In this day and age why is it still so hard to find the right type of help? Carers’ perspectives regarding child and adolescent mental health services: a qualitative study

Salamone-Violi, Gigetta M.L.; Chur‐Hansen, Anna; Winefield, Helen R.

doi:10.1080/18387357.2016.1195697

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…With appropriate professional guidance, there is potential for YP to grow into role models for 'good' mental health management, building from the bottom up a positive mental health culture in their social networks including on social media to reshape current, often maladaptive, mental ill health models and discourses [50,51]. YP's desire for more educated parents also speaks to a bottom-up empowerment approach to tackling mental health issues in rural and regional communities where parents are often found to feel helpless when it comes to understanding and supporting their children's mental health [14,19,20]. Clearly, empowerment is unlikely to result from one-off interventions.…”

Section: Empowermentmentioning

confidence: 99%

“…This phenomenon has been associated with higher levels of socio-economic disadvantage [8], social conservatism [9] and social visibility in these communities resulting in reduced privacy [10,11], with lack of confidentiality cited as a major concern of YP when considering accessing mental health services [8]. Professional mental health care in rural and regional areas is often inconsistent and un-coordinated [3,12], with help-seekers being required to travel large distances [13] and experiencing lengthy service waitlist [14]. The wellbeing of these communities is also more affected by increasingly severe and prevalent natural disasters.…”

Section: Introductionmentioning

confidence: 99%

“…These included previous positive experience with health services and higher levels of mental health literacy. Most research examining enablers of YP's help-seeking is from the perspective of adults, parents and teachers (e.g., [14,[18][19][20][21][22]). There is a lack of research examining what YP in rural and regional areas view as facilitators to seeking help when it is needed.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative exploration of young people’s mental health needs in rural and regional Australia: engagement, empowerment and integration

Klinner,

Glozier,

Yeung

et al. 2023

BMC Psychiatry

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Background Australian rural and regional communities are marked by geographic isolation and increasingly frequent and severe natural disasters such as drought, bushfires and floods. These circumstances strain the mental health of their inhabitants and jeopardise the healthy mental and emotional development of their adolescent populations. Professional mental health care in these communities is often inconsistent and un-coordinated. While substantial research has examined the barriers of young people’s mental health and help-seeking behaviours in these communities, there is a lack of research exploring what adolescents in rural and regional areas view as facilitators to their mental health and to seeking help when it is needed. This study aims to establish an in-depth understanding of those young people’s experiences and needs regarding mental health, what facilitates their help-seeking, and what kind of mental health education and support they want and find useful. Method We conducted a qualitative study in 11 drought-affected rural and regional communities of New South Wales, Australia. Seventeen semi-structured (14 group; 3 individual) interviews were held with 42 year 9 and 10 high school students, 14 high school staff, and 2 parents, exploring participants’ experiences of how geographical isolation and natural disasters impacted their mental health. We further examined participants’ understandings and needs regarding locally available mental health support resources and their views and experiences regarding mental illness, stigma and help-seeking. Results Thematic analysis highlighted that, through the lens of participants, young people’s mental health and help-seeking needs would best be enabled by a well-coordinated multi-pronged community approach consisting of mental health education and support services that are locally available, free of charge, engaging, and empowering. Participants also highlighted the need to integrate young people’s existing mental health supporters such as teachers, parents and school counselling services into such a community approach, recognising their strengths, limitations and own education and support needs. Conclusions We propose a three-dimensional Engagement, Empowerment, Integration model to strengthen young people’s mental health development which comprises: 1) maximising young people’s emotional investment (engagement); 2) developing young people’s mental health self-management skills (empowerment); and, 3) integrating mental health education and support programs into existing community and school structures and resources (integration).

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Section: Empowermentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A qualitative exploration of young people’s mental health needs in rural and regional Australia: engagement, empowerment and integration

Klinner,

Glozier,

Yeung

et al. 2023

BMC Psychiatry

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“…Inpatient units are the most common acute mental health service, but research in adolescent inpatient settings is limited [10]. Inpatient admission provides specialized care for adolescents with severe mental health problems and who are in crisis, emphasizing crisis stabilization, assessment and discharge planning [11]. National legislation and policies provide the framework for adolescents' right to have a say in their healthcare decisions.…”

Section: Introductionmentioning

confidence: 99%

User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives

Bjønness

Viksveen

Johannessen

et al. 2020

Child Adolesc Psychiatry Ment Health

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Background: Most mental health problems occur in adolescence. There is increasing recognition of user participation and shared decision-making in adolescents' mental healthcare. However, research in this field of clinical practice is still sparse. The objective of this study was to explore healthcare professionals' perspectives on user participation, and opportunities for shared decision-making in Child and Adolescent Mental Health Service (CAMHS) inpatient units. Methods: Healthcare professionals at CAMHS inpatient units participated in three focus group interviews. Fifteen participants with experience with user participation and shared decision-making were recruited from five hospitals in Norway. Results: Five themes emerged: (1) involvement before admission; (2) sufficient time to feel safe; (3) individualized therapy; (4) access to meetings where decisions are made; and (5) changing professionals' attitudes and practices. Conclusion: User participation and shared decision-making require changes in workplace culture, and routines that allow for individualized mental health services that are adapted to adolescents' needs. This calls for a flexible approach that challenges clinical pathways and short-stay hospital policies. The results of this study may inform further work on strengthening user participation and the implementation of shared decision-making.

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“…Individuals from these communities may be serviced solely by general health care providers that are not trained in mental health treatment (20)(21)(22)Travelling away from the community to alleviate this issue only further hinders accessibility as these individuals must travel larger distances to access specialized health services (8,20). When services are accessed, those from rural and remote communities are met with longer wait times than their urban counterparts (14). With no specialized treatment within the rural or remote community and inaccessible treatment outside the community, mental health care must shift to informal caregivers and the community as a whole (8,12,19,23).…”

mentioning

confidence: 99%

• Report: Interventions for Rural and Remote Youth Mental Health

Waid¹,

Steven²,

Sinclair³

et al. 2019

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What is known? • Rural and remote communities in Australia and Canada have high burden of youth mental illness • Interventions for youth mental health in these communities is varied and insufficient What does this study add? • Barriers and facilitators of rural and remote youth mental health interventions are examined within the context of the Social Ecology Model • Future directions for rural and remote mental health interventions informed by the Social Ecology Model are explored Report: Interventions for rural and remote youth mental health

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In this day and age why is it still so hard to find the right type of help? Carers’ perspectives regarding child and adolescent mental health services: a qualitative study

Cited by 5 publications

References 31 publications

A qualitative exploration of young people’s mental health needs in rural and regional Australia: engagement, empowerment and integration

A qualitative exploration of young people’s mental health needs in rural and regional Australia: engagement, empowerment and integration

User participation and shared decision-making in adolescent mental healthcare: a qualitative study of healthcare professionals’ perspectives

• Report: Interventions for Rural and Remote Youth Mental Health

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