School of Health, University of New England, Armidale, New South Wales, Australia.
Faculty of Health, University of Technology, Sydney (UTS), Sydney, New South Wales, Australia.
Int J Ment Health Nurs. 2019 Jun;28(3):744-756. doi: 10.1111/inm.12579. Epub 2019 Feb 1.
Adverse childhood experiences are strongly associated with the development of mental health disorders during the life span. When mental health issues are not effectively dealt with during the adolescent period, young people can become long-term consumers in the mental health system. A widely accepted method of intervention is the provision of mentoring. More recently, young people have been fulfilling the role of mentor to their peers and mentoring has played a large role in supporting young people who are considered at-risk of not achieving the expected psychosocial, educational, and/or developmental goals. What is not known is why young people, previously identified as being at-risk, are motivated to mentor their at-risk peers. The study aim was to examine what motivates previously recognized at-risk young people to provide mentoring to their at-risk peers. Participants were twelve previously recognized at-risk young people recruited through a formal peer-to-peer mentoring programme. Semi-structured interviews were conducted, and the data analysed through narrative inquiry and reported in accordance with the consolidated criteria for reporting qualitative research guidelines (COREQ). Results indicate that young people are motivated by their own lived experiences of trauma(s) to provide at-risk peer mentoring. The experience of mentoring afforded opportunities to rewrite individual personal journeys of trauma through mentoring their at-risk peers, thus constructing a more positive self-identity. Outcomes of developing positive peer relationships and prosocial behaviours could significantly assist mental health clinicians in providing more acceptable care to clients in an age group known to be reluctant to accept traditional mental health intervention.
不良的童年经历与整个生命周期中心理健康障碍的发展密切相关。当青少年时期的心理健康问题得不到有效解决时,年轻人可能会成为精神卫生系统的长期患者。一种广泛接受的干预方法是提供指导。最近,年轻人开始担任同龄人的导师,指导在社会心理、教育和/或发展方面被认为有风险的年轻人,在这方面发挥了重要作用。目前还不清楚的是,为什么以前被认为有风险的年轻人有动力去指导他们有风险的同龄人。本研究旨在探讨是什么促使以前被认为有风险的年轻人为他们有风险的同龄人提供指导。参与者是通过正式的朋辈指导计划招募的 12 名以前被认为有风险的年轻人。进行了半结构化访谈,通过叙事探究进行数据分析,并按照定性研究报告的统一标准(COREQ)进行报告。结果表明,年轻人是出于自己创伤经历的动机,为有风险的同龄人提供指导。指导的经历为他们通过指导有风险的同龄人改写个人创伤经历提供了机会,从而构建了更积极的自我认同。发展积极的同伴关系和亲社会行为的结果可能会极大地帮助精神卫生临床医生为那些已知不愿意接受传统精神卫生干预的年龄段的客户提供更可接受的护理。