McKern Denise B, Krishnamoorthy Govind, Dallinger Vicki C, Heart Diane, Maybery Darryl
School of Psychology and Wellbeing, University of Southern Queensland (UniSQ), Toowoomba, QLD 4350, Australia.
Manna Institute, Center for Health Research, University of Southern Queensland (UniSQ), Toowoomba, QLD 4350, Australia.
Children (Basel). 2025 Jun 17;12(6):787. doi: 10.3390/children12060787.
Mental disorders that emerge during adolescence frequently extend into adulthood, predicting poor academic and employment outcomes and heavy societal burdens. Novel efforts to improve youth mental health have transitioned from clinical recovery, typically focused on a cure, to a strength-based approach to wellbeing in supporting youth within mental health services. Mental health scholars have appealed for interventions to adopt an ecological system of care approach that integrates the principal caregivers in a young person's life. Despite preliminary literature indicating the importance of caregivers, little research has focused on the caregiver's role in supporting personal recovery in youth. : This study sought to understand the role of caregivers in youth recovery by employing a qualitative design to inductively analyze the narratives from nine semi-structured interviews with caregivers. Additionally, deductive analysis explored the core five underpinnings of personal recovery connectedness, hope, identity, meaning, and empowerment (CHIME). : A thematic analysis of the literature identified five themes: providing unconditional love and positive regard; encouraging connection with peers; co-creating a sense of purpose, meaning, and hope; supporting assertiveness and advocacy; and promoting strength and opportunity for mastery aligning with the CHIME framework. The findings will allow health services to understand caregivers' roles better, thus providing information to guide recovery-oriented and family-centered care.
青春期出现的精神障碍常常会延续到成年期，预示着学业和就业成果不佳以及沉重的社会负担。改善青少年心理健康的新举措已从通常专注于治愈的临床康复，转变为在心理健康服务中支持青少年时采用基于优势的幸福观方法。心理健康学者呼吁干预措施采用一种生态系统护理方法，将主要照顾者纳入年轻人的生活中。尽管初步文献表明照顾者的重要性，但很少有研究关注照顾者在支持青少年个人康复中的作用。本研究旨在通过采用定性设计，对来自九次与照顾者的半结构化访谈的叙述进行归纳分析，来了解照顾者在青少年康复中的作用。此外，演绎分析探讨了个人康复的五个核心基础——联系、希望、身份认同、意义和赋权（CHIME）。对文献的主题分析确定了五个主题：给予无条件的爱和积极关注；鼓励与同龄人建立联系；共同创造目标感、意义感和希望感；支持坚定自信和自我主张；以及促进与CHIME框架相一致的掌握能力的力量和机会。这些发现将使卫生服务机构更好地理解照顾者的角色，从而提供信息以指导以康复为导向和以家庭为中心的护理。
