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本文引用的文献

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Caring for children with mental health or developmental and behavioural disorders: Perspectives of family health teams on roles and barriers to care.照顾患有心理健康、发育及行为障碍的儿童:家庭健康团队对护理角色及障碍的看法。
Can Fam Physician. 2020 Oct;66(10):750-757.
2
Cross-sectorial collaboration in return to work interventions: perspectives from patients, mental health care professionals and case managers in the social insurance sector.跨部门合作在重返工作干预中的应用:来自患者、精神健康护理专业人员和社会保险部门个案经理的观点。
Disabil Rehabil. 2022 Jun;44(11):2317-2324. doi: 10.1080/09638288.2020.1830310. Epub 2020 Oct 12.
3
Cross-Sector Collaboration for a Healthy Living Environment-Which Strategies to Implement, Why, and in Which Context?跨部门合作打造健康生活环境——实施哪些策略、为何实施以及在何种背景下实施?
Int J Environ Res Public Health. 2020 Aug 27;17(17):6250. doi: 10.3390/ijerph17176250.
4
Area-Level Variation in Children's Unmet Need for Community-Based Mental Health Services: Findings from the 2014 Ontario Child Health Study.基于社区的儿童心理健康服务需求未满足的地区差异:来自 2014 年安大略省儿童健康研究的发现。
Adm Policy Ment Health. 2020 Sep;47(5):665-679. doi: 10.1007/s10488-020-01016-3.
5
Key attributes of integrated community-based youth service hubs for mental health: a scoping review.基于社区的青少年心理健康综合服务中心的关键属性:一项范围综述
Int J Ment Health Syst. 2019 Jul 23;13:52. doi: 10.1186/s13033-019-0306-7. eCollection 2019.
6
Trends in psychiatric disorders prevalence and prescription patterns of children in Alberta, Canada.加拿大阿尔伯塔省儿童精神障碍患病率和处方模式的变化趋势。
Soc Psychiatry Psychiatr Epidemiol. 2019 Dec;54(12):1565-1574. doi: 10.1007/s00127-019-01714-w. Epub 2019 May 25.
7
"Just keep pushing": Parents' experiences of accessing child and adolescent mental health services for child anxiety problems.“继续努力”:父母为孩子的焦虑问题寻求儿童及青少年心理健康服务的经历
Child Care Health Dev. 2019 Jul;45(4):491-499. doi: 10.1111/cch.12672. Epub 2019 May 27.
8
Changes in the Prevalence of Child and Youth Mental Disorders and Perceived Need for Professional Help between 1983 and 2014: Evidence from the Ontario Child Health Study.1983 年至 2014 年儿童和青少年精神障碍的流行率变化及对专业帮助的认知需求:安大略省儿童健康研究的证据。
Can J Psychiatry. 2019 Apr;64(4):256-264. doi: 10.1177/0706743719830035.
9
Cost-effectiveness of a care manager collaborative care programme for patients with depression in primary care: economic evaluation of a pragmatic randomised controlled study.在初级保健中,针对抑郁症患者的护理经理协作护理计划的成本效益:一项实用随机对照研究的经济评估。
BMJ Open. 2018 Nov 12;8(11):e024741. doi: 10.1136/bmjopen-2018-024741.
10
Exploring and building autism service capacity in rural and remote regions: Participatory action research in rural Alberta and British Columbia, Canada.探索和建设农村和偏远地区的自闭症服务能力:加拿大艾伯塔省和不列颠哥伦比亚省农村的参与式行动研究。
Autism. 2019 Jul;23(5):1143-1151. doi: 10.1177/1362361318801340. Epub 2018 Oct 5.

与有复杂心理健康问题的儿童的父母合作以改善照护:一项定性研究。

Working with parents of children with complex mental health issues to improve care: A qualitative inquiry.

机构信息

Faculty of Health Sciences, 4512University of Lethbridge, Lethbridge, AB Canada.

Morinville, AB Canada.

出版信息

J Child Health Care. 2022 Dec;26(4):548-567. doi: 10.1177/13674935211028694. Epub 2021 Jun 28.

DOI:10.1177/13674935211028694
PMID:34180250
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9667073/
Abstract

The study objective was to explore the experiences of parents of children (6-17 years) with complex mental healthcare needs in accessing healthcare services in Alberta, Canada. Parents were interviewed using a semi-structured guide with open-ended and probing questions. Interviews were audio recorded and transcribed verbatim. Thematic analysis revealed three main themes: (1) profoundly impacted participants' experience of mental health care due to (a) a lack of a collaborative approach across disciplines in the healthcare system; (b) unavailability of information related to mental health care and (c) a lack of patient-centred care. (2) was difficult due to fragmented services and was hindered by gaps in accessing and receiving care, lack of continuity of care and lack of resources. (3) discussed the emotional challenges, financial burdens, self-advocacy and stigma they experienced in navigating the system. Parents offered insights into potential solutions to these gaps. Parents recommended the creation of a one-stop shop service with a team approach led by a navigator to facilitate and support navigations across healthcare services that work collaboratively across disciplines among healthcare services and across sectors inclusive of social services, education, policing and community programmes.

摘要

研究目的是探索加拿大艾伯塔省有复杂精神卫生保健需求的儿童(6-17 岁)的父母在获得医疗保健服务方面的体验。研究采用半结构化访谈指南,对家长进行了访谈,问题为开放式和探究式。访谈进行了录音并逐字记录。主题分析揭示了三个主要主题:(1)由于医疗体系中跨学科缺乏协作方法、心理健康护理相关信息不可用以及缺乏以患者为中心的护理,对参与者的心理健康护理体验产生了深远影响。(2)由于服务碎片化,父母在获取和接受护理方面存在障碍,缺乏连续性,资源不足,导致获取医疗服务变得困难。(3)父母讨论了在系统中导航时所经历的情感挑战、经济负担、自我倡导和耻辱感。父母提供了潜在解决方案的见解,以弥补这些差距。父母建议创建一个一站式服务,采用由导航员领导的团队方法,以促进和支持跨医疗服务的导航,这些服务在医疗服务之间跨学科合作,涵盖社会服务、教育、警务和社区项目等多个部门。