This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this site. Copyright 2011, The Johns Hopkins University and Judith Bass. All rights reserved. Use of these materials permitted only in accordance with license rights granted. Materials provided “AS IS”; no representations or warranties provided. User assumes all responsibility for use, and all liability related thereto, and must independently review all materials for accuracy and efficacy. May contain materials owned by others. User is responsible for obtaining permissions for use from third parties as needed. Vulnerable Populations Judy Bass, MPH, PhD Johns Hopkins University Class Objectives Be able to ... - Recognize the factors that are associated with vulnerability - Understand how vulnerabilities can lead to psychosocial and mental health problems - Discuss the ethical implications of working with vulnerable populations 3 Section A Defining Vulnerability Definitions of Vulnerability Situational - Lack capacity for self-protection Process - Likelihood of exposure to a hazard and being adversely effected 5 Vulnerable Populations Pregnant single women Widows Older adults People with mental illness Orphans and unaccompanied minors Children with special needs Photo by daveblume. Creative Commons BY-NC-ND. Retrieved from http://www.flickr.com/photos/kioko/3045613115/sizes/z/ 6 Vulnerabilities Poverty—lack of financial support systems Health and nutrition problems Lack of social support and displacement Family disruption/separation/ loss Lack of education Lack of protection Photo by Judy Bass 7 Vulnerabilities of Orphans and Unaccompanied Minors Being reared without adults - Lack of supervision and care - Lack education - Low skills and lack social competencies - Few chances for future success Experience discrimination and violence - - Lack of adult role models Increased risk for injuries Mental health problems Substance abuse and sexual exploitation Photo by Judy Bass 8 Mental Health and Psychosocial Effects Immediate situation - Depression and anxiety problems - Behavior problems Long-term repercussions - Substance abuse, violence, suicide - Developmental milestones missed - Skills for well-being not established 9 Coping and Resiliency Children do survive, and some thrive - Develop support networks - - - Share resources and protective care Develop ability to withstand adversity Gain entrepreneurial skills 10