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提供者作为解决青年心理健康保健实施障碍的利益相关者。

Providers as Stakeholders in Addressing Implementation Barriers to Youth Mental Healthcare.

机构信息

Department of Human Development and Family Studies, University of Alabama, 214 Child Development Research Center, Tuscaloosa, AL, 35487, USA.

Center of Youth Development and Intervention, University of Alabama, 200 Hackberry Lane, Tuscaloosa, AL, 35487, USA.

出版信息

Community Ment Health J. 2022 Jul;58(5):967-981. doi: 10.1007/s10597-021-00905-7. Epub 2021 Oct 20.

Abstract

Research has shown that youth with mental health disorders often do not receive adequate care. School- and community-based mental health organizations are integral to implementing evidence-based mental healthcare to the vast majority of youth. It is therefore important to understand the perspectives of this stakeholder group, to determine how to improve access to high-quality care. A series of three focus groups with community mental health providers and three school counselors and social workers focus groups were conducted to get their perspective on existing barriers that prevent youth who need mental health services from being treated. A grounded theory inductive qualitative analysis revealed six major themes (Lack of Services, Lack of Knowledge, Stigma, Logistics, Poor Past Experiences with Mental Health, and Poor Coordination of Services). Each of these themes are discussed and implications are framed within the context of implementation science.

摘要

研究表明,患有心理健康障碍的年轻人往往得不到足够的照顾。基于学校和社区的心理健康组织对于实施基于证据的精神卫生保健至关重要,可以为绝大多数年轻人提供服务。因此,了解利益相关者群体的观点,确定如何改善获得高质量护理的机会非常重要。通过开展一系列的社区精神卫生提供者的三场焦点小组讨论以及三场学校顾问和社会工作者焦点小组讨论,了解他们对现有障碍的看法,这些障碍阻碍了需要精神卫生服务的青年获得治疗。基于扎根理论的归纳定性分析揭示了六个主要主题(服务不足、知识不足、污名化、后勤、过去对精神卫生服务的不良体验和服务协调不善)。本文将对这些主题逐一进行讨论,并从实施科学的角度进行阐述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ea/8527810/cc7c3aa8c733/10597_2021_905_Fig1_HTML.jpg

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