Barnett Phoebe, Arundell Laura-Louise, Matthews Hannah, Saunders Rob, Pilling Stephen
Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational, and Health Psychology, University College London, UK.
Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational, and Health Psychology, University College London, UK; and National Collaborating Centre for Mental Health, Royal College of Psychiatrists, UK.
BJPsych Open. 2021 Jun 24;7(4):e118. doi: 10.1192/bjo.2021.947.
Previous qualitative research suggests that university students feel that current service provision does not meet their needs. Exploring the reasons for this may help to promote service change, encourage the uptake of care, improve outcomes and increase satisfaction within university services.
This study aimed to improve the understanding of how students experience the process of accessing and using mental health support, barriers and facilitators to treatment, and how students would adapt provision to improve experiences.
Semi-structured interviews were conducted with 16 full-time students who had used mental health services at university. Data were analysed using thematic analysis.
Five higher-order themes were identified: personalisation and informed choice, simplifying the process, feeling abandoned ignored or invisible, stigma, and superiority of private and external services. Sixteen subthemes were identified within these themes.
Findings indicate that access to mental health support should be simplified, with collaboration across university and external health and care services, to prevent students feeling lost or abandoned when seeking care. An inclusive approach to support access and provision of services for all presentations of mental health problems should be developed.
先前的定性研究表明,大学生认为当前的服务提供无法满足他们的需求。探究其原因可能有助于推动服务变革,鼓励接受治疗,改善治疗效果并提高大学服务的满意度。
本研究旨在加深对学生如何体验获取和使用心理健康支持的过程、治疗的障碍和促进因素,以及学生将如何调整服务提供以改善体验的理解。
对16名在大学使用过心理健康服务的全日制学生进行了半结构化访谈。使用主题分析法对数据进行了分析。
确定了五个高阶主题:个性化和知情选择、简化流程、感到被抛弃、被忽视或隐形、耻辱感以及私立和外部服务的优越性。在这些主题中确定了16个子主题。
研究结果表明,应简化心理健康支持的获取途径,大学与外部健康和护理服务机构应开展合作,以防止学生在寻求护理时感到迷失或被抛弃。应为所有心理健康问题表现形式制定一种包容性的方法,以支持服务的获取和提供。