Family Perspectives on Pathways to Mental Health Care for Children and Youth in Rural Communities

Boydell, Katherine M.; Pong, Raymond; Volpe, Tiziana; Tilleczek, Kate; Wilson, Elizabeth; Lemieux, Sandy

doi:10.1111/j.1748-0361.2006.00029.x

Cited by 118 publications

(171 citation statements)

References 18 publications

(29 reference statements)

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“…Of particular concern are significant barriers to equitable and appropriate mental health care that young people with psychosis face, including the isolation they experience in their pathway to mental health care, which results both from their illness and the rural environment mediating their isolation and access to care (Boydell et al, 2006). This paper addresses issues of access to mental health care by generating new knowledge about help seeking by young people who have experienced a first episode of psychosis in a rural community.…”

Section: Early Psychosis and Pathways To Care In Rural Communitiesmentioning

confidence: 99%

Co-Producing Narratives on Access to Care in Rural Communities: Using Digital Storytelling to Foster Social Inclusion of Young People Experiencing Psychosis (Dispatch)

Boydell

Cheng

Gladstone

et al. 2018

SSJ

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Section: Early Psychosis and Pathways To Care In Rural Communitiesmentioning

confidence: 99%

Co-Producing Narratives on Access to Care in Rural Communities: Using Digital Storytelling to Foster Social Inclusion of Young People Experiencing Psychosis (Dispatch)

Boydell

Cheng

Gladstone

et al. 2018

SSJ

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“…Little research has been conducted on health-related risk and protective factors for youth in rural settings [18][19][20][21][22], especially regarding the correlates of bullying. The bullying research base has been dominantly devoted to urban youth [23,24].…”

Section: Introductionmentioning

confidence: 99%

Demographic, Psychological, and School Environment Correlates of Bullying Victimization and School Hassles in Rural Youth

Smokowski

Cotter

Robertson

et al. 2013

Journal of Criminology

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Little is known about bullying in rural areas. The participants in this study included 3,610 racially diverse youth (average age = 12.8) from 28 rural schools who completed the School Success Profile-Plus. Binary logistic regression models were created to predict bullying victimization in the past 12 months, and ordered logistic regression was used to predict school hassles in the past 12 months. Overall, 22.71% of the sample experienced bullying victimization and school victimization rates ranged from 11% to 38%. Risk factors for bullying victimization included younger students and students experiencing depression and anxiety. Being female, Hispanic/Latino or African American, was associated with lower bullying victimization. Thirty-nine percent of the sample reported a high level of school hassles. Younger students and students with higher levels of anxiety and depression were at increased risk for school hassles. Students from larger schools reported high levels of school hassles, while students from schools with more teachers with advanced degrees reported fewer school hassles.

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“…While beyond the scope of our work, a close examination of the Alberta government-sponsored program subsidy may reveal broader health and social services policy gaps that could be applied across multiple settings to increase mental health services availability for and utilization by families in need. If there are no mental health care services for families to access, 32,33 delays for care exist, 34 and/or geographic barriers to receiving appropriate care are insurmountable, 35,36 subsidies to support families and/or government bills such as Bill C-300 may not be enough to reduce self-harm in young people.…”

Section: Discussionmentioning

confidence: 99%

Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta

Newton

Tsang

Rosychuk

2015

CJEM

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Objective: To examine sociodemographic variations among children <18 years in (1) rates of self-harm visits to emergency departments (EDs) and (2) physician follow-up after the selfharm visit in Alberta. Methods: A retrospective, population-based cohort (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011) of ED visits for self-harm by individuals <18 years was conducted using administrative databases from Alberta, Canada. Individuals were grouped by First Nations status or type of health care premium subsidy (family receipt of government subsidy, human services program subsidy, no subsidy received). Visits from 104 EDs were summarized by crude and directly standardized visit rates (DSVRs) per 100,000 individuals. Kaplan-Meier estimates for median estimated time to physician follow-up were calculated with 95% confidence intervals (CIs). Results: During the study period, visit rates decreased with the exception of children from families receiving government-sponsored program subsidy (DSVRs 163/ 100,000 to 250/100,000; p = 0.032). First Nations children had disproportionately fewer follow-up visits compared to other children. The median time to follow-up for First Nations children was 39 days (95% CI: 32, 48) compared to 16 days for children from families receiving no subsidy (95% CI: 14, 19), who had the shortest follow-up time after an ED visit. Conclusions: Sociodemographic differences were evident in ED visit rates as well as the number of and time to physician followup visit. The disparities experienced by First Nations children in the follow-up period highlight an opportunity for culturallygrounded risk and needs assessment in the ED to determine and facilitate timely and appropriate follow-up care.

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Family Perspectives on Pathways to Mental Health Care for Children and Youth in Rural Communities

Abstract: The route to mental health care for children in rural communities is complex, dynamic, and nonlinear, with multiple roadblocks. Although faced with multiple roadblocks, there are also several factors that help minimize these barriers.

Cited by 118 publications

References 18 publications

Co-Producing Narratives on Access to Care in Rural Communities: Using Digital Storytelling to Foster Social Inclusion of Young People Experiencing Psychosis (Dispatch)

Co-Producing Narratives on Access to Care in Rural Communities: Using Digital Storytelling to Foster Social Inclusion of Young People Experiencing Psychosis (Dispatch)

Demographic, Psychological, and School Environment Correlates of Bullying Victimization and School Hassles in Rural Youth

Emergency Health Care Use among Sociodemographic Groups of Children Presenting to Emergency Departments for Self-Harm in Alberta

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