Risk

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Recommended: Resilience of adolescent children

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The following study discusses the risk & resilient factors in the life of Pauline, a 16 year old NZ European/Maori teenager.
These factors involve her family life and its importance to her: the value of education and the consequences of leaving school without qualifications; how activities such as church participation can be helpful and the problems involved with having nothing to do; the effects of substance abuse; early sexual involvement and its risks; the risk of suicide, suicide attempts & ideation. The likely impacts of all of these factors on her current & future health status will be considered. Key words or concepts: resilience or protective factors: is factors that buffer young people from risks & promote positive youth development. Risk behaviours: dangerous behaviour that involves a threat to health & well being adolescence: the developmental period between childhood and adulthood mentor: someone whom the young person can trust connectedness: feeling cared for, close to and enjoying either family, school or an adult mentor. The study will follow the format using the HEADSS framework. This was devised in 1972 by Eric Cohen, a Specialist in adolescent medicine in Los Angeles. It is a method used to interview & assess young people & is an acronym for the following; - (H) home environment (E) education & employment (A) activities & interests (D) drugs (S) sexuality (S) suicide

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Pauline has a number of risk and protective factors happening for her in her home situation. Until the age of three years she was the focus of her own two parents. At the age of sixteen she is positioned between her Father’s new family of a partner & three very young children (who Pauline lives with) and her Mother, partner and their two young children. She has expressed dissatisfaction regarding her irregular contact with her Mother who lives in another town. Early attachment in childhood sets the stage for acting out behaviours in adolescence (Brennan 1993). Pauline clearly felt nobody cared for her, that her Father was more interested in her stepmother and children, she felt this so strongly it led her to running away from home. She was at risk...

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Summary
This study indicates risk factors for Pauline including an unhappy home situation with her Dad’s new family where she has felt nobody really cared whether she was there or not, her unsatisfying relationship with her Mother, her alcohol binging, cigarette smoking & marijuana use, her limited activities, dropping out of school at a young age, early sexual involvement and low mood. Protective factors bringing some resilience to her life include adult trust with her Aunt Sarah and Tutor, awareness of her iwi links and whanau contact, her enjoyment and regular attendance to at Alternative Education and her goal of wanting to stay there until she gets a job, recent enjoyable church involvement, her ability to learn from situations and wanting to make positive changes in her life. The likely outcomes for Pauline’s health are hopeful but the significant concerns that could tip the equilibrium are firstly the early onset in her life of a relationship with Jack and their sporadic condom use, as a probable outcome for Pauline is pregnancy and wanting to keep the baby, and secondly her alcohol, marijuana and nicotine use and the level of addiction that may have built up.

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