Mary M Mckay
Datos Biográficos
| ID | 193263 |
|---|---|
| NOMBRE | Mary M Mckay |
| NOMBRES | Mary M |
| APELLIDO | Mckay |
| FIRMA | MCKAY M M |
| AFILIACIONES | Washington University in St. Louis |
| ORCID | 0000-0003-4683-6033 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 84 |
| TOTAL DE CITAS | 166 |
| TOTAL COMO AUTOR | 84 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1996 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 7 |
Knowledge and perception of the implementation of the policy against sexual harassment at Makerere University, Uganda
Sexual misconduct and harassment are prevalent at higher education institutions. Makerere University introduced a Policy and Regulations against Sexual Harassment in 2006, which was revised in 2018 following institutional investigations and recommendations. However, the extent to which the revised policy has been effectively implemented has not been formally evaluated. This study evaluated the implementation of Makerere University's policy agains…
Social Stigma and Vulnerabilities of Women Living With HIV/Aids in Kyrgyzstan
In Kyrgyzstan, registered HIV cases doubled from 2013 to 2019, with women constituting 39% of cases in 2021. Women living with HIV (WLHIV) encounter heightened intimate partner violence, stigma, and discrimination. This study explores the experiences and vulnerabilities of WLHIV in Kyrgyzstan from the perspective of professionals engaged in HIV care and advocacy. Data from in-depth, semi-structured interviews with 10 professionals engaged in HIV …
Preliminary Effects of the Anzansi Family Program on Caregiver Outcomes in Northern Ghana
High levels of poverty and entrenched gender norms in Northern Ghana increase the risk of adolescent girls leaving school, engaging in child labor, and migrating unaccompanied. Caregivers play a vital role in reducing these risks, but few interventions focus on family-level support for girls’ education. The ANZANSI Family Program combines economic empowerment with family strengthening to address child labor. A pilot randomized clinical trial ( n …
The direct and indirect pathways through which gender norms influences decision-making autonomy among young women and men in Southern Uganda. A mediation analysis
Adapting a U.S.-based micro-savings program for Uganda
Acculturative Challenges and Opportunities Among Arab-Speaking Mena Refugees in the United States
The study identifies acculturative challenges and opportunities experienced by Arab-speaking MENA refugees in the United States. The research team conducted 24 semi-structured interviews with refugee parents (11 fathers and 13 mothers) in Arabic. The findings reveal two main categories: (a) acculturative challenges and (b) opportunities and hopes for a better future in the United States. Refugees described several acculturative challenges, includ…
The Impact of an Economic Empowerment Intervention on Economic Security among Aids-Orphaned Adolescents in Southern Uganda
She Is a Guest in My House
Traditional values and beliefs perpetuate gender inequalities and marginalize women in many societies worldwide by limiting their access to economic resources and decision‐making abilities. In‐depth interviews were conducted among 53 young women and men to explore the barriers to asset development and decision‐making autonomy among adolescent girls transitioning into young women in southern Uganda. Five themes emerged from the participants’ narra…
Addressing Psychosocial Outcomes among Vulnerable Adolescent Girls
A Family Peer Advocate Model to Address Disparities in Access to Care for Minority Autistic Children with Co-Occurring Attention-Deficit/Hyperactivity Disorder
Preliminary impact of a combination intervention on intention to migrate and school absence among adolescent girls
The longitudinal impact of an evidence‐based multiple family group intervention ( Amaka Amasanyufu ) on family cohesion among children in Uganda
Family functioning plays a critical role in childhood disruptive behavior disorders ( The Family Journal , 2003, 11 (1), 33–41; Research in Nursing and Health , 2016, 39 (4), 229–243). Yet, there is limited research on the impact of evidence‐based family strengthening interventions on improving family cohesion as a protective factor among children experiencing behavioral challenges. To address this gap, we analyzed data ( N = 636) from the SMART …
Exploring mediators of the Amaka Amasanyufu Multiple Family Group Intervention (2016–2022) on parenting stress reduction among caregivers of children with disruptive behavior disorders in Uganda
Residing in poverty-impacted Ugandan communities and raising children with disruptive behavior disorders (DBDs) is associated with above heightened parenting stress. An evidence-based intervention designed to help parents tailor their parenting style to effectively manage children with DBDs was implemented in Uganda between 2017 and 2023. At the end of the intervention, caregivers displayed lower levels of parenting stress than controls, however …
Feasibility and Acceptability of Group-Based Stigma Reduction Interventions for Adolescents Living with HIV and Their Caregivers
Short‐term impact of a combination intervention on family cohesion
