50 Healthcare related needs for youth in care: A mixed methods study
Bibliographic record
Abstract
Abstract Background Youth living in out-of-home care face physical, mental, and developmental challenges. Homebridge Youth Society aims to provide living facilities in Nova Scotia for youth who are in care when alternative placements cannot be identified. Objectives This mixed methods study sought to characterize the health-seeking behaviours and health care challenges of youth residing at Homebridge Youth Society. Methods Semi-structured interviews with youth and staff were analyzed using thematic analysis. A chart review was conducted to determine demographics and health care utilization the year prior and the year post the initiation of a paediatric clinic at Homebridge Youth Society. Results The quantitative study captured 220 youth (mean age 13.9) of which 52% were male. Twenty-three per cent resided over 200 km from their home community and 29% had no primary care provider. Fifty-four per cent were diagnosed with a neuro-developmental disorder, 47% had a diagnosis of ADHD, 46% had a mood disorder, and 33% had a substance use disorder. Thematic analysis revealed barriers to health care. Mental health was identified as a critical unmet need. Youth expressed deep mistrust in health care settings and many voiced a desire for immediate, flexible access to care, paired with autonomy over health care decisions, with adult support when necessary. Conclusion Youth in care living at Homebridge Youth Society face complex health care needs. Integrating health care delivery within residential facilities could mitigate many of the barriers faced by youth. Paediatricians and other health care providers are well positioned to advocate for resources to support this population.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.011 | 0.009 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.003 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.003 | 0.002 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".