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Spiritual Health and the Well-Being of Urban Young People

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Contemporary approaches to measuring quality <strong>of</strong> life <strong>and</strong> well-beingThere is a huge range <strong>of</strong> contemporary responses to <strong>the</strong> question <strong>of</strong> what constitutes well-beingor ‘quality <strong>of</strong> life’ for children. Our literature search has indicated that a comprehensive review<strong>of</strong> <strong>the</strong>se approaches would require a substantial report in its own right. We restrict ourselveshere to identifying a few <strong>of</strong> <strong>the</strong> most prominent approaches which have recently been developedin <strong>the</strong> UK <strong>and</strong> in o<strong>the</strong>r countries, before going on to describe <strong>the</strong> approach which we havechosen to utilise for this report.One major relevant str<strong>and</strong> has been <strong>the</strong> development <strong>of</strong> <strong>the</strong> concept <strong>of</strong> ‘resilience’. Resiliencedoes not directly refer to quality <strong>of</strong> life, but ra<strong>the</strong>r to <strong>the</strong> factors which predispose people to have‘positive outcomes’ even in <strong>the</strong> face <strong>of</strong> adversity. According to O’Donnell et al (2002) resiliencein relation to children <strong>and</strong> young people was first conceptualised by Werner (1984) who definedit as:<strong>the</strong> ability to cope effectively with stress <strong>and</strong> to exhibit an unusual degree <strong>of</strong>psychological strength for one’s age <strong>and</strong> set <strong>of</strong> circumstances (O’Donnell et al, 2002:1266)The concept has been used to explore people’s resilience to a range <strong>of</strong> adverse events <strong>and</strong>circumstances. For example, Rutter (1985) looked at factors which protected againstpsychiatric disorder; Mrazek & Mrazek (1987) looked at resilience in child maltreatment victims;O’Donnell et al (2002) explored resilience in urban children exposed to community violence; <strong>and</strong>Flynn et al (2003) look at resilience amongst young people in care. Research into resiliencehas identified a wide range <strong>of</strong> protective factors in relation to children, <strong>the</strong>ir family, in <strong>the</strong>irinterpersonal relationships <strong>and</strong> in <strong>the</strong> community which are associated with more positiveoutcomes.A similar approach to identifying protective <strong>and</strong> risk factors has been taken by <strong>the</strong> Communitiesthat Care initiative which originated in <strong>the</strong> US <strong>and</strong> has recently been adapted <strong>and</strong> utilised in <strong>the</strong>UK (Beinart et al, 2002). This model looks at 17 risk factors in <strong>the</strong> family, at school, in <strong>the</strong>community <strong>and</strong> in peer relationships; <strong>and</strong> six protective factors. The <strong>the</strong>ory underpinning <strong>the</strong>model:sees <strong>the</strong> development <strong>of</strong> pro-social factors as a means <strong>of</strong> protecting children from <strong>the</strong>consequences <strong>of</strong> risk factors. Protective factors are seen as more cross-cutting <strong>and</strong>contribute to reducing risk in all areas. (Crow et al, 2004: 3)A different perspective is <strong>of</strong>fered by <strong>the</strong> New Economics Foundation’s approach to measuring<strong>the</strong> well-being <strong>of</strong> young people. A pilot study conducted in Nottingham (New EconomicsFoundation, 2004) focused on two aspects <strong>of</strong> well-being – life satisfaction <strong>and</strong> personaldevelopment:‘Personal development means being curious, <strong>and</strong> engaging in challenging <strong>and</strong>absorbing activities. Whilst most studies have only focused on life satisfaction, o<strong>the</strong>rresearch has shown that <strong>the</strong> second dimension <strong>of</strong> well-being, personal development, isimportant for people’s overall ability to cope well with life’s challenges ..’ (NewEconomics Foundation, 2004: 2)Key findings from this pilot study were that well-being fell as children got older, <strong>and</strong> that asmany as a third (32%) <strong>of</strong> <strong>the</strong> young people surveyed were ‘at <strong>the</strong> very least unhappy in life <strong>and</strong>may be at risk <strong>of</strong> mental health problems’ (New Economics Foundation, 2004: 2).Save <strong>the</strong> Children Fund have launched a regular publication which provides an independentsummary <strong>of</strong> information on <strong>the</strong> well-being <strong>of</strong> children in <strong>the</strong> UK. So far, two editions have beenproduced (Bradshaw, 2002; Bradshaw, 2005) focusing on a range <strong>of</strong> aspects <strong>of</strong> children’s livesincluding poverty; mental health; physical health; <strong>and</strong> time <strong>and</strong> space.The Government has also recently focused increasing attention on <strong>the</strong> dimensions <strong>of</strong> positiveoutcomes for children <strong>and</strong> young people. As part <strong>of</strong> <strong>the</strong> ongoing work within <strong>the</strong> Every ChildMatters agenda, a common outcomes framework has been developed (HM Government, 2004)which consists <strong>of</strong> five broad outcomes for children: ‘be healthy’, ‘stay safe’, ‘enjoy <strong>and</strong> achieve’,‘make a positive contribution’, <strong>and</strong> ‘achieve economic well-being’. Each outcome has a set <strong>of</strong>associated aims. For example <strong>the</strong> five aims which contribute to <strong>the</strong> ‘be healthy’ outcome are:physically healthy; mentally <strong>and</strong> emotionally healthy; sexually healthy; healthy lifestyles; choose3

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