Child labor remains a concern in sub-Saharan Africa. Yet, evidence-based preventive efforts are limited. We analyzed longitudinal data from Ghanaian adolescent girls in a pilot randomized clinical trial testing the preliminary impact of a combination intervention on family cohesion as a protective factor against child labor and school dropout. While there was no statistical difference between the control and intervention groups at 9 months, the r…
Self‐esteem and self‐concept as correlates of life satisfaction and attitudes toward school among Ghanaian girls
During adolescence, youth experience several physical, psychosocial, and cognitive changes. Self-esteem and self-concept are identified as protective factors for adolescents in high-income countries, but studies are limited in sub-Saharan Africa. We examined the associations of self-esteem and self-concept with life satisfaction and attitudes toward school using baseline data from 97 Ghanaian adolescent girls at risk of school dropout. Ordinary L…
An Examination of the 4 Rs 2 Ss for Problem Behaviors
Early treatment of behavioral problems can prevent their progression into intractable disorders. This study examined the impact of a multiple family group (MFG) intervention for children with behavior symptoms and their families. Fifty-four ( n = 54) caregiver/child dyads with sub-clinical levels of oppositional defiant disorder (ODD) participated in a 16-week MFG. Child, caregiver, and family outcomes were assessed at baseline, post-treatment, a…
Typology and correlates of parental stress among caregivers of children with DBDs in low-resourced communities in Uganda
Disruptive Behavior Disorders (DBDs) is one of the most common mental health problems among children in Uganda and SSA. Yet, to our knowledge no research has studied parenting stress (PS) among caregivers of children with DBDs, or investigated which risk factors originate from the child, parent, and contextual environment. Using a rigorous analytical approach, we aimed to: 1) identify different types and; 2) examine factors associated with PS and…
Prelicensure Baccalaureate Nursing Students' Attitudes, Beliefs, and Willingness to Care for Transgender Clients
Background: Transgender clients report experiencing discrimination and differential treatment by health care providers in clinical settings. This pilot study assessed prelicensure nursing students' attitudes, beliefs, and willingness to provide care for transgender individuals. Method: Participants enrolled in an adult health nursing course were asked to complete a demographic questionnaire, the Transgender Attitudes and Beliefs Survey, and a Wil…
The longitudinal impact of an evidence‐based multiple family group intervention ( Amaka Amasanyufu ) on oppositional defiant disorder and impaired functioning among children in Uganda
BACKGROUND: Oppositional Defiant Disorders (ODDs) and other Disruptive Behavior Disorders (DBDs) are common among children and adolescents in poverty-impacted communities in sub-Saharan Africa. Without early intervention, its progression into adulthood can result in dire consequences. We examined the impact of a manualized family strengthening intervention called Amaka Amasanyufu designed to reduce ODDs and other DBDs among school-going children …
Suubi4StrongerFamilies
[https://clinicaltrials.gov/], identifier [NCT053 68714]
Anzansi Program Taught Me Many Things in Life”
Approximately 160 million children work as child laborers globally, 39% of whom are female. Ghana is one of the countries with the highest rates of child labor. Child labor has serious health, mental health, and educational consequences, and those who migrate independently for child labor are even at higher risk. Yet, evidence-based efforts to prevent unaccompanied child migration are limited. In this study, we examined the acceptability of a fam…
The Long-term (5-year) Impact of a Family Economic Empowerment Intervention on Adolescents Living with HIV in Uganda
Family-level correlates of disruptive behavior challenges among children in Southwestern Uganda
Male Caregivers and Engagement in a Family Strengthening Program for Child Disruptive Behavior Disorders
Addressing the barriers to mental health services for inner city children and their caretakers
Inner-City Child Mental Health Service Use
Inner‐City African American Parental Involvement in Children's Schooling
Parents ( n = 161) and teachers ( n = 18) from an urban elementary school serving primarily African American children completed questionnaires regarding racial socialization, social support, and involvement in activities that support youth educational achievement at home and school. Parental reports of racism awareness, and contact with school staff were significantly correlated with parent reports of at‐home involvement and at‐school involvement…
A Collaboratively Designed Child Mental Health Service Model
This paper presents preliminary outcomes associated with an experimental, longitudinal study of a Multiple Family Group (MFG) service delivery approach set within thirteen urban outpatient clinics serving children and their families living in inner-city, primarily African American and Latino communities. Specifically, this paper focuses on parent reports of child oppositional behavior and parenting stress over time. MFG is a flexible, protocol-dr…
