Quinlan-Davidson Meaghen, Cleverley Kristin, Barbic Skye, Courtney Darren, Dimitropoulos Gina, Hawke Lisa D, Nandlall Nadia, Ma Clement, Prebeg Matthew, Henderson J L
Centre for Addiction and Mental Health, Toronto, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Can J Public Health. 2025 Apr 16. doi: 10.17269/s41997-025-01020-w.
To generate concrete, youth-derived recommendations to support Canada's post-pandemic recovery from COVID-19 to support youth mental health and substance use (MHSU), economic, and educational recovery.
Using a virtual, modified Delphi, participants rated recommendation items over three rounds, with the option to create their own recommendation items. A priori consensus was defined as ≥ 70% of the entire group, or subgroups of youth (e.g., age, race/ethnicity, gender and sexual identities), rating items at a 6 or 7 (on a 7-point Likert scale). Items were dropped in subsequent rounds if they did not achieve consensus. Qualitative responses were analyzed using content analysis for Round 1.
A total of 40 youths participated in Round 1, with good retention (97.5%) in subsequent rounds. Youths achieved consensus on eight recommendations to support post-pandemic recovery. Youths endorsed post-pandemic strategies that prioritize the implementation of effective, accessible, and low-cost MHSU services in schools, workplaces, and communities; the integration of MHSU education into school lessons; increased awareness about MHSU services in schools and workplaces; and the prioritization of health and well-being in schools and workplaces.
Findings indicate the need for stronger partnerships between schools, community-based MHSU services, and hospitals, and job opportunities that pay a living wage.
提出源自青年的具体建议，以支持加拿大从新冠疫情中恢复，促进青年心理健康和物质使用（MHSU）、经济及教育的复苏。
采用虚拟的、经过改良的德尔菲法，参与者在三轮中对建议项目进行评分，并有创建自己建议项目的选项。先验共识定义为整个群体或青年亚组（如年龄、种族/族裔、性别和性取向）中≥70%的人将项目评为6或7（7点李克特量表）。如果项目未达成共识，则在后续轮次中删除。对第一轮的定性回复采用内容分析法进行分析。
共有40名青年参与了第一轮，后续轮次的保留率良好（97.5%）。青年就八项支持疫情后复苏的建议达成了共识。青年认可疫情后战略，这些战略优先在学校、工作场所和社区实施有效、可及且低成本的MHSU服务；将MHSU教育纳入学校课程；提高学校和工作场所对MHSU服务的认识；以及在学校和工作场所优先考虑健康和福祉。
研究结果表明，学校、社区MHSU服务机构和医院之间需要建立更强有力的伙伴关系，以及提供能维持生计工资的工作机会。
