Providers as Stakeholders in Addressing Implementation Barriers to Youth Mental Healthcare

Goodcase, Eric T.; Brewe, Alexis; White, Susan W.; Jones, Shane

doi:10.1007/s10597-021-00905-7

Cited by 9 publications

(3 citation statements)

References 36 publications

(40 reference statements)

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“…Thus, integrated care models hold promise for addressing the unique needs of youth and should be considered when developing a peer support model for mental health and suicide prevention efforts. However, it is also important to consider that rural areas often contain higher stigmatization of mental health and lack adequate mental health providers, which could be a challenge to implement this model ( Goodcase et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Youth Perspectives on Barriers and Opportunities for the Development of a Peer Support Model to Promote Mental Health and Prevent Suicide

2022

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Suicide prevention is a public health priority. The purpose of this study was to elicit and document the perspectives of youth (ages 15–24) on the development of a peer support model for mental health promotion and suicide prevention for youth in small communities in western Canada. A qualitative descriptive approach informed by a socioecological framework was used to conduct the study. Eleven youth participated in a series of three co-design workshops. Data collection was conducted remotely using Zoom. Data were analyzed using thematic analysis. The following three themes are identified: (a) contextual factors for youth; (b) community spaces and social media; and (c) apps and integrated care. These themes elucidated challenges faced by the youth, strategies for reducing barriers for youth who need support, and opportunities for enhancing youth mental health through responsive community-identified services. Overall, youth were supportive of the potential use of peer support to augment services in their communities.

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Section: Discussionmentioning

confidence: 99%

Youth Perspectives on Barriers and Opportunities for the Development of a Peer Support Model to Promote Mental Health and Prevent Suicide

2022

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“…Many of the barriers that impede or prohibit a person from receiving care have been well described (Andrade et al, 2014; Byrow et al, 2020; Goodcase et al, 2022). Two broad categories are often defined based on the source of the barrier: system-level factors (e.g., financial costs, whether a service is available, and policy issues) and attitudinal factors (e.g., stigma, mental health literacy, views that treatment will not be of much help).…”

Section: Background and Contextsmentioning

confidence: 99%

Interventions in everyday life to improve mental health and reduce symptoms of psychiatric disorders.

Kazdin¹

2024

American Psychologist

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The high prevalence rates of mental disorders worldwide and the paucity of services constitute a mental health crisis. The vast majority of people in low-, middle-, and high-income countries do not receive any intervention for their symptoms of mental disorders, despite enormous advances in developing evidence-based psychosocial treatments and medications. The article proposes greater utilization of interventions in everyday life as an addition to the more traditional and commonly used mental-health interventions. The article delineates criteria to help identify what such interventions ought to include to permit accessibility, scalability, and reach to special populations. Physical activity, contact with nature, and yoga are examples to illustrate the class of everyday interventions that have evidence attesting to their impact on mental health and symptoms of psychopathology. The challenge is to integrate such interventions in mental health practices to better promote these at the population level and to monitor the impact. Many components of what is needed are in place but are not coordinated in an effective way to have widespread impact on mental health.

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“…Family caregivers' lived experiences in caring for young adults with substance use disorders remain a critical yet often overlooked aspect of addiction recovery. These caregivers face many challenges while supporting their loved ones, navigating the complexities of addiction, and striving to maintain their wellbeing (1,2).…”

Section: Introductionmentioning

confidence: 99%

Forgone healthcare for medically vulnerable groups during the pandemic era: experiences of family caregivers of young adults with substance use disorders in Zambia

Kabembo

2024

Front. Public Health

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IntroductionScholars worldwide have defined the COVID-19 pandemic as a mass-disabling event of our time. The situation is grave for families experiencing financial hurdles while caring for young adults in recovery from addiction problems.MethodsUsing semi-structured interviews with 30 purposively selected family caregivers (FCGs) of young adults with substance use disorders (SUDs) in Lusaka, Zambia, this study reveals several factors influencing forgone healthcare for this medically vulnerable group.ResultsFinancial challenges and huge out-of-pocket bills; caregivers’ perceived far-fetched recovery of the young adult; the cost of medication and transportation; the young adult’s little perceived need for healthcare service use, their runaway and treatment elusive tendencies; caregiver concerns about contracting the virus, and the stigma associated with it; and a fragmented child and adolescent mental health system influenced forgone healthcare. The young adults were often unavailable for days and months, posing challenges to the continuity of care. Despite caregivers’ acknowledgment of the availability of healthcare professionals, young adults with problematic substance use had limited access to SUD recovery services, resulting in adverse health outcomes. Results also show that most family caregivers encountered challenges in accessing and purchasing psychotropic medications, which were difficult to find during the lockdowns. Some family caregivers lost their sources of income by being laid off from work due to the pandemic and skipping work to attend to caregiving responsibilities. Most of those in self-employment had to close their business and stay home to look after their youth. Several caregivers kept their youth at home because they failed to access private residential SUD recovery services. Family caregivers mostly relied on outpatient public health services, alternative medicine from traditional healers, and faith-based healing, all of which some young adults rarely accessed because of their problematic behaviors of escaping healthcare.ConclusionThese identifiable risk factors, and their detrimental consequences highlight the need for interventions to improve healthcare access for this vulnerable population. Supporting FCGs of addicted young adults is crucial in ensuring the well-being of both the caregivers and care recipients. Further research is warranted to explore potential solutions, such as peer support programs, policy changes, and education initiatives for carers and recipients in the (post) pandemic era.

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Providers as Stakeholders in Addressing Implementation Barriers to Youth Mental Healthcare

Cited by 9 publications

References 36 publications

Youth Perspectives on Barriers and Opportunities for the Development of a Peer Support Model to Promote Mental Health and Prevent Suicide

Youth Perspectives on Barriers and Opportunities for the Development of a Peer Support Model to Promote Mental Health and Prevent Suicide

Interventions in everyday life to improve mental health and reduce symptoms of psychiatric disorders.

Forgone healthcare for medically vulnerable groups during the pandemic era: experiences of family caregivers of young adults with substance use disorders in Zambia

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