Goicolea Isabel, Richter Sundberg Linda, Wiklund Maria, Gotfredsen Anne, Christianson Monica
Department of Epidemiology and Global Health, Umeå International School of Public Health, Umeå University, Umeå, Sweden.
Department of Psychology, Umeå University, Umeå, Sweden.
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2348879. doi: 10.1080/17482631.2024.2348879. Epub 2024 May 3.
The aim of this study was to explore how health care providers at youth clinics (YCs) in Sweden engage with, focus on, and navigate across the mental health youth space, while upholding the core bedrock principle of "youth-centeredness".
Qualitative interviews were conducted with 21 health care professionals working in three YCs located in three different regions of Sweden. Data were analysed using reflexive thematic analysis informed by the work of Braun and Clarke.
The three themes were: 1) "youth mission-at the core of the YCs" work and challenged by a stronger involvement in mental ill health'; 2) "YCs" unique and complementary role in the youth mental health system: a holistic perspective, team work, and a focus on normalization', and 3) "Caught between a rock and a hard place: to treat at a care level that is not optimal for the young users" needs or to refer within an unreliable system'.
This study reflects the individuality and key features of YCs, their widening roles within the mental health sphere, and the challenges faced in maintaining and expanding the characteristic "youth-centred" approach while expanding their work with mental health.
本研究旨在探讨瑞典青少年诊所（YC）的医疗服务提供者如何在坚持“以青少年为中心”这一核心基本原则的同时，参与、关注并在青少年心理健康领域中开展工作。
对瑞典三个不同地区的三家青少年诊所的21名医疗专业人员进行了定性访谈。采用基于布劳恩和克拉克的研究成果的反思性主题分析法对数据进行分析。
三个主题分别为：1）“青少年使命——青少年诊所工作的核心，并因更多地参与心理健康问题而受到挑战”；2）“青少年诊所在青少年心理健康系统中的独特且互补的作用：整体视角、团队合作以及对正常化的关注”；3）“进退两难：要么以不符合年轻使用者需求的护理水平进行治疗，要么在一个不可靠的系统内进行转诊”。
本研究反映了青少年诊所的个性和关键特征、它们在心理健康领域不断扩大的作用，以及在扩大心理健康工作的同时，维持和扩展“以青少年为中心”这一特色方法所面临的挑战。
