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Lecture notes Contexts of Care (SHN169)

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Psychology – RTB in children and young people

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2020/2021
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SHN169 - Psychology – Risk taking behaviour in children and young people


Risk Taking Behaviour in Adolescence

Introduction
 Multifactorial phenomena
o Numerous types of activity
 Synonymous with excitement, sensation seeking
 Risk acknowledged
 Young see themselves as invincible
 Influenced by risk rather than reality
 Personal Fable (Elkind 1967)
o Concept that you can take risks but nothing bad will happen to them – risks
to them in old age are too remote for them to comprehend

Aim and Outcomes
 Aim – to discuss RTB in young people
 Outcomes:
o Discuss what is RTB and why it is a health concern
o Examine types of RTB
o Discuss the influences on YP to engage in RTB
o Examine health promotion issues

Types of RTB
 Smoking
 Alcohol Use
 Drug Use/Misuse
 Committing Crime – e.g.:
o Shoplifting
o Stealing cars
 Sexual activity
 Antisocial behaviours

Why do you need a knowledge of RTB?
 Understand the developmental perspective
 Understand motivations
o E.g. is it an attempt to gain control over treatment for an existing condition;
an attempt to rebel etc.
 Understand perspectives
 Explains non concordant (compliant) behaviour
 Provide advice on harm reduction
o Why it is important for them not to do what they are doing/or what they
should be doing but in a manner that is age appropriate
 Provide safer outlets for RTB
o E.g. race tracks, climbing clubs
 Signpost YP to support and helping services
 Be able to give health promotion advice



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, SHN169 - Psychology – Risk taking behaviour in children and young people


Reasons for RTB
 Sensation seeking
 Excitement
 Adrenaline buzz
 Pushing the boundaries
 Exercising independence
 Affiliation with group (social groups)
o Even being part of teams that could be associated as positive – e.g. football
teams could lead to RTB (e.g. excessing drinking, violence)
o Organised activity groups have been found to reduce RTB – safe environment
in which to engage in activities
o Those from lower income households are less likely to take part in organised
activities and more likely to engage in dangerous/risky behaviour
 Coping with stress
 Vulnerability

Smoking (Ash 2021)
 4% of adolescent smoke weekly or daily
 8% of 15-16 year olds (Year 11) say they smoke at least weekly
 59% tried their first cigarette at 14 or 15
 40% of adult smokers started smoking regularly before the age of 16
 Children are over 70% more likely to start smoking if just one parent smoked
 E-cigarette use amongst adolescents was rare
 The younger children start smoking the more likely they are to become addictive due
to the way their brain is developing (more sensitive to nicotine)
o More likely to continue smoking into adulthood
 Increased risk to health as they get older
o E.g. COPD

Alcohol
 Recommended that it is best to abstain from alcohol until 18 however if they do
drink it should not be until at least 15
 2018 – 38% of pupils said they drank alcohol at least a few times a year
 Increased sharply by age from 9% of 11 year olds to 66% of 15 year olds
 Sources of alcohol – parents/friends/shops
 Places to drink: Home/parties/other homes
o Idea amongst some parents that they would rather their children drank and
home so they could monitor the situation
o Parents providing alcohol – 71%
o Friends providing alcohol – 49%
o Removal from home with permission – 48%
 Company: Parents/friends/alone
o Drinking with Parents – 66%
o Drinking with friends – 58%
o Only 3% of people saying they drank alone
 The proportion of 15 year olds who report having been drunk has generally fallen
across England, Scotland and Wales

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