School of Social Work, University of Texas at Arlington, Arlington, TX 76019, USA.
Family-Run Executive Director Leadership Association (FREDLA), Elliot City, MD 21042, USA.
Int J Environ Res Public Health. 2024 Feb 1;21(2):172. doi: 10.3390/ijerph21020172.
This project documents the service outcomes that caregivers value most. A diverse group of caregivers, representing six regions of the United States, participated in two rounds of virtual one-hour focus groups. In round 1, participants identified what they hoped to gain from using behavioral health services for themselves, their families, and their child and discussed what made services a positive experience for them. They then reported their top-three most-hoped-for outcomes. In round 2, groups validated and refined summary findings from round 1. Caregivers prioritized service quality outcomes, primarily. They expressed a desire for an accessible, respectful, and supportive treatment environment, underpinned by well-trained and culturally responsive professionals. Caregivers also desire seamless cross-sector provider collaboration and care transitions, which integrate the insights and preferences of families and children themselves to craft a customized care plan. Priority outcomes not related to service quality included hoping to gain increased knowledge, resources, and tools and techniques to support the mental health needs of their children, to see their children improve their daily functioning and for their child develop more effective interpersonal communication skills. Caregivers also reported hoping to experience less stigma related to the mental health needs of their children and to achieve personal fulfillment for themselves and their children. Research, policies, and mental health services should prioritize and be designed to address the outcomes that matter to youth and families.
本项目记录了照护者最看重的服务成果。一组来自美国六个地区的多元化照护者参加了两轮时长一小时的虚拟焦点小组讨论。在第一轮中,参与者确定了他们希望从自己、家人和孩子的行为健康服务中获得什么,并讨论了使服务对他们来说是一次积极体验的因素。然后,他们报告了他们最希望得到的前三项成果。在第二轮中,各小组验证并完善了第一轮的总结性发现。照护者优先考虑服务质量成果。他们希望有一个可及、尊重和支持的治疗环境,其基础是经过良好培训且对文化敏感的专业人员。照护者还希望无缝的跨部门提供者合作和护理过渡,将家庭和儿童自身的见解和偏好融入其中,制定个性化的护理计划。与服务质量无关的优先成果包括希望增加知识、资源和工具以及技术,以支持其孩子的心理健康需求,看到他们的孩子改善日常功能,以及帮助他们的孩子发展更有效的人际交往能力。照护者还报告希望减少与孩子的心理健康需求相关的污名化,并为自己和孩子实现个人成就感。研究、政策和心理健康服务应该优先考虑并设计为满足青年和家庭关心的成果。