Mirzaian Christine B, Deavenport-Saman Alexis, Hudson Sharon, Betz Cecily L
Children's Hospital Los Angeles.
Keck School of Medicine of the University of Southern California (USC).
Health Care Transit. 2024 Nov 4;2:100075. doi: 10.1016/j.hctj.2024.100075. eCollection 2024.
Limited knowledge exists as to the supports and services young people with IDD and co-occurring mental health conditions need to transition to adult-focused health care and adulthood.
The survey findings presented were part of a larger investigation that explored these service and supports needs obtained from 144 respondents. Data reported for this investigation were obtained from 144 respondents who answered the question, "What do you think would be most helpful to assist young people with IDD and mental health conditions with the transition from child to adult health care (not including mental health care)?"Qualitative analysis based upon the social-ecological model was undertaken.
Based on the social-ecological model (SEM), health care transition needs were reported in four of the five SEM domains-Individual, Family, Provider, and Systems Level. The responses were most frequently categorized in the SEM domains in following descending order: Individual, Provider, System and Family.
Implications for research and practice suggest that multi-level approach is needed to address the range of service needs for young adults with IDD and co-occurring mental health conditions.
对于患有智力和发育障碍(IDD)以及同时存在心理健康问题的年轻人,在向以成人为主的医疗保健和成年期过渡时所需的支持和服务,人们了解有限。
所呈现的调查结果是一项更大规模调查的一部分,该调查探讨了从144名受访者那里获得的这些服务和支持需求。本次调查所报告的数据来自144名回答了“你认为什么对帮助患有IDD和心理健康问题的年轻人从儿童医疗保健过渡到成人医疗保健(不包括精神卫生保健)最有帮助?”这一问题的受访者。基于社会生态模型进行了定性分析。
基于社会生态模型(SEM),在SEM的五个领域中的四个——个人、家庭、提供者和系统层面,都报告了医疗保健过渡需求。这些回答在SEM领域中的分类频率从高到低依次为:个人、提供者、系统和家庭。
对研究和实践的启示表明,需要采取多层次方法来满足患有IDD和同时存在心理健康问题的年轻成年人的一系列服务需求。