Crombach C M W, Janssen S E R, Daemen M, Klaassen R M C, van Amelsvoort T, Leijdesdorff S M J
MHeNs School for Mental Health and Neuroscience Maastricht University, Maastricht, The Netherlands.
Maastricht University, Maastricht, The Netherlands.
Child Psychiatry Hum Dev. 2025 May 23. doi: 10.1007/s10578-025-01861-z.
Young people with mental health problems do not always receive appropriate care. This study aims to increase understanding of the barriers and facilitators that young people face in their pathways towards care, by making use of targeted outreach activities by @ease, a youth-friendly walk -in center in the Netherlands. A questionnaire enquiring demographic characteristics, symptom levels and levels of functioning was administered to young people as part of a pilot-outreach program at @ease. Semi-structured interviews were conducted with participants to explore their attitudes towards and experiences with mental health care and how these influenced their help-seeking. Sixty-six participants were included in the pilot-outreach @ease program. Main themes concerning participant help-seeking were 'beliefs about self and others', 'accessibility of care', 'social network' and 'previous experiences with mental health care'. Participants also gave suggestions for care improvement. The outreach pilot successfully reached young people previously underrepresented through the regular @ease program. A key finding is that participants' previous experiences with mental health care played an important role in shaping their attitudes towards future help-seeking for mental health problems, influencing them both positively and negatively.
有心理健康问题的年轻人并非总能得到恰当的治疗。本研究旨在通过荷兰一家对年轻人友好的即到即看中心@ease开展的针对性外展活动，增进对年轻人在寻求治疗过程中所面临的障碍和促进因素的理解。作为@ease试点外展项目的一部分，向年轻人发放了一份询问人口统计学特征、症状水平和功能水平的问卷。对参与者进行了半结构化访谈，以探讨他们对心理健康护理的态度和经历，以及这些如何影响他们的求助行为。66名参与者被纳入@ease试点外展项目。与参与者求助行为相关的主要主题包括“对自我和他人的看法”、“护理的可及性”、“社交网络”以及“以往的心理健康护理经历”。参与者还提出了改善护理的建议。该外展试点项目成功接触到了那些在常规@ease项目中代表性不足的年轻人。一个关键发现是，参与者以往的心理健康护理经历在塑造他们对未来心理健康问题求助行为的态度方面发挥了重要作用，既有积极影响，也有消极影响。
