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本文引用的文献

1
Parent-perceived barriers to accessing services for their child's mental health problems.家长察觉到的孩子心理健康问题就医障碍。
Child Adolesc Psychiatry Ment Health. 2021 Jan 29;15(1):4. doi: 10.1186/s13034-021-00357-7.
2
Help-Seeking Behaviors of Transition-Aged Youth for Mental Health Concerns: Qualitative Study.青少年心理健康问题求助行为的定性研究。
J Med Internet Res. 2020 Oct 5;22(10):e18514. doi: 10.2196/18514.
3
The needs and service preferences of caregivers of youth with mental health and/or addictions concerns.有心理健康和/或成瘾问题的青年照护者的需求和服务偏好。
BMC Psychiatry. 2020 Aug 14;20(1):409. doi: 10.1186/s12888-020-02801-y.
4
"Objectively terrifying": a qualitative study of youth's experiences of transitions out of child and adolescent mental health services at age 18.“客观可怕”:一项定性研究青少年在 18 岁时离开儿童和青少年心理健康服务机构的经历。
BMC Psychiatry. 2020 Apr 3;20(1):147. doi: 10.1186/s12888-020-02516-0.
5
Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies.为什么儿童和青少年(不)寻求和获得专业帮助来解决他们的心理健康问题?一项对定量和定性研究的系统综述。
Eur Child Adolesc Psychiatry. 2021 Feb;30(2):183-211. doi: 10.1007/s00787-019-01469-4. Epub 2020 Jan 21.
6
Young People's Online Help-Seeking and Mental Health Difficulties: Systematic Narrative Review.年轻人的在线求助行为与心理健康问题:系统叙事综述
J Med Internet Res. 2019 Nov 19;21(11):e13873. doi: 10.2196/13873.
7
Perceived need and barriers to adolescent mental health care: agreement between adolescents and their parents.青少年心理健康服务的感知需求和障碍:青少年及其父母的一致性。
Epidemiol Psychiatr Sci. 2019 Sep 20;29:e60. doi: 10.1017/S2045796019000568.
8
Geographic Variation in the Supply of Selected Behavioral Health Providers.特定行为健康提供者供应的地域差异。
Am J Prev Med. 2018 Jun;54(6 Suppl 3):S199-S207. doi: 10.1016/j.amepre.2018.01.004.
9
Implementation of a youth-adult partnership model in youth mental health systems research: Challenges and successes.在青少年心理健康系统研究中实施青年-成人伙伴关系模式:挑战与成功。
Health Expect. 2017 Dec;20(6):1183-1188. doi: 10.1111/hex.12554. Epub 2017 Mar 14.
10
What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies.父母认为儿童和青少年心理健康问题获得心理治疗的障碍和促进因素有哪些?对定性和定量研究的系统评价。
Eur Child Adolesc Psychiatry. 2017 Jun;26(6):623-647. doi: 10.1007/s00787-016-0930-6. Epub 2017 Jan 4.

青少年获得心理健康和/或成瘾护理的障碍预测因素。

Predictors of barriers to accessing youth mental health and/or addiction care.

作者信息

Chan Samantha, Markoulakis Roula, Levitt Anthony

机构信息

Family Navigation Project, Sunnybrook Research Institute, Toronto, Ontario.

Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario.

出版信息

J Can Acad Child Adolesc Psychiatry. 2023 Feb;32(1):27-37. Epub 2023 Feb 1.

PMID:36776928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9879035/
Abstract

BACKGROUND

It is estimated that 1.2 million Canadian youth are affected by mental health and/or addiction issues; yet only a small proportion of young people receive appropriate and specialized treatment. Given caregivers are often tasked with navigating the complex mental health and/or addiction care systems for their youth, it is important to identify and understand the characteristics, such as those related to youth and their families, that are associated with caregivers' perceived barriers to accessing youth mental health and/or addiction services.

OBJECTIVE

The objective of this cross-sectional survey study was to examine the unique predictors of caregivers' perceived barriers to accessing youth mental health and/or addiction services.

METHOD

Participants were 259 caregivers of at least one youth, aged 4 to 29 years (M = 16.7, = 5.3) with mental health and/or addiction issues in Ontario, Canada identified from a community-based online survey.

RESULTS

Regression results showed that caregivers' demographics (i.e., living in a rural area, having an education level of college/university degree or higher), youth having concurrent issues, and service use patterns (i.e., currently accessing and/or seeking services) significantly predicted a higher level of barriers to accessing mental health and/or addiction services.

CONCLUSION

In order to improve access to care for youth with mental health and/or addiction issues, understanding the predictors of barriers to accessing appropriate services is an important step in making services more accessible for youth and families.

摘要

背景

据估计,120万加拿大青少年受到心理健康和/或成瘾问题的影响;然而,只有一小部分年轻人得到了适当的专业治疗。鉴于照顾者通常负责为他们的青少年在复杂的心理健康和/或成瘾护理系统中导航,识别和理解与青少年及其家庭相关的特征,这些特征与照顾者在获得青少年心理健康和/或成瘾服务方面感知到的障碍相关,这一点很重要。

目的

这项横断面调查研究的目的是检查照顾者在获得青少年心理健康和/或成瘾服务方面感知到的障碍的独特预测因素。

方法

参与者是来自加拿大安大略省的259名照顾者,他们至少有一名年龄在4至29岁(平均年龄 = 16.7岁,标准差 = 5.3岁)且有心理健康和/或成瘾问题的青少年,这些照顾者是通过一项基于社区的在线调查确定的。

结果

回归结果显示,照顾者的人口统计学特征(即生活在农村地区、教育水平为大专/本科学历或更高)、青少年有并发问题以及服务使用模式(即目前正在接受和/或寻求服务)显著预测了在获得心理健康和/或成瘾服务方面更高水平的障碍。

结论

为了改善有心理健康和/或成瘾问题的青少年获得护理的机会,了解获得适当服务的障碍的预测因素是使服务更容易被青少年和家庭获得的重要一步。