Watson Amy C, Kelly Brian L, Vidalon Theresa M
University of Illinois at Chicago, Chicago, Illinois, USA.
Qual Health Res. 2009 Aug;19(8):1087-99. doi: 10.1177/1049732309341202.
A large percentage of youth involved in the juvenile justice system experience mental health problems, yet many do not receive mental health care. In this study, we used a process-focused framework of mental health decision making to gain insight into the use of mental health services among these youth. In-depth interviews were conducted with nine youth and nine parents participating in a program servicing youth with mental health problems who have been in detention. Themes related to problem recognition, the decision to seek and participate in services, subjective norms, and juvenile justice system involvement emerged. Most families acknowledged their youth was having problems, but few defined those problems in mental health terms. This did not prevent them from seeking services, although some were not able to access adequate services until the justice system became involved. Participants were aware of negative attitudes about mental illness, and might have limited their social networks to shield themselves.
很大比例的参与少年司法系统的青少年存在心理健康问题，但许多人并未接受心理健康护理。在本研究中，我们使用了一个以过程为重点的心理健康决策框架，以深入了解这些青少年对心理健康服务的使用情况。我们对参与一项为有心理健康问题且曾被拘留的青少年提供服务的项目的九名青少年和九名家长进行了深入访谈。出现了与问题识别、寻求和参与服务的决定、主观规范以及少年司法系统参与相关的主题。大多数家庭承认他们的孩子有问题，但很少有人从心理健康角度对这些问题进行界定。这并未阻止他们寻求服务，尽管有些人直到司法系统介入后才能够获得足够的服务。参与者意识到对精神疾病的负面态度，可能会限制自己的社交网络以保护自己。
