Supporting Young Families: The Role of Social Network Analysis

Young parents, especially teen parents, must depend on a network of support and multiple services to raise their children, achieve educational and financial goals, and keep their families healthy. Resources for expectant and parenting teens and young adults may come from many directions: supportive housing, child care, and employment services, to name a few – but often there is no clearly identifiable system that coordinates these efforts.

Pathways to Success, an initiative of the New York State Department of Health, aims to better connect parenting teens and young adults to key resources in Buffalo, Rochester, and the Bronx. The initiative funds one community college and one public school district in each community, with technical assistance provided by the BCTR’s ACT for Youth Center of Excellence. Specifically, ACT staff members Amanda Purington, Dora Welker, Divine Sebuharara, Mary Maley, Christy Heib, Jane Powers, and Heather Wynkoop-Beach have all played important roles on various parts of this initiative.

While Pathways grantees had a good sense of available services, coordinating these services to best serve youth in need was a daunting challenge. ACT staff recognized that social network analysis could be used in these communities to both create a distinct picture of existing networks and identify ways to strengthen collaborations.

Social network analysis is a set of methods for examining social structures and relationships within a network. Using the PARTNER social network analysis tool (created at the University of Colorado Denver), ACT staff worked with grantees to build customized online surveys and analyzed results in order to better understand collaborative activity within grantee networks and possibilities for new connections.

To define their networks, all the Pathways grantees were asked to compile a list of organizations with whom they already have relationships, or would like to be connected. ACT staff then developed PARTNER-based surveys tailored to each community. Next grantees distributed the surveys to their network lists, encouraging participation. Finally, ACT staff quantified the results, creating a visual representation of how the different organizations are -- or are not – connected.

These example maps show a city's grantees' (yellow dots) network with all collaborations (top) and then those at the "networking" and "coalition" levels of engagement.

Using the survey results, ACT staff created two types of network maps for the Pathways to Success initiative. The first map illustrates the level of collaboration. “Networking” is the most basic level: members of the network are aware of one another and may have informal relationships, but do not make any major decisions together. Networking is followed on the continuum by cooperation, coordination, and coalition, with collaboration at the highest level – when all major decisions are made collectively. The second map depicts frequency of contact among organizations. “Higher” and “more frequent” are not always ideal or feasible. The maps help spur discussion of what level of collaboration and frequency of contact would best serve young families in each community.

Three network indicators are also included in the analysis: 1) density -- the number of network ties relative to the total number of possible ties – which demonstrates the overall cohesiveness of the collaborative, 2) degree centralization, which refers to how well connected the members of the network are collectively, and 3) the level of trust among the members as a whole. For example, one community network had an overall trust score of 78%, indicating that a majority of responding organizations reported high levels of mutual trust. In addition to these whole network indicators, many other metrics can also be examined for each of the organizations in the network.

To discuss the findings, ACT for Youth held “data dialogue” sessions with grantees in each community. The network maps clarified where communication and collaboration are strong, and where there are opportunities to help the community better serve expectant and parenting young people. Some grantees were surprised that while their community was rich in resources, those resources were not being evenly accessed. Grantees also recognized a lack of coordination among certain organizations, resulting in some members of the network “doing the same job many times over.” Other grantees realized the need to focus on strengthening and building community systems to include organizations that may not have completed the survey, but should be at the table. For example, one group was surprised when they noticed that their county health department and a home visiting program had not responded to the survey, prompting the grantees to think about strengthening connections to include these valuable resources in future conversations.

Following these initial sessions, the grantees are holding meetings with their networks of community organizations. These meetings mirror the first data dialogue session, but allow an opening for the larger community to discuss how they can strengthen relationships in the entire network, bring others to the table, decrease duplication of services, and take steps to bridge gaps.

For the Pathways to Success initiative, this first implementation of the survey will serve as a baseline for the communities. ACT for Youth will help grantees administer the survey annually, documenting change over time, including stronger relationships among the vital organizations within each community.

