Young Women’s Perspectives of Their Adolescent Treatment Programs: A Qualitative Study

Clark, Miriam; Buchanan, Rohanna; Leve, Leslie D.

doi:10.3390/ijerph15020373

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…While gender matching has often been seen as a stronger preference among young women than men, it may also be valued by younger men [82]. Some research has suggested that young people value clinicians who are similar to them in age, gender, and experience as this improves relatability [83]. Research investigating the impact of ethnicity matching on therapeutic outcome is varied, with one meta-analysis identifying small impacts of ethnicity matching on outcomes for most people and an overall decline in preference for ethnicity matching among adults in recent decades [84].…”

Section: Discussionmentioning

confidence: 99%

What Young People Want from Clinicians: Youth-Informed Clinical Practice in Mental Health Care

Stubbing

Gibson

2022

Youth

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Evidence from around the world consistently indicates young people experience high rates of mental ill-health, but frequently have limited engagement with treatment. One powerful influence on young people’s engagement with mental health care is their relationships with treatment providers. A strong relationship with clinicians may be key to sustaining engagement, reducing dropout rates, and improving outcomes from treatment. However, research into young people’s perspectives on qualities they value in their clinicians has often been limited by traditional methodologies which explore young people’s attitudes to clinicians they have already worked with. This limits young people’s responses and, therefore, our understanding of who an effective ‘youth mental health clinician’ could be. In this study, 94 young people from New Zealand participated in innovative research workshops in which they described their ideal mental health clinician. Thematic analysis identified five themes which summarized these young peoples’ priorities for an ideal mental health clinician: Someone Like Me, Someone I Connect With, Someone Who Protects My Space, Someone Who Treats Me as an Equal, and Someone Who Works in the Right Way for Me. The presence and demonstration of these qualities may support both initial and sustained engagement with treatment, with the potential to improve outcomes for young people. Importantly, the connections between these themes highlight that young people are less likely to value ‘relatability’ as an isolated quality in their clinicians and most desire to work with clinicians who balance a warm and comfortable personal style with professional expertise and boundaries. These findings provide guidance for clinicians from a range of orientations who wish to work effectively with young people as to how they can adapt their approaches and seek feedback to improve their work with young people.

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Section: Discussionmentioning

confidence: 99%

What Young People Want from Clinicians: Youth-Informed Clinical Practice in Mental Health Care

Stubbing

Gibson

2022

Youth

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“…The interview guide included broad, general questions designed to prompt respondents to think retrospectively about their adolescent years and to solicit information about the topics most important to them. The initial interview questions focused on the women’s prior treatment and intervention experiences (see Clark, Buchanan, & Leve, 2018 [ 37 ] for details). To gain a broad understanding of how adolescent girls choose romantic partners and partners’ influence on drug use and sexual behavior, we next asked general or hypothetical questions to create a pressure-free environment and provide an opportunity for respondents to give concrete examples.…”

Section: Methodsmentioning

confidence: 99%

Partner influences on young women’s risky drug and sexual behavior

et al. 2018

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BackgroundAdolescent girls with a history of maltreatment are at heightened risk for health-risking behaviors, including unsafe sexual behaviors and drug use. However, few studies have examined the views of this population in regard to sexual partner choice, sexual behaviors, and decisions to use drugs with sexual partners.MethodsWe conducted 15 semistructured, open-ended qualitative interviews with young women ages 18–24 with a history of maltreatment and asked them to reflect on their experiences as adolescents. We used the constant comparison method to group the qualitative coded data into themes.ResultsAnalysis of the interviews suggested that adolescent girls with maltreatment histories often report that they chose partners who are promotive of risky drug and sexual behavior. The interviews also provided insight into why this population is likely to use drugs with their partner and why they might be hesitant to talk about or practice safe sex with their partner.ConclusionThe young women’s feedback highlighted five areas where adolescent girls with maltreatment histories could benefit: (a) provision of information about partner characteristics that are promotive of both risky behavior and those that are linked to healthy relationships, (b) provision of information about how one’s partner can influence one’s own drug use, (c) practice talking about safe sex with partners, (d) provision of information about safe sex practices and the risks associated with unsafe sex, and (e) provision of information about the risks associated with drug use and unsafe sexual behavior to adolescent boys.

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“…Studies on psychotherapy with youths indicate that outcomes are related to the way a therapist relates to patients. The therapist’s capacity to be non-judgmental and offer empathy, warmth, genuineness, honesty, flexibility, involvement, guidance, and instruction are particularly important [ 35 , 36 , 37 ]. Less is known about how the therapist’s skills and the therapeutic relationship affect a helping relationship [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

Therapists’ Experiences of Psychodynamic Therapy with and without Transference Interventions for Adolescents with Depression

Jones

Råbu

Røssberg

et al. 2020

IJERPH

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Psychodynamic therapy is an effective treatment for depression. However, a large number of adolescent patients with depression do not respond and/or drop out of therapy and little is known about what therapists actually do in therapy with adolescents. Thus, more research is needed to explore the various actions that therapists do in therapy, so that therapists can tailor their therapy more specifically to each individual adolescent. The present study aimed to investigate how the experience of psychotherapists differs between two treatment modes for adolescents with depression: psychodynamic psychotherapy with and without transference interventions. In-depth interviews were conducted with six therapists. The data, which were analyzed using thematic analysis, generated three key themes: (1) The therapists experienced that transference interventions are often useful in therapies with adolescents with depression, (2) therapies without transference interventions can be challenging for therapists, but still helpful for patients, and (3) the experience contributed to the deepening recognition of therapists that they always need to adapt their techniques to the particular patient. The results enhance our knowledge of the significance of therapists’ actions in therapy with adolescents. The therapists highlighted issues that are important for identifying barriers to incorporating new knowledge into clinical practice.

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Young Women’s Perspectives of Their Adolescent Treatment Programs: A Qualitative Study

Cited by 5 publications

References 30 publications

What Young People Want from Clinicians: Youth-Informed Clinical Practice in Mental Health Care

What Young People Want from Clinicians: Youth-Informed Clinical Practice in Mental Health Care

Partner influences on young women’s risky drug and sexual behavior

Therapists’ Experiences of Psychodynamic Therapy with and without Transference Interventions for Adolescents with Depression

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