Volume 37 • Number 2 • July 2018

Articles

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Vol. 37No. 2pp. 1–12
Qualitative studies provide a different kind of understanding of the effectiveness of community treatment orders (CTOs) by exploring the perspectives of stakeholders. This article documents a systematic review of 12 qualitative studies that explored the views of families of individuals on a CTO. Relevant databases and grey literature were searched. Themes were identified: the benefits of CTOs outweigh the disadvantages, CTOs increased their involvement in care, and families were dissatisfied with aspects of the CTO process. Recommendations include how to maximize the benefits of CTOs, reduce administrative burdens and employ strategies to increase involvement of families in the care of their loved ones.
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Vol. 37No. 2pp. 13–28
This investigation examined needs and concerns of transgender youth and their families throughout the island of Newfoundland. Twenty-four youth and 21 parents completed qualitative questionnaires. Both parent and youth participants expressed concern about general practitioners’ lack of knowledge of transgender healthcare. Trans youths’ main concerns included lack of parental support, feelings of dysphoria, the desire to be fully accepted, and safety. Parents’ main concerns included wait times for care, their child’s mental health, lack of information or guidance, safety, and depathologizing their children’s identities. The findings point to six key recommendations for healthcare providers and policymakers.
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Vol. 37No. 2pp. 29–47
The walk-in counselling (WIC) model of service delivery has been found to reduce psychological distress more quickly than a traditional model of service delivery involving a wait list. A question remains, however, as to the relative benefit of the WIC model for different client groups. The present study uses graphical inspection and multilevel modelling to conduct moderator analyses comparing two agencies, one with a WIC clinic and the other with a traditional wait list approach, and their relative impact on psychological distress. Key findings regarding the differential benefits for different types of presenting problems as well as clients at different stages of change are discussed.
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Vol. 37No. 2pp. 49–56
Le but de l’article est de présenter les résultats d’un consortium d’experts désignés par le Centre d’expertise Marie-Vincent. Le mandat du consortium était d’évaluer l’état des connaissances sur les agressions sexuelles envers les enfants âgés de 5 ans et moins. Cette synthèse met en lumière les défis liés au dépistage, aux enquêtes et à l’évaluation de l’agression sexuelle chez les jeunes enfants. Le manque important de connaissances à ce sujet limite le développement de cadres de référence pour orienter les stratégies de prévention et d’intervention, qui pourtant s’avèrent essentielles pour contribuer au mieux-être des jeunes victimes et de leurs familles.

Practice Innovations

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Vol. 37No. 2pp. 57–60
This report describes how graduate students in nursing education have developed capacity among student nurses in response to the opioid crisis in Canada by using education on harm reduction practice and naloxone administration.
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Vol. 37No. 2pp. 61–65
Trauma, addiction, and homelessness for Indigenous people are interwoven with colonialism and the loss of culture. I’taamohkanoohsin is a grassroots program that was developed to support healing and recovery for a highly marginalized Indigenous population with concurrent mental health challenges and other complex needs in a downtown core neighbourhood.
List of Issues
Volume 42
Issue 4
December 2023
Volume 42
Issue 3
November 2023
Volume 42
Issue 2
August 2023
Volume 42
Issue 1
May 2023
Volume 41
Issue 4
October 2022
Volume 41
Issue 3
July 2022