Linking research to the practice of youth development

Stephen Hamilton

A special issue of the journal Applied Developmental Science explores the application of a truly translational research process to "youth development." The issue is edited by Stephen Hamilton, BCTR associate director for youth development.

From the abstract for the issue:

The articles in this special issue address some of the challenges of strengthening the links between research and the practice of youth development and identify some approaches that have worked well. Youth development emerged from practice rather than from theory or research. Research that is most useful in the practice of youth development honors that primacy both by exploring questions that are important in practice and by engaging practitioners as partners, not merely as consumers.

...

A consistent theme of this issue is that the conventional portrayal of research-practice linkage as uni-directional is both inaccurate and inadequate. Different kinds of research inform different dimensions of practice; practice can and should guide research. Efforts to aid practitioners in accessing, understanding, and using research findings should be accompanied by efforts to aid researchers in posing questions about topics that matter to practitioners, conducting research that comprehends the complexity in which those topics are embedded, honoring practitioner wisdom, and enlarging the circle of those who conduct research.

The issue includes the following articles (BCTR staff in bold):

Stephen F. Hamilton (2015) Linking Research to the Practice of Youth Development, Applied Developmental Science, 19:2, 57-59, DOI: 10.1080/10888691.2015.1030016

Stephen F. Hamilton (2015) Translational Research and Youth Development, Applied Developmental Science, 19:2, 60-73, DOI: 10.1080/10888691.2014.968279

Reed W. Larson, Kathrin C. Walker, Natalie Rusk & Lisa B. Diaz (2015) Understanding Youth Development from the Practitioner's Point of View: A Call for Research on Effective Practice, Applied Developmental Science, 19:2, 74-86, DOI: 10.1080/10888691.2014.972558

Mary Agnes Hamilton & Stephen F. Hamilton (2015) Seeking Social Inventions to Improve the Transition to Adulthood, Applied Developmental Science, 19:2, 87-107, DOI: 10.1080/10888691.2014.975227

Jane Powers, Mary Maley, Amanda Purington, Karen Schantz & Jutta Dotterweich (2015) Implementing Evidence-Based Programs: Lessons Learned From the Field, Applied Developmental Science, 19:2, 108-116, DOI: 10.1080/10888691.2015.1020155

Nicole Yohalem & Vivian Tseng (2015) Commentary: Moving From Practice to Research, and Back, Applied Developmental Science, 19:2, 117-120, DOI: 10.1080/10888691.2014.983033

Linking research to the practice of youth development - Applied Developmental Science

ACT for Youth at American Evaluation Association conference

Powers, Purington, and Maley

This October, staff from the ACT for Youth Center of Excellence participated in the annual conference for the American Evaluation Association held in Denver, CO. For the conference, Jane Powers, Mandy Purington, and Mary Maley organized a panel on the theme of building capacity to strengthen youth programming through the use of evaluation findings. The ACT team described how the Center of Excellence has been supporting the implementation of evidence-based teen pregnancy prevention programs. Through case examples, they illustrated how implementation data are summarized and made accessible to program staff, and how these data help staff reflect on evaluation findings and identify ways to improve fidelity and quality. Colleagues from the University of Wisconsin joined the panel to present on their work in Madison with community program staff, educators, and youth.

In a demonstration session, the ACT team described the three-phase needs and resources assessment process they developed to identify gaps in local supports for expectant and parenting young people. Their approach includes a community partner brainstorm phase, a key informant interview process, and youth focus groups with expectant and parenting young people. They described how the information gained from this process led to action planning for each of the participating communities.

Finally, Jane Powers served as a discussant on a panel organized by Abe Wandersman addressing the issue of organizational readiness for implementing innovations. The three papers in this session focused on how to assess, build, and evaluate organizational readiness.

