Young voices in mental health care: Exploring children's and adolescents' service experiences and preferences
Young voices in mental health care: Exploring children's and adolescents' service experiences and preferences
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DOI：
10.1177/1359104516656722
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发表时间：
2017-01-01
影响因子：
1.8
通讯作者：
Michelson, Daniel
中科院分区：
文献类型：
--
作者：
Persson, Stefan;Hagquist, Curt;Michelson, Daniel
发展“青年友好型”服务已成为各种医疗保健领域的优先事项。然而，专门调查用户对儿童和青少年心理保健的体验和偏好的研究相对较少。目前的研究基于两个数据源，调查了瑞典年轻服务使用者对门诊和社区心理健康诊所的看法。首先，对七名儿童和青少年（10-18 岁）进行焦点小组访谈，探讨心理保健的积极和消极经历。其次，收集了 106 名儿童和青少年关于具体服务改进的书面建议。定性内容分析揭示了三个首要主题：“可访问性”、“被听到和看到”以及“会议的实用性”。年轻人提出的改进实践的建议包括在温馨的环境中提供更方便的预约时间；有机会与临床工作人员进行更公开的沟通，从而能够敏感地讨论心理健康和更广泛的个人问题；以及更有条理的治疗方法，为年轻人的心理健康和发展需求提供更大的可信度和相关性。年轻人还讨论了被父母和学校专业人员强迫接受治疗的问题。必须优先考虑年轻人的偏好，以克服对参加治疗的矛盾心理，并提高治疗参与度和治疗效果。
The development of youth-friendly' services has become a priority across a wide range of health-care contexts. However, relatively few studies have specifically examined users' experiences of, and preferences for, child and adolescent mental health care. The current study investigated young service users' views of outpatient and community mental health clinics in Sweden, based on two data sources. First, focus group interviews were conducted with seven children and adolescents (aged 10-18 years) to explore both positive and negative experiences of mental health care. Second, written suggestions about specific service improvements were obtained from 106 children and adolescents. Qualitative content analysis revealed three overarching themes: Accessibility', Being heard and seen' and Usefulness of sessions'. Young people's recommendations for improving practice included more convenient appointment times, offered in welcoming settings; opportunities to communicate more openly with clinical staff, enabling sensitive discussion of mental health and wider personal issues; and more structured treatments that offer greater credibility and relevance to young people's mental health and developmental needs. Young people also discussed being compelled by parents and school professionals to engage in treatment. Attending to young people's preferences must be a priority in order to overcome ambivalence about session attendance, and enhance treatment participation and outcomes.