加拿大青少年转介至心理健康服务机构的经历：一项基于网络的横断面调查研究方案

Youth Experiences With Referrals to Mental Health Services in Canada: Protocol for a Web-Based Cross-Sectional Survey Study.

作者信息

Lal Shalini, Starcevic Danielle Joanna, Fuhrer Rebecca

机构信息

School of Rehabilitation, Faculty of Medicine, University of Montréal, Montréal, QC, Canada.

Youth Mental Health and Technology Lab, University of Montréal Hospital Research Centre, Montréal, QC, Canada.

出版信息

JMIR Res Protoc. 2020 Mar 24;9(3):e16945. doi: 10.2196/16945.

DOI:10.2196/16945

PMID:32207698

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7139421/

Abstract

BACKGROUND

Youth mental health is an important public health concern affecting low-, middle-, and high-income countries, and many young people in need of mental health services do not receive the care they need when they need it. An early step in accessing mental health care is the referral process, yet most of the research done on pathways to care has focused on clinical populations (eg, first-episode psychosis) recruited from mental health care settings. There has been limited research attention on the experiences of referral to mental health services from the perspectives of youth recruited from the general population who may or may not have received the services they need.

OBJECTIVE

This study aims to investigate the experiences that youth between the ages of 17 and 30 years have with referrals to mental health services and to better understand their perspectives on the use of technology to facilitate referrals.

METHODS

This study will use a cross-sectional, Web-based survey design. A convenience sample of 400 participants from 3 Canadian provinces (Quebec, Ontario, and British Columbia), between the ages of 17 and 30 years, will be recruited via Facebook and will be invited to complete a Web-based survey anonymously. A questionnaire including a series of quantitative and qualitative questions will ask participants about their sociodemographic characteristics, past experiences with referral and access to mental health services, and opinions about using technology to facilitate the referral process.

RESULTS

Participant recruitment is planned to be initiated by early January 2020 and is estimated to be completed by May 2020. Data will be analyzed using descriptive statistics and logistic regression or chi-square tests for quantitative data, and descriptive content analysis will be used for the qualitative data.

CONCLUSIONS

The results of this study can help inform the improvement of referral policies and procedures in youth mental health service delivery. A better understanding of young people's perspectives on referral processes and their opinions on how these processes can be improved are essential to providing appropriate and timely access to mental health care.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/16945.

摘要

背景

青少年心理健康是一个影响低收入、中等收入和高收入国家的重要公共卫生问题，许多需要心理健康服务的年轻人在需要时并未得到所需的护理。获得心理健康护理的早期步骤是转诊过程，但大多数关于护理途径的研究都集中在从心理健康护理机构招募的临床人群（如首发精神病患者）上。从普通人群中招募的青少年（无论是否获得了所需服务）的角度来看，关于转诊至心理健康服务的经历的研究关注有限。

目的

本研究旨在调查17至30岁青少年在转诊至心理健康服务方面的经历，并更好地了解他们对使用技术促进转诊的看法。

方法

本研究将采用基于网络的横断面调查设计。通过脸书从加拿大3个省份（魁北克省、安大略省和不列颠哥伦比亚省）招募400名年龄在17至30岁之间的便利样本参与者，并邀请他们匿名完成基于网络的调查。一份包含一系列定量和定性问题的问卷将询问参与者的社会人口学特征、过去的转诊经历和获得心理健康服务的情况，以及对使用技术促进转诊过程的看法。