Palmquist Lucianne, Patterson Sue, O'Donovan Analise, Bradley Graham
School of Applied Psychology and Menzies Health Institute Queensland, Griffith University Mt Gravatt Campus, Mt Gravatt, Queensland, Australia.
Metro North Hospital and Health Services and School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.
BMJ Open. 2017 Jul 20;7(7):e015161. doi: 10.1136/bmjopen-2016-015161.
Policies internationally endorse the recovery paradigm as the appropriate foundation for youth mental health services. However, given that this paradigm is grounded in the views of adults with severe mental illness, applicability to youth services and relevance to young people is uncertain, particularly as little is known about young people's views. A comprehensive understanding of the experiences and expectations of young people is critical to developing youth mental health services that are acceptable, accessible, effective and relevant.
To inform development of policy and youth services, the study described in this protocol aims to develop a comprehensive account of the experiences and expectations of 12-17 year olds as they encounter mental disorders and transition through specialist mental health services. Data will be analysed to model recovery from the adolescents' perspective.
This grounded theory study will use quantitative and qualitative data collected in interviews with 12-17 year olds engaged with specialist Child/Youth Mental Health Service in Queensland, Australia. Interviews will explore adolescents' expectations and experiences of mental disorder, and of services, as they transition through specialist mental health services, including the meaning of their experiences and ideas of 'recovery' and how their experiences and expectations are shaped. Data collection and analysis will use grounded theory methods.
Adolescents' experiences will be presented as a mid-range theory. The research will provide tangible recommendations for youth-focused mental health policy and practice. Findings will be disseminated within academic literature and beyond to participants, health professionals, mental health advocacy groups and policy and decision makers via publications, research summaries, conferences and workshops targeting different audiences. Ethical and research governance approvals have been obtained from relevant Human Research Ethics committees and all sites involved.
国际政策认可康复模式是青少年心理健康服务的适当基础。然而,鉴于该模式基于患有严重精神疾病的成年人的观点,其对青少年服务的适用性以及与年轻人的相关性尚不确定,尤其是因为对年轻人的观点了解甚少。全面了解年轻人的经历和期望对于开发可接受、可及、有效且相关的青少年心理健康服务至关重要。
为为政策和青少年服务的发展提供信息,本方案中描述的研究旨在全面阐述12至17岁青少年在遭遇精神障碍并通过专科心理健康服务过渡时的经历和期望。将对数据进行分析,以从青少年的角度构建康复模型。
这项扎根理论研究将使用对澳大利亚昆士兰州参与专科儿童/青少年心理健康服务的12至17岁青少年进行访谈时收集的定量和定性数据。访谈将探讨青少年在通过专科心理健康服务过渡时对精神障碍以及服务的期望和经历,包括他们经历的意义、“康复”的概念以及他们的经历和期望是如何形成的。数据收集和分析将采用扎根理论方法。
青少年的经历将以中程理论的形式呈现。该研究将为以青少年为重点的心理健康政策和实践提供切实可行的建议。研究结果将通过针对不同受众的出版物、研究摘要、会议和研讨会在学术文献及其他领域传播给参与者、卫生专业人员、心理健康倡导团体以及政策和决策者。已获得相关人类研究伦理委员会和所有参与地点的伦理和研究管理批准。