ACT for Youth supports sex education and positive youth development at Provider Day

Attendees at Provider Day
Photo by Brian Maley

This September, the ACT for Youth Center of Excellence (COE) sponsored Provider Day 2014, a professional development conference for 224 teen pregnancy prevention program staff from communities across New York State. The COE provides technical assistance, training, and evaluation for three pregnancy prevention initiatives funded by the New York State Department of Health. Sex educators and youth service professionals from each initiative came together in Albany to share and gain new insights, strategies, and tools to promote healthy development among youth.

The evening before Provider Day, the BCTR hosted a reception that set a warm and collegial tone. Jane Powers and John Eckenrode opened the day’s events, and BCTR staff offered workshops on a range of topics, including Self-Care and Youth Work (Heather Wynkoop Beach and Michele Luc), Youth with Mental Health Concerns (Jutta Dotterweich), Using Evaluation Data (Mary Maley and Amanda Purington), and Life Purpose and Teens (Janis Whitlock), among others.

One participant wrote,

I found the day valuable and validating. I believe we need all the validation we can get when working in this field. It's not easy, and when we can recharge and gain new knowledge and tools, I know that I come back to the office looking for ways to use the information I have gotten. Thank you!

ACT for Youth at HHS Conference

Jane Powers, Jutta Dotterweich, and Amanda Purington

Jane Powers, Jutta Dotterweich, and Amanda Purington of the ACT for Youth Center of Excellence were presenters at the 2014 U.S. Health and Human Services Teen Pregnancy Prevention Grantee Conference in Washington, DC this June. The conference brought together federally funded prevention programs to enhance understanding of best practices, programs, and strategies, particularly on the theme of “Bridging the Gaps: Eliminating Disparities in Teen Pregnancy and Sexual Health.”

Conference participants offer evidence-based programs in their communities in order to support youth in improving sexual health (e.g., delaying sexual activity and using condoms and effective contraception when they do become sexually active). These programs are not new, but to ensure positive results funders are now strongly emphasizing fidelity to program design as well as implementation quality. Recognizing that many participants struggle to collect and use data effectively, Powers and Purington offered tools to track attendance, monitor fidelity, and assess quality, as well as strategies to help facilitators use data to improve program implementation. They also shared lessons learned in New York State’s efforts to scale up evidence-based programs.

Dotterweich and Powers focused on building organizational capacity for evidence-based programming. They introduced participants to resources intended to enhance facilitator competencies, as well as an online training on implementing evidence-based programs in adolescent sexual health that was recently developed by ACT for Youth.

Jane Powers is project director for the ACT for Youth Center of Excellence, where Jutta Dotterweich is director of Training and Technical Assistance and Amanda Purington is director of Evaluation and Research. The Center of Excellence supports the New York State Department of Health in its efforts to promote adolescent sexual health.

BCTR at the American Public Health Association annual meeting

Jennifer Tiffany and Mary Maley

Jennifer Tiffany and Mary Maley presented papers at the American Public Health Association (APHA) annual meeting, held in Boston, November 2-6, 2013 and attended by approximately 13,000 public health professionals and stakeholders.

Jennifer Tiffany's paper, Context matters: Setting-level influences on active program participation and HIV risk reduction among urban youth (co-authored by Deinera Exner-Cortens, Mary Maley, Sara Birnel Henderson, and John Eckenrode) was part of a panel on Social-Ecological Supports for Reproductive Health Among Diverse Populations of Adolescents and Young Adults sponsored by APHA's Maternal and Child Health section.

Mary Maley's paper, 'It's just a piece of paper': Teen perceptions of orders of protection for dating violence was part of a panel on Issues in Family Violence: Policy, Prevention, and Intervention, also sponsored by the Maternal and Child Health section. It was co-authored by Jane Powers, Deinera Exner-Cortens, Sara Birnel Henderson, and Jennifer Tiffany.

