Department for Quality and Health Technology, SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
ESCP Europe (Business Management), Ecole Supérieure de Commerce de Paris, Paris, France.
Health Expect. 2022 Dec;25(6):2924-2936. doi: 10.1111/hex.13600. Epub 2022 Sep 8.
Despite increased focus on development of mental health services worldwide, many adolescents still hesitate to reach out to the services when they need them. This might be linked to the lack of adolescent involvement in the development of services. This study aimed to explore adolescents' perspectives on the ideal healthcare services to meet their mental health needs.
A two-stage qualitative study was carried out to explore the perspectives of adolescents on the healthcare services to support their mental health. In the first stage, data from 295 adolescents attending a mental health seminar were analysed using qualitative content analysis. In the second stage, in-depth perspectives of 10 adolescent coresearchers were gathered through self-reflection and group discussions to further explore the categories developed in the first stage. Thematic analysis was used to develop the themes answering the research question. Ten adolescent coresearchers planned the study, collected and analysed data and authored the manuscript, with the support of a senior researcher.
Five themes describe adolescents' perspectives on the ideal healthcare services to meet their mental health needs: (1) Culturally Sensitive and Responsive; (2) Communication of Information; (3) Easy Access; (4) Variety of Support; and (5) Consistency. Culturally Sensitive and Responsive services influenced all other themes. The themes describe suggestions for mental health service improvement, including how to manage the barriers that adolescents face to receive help from the mental health services.
This study highlights the importance of culturally sensitive and responsive services. It raises the need for an expanded definition of culture going beyond nationality and ethnic background. Adolescents need flexible services that meet their individual mental health needs. This has implications for practitioners, educators, system organizers and researchers, who should also involve adolescents in planning, implementing and assessing the services. There is a need for a self-learning system to continuously adapt to user feedback.
This study provides insight into adolescents' perspectives on the ideal mental health services. It offers suggestions for ways to improve services to better meet the individual mental health needs of adolescents. Additional research is needed to further develop and implement service changes, as well as to assess their acceptability, effectiveness, cost-effectiveness and safety.
This is a study lead by adolescents. Adolescent coresearchers have, with the support of a senior researcher, planned and carried out the study, collected and analysed data and authored the manuscript.
尽管全球越来越关注精神卫生服务的发展，但许多青少年在需要时仍不愿寻求这些服务。这可能与青少年在服务发展中的参与度不足有关。本研究旨在探讨青少年对满足其精神卫生需求的理想医疗保健服务的看法。
本研究采用两阶段定性研究方法，探讨青少年对支持其精神健康的医疗保健服务的看法。在第一阶段，对参加心理健康研讨会的 295 名青少年的数据进行了定性内容分析。在第二阶段，通过自我反思和小组讨论，收集了 10 名青少年核心研究员的深入观点，以进一步探讨第一阶段中所发展的类别。采用主题分析来形成回答研究问题的主题。10 名青少年核心研究员在一名资深研究员的支持下，计划研究、收集和分析数据并撰写手稿。
五个主题描述了青少年对满足其精神卫生需求的理想医疗保健服务的看法：（1）文化敏感和响应；（2）信息沟通；（3）便捷获取；（4）多样化支持；和（5）一致性。文化敏感和响应服务影响了所有其他主题。这些主题描述了改善精神卫生服务的建议，包括如何管理青少年在接受精神卫生服务方面所面临的障碍。
本研究强调了文化敏感和响应服务的重要性。它提出了需要超越国籍和族裔背景来扩展文化的定义。青少年需要灵活的服务来满足其个人的精神卫生需求。这对从业者、教育者、系统组织者和研究人员具有启示意义，他们也应该让青少年参与规划、实施和评估服务。需要建立一个自我学习系统，以不断适应用户反馈。
本研究深入了解了青少年对理想精神卫生服务的看法。它提供了改善服务以更好地满足青少年个体精神卫生需求的建议。需要进一步研究以进一步开发和实施服务变更，并评估其可接受性、有效性、成本效益和安全性。
这是一项由青少年主导的研究。青少年核心研究员在一名资深研究员的支持下，计划和开展了研究、收集和分析了数据并撰写了手稿。
