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Mental and Physical Health of Orphaned Children. Melanie Hilbrandt Jennifer Polglaze Elise Chirco Stephanie Triick. Introduction. Demographics. Death or disappearance of, abandonment or desertion by, or separation or loss from, both parents Location examples America - 120,000
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Mental and Physical Health of Orphaned Children Melanie Hilbrandt Jennifer Polglaze Elise Chirco Stephanie Triick
Demographics • Death or disappearance of, abandonment or desertion by, or separation or loss from, both parents • Location examples • America - 120,000 • Nigeria – 8.6 million • Ethiopia – 4.8 million
Statistics • 143-210 Million • 5760 • 250,000/14,505,000 • 10-15% • 60% and 70%
Cultural Descriptors • Age: 0-18 years • Aging out of system • Higher in 3rd World Countries • All races and ethnic groups • Boys and girls
Complex Trauma & Mental Health in Children and Adolescents Placed in Foster Care
Biases • Social desirability bias • Schools and education • Age
Health Risks • Nutritional • STD’s • AIDS/HIV
Health Promotion Theory • Jean Watson’s Theory of Transpersonal Caring
Early and middle childhood Adolescent health Educational and community-based programs Family Planning HIV Injury and Violence Prevention Maternal, infant, and child health Mental health and mental disorders Nutrition and weight status Oral health Preparedness Public Health Infrastructure Sexually Transmitted Diseases Substance abuse Tobacco use Healthy People 2020
References • Barth., Freundlich., & Brodzinsky. (2007, November 26). General Health Issues. General Health Issues. Retrieved July 23, 2014, from http://www.orphandoctor.com/services/preadoptconsult/genhealth.html • Children's Statistics. (n.d.). Worldwide Orphan Statistics. Retrieved , from http://www.sos-usa.org/our-impact/childrens-statistics#sthash.6LW3SBuJ.dpuf • Facts About Aging Out. (2014). Childrens Rights RSS. Retrieved , from http://www.childrensrights.org/issues-resources/foster-care/facts-about-aging-out/ • Facts & Statistics. (n.d.). Orphan Hope International RSS2. Retrieved July 23, 2014, from http://www.orphanhopeintl.org/facts-statistics/ • Greeson, J. P., Briggs, E. C., Kisiel, C. L., Layne, C. M., Ake III, G. S., Ko, S. J., & ... Fairbank, J. A. (2011). Complex Trauma and Mental Health in Children and Adolescents Placed in Foster Care: Findings from the National Child Traumatic Stress Network. Child Welfare, 90(6), 91-108
References • Healthy People 2010, U.S. Department of Health and Human Services. Retrieved from http://www.healhypeople.go/2020/topicsobjectives2020/default.aspx • Hicks, L. (2011, April 4). Orphans require more mental health services. The Duke Chronicle. Retrieved July 23, 2014, from http://www.dukechronicle.com/articles/2011/04/04/orphans-require-more-mental-health-services • Impact of Malnutrition on Health and Development. (2014, January 1). Impact of Malnutrition on Health and Development. Retrieved July 23, 2014, from http://www.orphannutrition.org/understanding-malnutrition/impact-of-malnutrition-on-health-and-development/ • Maville, J. A., & Huerta, C. G. (2013). Health Promotion in Nursing (3rd ed.). Clifton Park, NY: Delmar Cengage Learning. • Puffer, E., Drabkin, A., Stashko, A., et. al. 2012 September; 37(8): 868–878. Published online 2012 June 21. doi: 10.1093/jpepsy/jss077 • Roby, J., & Shaw, S. (2006). The African orphan crisis and international adoption. Social Work, 51(3), 199-210. doi:10.1093/sw/51.3.199 • Thompson, R. T., Meslin, E. M., & Braitstein, P. K. (2012, September 12). The vulnerabilities of orphaned children participating in research: a critical review and factors for consideration for participation in biomedical and behavioral research. Retrieved July 18, 2014, from https://scholarworks.iupui.edu/bitstream/handle/1805/4254/thompson-2012-the-vulnerabilities.pdf?sequence=1