Family Navigation Project, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
BMC Psychiatry. 2020 Aug 14;20(1):409. doi: 10.1186/s12888-020-02801-y.
Caregivers experience significant strains as a result of navigating the complex mental health and/or addiction (MHA) system for their youth with MHA issues. We examined the characteristics of Ontario families with youth with MHA issues and their service needs.
A cross-sectional survey study investigated the characteristics and service needs of families with youth with MHA issues across the province of Ontario, Canada. A total of 840 caregivers were recruited.
259 participants (Mage = 45.94, SD = 7.11) identified as caregiving for at least one youth with MHA issues. The majority of the participants were female (70.7%), married (73.4%), and completed at least some college/Bachelor degree (59.1%). The mean age of youth was 16.72 years (SD = 5.33) and the most frequently reported diagnoses were Depression (30.1%), ADHD (27.8%) and Generalized Anxiety Disorder (21.2%). Regression results demonstrated that presently accessing services, presently seeking services, and higher levels of barriers MHA services were significantly predictive of identifying navigation as helpful for finding appropriate MHA services (χ(7) = 28.69, p < .001, Nagelkerke R = .16). Furthermore, presently accessing services was significantly predictive of identifying case management as helpful (χ(7) = 29.59, p < .001, Nagelkerke R = .156), and of identifying a primary healthcare provider as helpful (χ(7) = 38.75, p < .001, Nagelkerke R = .197) for finding appropriate MHA services.
Identifying the nature and extent of youth MHA issues, service needs, and family preferences can inform the development of services that address families' needs and lend vital support for accessing services within a complex system.
照顾者在为有心理健康和/或成瘾问题的年轻人导航复杂的心理健康和/或成瘾（MHA）系统时会经历重大压力。我们研究了安大略省有 MHA 问题的年轻人的家庭特征及其服务需求。
一项横断面调查研究调查了加拿大安大略省全省有 MHA 问题的年轻人的家庭特征和服务需求。共招募了 840 名照顾者。
259 名参与者（Mage=45.94，SD=7.11）确定为至少照顾一名有 MHA 问题的年轻人。大多数参与者为女性（70.7%），已婚（73.4%），至少完成了一些大学/学士学位（59.1%）。年轻人的平均年龄为 16.72 岁（SD=5.33），最常报告的诊断为抑郁症（30.1%）、注意力缺陷多动障碍（27.8%）和广泛性焦虑症（21.2%）。回归结果表明，目前正在接受服务、目前正在寻求服务以及更高的 MHA 服务障碍水平显著预测了识别导航对寻找适当的 MHA 服务有帮助（χ(7)=28.69，p<.001，Nagelkerke R=.16）。此外，目前正在接受服务显著预测了识别个案管理有帮助（χ(7)=29.59，p<.001，Nagelkerke R=.156），以及识别初级保健提供者有帮助（χ(7)=38.75，p<.001，Nagelkerke R=.197），以寻找适当的 MHA 服务。
确定年轻人 MHA 问题的性质和程度、服务需求和家庭偏好，可以为满足家庭需求的服务的发展提供信息，并为在复杂系统中获得服务提供重要支持。