Evaluating a Social Work Engagement Approach to Involving Inner-City Children and Their Families in Mental Health Care
This article will focus on increasing the ability of social workers to provide mental health services to urban, low-income children and their caretakers. A conceptual model for understanding the process of engagement will be presented. Further, a protocol for training social workers to conduct first interview/engagement interviews and the results of a study evaluating its impact will be highlighted. One hundred seven children and their families w…
Mediating Social Representations Using a Cartoon Narrative in the Context of HIV/Aids The AmaQhawe Family Project in South Africa
Using findings from the formative evaluation of the adaptation of the Collaborative HIV/AIDS Adolescent Mental Health Programme (CHAMP) familybased intervention in South Africa, known as the 'AmaQhawe Family Project', the potential role of 'micro-media' using a cartoon narrative for promoting healthenhancing behaviour change is explored. In particular, the cartoon narrative was found to be a useful medium for informing the development and diffusi…
Recidivism at a shelter for adolescents
This article presents the results of a study that examined child and family influences on recidivism for 166 youths admitted to a shelter. The youths fell into two groups: (1) those who had run away before (repeat runaways) and (2) those who had run away for the first time (first-time runaways). Results indicated divergent pathways to shelter use and return within a 12-month period between these subgroups. Youth emotional problems were significan…
It Takes a Village to Deliver and Test Child and Family-Focused Services
OBJECTIVES: The purpose of this article is to highlight the benefits of collaboration in child focused mental health services research. METHOD: Three unique research projects are described. These projects address the mental health needs of vulnerable, urban, minority children and their families. In each one, service delivery was codesigned, interventions were co-delivered and a team of stakeholders collaboratively tested the impact of each one. R…
Getting by in New York City
A lack or low level of social capital is associated with negative outcomes for communities impacted by poverty. However, less is known about how different types of social capital operate on the ground in poverty–impacted urban neighborhoods. This article explores the ways in which bonding, bridging, and linking capital manifest among residents of two poverty–impacted neighborhoods in New York City. Findings of the study reveal that urban neighbor…
Multiple Family Groups
Objective: This article presents an evaluation of a multiple family group intervention (MFG) designed to meet the mental health needs of low-income minority children and families. Method: Children participating in the MFG are compared with children demographically and clinically similar who received individual or family therapy services at an urban mental health center. Results: Of the children referred for MFG, 59% were still in service by the 1…
Feeling Less Than a Second Class Citizen
It has been argued that individuals living in poverty are shamed, and thus, experience it in various social and institutional spaces. However, little is known about this dynamic in the United States. This study examined the relationship between poverty and shame among individuals living in poverty. Individual semistructured interviews were conducted with 60 participants in New York, NY. The results reveal that participants experience shame, anger…
Professional development for teachers plus coaching related to school-wide suspensions for a large urban school system
A mixed‐method analysis of African‐American women's attendance at an HIV prevention intervention
Grounded in a model of service utilization, this study conceptualizes attendance of African‐American women at an HIV prevention intervention as associated with influences across three ecological domains—individual, service (program), and social network. First, the texts of responses to semistructured, open‐ended elicitation interviews were analyzed. Survey items that conceptually matched the influences on attendance were then selected for subsequ…
Understanding Latino Parents’ Child Mental Health Literacy
A 3-minute video in Spanish that integrates education entertainment strategies and a culturally relevant format was produced as part of the intervention to educate and simultaneously engage highly stressed Latino parents in child mental health care. It is anticipated that the intervention will positively impact service use among this group
Meeting the Complex Needs of Urban Youth and Their Families Through the 4Rs 2Ss Family Strengthening Program
Youth living in poverty face compounding familial and environmental challenges in utilizing effective community mental health services. They have ongoing stressors that increase their dropout rate in mental health service use. Difficulties also exist in staying engaged in services when they are involved with the child welfare system. This study examines the 4Rs 2Ss Family Strengthening Program, developed across four broad conceptual categories re…
