Parental perceptions of barriers to mental health services for young people

Parental perceptions of barriers to mental health services for young people
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DOI:
10.1111/eip.12281
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发表时间:
2018-04-01
影响因子:
2
通讯作者:
Davis, Esther L.
Davis, Esther L.
中科院分区:
医学3区
文献类型:
--
作者:
Iskra, Wendy;Deane, Frank P.;Davis, Esther L.

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目的本研究探讨了一系列的障碍,父母在获得心理健康服务。该研究还探讨了父母是否经历了类似的障碍,在2003年和2013.Methods134名家长的年轻人参加了初步评估的儿童和青少年心理健康服务(CAMHS)或顶空中心完成了一份问卷调查,评估10个一般障碍的照顾。这些数据进行了比较,收集了129名参与者在CAMHS在2003年。结果排序的障碍,为他们的孩子的精神卫生保健是相似的两个调查年,等待时间太长,帮助太贵的两个最高排名的障碍。费用因素与不知道这些服务不收费和不得不请假赴约有关。关于等待时间的主要关切是,转诊步骤多,等待时间不确定。的整体实力与障碍认可仍然相对较低,但是,至少有40%的样本同意,他们经历了四个障碍,在这两年.ConclusionsDespite相对较低的认可障碍,有相当大比例的父母谁经历了一些障碍的服务,服务应继续努力,以减少他们,以方便及时获得。特别需要提供更多与服务有关的信息,以澄清公共部门的精神卫生服务不收费。快速初步评估和积极管理等待名单等方法可能会在某种程度上减少人们认为的等待时间障碍。
AimThis study explores a range of barriers that parents encountered in accessing mental health services. The study also explored whether parents experienced similar barriers to accessing services in 2003 and 2013.MethodsOne hundred and thirty-four parents of young people attending an initial assessment at a Child and Adolescent Mental Health Service (CAMHS) or headspace centre completed a questionnaire assessing 10 general barriers to care. These data were compared to those collected from 129 participants at CAMHS in 2003.ResultsThe ranking of barriers to mental health care for their children was similar for both survey years, with wait time being too long' and help being too expensive' the two highest ranked barriers. Cost factors were related to not knowing that the services did not charge fees and having to take time off work to attend appointments. Multiple referral steps and uncertain wait times were the main concerns regarding wait times. The overall strength with which barriers were endorsed remained relatively low; however, at least 40% of the sample agreed they had experienced four of the barriers in both years.ConclusionsDespite relatively low endorsement of barriers, there are substantial proportions of parents who experienced some barriers to services, and services should continue working to reduce them to facilitate timely access. There is a particular need for more service-related information to clarify that public sector mental health services do not charge fees. Methods such as rapid initial assessment and actively managing wait lists may go some way to reducing perceived wait time barriers.