Coyne I, McNamara N, Healy M, Gower C, Sarkar M, McNicholas F
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Department of Psychology, University of Bedfordshire, Luton, UK.
J Psychiatr Ment Health Nurs. 2015 Oct;22(8):561-9. doi: 10.1111/jpm.12215. Epub 2015 May 15.
Service user involvement is essential for quality care in the Child and Adolescent Mental Health Services (CAMHS). This study was conducted to explore adolescents' and parents' experiences of CAMHS in relation to accessibility, approachability and appropriateness. This study used a descriptive qualitative design, and focus groups and single interviews were conducted with adolescents (n = 15) and parents (n = 32) from three mental health clinics. Data were analysed using thematic analysis. Accessing mental health services was a challenging experience for many parents and adolescents due to knowledge deficit, lack of information and limited availability of specialist services. Some parents and adolescents reported positive experiences while others reported negative experiences. They expressed a need for more information, involvement in decision making, flexible scheduling of appointments, school support and parent support groups. The nature and quality of the relationship with staff was critical to positive experience with the service; therefore, frequent changes of medical staff was disruptive. Mental health nurses can play a vital role in ensuring continuity, assessing adolescents' participation preferences and advocating for their information needs with other members of the interdisciplinary team.
服务使用者的参与对于儿童和青少年心理健康服务（CAMHS）的优质护理至关重要。本研究旨在探讨青少年及其父母在CAMHS中有关可及性、亲和性和适宜性方面的经历。本研究采用描述性定性设计，对来自三家心理健康诊所的青少年（n = 15）和父母（n = 32）进行了焦点小组访谈和单人访谈。采用主题分析法对数据进行了分析。由于知识欠缺、信息不足以及专科服务的可获得性有限，许多父母和青少年在获取心理健康服务时都经历了挑战。一些父母和青少年报告了积极的经历，而另一些则报告了消极的经历。他们表示需要更多信息、参与决策、灵活安排预约时间、学校支持和家长支持小组。与工作人员关系的性质和质量对于服务的积极体验至关重要；因此，医务人员的频繁更换具有破坏性。心理健康护士在确保连续性、评估青少年的参与偏好以及与跨学科团队的其他成员倡导满足他们的信息需求方面可以发挥至关重要的作用。
