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Accentuate the Positive : A Resiliency Approach to Adolescent Reproductive Health. Julia Rosenbaum The CHANGE Project The Academy for Educational Development. Resiliency Intervention Model : The Basics. Growing body of literature, coming largely from the domestic arena
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Accentuate the Positive:A Resiliency Approach to Adolescent Reproductive Health Julia Rosenbaum The CHANGE Project The Academy for Educational Development
Resiliency Intervention Model: The Basics • Growing body of literature, coming largely from the domestic arena • Searches for protective factors rather than risk factors • Identifies internal and external factors • Demonstrates that protection ‘clusters’, just like risk • Predictive value high than risk factors
Resiliency & Other Assets-based Approaches: The Basics • Youth development, school health, assets, positive deviance • Assets inventory (Search Institute), Youth Mapping (CYD/AED), CA Healthy Kids • Both a methodology and an ideology
Traditional intervention research • Identifies risk factors for a certain health outcome (e.g. teen pregnancy) • Focuses on deficits that need to be filled (usually with outside resources) • Leads to identification, labeling and stigmatization of ‘deviants’ and communities • Ignores that • the majority of “at risk” populations are often surviving if not thriving, and • solutions already exist within communities to address problems
EXTERNAL ASSET CLUSTERS • Caring Relationships • High Expectations • Meaningful Participation • within the home, school, community and peer networks
INTERNAL ASSET CLUSTERS • SOCIAL COMPETENCE • Cooperation and communication skills • Empathy and respect • Problem solving skills • AUTONOMY and SENSE OF SELF • Personal Conviction • Self-Efficacy • Self Awareness
INTERNAL ASSETSCONT’D • SENSE OF MEANING AND PURPOSE • Optimism • Goals and achievement motivation
Resiliency Research in Jamaica • First-ever resiliency analysis conducted by the Jamaica MOH through re-analysis of Caribbean Youth Health Survey • About to embark on comprehensive resiliency intervention research with MOH/Kingston, MOH/Clarendon, Rural Family Support Project (RFSO) and Hope Enterprises, Ltd.
Quantitative Survey • adapting the California Healthy Kids Survey • www.wested.org/hks • 12-16 year old males and females in Clarendon Parish • Sample size approximately 750-1000
Teen perceptions of: • caring relationships • high expectations • meaningful participation • social competence • autonomy and sense of self • sense of meaning and purpose
Which of the factors??? • support teens to • delay sexual activity • protect themselves from pregnancy
Why resiliency? • Builds an intervention around resources already existing in community • Enhances • acceptability and • sustainability • ??Shows impact beyond ARH objectives??
Research rolls into activities in late 2001… • Coordinated with Youth.now efforts in Clarendon to enhance availability and quality of youth-friendly services • Build community “demand” while Youth.now improves “supply”