Program for Health System and Technology Evaluation, Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada
Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2024 Aug 28;14(8):e087437. doi: 10.1136/bmjopen-2024-087437.
Despite high prevalence, access to mental healthcare for Canadian youth is limited, with less than 20% receiving adequate treatment. Marginalised and at-risk youth face particular challenges, including cultural misunderstandings, long wait times and negative care experiences. A competency framework for mental health clinicians working with youth can be a tool to increase the capacity of the health workforce to deliver culturally responsive care. This scoping review aims to comprehensively summarise the existing literature on competency frameworks for mental health clinicians and youth service providers, assessing how these frameworks align with culturally responsive care and examining their development, evaluation and implementation methods.
This review protocol is guided by the Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines and registered with the Open Science Framework (https://doi.org/10.17605/OSF.IO/EY7NF). The search strategy, developed with an Information Specialist, comprises a three-step process: preliminary searches in two databases, expansion of the search across Medline, CINAHL, EMBASE, PsycInfo, CENTRAL and dissertations and theses databases and examination of reference lists and hand-searching for additional sources. The search strategy was reviewed using the Peer Review of Electronic Search Strategies checklist. Eligible English language articles will be selected through title and abstract screening (level 1) and full-text review (level 2). The search dates are 18 July and 21 August 2023, as well as 19 January 2024. Data from eligible articles will be extracted in duplicate and independently using a data extraction form. The data will then be summarised descriptively and qualitatively using content analysis mapped to the four evidence-based conceptual frameworks and presented in a table.
As the scoping review involves gathering and describing existing literature, it is exempt from ethical approval requirements. The findings of this scoping review will be presented at relevant local and international conferences and published in a peer-reviewed journal. The findings will also be disseminated and shared with professional organisations to enhance healthcare workforce capacity and drive systemic change. Furthermore, the findings will be used to inform doctoral work and future mental health and health education research related to underserved youth.
尽管加拿大青少年的心理健康问题普遍存在，但获得心理健康护理的机会有限，只有不到 20%的人接受了足够的治疗。边缘化和处于风险中的青少年面临着特殊的挑战，包括文化误解、长时间等待和负面的护理体验。为与青少年合作的心理健康临床医生制定能力框架可以作为一种工具，提高卫生工作队伍提供文化响应式护理的能力。这项范围界定审查旨在全面总结现有关于心理健康临床医生和青年服务提供者能力框架的文献，评估这些框架如何与文化响应式护理保持一致，并研究它们的发展、评估和实施方法。
本审查方案遵循 Joanna Briggs 研究所和系统评价与荟萃分析扩展的首选报告项目（Preferred Reporting Items for Systematic reviews and Meta-Analyses extension）范围界定审查指南，并在开放科学框架（Open Science Framework）上注册（https://doi.org/10.17605/OSF.IO/EY7NF）。该搜索策略由一名信息专家制定，包括三个步骤：在两个数据库中进行初步搜索，在 Medline、CINAHL、EMBASE、PsycInfo、CENTRAL 和论文数据库中扩展搜索，并检查参考文献列表和手工搜索其他来源。使用同行评审电子搜索策略检查表审查了搜索策略。通过标题和摘要筛选（第 1 级）和全文审查（第 2 级）筛选符合条件的英文文章。搜索日期为 2023 年 7 月 18 日和 8 月 21 日，以及 2024 年 1 月 19 日。使用数据提取表从符合条件的文章中重复提取数据。然后使用内容分析将数据以表格形式进行描述性和定性总结，并映射到四个循证概念框架。
由于范围界定审查涉及收集和描述现有文献，因此不需要伦理批准。这项范围界定审查的结果将在相关的本地和国际会议上展示，并发表在同行评议的期刊上。研究结果还将与专业组织进行传播和共享，以提高卫生保健人员的能力，并推动系统变革。此外，研究结果将用于指导博士工作和未来与服务不足的青年有关的心理健康和健康教育研究。