Work from two BCTR projects were also presented:  Evaluating the implementation of evidence-based programs that promote adolescent sexual health: Lessons learned from New York State (Jane Powers, Christine Heib, Amanda Purington, and Mary Maley) and the poster Partnering with homeless youth to study the scope and nature of youth homelessness (Jane Powers, Christine Heib, and Amanda Purington).

The theme of this year's annual meeting was "Think global, act local: Best practices around the world" and included a rollout of the APHA's media campaign "We can do better" (video) aimed at building health equity as well as confronting and eliminating health disparities. This was the 141st annual meeting of the APHA, whose mission is to "improve the health of the public and achieve equity in health status" and whose new tag line is "For science. For action. For health."

Student Workshop: An Overview of the Quantitative Statistical Analysis Program, Part 2, Monday, April 1, 2013

SPSS: An Overview of the Quantitative Statistical Analysis Program, Part 2
Ellott Smith and Mandy Purington, BCTR

Monday, April 1, 2013
1:30 PM
Beebe Hall, 2nd floor conference room

Come and learn about SPSS, an often-used quantitative statistical analysis program with Elliott Smith and Mandy Purington. This overview workshop is aimed at those new to SPSS and will provide an orientation to the program, including setting up a database, entering data, and running basic analyses.

This the second in a two-part workshop.

Student Workshop: SPSS: An Overview of the Quantitative Statistical Analysis Program, Part 1, Friday, March 29, 2013

SPSS: An Overview of the Quantitative Statistical Analysis Program, Part 1
Elliott Smith & Mandy Purington, BCTR

Friday, March 29, 2013
2:00 PM
Beebe Hall, 2nd floor conference room

Come and learn about SPSS, an often-used quantitative statistical analysis program with Elliott Smith and Mandy Purington. This overview workshop is aimed at those new to SPSS and will provide an orientation to the program, including setting up a database, entering data, and running basic analyses.

This is a two-part workshop. The second section will be held on Monday, April 1st at 1:30 PM in the Beebe Hall conference room.

Whitlock study finds that self-injury in young adults indicates suicide risk

A paper published by the Journal of Adolescent Health on December 4th reports the findings of a longitudinal study on non-suicidal self-injury (NSSI) led by BCTR and Human Development researcher Dr. Janis Whitlock. In a Cornell Chronicle article on the study, Dr. Whitlock describes the findings:

While we can't conclude that self-injury leads to later suicide attempts, it is a red flag that someone is distressed and is at greater risk. This is important because self-injury is a relatively new behavior that does not show up much in the literature as a risk factor for suicide. It also suggests that if someone with self-injury history becomes suicidal, having engaged in NSSI may make it much easier to carry out the physical actions needed to lethally damage the body.

BCTR co-authors on the paper include BCTR director John Eckenrode, and Amanda Purington, project coordinator for the Cornell Research Program on Self-Injurious Behavior.

Nonsuicidal Self-injury as a Gateway to Suicide in Young Adults

CRPSIB group presents at International Society for the Study of Self-Injury annual meeting

Whitlock, Purington, and Morgan

Janis Whitlock, Ph.D. (director), Amanda Purington (project coordinator), and Rebecca Morgan (undergraduate research assistant) of the BCTR's Cornell Research Program on Self-Injurious Behavior (CRPSIB) attended and presented at the 7th annual meeting of the International Society for the Study of Self-Injury (ISSS) held at UNC Chapel Hill June 30-July 1. With over 90 attendees, this was the largest meeting of the group to date, with national and international researchers and clinicians attending and presenting, including attendees from Canada, Belgium, Germany, Australia, New Zealand, and Britain.

Whitlock, Purington, and Morgan presented a poster of emerging findings from CRPSIB's recovery interview project, Theoretical Models of Recovery and Their Application to Recovery from Non-Suicidal Self-Injury, in which they described the development of a six-stage model of recovery from non-suicidal self-injury (NSSI).