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好的、坏的和愿景:运用摄影法探索过渡时期青年的心理健康保健体验。

The Good, the Bad, and the Vision: Exploring the Mental Health Care Experiences of Transitional-Aged Youth Using the Photovoice Method.

机构信息

Yale School of Nursing, 5755Yale University, Orange, CT, USA.

Arthur Labatt Family School of Nursing, 6221Western University, London, ON, Canada.

出版信息

Qual Health Res. 2022 Oct;32(12):1915-1931. doi: 10.1177/10497323221121209. Epub 2022 Aug 29.

Abstract

Transitional-aged youth (TAY) between the ages of 16 and 24 experience higher rates of mental distress than any other age group. It has long been recognized that stability, consistency, and continuity in mental health care delivery are of paramount importance; however, the disjointed progression from paediatric to adult psychiatric services leaves many TAY vulnerable to deleterious health outcomes. In Spring 2019, eight TAY living with mental health challenges participated in a Photovoice study designed to: (1) illuminate their individual transition experiences; and, (2) support a collective vision for optimal mental health care at this nexus. Participants took photographs that reflected three weekly topics-, and -and engaged in a series of three corresponding photo-elicitation focus group sessions. Twenty-four images with accompanying titles and captions were sorted into nine participant-selected themes. Findings contribute to an enhanced awareness of psychiatric service delivery gaps experienced by TAY, and advocate for seamless and supportive transitions that more effectively meet the mental health care needs of this population.

摘要

16 至 24 岁的过渡年龄段青年(TAY)比其他任何年龄段的人群都经历更高的心理困扰率。长期以来,人们一直认识到,提供精神卫生保健的稳定性、一致性和连续性至关重要;然而,从儿科到成人精神病服务的不连贯进展使许多 TAY 容易受到不良健康结果的影响。在 2019 年春季,八名患有精神健康挑战的 TAY 参加了一项摄影心声研究,旨在:(1) 阐明他们个人的过渡经历;(2) 支持在这个交叉点上获得最佳精神保健的集体愿景。参与者拍摄了反映三个每周主题的照片,并参加了一系列三个相应的照片引出焦点小组会议。24 张附有标题和说明的图片被归入九个由参与者选定的主题。研究结果有助于提高对 TAY 经历的精神病服务提供差距的认识,并倡导更顺畅和支持性的过渡,以更有效地满足这一人群的精神保健需求。

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