A community-based approach to identifying and prioritising young people's mental health needs in their local communities.
A community-based approach to identifying and prioritising young people's mental health needs in their local communities.
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DOI：
10.1186/s40900-023-00510-w
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发表时间：
2023-11-23
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根据社会和环境因素，确定与当地相关和商定的改善青年人心理健康的优先事项，对于使目标社区受益至关重要。本文描述了一种参与式方法，让年轻人和专业人士参与确定此类优先事项，同时考虑与之相关的社会决定因素。我们采用以社区为基础的参与式方法，支持年轻人和专业人士识别，审查，完善和优先考虑，对理解和解决年轻人心理健康的社会决定因素至关重要的本地相关机会领域。我们采用了一个灵活的五阶段进程，这使得能够根据青年和专业人员的反馈和思考进行更多的反思和调整。在七个多月的时间里，我们与北方德文郡（英格兰西南部的一个农村地区）的年轻人和专业人士进行了接触，涉及290多人，以确定当地相关的优先事项，支持年轻人的心理健康。确定了三个优先事项，供随后采用共同设计方法进行探索：（1）身份和归属;（2）心理健康意识和扫盲;（3）多样化机会（教育、就业和休闲）。这些活动表明，在这些领域制定倡议和战略有助于改善青年人的心理健康。北方德文郡的年轻人优先考虑了凯洛计划下一阶段的三个主题--心理健康扫盲、获得多样化的职业和就业机会以及社区内的身份和归属感。农村社区面临着与这些问题相关的独特障碍，这些障碍涉及人口多样性较低、缺乏可靠和负担得起的交通工具和当地工业以及季节性工作。与城市地区相比，当局对农村青年的忽视导致缺乏满足其具体需求的活动和机会。虽然政府已经认识到有必要解决这些差距，但社区成员认为还有更多的工作要做。在线版本包含补充材料，可通过10.1186/s40900-023-00510-w获得。Kailo项目旨在帮助年轻人及其社区找到当地解决方案，以改善英国的心理健康。本文讨论了我们在英格兰北方德文郡的发现。通过与年轻人和专业人士的各种对话和研讨会，我们确定了三个关键主题：（1）身份和归属感;（2）心理健康知识和意识;以及（3）各种职业，教育和休闲机会。这些主题将是凯洛的下一阶段的重点，将与年轻人和社区专业人士一起设计和开发想法和举措，旨在帮助解决年轻人在北方德文郡内遇到的重要心理健康挑战。在线版本包含补充材料，可通过10.1186/s40900-023-00510-w获得。
Identifying locally relevant and agreed-upon priorities for improving young people’s mental health, aligned with social and environmental factors, is essential for benefiting target communities. This paper describes a participatory approach to engage young people and professionals in identifying such priorities, whilst considering the social determinants related to them. We utilised a community-based participatory approach to support young people and professionals in identifying, reviewing, refining, and prioritising, locally relevant opportunity areas that are crucial for understanding and addressing social determinants of young people’s mental health. We adopted a flexible five-stage process, which enabled greater reflection and adaptation in response to young people’s and professionals’ feedback and reflections. Over seven months, we engaged with young people and professionals in Northern Devon, (a rural area in southwest England), involving over 290 individuals to identify locally relevant priorities for supporting young people’s mental health. Three priorities were identified for subsequent exploration using co-design approaches: (1) identity and belonging; (2) mental health awareness and literacy; and (3) diverse opportunities (for education, employment and leisure). The engagements suggested that designing initiatives and strategies in these areas could contribute to improvements in young people’s mental health. Young people in Northern Devon prioritised three themes for the next phase of the Kailo Programme—mental health literacy, access to diverse careers and employment opportunities, and identity and belonging within their communities. Rural communities face unique barriers associated with these issues, related to less diverse populations, lack of access to reliable and affordable transport and local industries, and seasonal working. The perceived neglect by authorities towards rural young people has resulted in a lack of activities and opportunities catering to their specific needs, compared to urban areas. Although the government has recognised the need to address these disparities, community members suggest that there is still more work to be done. The online version contains supplementary material available at 10.1186/s40900-023-00510-w. The Kailo project aims to help young people and their communities find local solutions for better mental health in the UK. This paper discusses our findings in Northern Devon, England. Through various conversations and workshops with young people and professionals, we identified three key themes: (1) identity and belonging; (2) mental health knowledge and awareness; and (3) a variety of career, education, and leisure opportunities. These themes will be of focus for Kailo’s next phase where ideas and initiatives will be designed and developed with young people and community professionals with the aim to help address important mental health challenges young people are experiencing within Northern Devon. The online version contains supplementary material available at 10.1186/s40900-023-00510-w.