-being of refugee children to take stock of developments in the evidence base and conceptualisation of issues over the last 25 years.Methods: The study deployed a systematic search strategy. This initially identified 784 papers, which was reduced to 65 studies following application of inclusion and exclusion criteria. We used a later iteration of Bronfenbrenner’s bioecological model of human development – the PPCT model - to consolidate evidence.Results: We identify a range of risk and protective factors operating at individual, familial, community and institutional and policy levels that influence outcomes for refuge children. The dynamics shaping the interaction of these influences are linked to the life course principles of socio-historical time and developmental age, proximal processes, and child agency.Conclusions: Actions at individual, familial, community, school, institutional and policy levels all have potential traction on mental health and psychosocial well-being of refuge children. However, evidence suggests that greatest impact will be secured by multilevel interventions addressing synergies between ecological systems, approaches engaging proximal processes (including parenting programmes) and interventions facilitating the agency of the developing refugee child.https://doi.org/10.1111/jcpp.1335562pubpub

    Death of Stella Kinney

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    A typescript document titled The Death of Stella Kinney, which was undated and no listed author

    Stella H. Hohncke Papers, 1930-1976

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    Fargo, N.D. poet and editor. The Stella H. Hohncke Papers document her active literary career, the author of plays, short stories, poems, and speeches. The Anna Thorsell articles written by Stella Hohncke, one of which appeared in The Fargo Forum, discuss Mrs. Thorsell's childhood on her father's farm in Denmark and her work in the Danish royal family's kitchens in Copenhagen. There are also scrapbooks on Stell?a life and of the Hohncke family

    Factors contributing to emotional distress in Sierra Leone: A socio-ecological analysis

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    Stella Arakelyan - ORCID: 0000-0003-0326-707X https://orcid.org/0000-0003-0326-707XAlastair Ager - ORCID: 0000-0002-9474-3563 https://orcid.org/0000-0002-9474-3563Replaced AM with VoR 2021-06-24.Background There is increasing global evidence that mental health is strongly determined by social, economic and environmental factors, and that strategic action in these areas has considerable potential for improving mental health and preventing and alleviating mental disorders. Prevention and promotion activities in mental health must address the needs prioritised by local actors. The aim of this study was to identify stressors with the potential to influence emotional wellbeing and distress within the general population of Sierra Leone, in order to contribute to an inter-sectoral public mental health approach to improving mental health within the country.Methodology Respondents were a convenience sample of 153 respondents (60 women, 93 men) from five districts of Sierra Leone. Using freelisting methodology, respondents were asked to respond to the open question ‘What kind of problems do women/men have in your community?’. Data analysis involved consolidation of elicited problems into a single list. These were then organised thematically using an adaptation of the socio-ecological model, facilitating exploration of the interactions between problems at individual, family, community and societal levelsResults Overall, respondents located problems predominantly at community and societal levels. Although few respondents identified individual-level issues, they frequently described how problems at other levels contributed to physical health difficulties and emotional distress. Women identified significantly more problems at the family level than men, particularly related to relationships with an intimate partner. Men identified significantly more problems at the societal level than women, primarily related to lack of infrastructure. Men and women were equally focused on problems related to poverty and lack of income generating opportunities.Conclusion Poverty and inability to earn an income underpinned many of the problems described at individual, family and community level. Actions to address livelihoods, together with improving infrastructure and addressing gender norms which are harmful to both men and women, are likely key to improving the wellbeing of the Sierra Leone population.This research was funded by the National Institute for Health Research (NIHR) Global Health Research programme 16/136/100. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the UK Department of Health and Social Care.https://doi.org/10.1186/s13033-021-00474-y15pubpu

    Interview with Stella Polk, 1992

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    Sister of Old Yeller author, Frank Gipson and life-long resident of Mason County, Stella Polk began teaching at age 16 in a small rural school circa 1917. She relates her personal history, experiences teaching in one-room schools, and memories of early Mason County which she also had published in books and newspaper columns

    Stella K. Hershan Collection 2000

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    The collection contains a questionnaire filled out by Stella K. Hershan regarding her life in Austria before World War II, emigration from Austria to the United States, and life in the United States. Also included are a variety of documents pertaining to property owned by Hershan's family in Vienna, including property registration forms filled out by Stella, her husband Rudolf, and her parents Felix and Lucie Kreidl; notices regarding changes in their property; seizure order for the property of Felix and Lucie Kreidl; and correspondence pertaining to the seizure of Felix and Lucie Kreidl's property.Stella K. Hershan (née Kreidl) was born February 7, 1915, in Vienna. In 1939, she emigrated from Austria to the United States through Switzerland and France with her husband and daughter. She is the author of several novels and works of non-fiction.An inventory is available in the folderAustrian Heritage CollectionProcessed for digitizationSent for digitizationReturned from digitizationLinked to online manifestationdigitize

    Stella Jacobs and unidentified woman

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    Stella Jacobs at left.Digital imageDigital finding aid

    Stella Jacobs and unidentified women

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    Stella Jacobs in center.Digital imageDigital finding aid

    Stella Jacobs in operating room

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    Stella Jacobs at far left.Digital imageDigital finding aid

    The development of a contextually appropriate measure of psychological distress in Sierra Leone

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    From Springer Nature via Jisc Publications RouterHistory: received 2021-04-12, accepted 2021-07-09, registration 2021-07-14, pub-electronic 2021-07-21, online 2021-07-21, collection 2021-12Publication status: PublishedStella Arakelyan - ORCID: 0000-0003-0326-707X https://orcid.org/0000-0003-0326-707XAlastair Ager - ORCID: 0000-0002-9474-3563 https://orcid.org/0000-0002-9474-3563Abstract: Background: Studies of psychological distress in Sierra Leone have typically used measures which were developed for use in other contexts, and which often have not been adapted or validated for use in Sierra Leone. This has resulted in a lack of reliable information about the patterns of psychological distress within the population, which is a barrier to the development of effective and appropriate mental health services. The aim of the study was to develop a locally-appropriate measure of psychological distress for Sierra Leone. Methods: The new measure consists of two instruments: the Sierra Leone Psychological Distress Scale (SLPDS) and a gendered measure of ability to carry out daily tasks—a Function scale—as an indication of the severity of distress. A three-phase mixed methods exploratory sequential study was conducted. Phase 1 was item generation and testing, leading to the development of a set of potential items for both instruments. Phase 2 was a small pilot study (N = 202) leading to the selection of the final set of items for both measures. Phase 3 was a validation phase where the SLPDS and the Function scale were administered with a larger sample of 904 respondents. Item analysis was used to assess the internal consistency of the scales, and Exploratory Factor Analysis to explore the properties of the SLPDS. Results: Exploratory factor analysis using the principal axis factoring with an oblique rotation identified a three-factor structure for the 18-item SLPDS. Internal consistency for the SLPDS (Cronbach’s alpha = 0.89) and three subscales was good (Cronbach’s alpha > 0.73). The internal reliability of the male and female versions of the Function scale was also found to be acceptable (Cronbach’s alpha = 0.90 for the female scale and 0.79 for the male scale). Conclusions: Together the SLPD and Function scales provide a locally-validated tool which will enable government bodies and local and international non-governmental organisations in Sierra Leone to assess mental health and psychosocial needs. This will support both effective service provision and the evaluation of initiatives designed to improve mental health and psychosocial wellbeing.9pubpu
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