Vostanis Panos, Ruby Florence, Jacob Jenna, Eruyar Şeyda, Mironga Getanda Elijah, Haffejee Sadiyya, Krishna Murali, Edbrooke-Childs Julian
University of Leicester, School of Media, Communication and Sociology, University Road, Leicester, UK.
Anna Freud Centre, Child Outcomes Research Consortium, 4-8 Rodney Street, London N1 9JH, UK.
Child Youth Serv Rev. 2022 May;136:106439. doi: 10.1016/j.childyouth.2022.106439.
Youth mental health support and services vary across sociocultural contexts. It is important to capture the perspectives of youth with lived experiences for planning needs-led interventions and services, especially in Global South Countries (GSC), with limited specialist resources and representative literature.
The aim was to establish how youth with lived experiences of anxiety and depression viewed external support in different countries, and how these views were juxtaposed with those of professionals. We involved 121 youth aged 14-24 years and 62 professionals from different disciplines in eight countries, predominantly from the Global South. Two youth and one professional focus group was facilitated in each country. The data were analysed through a codebook thematic approach.
Youth across all countries largely valued informal support from family, peers and community, whilst those from GSC had limited access to structural support. They related lived experiences to therapeutic engagement and processes, in contrast with professionals who focused on outcomes and service delivery. Mental health awareness and integration of interventions with social support were considered essential by both youth and professionals, especially in disadvantaged communities.
The mental health needs of youth in disadvantaged GSC communities can be best met through multi-modal interventions addressing these needs across their socioecology and positioned within a stepped care model. Youth with lived experiences should be involved in service planning, implementation and monitoring.
青少年心理健康支持与服务在不同社会文化背景下存在差异。对于规划以需求为导向的干预措施和服务而言,了解有实际生活经历的青少年的观点非常重要,尤其是在资源有限且缺乏代表性文献的全球南方国家(GSC)。
本研究旨在确定有焦虑和抑郁实际生活经历的青少年如何看待不同国家的外部支持,以及这些观点与专业人士的观点有何不同。我们纳入了来自八个国家(主要是全球南方国家)的121名14 - 24岁的青少年和62名不同学科的专业人士。在每个国家组织了两个青少年焦点小组和一个专业人士焦点小组。通过编码本主题方法对数据进行分析。
所有国家的青少年在很大程度上重视来自家庭、同伴和社区的非正式支持,而全球南方国家的青少年获得结构性支持的机会有限。他们将实际生活经历与治疗参与和过程联系起来,而专业人士则侧重于结果和服务提供。青少年和专业人士都认为心理健康意识以及将干预措施与社会支持相结合至关重要,尤其是在弱势社区。
通过跨社会生态系统满足这些需求并置于逐步照护模式内的多模式干预措施,可以最好地满足全球南方国家弱势社区青少年的心理健康需求。有实际生活经历的青少年应参与服务规划、实施和监测。