Youth substance use in a context of family homelessness
Like, What Else Could Go Wrong?” Multiple Contextual Stressors in Food Insecure Households
Food insecurity is often considered in isolation from other stressors, limiting our contextual understanding of individual or familial experiences. Hence, this study examined families in their unique contexts, recognizing the myriad of hardships they experienced. Informed by the cumulative risk framework, in-depth interviews were conducted with 59 caregivers recruited from food pantries in New York. Analytic induction techniques were used for dat…
Social support and school outcomes of adolescents orphaned and made vulnerable by HIV/Aids living in South Western Uganda
The goal of this study is to examine the role of social support from multiple sources, including the extended family, caregivers, classmates, peers and teachers, in improving the school outcomes (grades and attendance) of children orphaned by AIDS in Uganda. Data for this study comes from a 4-year randomized control trial, called Suubi-Maka (Hope for families), conducted in the Southwestern part of Uganda from 2008 to 2012. Using multivariate reg…
Understanding female migrant child labor within a cumulative risk framework
North-to-south migration has been a persistent trend in Ghana. Yet the migrating population has recently shifted to become predominantly female and younger, with a significant increase in rural adolescent girls seeking employment in urban and peri-urban areas. For adolescents without strong networks of social and financial support, this practice can jeopardize their physical and mental health, putting them at risk of sexual victimization and econ…
Statewide Implementation of the 4 Rs and 2 Ss for Strengthening Families
Embedding evidence-informed practices for children with mental health needs into "real-world" community settings has proven challenging. In this article, we discuss how the Practical, Robust, Implementation, and Sustainability Model (PRISM) guided statewide (New York) implementation of an evidence-informed intervention targeting families and youth with oppositional defiant and conduct disorders, collectively referred to as disruptive behavior dis…
Adapting a Family-Based HIV Prevention Program for Homeless Youth and Their Families
As rates of HIV infection increase in adolescents, it is important to provide prevention programs targeting this population. Homeless adolescents living with their families in shelters are at greater risk of participating in risky sexual behavior and incurring negative health outcomes. A family based HIV-prevention pilot study was conducted with eight homeless families in a New York City shelter to explore: 1) the perceived impact of family commu…
Provider Attitudes, Organizational Readiness for Change, and Uptake of Research Supported Treatment
The organizational context is an important factor that relates to attitudes toward and use of RST in practice. Future research is needed to continue examining factors of RST uptake and sustainability
A qualitative exploration of psychosocial challenges of perinatally HIV-infected adolescents and families in Bangkok, Thailand
Thailand has the highest HIV prevalence in Asia, with 9,600 HIV+ adolescents and thousands additional younger HIV+ children (World Bank, 2015; UNICEF, 2015). Studies from other settings suggest perinatally HIV-infected (PHIV+) adolescents are at high risk for mental health problems and engagement in risk behaviors that threaten individual and public health. Yet, few studies exist in Thailand, and few evidence-based psychosocial interventions have…
Improving youth mental health through family-based prevention in family homeless shelters
HIV+ and HIV– youth living in group homes in South Africa need more psychosocial support
Orphans and vulnerable youth who live in group homes are at risk of poor mental health and sexual and drug-using behaviors that increase the risk of HIV transmission. This study explores factors related to this risk among youth living in group homes ("children's homes") for orphans and vulnerable children in South Africa, a country afflicted by high levels of parental loss due to HIV. The study explores 1) knowledge and attitudes about HIV, 2) so…
Evaluating a Social Work Engagement Approach to Involving Inner-City Children and Their Families in Mental Health Care
This article will focus on increasing the ability of social workers to provide mental health services to urban, low-income children and their caretakers. A conceptual model for understanding the process of engagement will be presented. Further, a protocol for training social workers to conduct first interview/engagement interviews and the results of a study evaluating its impact will be highlighted. One hundred seven children and their families w…
Addressing the barriers to mental health services for inner city children and their caretakers
Multiple Family Groups
Objective: This article presents an evaluation of a multiple family group intervention (MFG) designed to meet the mental health needs of low-income minority children and families. Method: Children participating in the MFG are compared with children demographically and clinically similar who received individual or family therapy services at an urban mental health center. Results: Of the children referred for MFG, 59% were still in service by the 1…
