Bradford Sally, Rickwood Debra
Faculty of Health, University of Canberra, Building 12, D27, Canberra, ACT Australia.
J Child Fam Stud. 2015;24(5):1213-1221. doi: 10.1007/s10826-014-9929-0.
For mental health professionals to provide personalized early interventions, young people need to disclose sensitive information to a clinician they are unlikely to have yet formed a relationship with. We conducted in-depth qualitative interviews with 129 young people aged 12-25 years from several sites across Australia to gauge views on whether young people thought that an electronic psychosocial assessment tool could help them initially disclose personal information. Additionally, we were interested in whether young people from different demographic groups held similar views around using the e-tool. Results provided support for the use of an e-tool, with most young people stating that it could help in the disclosure of particularly embarrassing problems. The main advantages reported were that the e-tool would support disclosure without fear of judgment by health professionals, and would enable young people greater input in deciding what to focus on. Young people who held a preference to simply talk were most concerned about the clinician missing non-verbal cues. These findings highlight the value of incorporating electronic options within clinical practice, but also the need for health professionals to work within a flexible framework guided by the individual preferences of each of their clients.
为了让心理健康专业人员提供个性化的早期干预措施，年轻人需要向他们可能尚未建立关系的临床医生透露敏感信息。我们对来自澳大利亚各地多个地点的129名12至25岁的年轻人进行了深入的定性访谈，以了解年轻人是否认为电子心理社会评估工具可以帮助他们初步披露个人信息。此外，我们还想了解来自不同人口群体的年轻人在使用电子工具方面是否持有相似的观点。结果为使用电子工具提供了支持，大多数年轻人表示它可以帮助披露特别尴尬的问题。报告的主要优点是，电子工具将支持披露信息，而不必担心受到健康专业人员的评判，并且将使年轻人在决定关注重点方面有更大的话语权。倾向于单纯交谈的年轻人最担心临床医生错过非语言线索。这些发现凸显了在临床实践中纳入电子选项的价值，但也表明健康专业人员需要在以每个客户的个人偏好为指导的灵活框架内开展工作。
