Enacted stigma, gender, and risk behaviours of school youth - Saewyc, EM (funded by the US National Institute on Drug Abuse) A multi-site international study exploring the ways young people are targeted and stigmatized in school settings, such as being excluded, teased, or being threatened with or experiencing actual physical violence—this is what is meant by “enacted stigma.” While our focus is primarily on stigma related to sexual orientation, we are also looking at stigma among youth with disabilities and chronic conditions, and obese teens. Further, we are looking at the link between being targeted for stigma and HIV risk behaviours and problem substance abuse, as well as identifying protective factors that appear to reduce the risk behaviours, even in the presence of being targeted for stigma. After the primary analyses, we will conduct focus groups with youth, and people who work with teens, to identify strategies to reduce enacted stigma and to promote healthier behaviours among stigmatized youth. As part of this international study, we will be conducting cross-national comparisons within three different ethnic groups, in three different countries: European-heritage youth, Asian-heritage youth, and indigenous youth, in Canada, the US, and New Zealand.Stigma And Resilience Among Vulnerable Youth Consortium- Saewyc, EM(funded by the Canadian Institutes of Health Research)This interdisciplinary capacity enhancement grant brings together a new team of experienced researchers, new investigators, trainees and community partners to advance a program of research into the influences of stigma and trauma on health disparities of sexually-exploited and at-risk youth. This team of biomedical, clinical, health services and social science researchers is developing innovative, cross-cutting, complementary approaches to understanding stigmas influence on health at several levels: from individual biological traits and responses that affect behavioural choices for coping with stigma; to interpersonal and environment risk and protective factors that worsen or improve health outcomes for youth; to community- and population- level influences of stigma on health access and health policy for vulnerable groups. We will explore how to create ethically sensitive studies of this elusive population, and test new techniques for gathering data, including the use of computer and web technology. The goal of this program is to identify how stigma contributes to health disparities, as well as strengths and protective factors that can be changed which buffer youth from the effects of stigma, and then to develop and test effective interventions at the individual, family, community, and policy levels to reduce stigma and decrease health disparities for sexually-exploited and vulnerable youth.BC Adolescent Health Survey IV- Saewyc, EM(Funded by the BC Inter-Ministry Committee, Child Health BC, and in part by CIHR)This is the 2008 cluster-stratified province-wide school-based anonymous pencil-and-paper health survey of students in grades 7-12 in BC (N=29,000+). The largest survey of its kind in Canada, measures include health & risk behaviors, risk exposures, and protective factors. The data will provide a 4th cohort for health trends among youth in BC (earlier surveys completed in 1992, 1998, and 2003). These data also form the basis for a series of funded reports for provincial and federal government health bodies, including a focus on substance use, mental health issues, physical activity and obesity, Aboriginal health issues; they also are the key source of information for several projects that are funded as part of the CIHR/PHAC Chair in Public Health Research, including a focus on trends in violence exposure and various risk behaviours, effects of school-based policies around homophobic bullying, and trends in sexual health.
Cocktails Website: A web-based application focusing on drug interactions between medications and substances of abuse for youth with complex medical conditions and health care providers -UBC Elbe D, Gill S and Whitehouse S Funded by Dept of Mental Health, Cocktails, a handbook published in 2002 by the BC Children’s Hospital Pharmacy Department and Youth Health Program, was written to provide information about the risks associated with combination use (“cocktails”) of prescription medication and substances of abuse. Cocktails is a successful and popular resource for youth with complex medical conditions, and as an educational tool used by health care providers (HCPs).A web-based version of Cocktails would allow easier access for youth and HCPs alike, and the ability to update emerging medication-substance interaction information rapidly.Conceptually, we want to: (a) improve health literacy among Canadians (within the area of safe medication use) and (b) foster knowledge mobilization among HCPs by improving access to this important practice resource. Thus, the goals of the current project are to implement, evaluate and revise a web-based version of Cocktails through focus group and on-line evaluations to prepare it for broad dissemination among youth and HCPs.Intoxicated adolescents presenting to the Pediatric Emergency Department - Clarke M, Whitehouse S, Saewyc EM (unfunded)Youth presenting with intoxication due to alcohol ingestion consume a significant proportion of health care resources. In addition intoxicated adolescents can be challenging to care for as they may be aggressive and oppositional. There are no standardized recommended guidelines regarding medical management. Adolescents are usually discharged from PED as soon as they are medically stable to free up a much needed bed. There are few reports on the general mental health or psychosocial risks factors of this specific population. The purpose of this study is to characterize the demographics, clinical features, associated psychosocial risk factors, medical management and medical burden of adolescents who present to the Pediatric emergency department (PED) with alcohol ingestion. This descriptive, hypothesis-generating study may serve to determine the extent of the problem, suggest effective streamlined management guidelines, highlight which adolescents are at higher future risk and facilitate the implementation of prevention and intervention strategies when adolescents are brought to medical attention for alcohol intoxication. Results will be submitted for publication as well as distributed locally in different formats to youth and caregivers and school counselors.Development of Hospital Intranet site - Whitehouse S, Gill S(unfunded)There are many staff at BCCH who interact with adolescents on a regular basis but are not part of the Division of Adolescent Health. The intranet site provides access to clinical tools, recent research, referral documents, information on clinical services and community links as well as a calendar of events related to Adolescent Medicine. It is anticipated that each Division in the Hospital will have a designated staff person to ambassador Adolescent Health for their area. These staff members will use the intranet site for materials as required.