Department of Primary Care and Mental Health, University of Liverpool, Liverpool L69 7ZA, UK.
NIHR Applied Research Collaboration North West Coast (ARC NWC), Liverpool L69 7ZA, UK.
Int J Environ Res Public Health. 2023 Nov 20;20(22):7086. doi: 10.3390/ijerph20227086.
The global COVID-19 pandemic presented not only challenges for services but also opportunities for reflection and change. This study aimed to understand young people, parents/carers, and professionals' experiences of remote provision across a voluntary sector organization to inform the nature of future delivery. Reflections from professionals ( = 7), young people ( = 7), and parents/carers ( = 2) were collected through semi-structured interviews and focus groups. Data were thematically analysed. Five overarching themes were identified: 'Accessibility', 'Remote therapeutic experiences', 'Translating to online', 'Spaces of comfort/discomfort', and 'Moving towards hybrid provision'. The COVID-19 pandemic changed service provision, notably with accelerated digitalisation. Although the service became more accessible, the digitalisation of services impacted the relational experiences for young people. Nevertheless, online provision was described as a 'steppingstone', allowing young people to engage in online therapy or group programmes before transferring to in-person provision. Although remote provision can lead to improvements in young people's mental health, this format was not suitable for all. When considering future models of provision, assessing needs, preferences, and access to private space and hardware are all important considerations when deciding which format to use to achieve the best possible outcomes.
全球 COVID-19 大流行不仅给服务带来了挑战，也为反思和变革提供了机会。本研究旨在了解年轻人、家长/照顾者和专业人士在一个志愿组织中远程服务的体验，以了解未来服务的性质。通过半结构化访谈和焦点小组收集了专业人员（=7 人）、年轻人（=7 人）和家长/照顾者（=2 人）的反馈。对数据进行了主题分析。确定了五个总体主题：“可及性”、“远程治疗体验”、“转化为在线”、“舒适/不适空间”和“向混合服务发展”。COVID-19 大流行改变了服务提供方式，特别是加速了数字化。尽管服务变得更加便捷，但服务的数字化却影响了年轻人的关系体验。尽管如此，在线服务被描述为一个“垫脚石”，让年轻人在转入面对面服务之前，能够参与在线治疗或团体项目。尽管远程服务可以改善年轻人的心理健康，但这种方式并不适合所有人。在考虑未来的服务模式时，评估需求、偏好以及私人空间和硬件的获取情况，都是在决定使用哪种模式以获得最佳结果时需要考虑的重要因素。
