Continuity of care in youth services: A systematic review

Naert, Jan; Roose, Rudi; Rapp, Richard C.; Vanderplasschen, Wouter

doi:10.1016/j.childyouth.2017.02.027

Cited by 32 publications

(20 citation statements)

References 47 publications

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“…Services may build on positive outcomes for youth by employing supported referrals and incorporating accountability for transition outcomes within their service model. (Naert, Roose, Rapp, & Vanderplasschen, 2017).…”

Section: Referral Facilitatorsmentioning

confidence: 99%

Homeless youth: Barriers and facilitators for service referrals

Black

Fedyszyn

Mildred

et al. 2018

Evaluation and Program Planning

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Young people who are homeless and experiencing mental health issues are reluctant to use relevant services for numerous reasons. Youth are also at risk of disengaging from services at times of referral to additional or alternative services. This study aimed to identify barriers and facilitators for inter-service referrals for homeless youth with mental health issues who have already engaged with a service. Qualitative, semi-structured interviews were conducted with homeless youth (n = 10), homelessness support workers (n = 10), and mental health clinicians (n = 10). Barriers included: resource shortages; programs or services having inflexible entry criteria; complexity of service systems; homeless youth feeling devalued; and a lack of communication between services, for example, abrupt referrals with no follow up. Referral facilitators included: services providers offering friendly and client-centred support; supported referrals; awareness of other services; and collaboration between services. Relationships with service providers and inter-service collaboration appeared essential for successful referrals for homeless youth. These facilitating factors may be undermined by sector separation and siloing, as well as resource shortages in both the homelessness and mental health sectors. Service transitions may be conceptualised as a genuine service outcome for homeless youth, and as a basis for successful future service provision.

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Section: Referral Facilitatorsmentioning

confidence: 99%

Homeless youth: Barriers and facilitators for service referrals

Black

Fedyszyn

Mildred

et al. 2018

Evaluation and Program Planning

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“…Intriguingly, increased number of mental health visits per patient at FQHCs corresponds with African American youth's reduced odds of outpatient psychiatric ED visits. Most youth presenting with a mental disorder require routine follow‐up and coordination between primary care providers and specialists . Number of mental health visits per patient seen in this setting may therefore gauge the quality and/or continuity of mental health care at FQHCs.…”

Section: Discussionmentioning

confidence: 99%

“…Number of mental health visits per patient seen in this setting may therefore gauge the quality and/or continuity of mental health care at FQHCs. Whereas the field does not agree on a single definition of continuity of care, we aim to cross‐validate this “intensity” measure with other FQHC‐reported indicators of quality, continuity, and care coordination of mental health services. These variables become available for FQHCs beginning in 2014 and merit further investigation.…”

Section: Discussionmentioning

confidence: 99%

African American/white disparities in psychiatric emergencies among youth following rapid expansion of Federally Qualified Health Centers

Bruckner

Singh

Yoon

et al. 2019

Health Services Research

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Objective: To test whether rapid expansion of mental health services in Federally Qualified Health Centers (FQHCs) reduces African American/white disparities in youth psychiatric emergency department (ED) visits. Data Sources: Secondary ED data for psychiatric care for 3.3 million African American and white youth in nine states, 2006-2011. We used the HCUP SEDD and SID. We obtained FQHC service data from the Uniform Data System. Study Design: The psychiatric ED visit is the dependent variable. Logistic regression methods control for individual risk factors for ED use, as well as county-level health system factors and county and year fixed effects. Key independent variables include indicators of mental health service capacity in FQHCs in a county-year. Data Extraction Methods: We extracted ED psychiatric visits for 3.3 million African American and white youth in nine states, 2006-2011, from the HCUP SEDD and SID, and FQHC data from the Uniform Data System. Principal Findings: Overall mental health visits at FQHCs correlate positively with psychiatric ED visits among African American youth. However, increases in the number of mental health visits per FQHC patient corresponds with fewer outpatient psychiatric ED visits among African American youth, relative to white youth (odds ratio = 0.96; 95% CI = 0.94, 0.98). Conclusions:Increases in the intensity of services offered per mental health patient at FQHCs-rather than increases in overall capacity-may reduce African American youthʼs overreliance on the ED for psychiatric care.

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“…Strolin-Goltzman, Kollar, and Trinkle (2010) viewed this harmful to the children's capacity for attachment, making them hesitant to trust and engage with staff. Although there is a lack of research on continuity of youth care services (Naert, Roose, Rapp, & Vanderplasschen, 2017), there is a growing body of evidence to suggest that placement stability improves the outcomes of care leavers (Dixon & Stein, 2005;Holland, 2009).…”

Section: Discussionmentioning

confidence: 99%

Experiences of “I” and “we” among former looked‐after children in South Africa

Nurcombe‐Thorne

Nadesan

Breda

2018

Child & Family Social Work

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This article examines the care experiences of former looked‐after children from a residential care setting in South Africa. There is only limited research among care leavers in South Africa, and even less on their experiences of being in care. Six young adults who had been in residential care participated in individual and focus group interviews. The research was informed by Rogers' person‐centred approach. Two central themes emerged from the data, namely, experiences concerning the “I”—the self of the young person—and experiences concerning the “we”—the young person in relationship with her or his social environment. Within each of these themes, participants raised both positive and negative experiences, many of which continued to shape them well after leaving care. The findings emphasize the importance of the self‐in‐context and the need for childcare settings to strike a balance between the individual and communal needs of looked‐after children. These findings have implications both for child and youth care practice and for the management of child and youth care facilities.

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Continuity of care in youth services: A systematic review

Cited by 32 publications

References 47 publications

Homeless youth: Barriers and facilitators for service referrals

Homeless youth: Barriers and facilitators for service referrals

African American/white disparities in psychiatric emergencies among youth following rapid expansion of Federally Qualified Health Centers

Experiences of “I” and “we” among former looked‐after children in South Africa

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