Recidivism at a shelter for adolescents
This article presents the results of a study that examined child and family influences on recidivism for 166 youths admitted to a shelter. The youths fell into two groups: (1) those who had run away before (repeat runaways) and (2) those who had run away for the first time (first-time runaways). Results indicated divergent pathways to shelter use and return within a 12-month period between these subgroups. Youth emotional problems were significan…
Inner‐City African American Parental Involvement in Children's Schooling
Parents ( n = 161) and teachers ( n = 18) from an urban elementary school serving primarily African American children completed questionnaires regarding racial socialization, social support, and involvement in activities that support youth educational achievement at home and school. Parental reports of racism awareness, and contact with school staff were significantly correlated with parent reports of at‐home involvement and at‐school involvement…
The role of personal contact with HIV-infected people in explaining urban, African American preadolescents' attitudes toward peers with HIV/Aids
This article presents the results of a study aimed at describing African American youths' attitudes toward peers with HIV/AIDS and identifying correlates of these attitudes based on the contact theory. Baseline data from a sample of African American, urban mothers and their youth (n = 197) participating in a family-based HIV prevention program were analyzed. In support of contact theory, preadolescents' close relationship to persons infected with…
Engaging families in child mental health services
Children and youth at risk
This paper reports on the adaptation and pilot study of the CHAMP programme (Collaborative HIV/AIDS and Adolescent Mental Health Programme) in South Africa with specific reference to outcome effects among adults. CHAMP was originally developed in the United States and is a developmentally-timed intervention, which aims to prevent HIV infection in youth through promoting resiliency in pre-adolescents and their families as well as strengthening the…
Inner-City Child Mental Health Service Use
Containment and contagion
There has been little research done in South Africa that investigates how families nested within communities can be strengthened to support the prevention of HIV infection in youth. A focused ethnographic case-study approach was employed to better understand how families in a semi-rural area outside Durban, South Africa, could support youth to make healthy life choices, particularly with respect to HIV risk behaviour. This involved a volunteer co…
Understanding Inner City Child Mental Health Need and Trauma Exposure
This article presents the results of a study documenting the complex mental health needs of 95 inner city youth consecutively referred for mental health care. An ecological perspective of mental health need guides the presentation of issues and stressors that occur at the level of the individual child; within the family, school, and community; and within the larger service system context. Findings related to the intersection between child mental …
Community Violence and Urban Families
The purpose of this study was to understand the impact of community-level stressors (particularly violence), coping strategies, and resources to prevent exposure to violence or to mitigate its effects in an inner-city community. Parents and children participated in focus groups, and children also completed standardized instruments. In the focus groups, parents and children identified several areas of concern related to "helpers," schools, communi…
A mixed‐method analysis of African‐American women's attendance at an HIV prevention intervention
Grounded in a model of service utilization, this study conceptualizes attendance of African‐American women at an HIV prevention intervention as associated with influences across three ecological domains—individual, service (program), and social network. First, the texts of responses to semistructured, open‐ended elicitation interviews were analyzed. Survey items that conceptually matched the influences on attendance were then selected for subsequ…
Seeking help a second time
This study examines the relationship between urban parents'/caregivers' previous experiences obtaining mental health care for their children and their perceptions of barriers to their children's use of services in the future. Assessments of prior treatment outcome and aspects of relationships with former providers were linked to endorsements of doubt about the utility of treatment as a potential barrier to the children's use of services in the fu…
Mediating Social Representations Using a Cartoon Narrative in the Context of HIV/Aids The AmaQhawe Family Project in South Africa
Using findings from the formative evaluation of the adaptation of the Collaborative HIV/AIDS Adolescent Mental Health Programme (CHAMP) familybased intervention in South Africa, known as the 'AmaQhawe Family Project', the potential role of 'micro-media' using a cartoon narrative for promoting healthenhancing behaviour change is explored. In particular, the cartoon narrative was found to be a useful medium for informing the development and diffusi…
