Barriers and facilitators for access to mental health services by traumatized youth.
Barriers and facilitators for access to mental health services by traumatized youth.
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DOI：
10.1016/j.childyouth.2018.01.003
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发表时间：
2018-01
影响因子：
3.3
通讯作者：
Mendelson T
中科院分区：
文献类型：
--
作者：
Damian AJ;Gallo JJ;Mendelson T
多发性创伤在美国是一个非常普遍的公共卫生问题，在城市地区发病率更高。患有多发性创伤的儿童往往最终在多个儿童服务系统（例如，心理健康、儿童福利、教育、少年司法），其需求既复杂又严峻。这些儿童服务系统内的提供者有可能充当创伤服务的守门人，将青年与创伤知情治疗和促进康复的支持联系起来。我们的研究的目的是评估供应商的角度谁参加了9个月，创伤知情的护理（TIC）培训干预1）他们的能力，使转介到创伤特定的服务后的培训，和2）外部因素的培训干预，支持或阻碍他们的能力联系创伤青年与服务。来自TIC培训的16名参与者完成了个人访谈。这些参与者主要是女性、非裔美国人，并在社会服务部门工作。不断比较的方法被用来获得三个主题领域相关的参与者的看法，青年转介：1）组织和供应商的能力，提供创伤治疗或转介到创伤的具体服务，2）青年访问创伤服务的障碍，和3）建议，以改善协调的护理和转介。我们的研究强调了环境因素的影响，TIC培训是否可以提高机构和个人提供者的能力，以支持创伤青年获得适当的服务。建议建立一个结构，将青年服务机构和提供者与受过处理受创伤青年培训的专家正式联系起来。
Polytrauma is a highly prevalent public health problem in the U.S. with even higher rates in urban areas. Children with polytrauma often end up in multiple child-serving systems (e.g., mental health, child welfare, education, juvenile justice) with needs that are both complex and severe. Providers within these child-serving systems have potential to serve as gatekeepers to trauma services by linking youth with trauma-informed treatments and supports that promote recovery. The purpose of our study was to assess the perspective of providers who participated in a nine-month, trauma-informed care (TIC) training intervention on 1) their capacity to make referrals to trauma-specific services following the training, and 2) factors external to the training intervention that supported or hindered their ability to link traumatized youth with services. A subset of sixteen participants from the TIC training completed individual interviews. These participants were predominantly female, African American, and based in the social services sector. The constant comparative method was used to derive three thematic domains related to participant perceptions regarding youth referrals: 1) Organizational and provider capacity to provide trauma treatment or to make referrals to trauma-specific services, 2) Barriers to youth accessing trauma services, and 3) Suggestions for improving coordination of care and referrals. Our study highlights the influence of contextual factors on whether a TIC training can improve the capacity of agencies and individual providers to support traumatized youth in accessing appropriate services. The development of a structure that formally connects youth-serving agencies and providers with specialists trained in addressing traumatized youth is recommended.
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影响因子：
5.1
作者：
Kerns, Suzanne E. U.;Pullmann, Michael D.;Putnam, Barbara
通讯作者：
Putnam, Barbara
影响因子：
5.1
作者：
Lang, Jason M.;Campbell, Kimberly;Connell, Christian M.
通讯作者：
Connell, Christian M.
影响因子：
3.3
作者：
Fraser, Jenifer Goldman;Griffin, Jessica L.;Bartlett, Jessica Dym
通讯作者：
Bartlett, Jessica Dym
影响因子：
4.8
作者：
Gurwitch, Robin H.;Messer, Erica Pearl;Putnam, Frank W.
通讯作者：
Putnam, Frank W.
DOI：
10.1080/23761407.2016.1166839
发表时间：
2016-01-01
期刊：
JOURNAL OF EVIDENCE-INFORMED SOCIAL WORK
影响因子：
--
作者：
Lucio, Robert;Nelson, Tiffany L.
通讯作者：
Nelson, Tiffany L.