Persson Stefan, Hagquist Curt, Michelson Daniel
1 Centre for Research on Child and Adolescent Mental Health, Karlstad University, Sweden.
2 Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
Clin Child Psychol Psychiatry. 2017 Jan;22(1):140-151. doi: 10.1177/1359104516656722. Epub 2016 Jul 26.
The development of 'youth-friendly' services has become a priority across a wide range of health-care contexts. However, relatively few studies have specifically examined users' experiences of, and preferences for, child and adolescent mental health care. The current study investigated young service users' views of outpatient and community mental health clinics in Sweden, based on two data sources. First, focus group interviews were conducted with seven children and adolescents (aged 10-18 years) to explore both positive and negative experiences of mental health care. Second, written suggestions about specific service improvements were obtained from 106 children and adolescents. Qualitative content analysis revealed three overarching themes: 'Accessibility', 'Being heard and seen' and 'Usefulness of sessions'. Young people's recommendations for improving practice included more convenient appointment times, offered in welcoming settings; opportunities to communicate more openly with clinical staff, enabling sensitive discussion of mental health and wider personal issues; and more structured treatments that offer greater credibility and relevance to young people's mental health and developmental needs. Young people also discussed being compelled by parents and school professionals to engage in treatment. Attending to young people's preferences must be a priority in order to overcome ambivalence about session attendance, and enhance treatment participation and outcomes.
“青年友好型”服务的发展已成为广泛医疗环境中的一项优先事项。然而，专门研究儿童和青少年心理健康护理的用户体验及偏好的研究相对较少。本研究基于两个数据源，调查了瑞典年轻服务用户对门诊和社区心理健康诊所的看法。首先，对7名儿童和青少年（年龄在10至18岁之间）进行了焦点小组访谈，以探讨心理健康护理的正面和负面体验。其次，从106名儿童和青少年那里获得了关于具体服务改进的书面建议。定性内容分析揭示了三个总体主题：“可及性”、“被倾听和关注”以及“治疗环节的有用性”。年轻人对改进实践的建议包括：在宜人的环境中提供更方便的预约时间；有机会与临床工作人员更开放地交流，以便能对心理健康和更广泛的个人问题进行坦诚讨论；以及更具结构性的治疗方法，这些方法对年轻人的心理健康和发展需求更具可信度和相关性。年轻人还讨论了被父母和学校专业人员强迫接受治疗的情况。为了克服对治疗环节参与的矛盾心理，并提高治疗参与度和治疗效果，关注年轻人的偏好必须成为优先事项。
