From parenting skills to adolescent treatment needs: Questions elicited by parents of adolescents discharged from residential treatment.
From parenting skills to adolescent treatment needs: Questions elicited by parents of adolescents discharged from residential treatment.
复制标题
DOI：
10.1016/j.dadr.2022.100110
复制
发表时间：
2022-12
期刊：
影响因子：
--
通讯作者：
Becker, Sara J
中科院分区：
文献类型：
--
作者：
Kelly, Lourah M;Correia, Nicholas;Kearns, Mika D H;Lang, Sharon G;Yermash, Julia;Guigayoma, John;Helseth, Sarah A;Becker, Sara J
这一定性分析反映了青少年家长对住院治疗的需求。与之前的工作相比，父母没有获得持续的护理计划。共同主题是养育技巧、家长支持和青少年药物滥用。三个新主题包括青少年心理健康、治疗需求和社交。对于有复杂行为需求的青少年，父母在出院后需要特定的支持。尽管家长参与青少年住院治疗后的持续护理很有用，但家长对传统办公室治疗的参与度较低。在我们之前的工作中，我们发现能够访问持续护理论坛的父母会围绕五个主题向临床专家和其他父母提出问题：养育技能；家长支持；管理出院后的过渡；青少年药物滥用；家庭运作。 The current qualitative study elicited questions from parents without access to a continuing care support forum to explore overlapping and new themes This study was embedded within the pilot trial of a technology-assisted intervention for parents of adolescents in residential treatment for substance use.像往常一样被随机分配到住院治疗的 31 名家长在后续评估中被问到两个提示：他们想问临床专家什么问题，以及他们想问其他从住院治疗中出院的青少年的父母什么问题。主题分析确定了主要主题和副主题 29 名家长提出了 208 个问题。分析揭示了之前工作中确定的三个主题：养育技能；家长支持；青少年物质使用。出现了三个新主题：青少年心理健康；治疗需求；社会化 当前的研究确定了无法获得持续护理支持论坛的父母的几种不同需求。本研究中确定的需求可以为出院后青少年家长提供支持的资源提供信息。父母可以方便地向经验丰富的临床医生寻求有关技能和青少年症状的建议，并获得父母同伴的支持。
This qualitative analysis reflects the needs of parents of teens in residential treatment. Parents were not offered a continuing care program, in contrast to prior work. Common themes were parenting skills, parent support, and adolescent substance use. Three new themes included adolescent mental health, treatment needs, and socialization. Parents need specific support after discharge for teens with complex behavioral needs. Despite the utility of parent involvement in continuing care following adolescent residential treatment, parent engagement in traditional office-based treatment is low. In our prior work, we found that parents who had access to a continuing care forum directed questions to a clinical expert and to other parents around five topics: parenting skills; parent support; managing the post-discharge transition; adolescent substance use; family functioning. The current qualitative study elicited questions from parents without access to a continuing care support forum to explore overlapping and new themes This study was embedded within the pilot trial of a technology-assisted intervention for parents of adolescents in residential treatment for substance use. Thirty-one parents randomized to residential treatment as usual were asked two prompts at follow-up assessments: what questions they would like to ask a clinical expert and what questions they would like to ask other parents of adolescents discharged from residential care. Thematic analysis identified major themes and subthemes Twenty-nine parents generated 208 questions. Analyses revealed three themes identified in prior work: parenting skills; parent support; adolescent substance use. Three new themes emerged: adolescent mental health; treatment needs; socialization The current study identified several distinct needs among parents who did not receive access to a continuing care support forum. Needs identified in this study can inform resources to support parents of adolescents during the post-discharge period. Parents may benefit from convenient access to an experienced clinician for advice on skills and adolescent symptoms, paired with access to parental peer support.