Darcy Laura, Råberus Anna, Sundler Annelie J
Insitution for Caring Science, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Boras, Sweden.
Division of Psychiatry, Södra Älvsborg Hospital, Borås, Sweden.
J Child Adolesc Psychiatr Nurs. 2024 Feb;37(1):e12436. doi: 10.1111/jcap.12436. Epub 2023 Jul 13.
Little is known about issues of patient-reported problems, in particular within psychiatric services for children with mental ill health. Child and family complaints related to child mental health services can be analyzed and discussed in light of the universal human right to health and healthcare. Therefore, the aim of this study was to analyze child and family complaints related to child mental health services.
A retrospective, descriptive design was used. Child and family complaints were analyzed with a qualitative thematic analysis.
The findings were described in three themes describing lack of access to care, inadequate communication between services and children with mental ill health and their families, and lack of clarity of who is responsible for care, leading to neglect of children's needs. These issues place a huge responsibility on parents or relatives.
Better communication within mental health services, and better collaboration with other services such as school and social services, could limit children's suffering. Healthcare services with named professionals who specialize in child mental health and provide continuity in care, are required. General human rights principles should guide planning and care of children.
对于患者报告的问题,尤其是在为心理健康不佳的儿童提供的精神科服务中,人们了解甚少。儿童和家庭与儿童心理健康服务相关的投诉可以根据健康和医疗保健的普遍人权进行分析和讨论。因此,本研究的目的是分析与儿童心理健康服务相关的儿童和家庭投诉。
采用回顾性描述性设计。通过定性主题分析对儿童和家庭投诉进行分析。
结果分为三个主题进行描述,分别是难以获得护理服务、心理健康服务机构与心理健康不佳的儿童及其家庭之间沟通不足,以及护理责任不明确,导致儿童需求被忽视。这些问题给父母或亲属带来了巨大的责任。
改善精神卫生服务内部的沟通,以及加强与学校和社会服务等其他服务机构的合作,可以减轻儿童的痛苦。需要有专门从事儿童心理健康工作并提供持续护理的指定专业人员的医疗服务。一般人权原则应指导儿童的规划和护理。