Antipsychotic treatment for youth in foster care: Perspectives on improving youths' experiences in providing informed consent.

Antipsychotic treatment for youth in foster care: Perspectives on improving youths' experiences in providing informed consent.
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寄养青少年的抗精神病治疗:改善青少年提供知情同意的体验的观点。

DOI:
10.1037/ort0000532
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发表时间:
2021
期刊:
The American journal of orthopsychiatry
影响因子:
--
通讯作者:
Crystal,Stephen
Crystal,Stephen
中科院分区:
--
文献类型:
--
作者:
Simmel,Cassandra;Bowden,CadenceF;Neese-Todd,Sheree;Hyde,Justeen;Crystal,Stephen

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不成比例的处方高风险的抗精神病药物的青年寄养是一个重大的社会问题,在美国这个定性研究探讨利益相关者的看法,处方,被处方,或监督处方的青年寄养。与临床医生,儿童福利个案工作者,寄养照顾者和寄养校友进行了访谈和焦点小组。总体目标是系统地探讨他们对治疗知情同意书的理解和经验,以及与寄养青少年抗精神病药物处方和监测相关的共同决策过程。参与者是从全国各地招募的;通过电话和网络格式,使用结构化访谈或焦点小组指南收集数据。这项研究植根于利益相关者的生活经验,在解决最近的联邦立法授权和指导方针的监督和协调精神卫生服务提供给青年寄养。出现了许多主题,为参与多种儿童服务系统的青年采用基于团队的方法提供了背景。会上提出了八个主题,说明成功实施知情同意和共同决策的必要组成部分,以及与这一进程密切相关的障碍和关切。研究结果解决了微妙的复杂性和紧张局势与内在的权衡提供精神卫生保健的青年参与寄养。
The disproportionate prescribing of high-risk antipsychotic medication for youth in foster care is a significant social problem across the US This qualitative study examined stakeholder perceptions of prescribing, being prescribed, or overseeing prescriptions for youth in foster care. Interviews and focus groups were conducted with clinicians, child welfare caseworkers, foster caregivers, and foster care alumni. The overall aim was to systematically explore their understanding of and experiences with the Informed Consent to treatment and shared decision-making processes related to prescribing and monitoring of antipsychotic medications for youth in foster care. Participants were recruited from around the country; data collection using structured interview or focus group guides occurred via telephone and web-based formats. This study is rooted in the lived experiences of stakeholders in addressing recent federal legislative mandates and guidelines for the oversight and co-ordination of mental health service delivery to youth in foster care. Numerous themes emerged that provide context in employing a team-based approach for youth engaged with multiple child-serving systems. Eight themes emerged that illustrate the necessary components of successfully implementing Informed Consent and shared decision-making as well as the barriers and concerns germane to this process. The findings address the nuanced complexity of and tensions with the trade-offs inherent in delivering mental health care to youth involved in foster care.
寄养青少年的精神药物治疗模式
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