Chan Samantha, Markoulakis Roula, Levitt Anthony
Family Navigation Project, Sunnybrook Research Institute, Toronto, Ontario.
Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, Ontario.
J Can Acad Child Adolesc Psychiatry. 2023 Feb;32(1):27-37. Epub 2023 Feb 1.
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.
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.
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.
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.
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.
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。
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。
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。
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。
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。