Correlates of Participation in a Family-Based HIV Prevention Program
This study examines the relationship between contextual factors and attendance in a family-based HIV prevention program for low-income, urban, African-American women and their children. Participants' motivations to become involved, their concerns about discussing sex-related issues with their children, recruiters' perceptions of respondents' understanding of the program, and environmental stressors were examined. Participants' level of motivation…
Adapting and disseminating a community-collaborative, evidence-based HIV/Aids prevention programme
In recent years, calls for the scaling-up, or more broad dissemination of evidence-based HIV prevention programmes, have increased. This paper responds to the call for increasing applicable knowledge about programme dissemination by reviewing the history of a major evidence-based human immunodeficiency virus (HIV) prevention and mental health promotion programme that has been adapted successfully and pilot-tested across four settings - including …
Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa
INTRODUCTION: While the roll-out of antiretroviral therapy in South Africa should lead to a reduction in mother to child transmission, mortality and orphaning, it will also be accompanied by a large number of children entering adolescence and adulthood with a chronic infectious disease. Adolescence is a particularly vulnerable period for HIV-infected people in relation to mental health problems and engagement in high-risk behaviours, including no…
It Takes a Village to Deliver and Test Child and Family-Focused Services
OBJECTIVES: The purpose of this article is to highlight the benefits of collaboration in child focused mental health services research. METHOD: Three unique research projects are described. These projects address the mental health needs of vulnerable, urban, minority children and their families. In each one, service delivery was codesigned, interventions were co-delivered and a team of stakeholders collaboratively tested the impact of each one. R…
The effect of a learning collaborative to improve engagement in child mental health services
Adapting a Family-Based HIV Prevention Program for Homeless Youth and Their Families
As rates of HIV infection increase in adolescents, it is important to provide prevention programs targeting this population. Homeless adolescents living with their families in shelters are at greater risk of participating in risky sexual behavior and incurring negative health outcomes. A family based HIV-prevention pilot study was conducted with eight homeless families in a New York City shelter to explore: 1) the perceived impact of family commu…
A Collaboratively Designed Child Mental Health Service Model
This paper presents preliminary outcomes associated with an experimental, longitudinal study of a Multiple Family Group (MFG) service delivery approach set within thirteen urban outpatient clinics serving children and their families living in inner-city, primarily African American and Latino communities. Specifically, this paper focuses on parent reports of child oppositional behavior and parenting stress over time. MFG is a flexible, protocol-dr…
Prevalence and change in psychiatric disorders among perinatally HIV-infected and HIV-exposed youth
As the pediatric HIV epidemic in resource-rich countries evolves into an adolescent epidemic, there is a substantive need for studies elucidating mental health needs of perinatally HIV-infected (PHIV +) youth as they transition through adolescence. This article examines the role of perinatal HIV infection in influencing mental health by comparing the changes in psychiatric disorders and substance use disorders (SUD) in PHIV + and perinatally HIV-…
The Effects of Sexual Expectancies on Early Sexualized Behavior Among Urban Minority Youth
This study examines the effects of different types of sexual expectancies on early sexual behavior among racial/ethnic minority young adolescents. African American and Latino participants between 11 and 13 years old were recruited through schools and community-based agencies in the South Bronx, New York (N = 223). Multiple logistic regression analyses were used to predict early sexual behavior outcomes, which include engagement in sexual possibil…
Project Step-Up
Inner-city, low-income Black and Latino youth are at high risk for developing severe behavioral difficulties and dropping out of high school. After-school programs are excellent resources for targeting these issues, yet most focus on middle school populations, address either academic or socioemotional issues rather than a combination of efforts, and struggle to engage at-risk youth. This article presents feasibility data regarding mental health n…
Medicine (70 obras) · Psychology (66 obras) · Psychiatry (60 obras) · Mental health (45 obras) · Nursing (30 obras) · Clinical Psychology (29 obras) · Psychological intervention (29 obras) · Sociology (29 obras) · Adolescent Sexual and Reproductive Health (24 obras) · Political science (22 obras)