Bridging the evidence gap: A review and research protocol for outdoor mental health therapies for young Australians

IF 1 Q3 EDUCATION & EDUCATIONAL RESEARCH
Emily J. Flies, Anita Pryor, Claire Henderson-Wilson, Megan Turner, Jessica Roydhouse, Rebecca Patrick, Melissa O’Shea, Kimberly Norris, Angela Martin, Pauline Marsh, Larissa Bartlett, Mostafa Rahimi Azghadi, Amanda Neil
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Abstract

Abstract Internationally, over 60% of all lifetime cases of mental health disorders are identified as emerging by 25 years of age. In Australia, young people (aged 16–24 years) report the highest prevalence of mental health problems. Acceptability of mainstream services for young people is a concern, particularly for clients 18–25 years, heterosexual males and certain marginalised communities. With unaddressed distress in young people a precursor to poor, potentially lifelong mental ill-health trajectories, the provision of acceptable, and accessible mental health services remains a critical system imperative. Outdoor therapies, such as outdoor talking therapies, present an option for increasing the breadth of mental health interventions available to young people. Reported benefits of outdoor therapies include improved self-esteem and confidence, positive and negative affect, stress reduction and restoration, social benefits, and resilience. As outdoor therapies draw on multidisciplinary skillsets, this modality has the potential to expand services beyond existing workforce capacities. However, there are evidence gaps that must be addressed before mainstreaming of this treatment modality can occur. Here we overview the existing evidence base for outdoor talking therapies, as a form of outdoor mental healthcare, to determine their appropriateness as an effective and efficient treatment modality for young people with psychological distress in Australia and elsewhere. We then propose a research protocol designed to determine the acceptability, efficacy and efficiency of ‘outdoor talking therapies’. Our aim is to help address identified youth mental healthcare service shortages in Australia, and potentially support the health of our mental healthcare workforce.
弥合证据差距:澳大利亚年轻人户外心理健康治疗的审查和研究协议
在国际上,超过60%的终生精神健康障碍病例在25岁时被确定为新发病例。在澳大利亚,青年人(16-24岁)报告的心理健康问题患病率最高。主流服务对年轻人的可接受性是一个问题,特别是对18-25岁的客户、异性恋男性和某些边缘化社区。由于未得到解决的年轻人的痛苦是贫穷的、可能终生的精神健康不良轨迹的前兆,提供可接受和可获得的精神卫生服务仍然是一个关键的系统当务之急。户外疗法,如户外谈话疗法,为增加年轻人可获得的心理健康干预措施的广度提供了一种选择。据报道,户外疗法的好处包括提高自尊和自信,积极和消极的影响,减轻压力和恢复,社会效益和恢复力。由于户外疗法利用多学科技能,这种模式有可能将服务扩展到现有劳动力能力之外。然而,在将这种治疗方式纳入主流之前,必须解决证据差距问题。在这里,我们概述了户外谈话疗法作为一种户外心理保健形式的现有证据基础,以确定其是否适合作为澳大利亚和其他地方有心理困扰的年轻人的有效和高效的治疗方式。然后,我们提出了一项研究方案,旨在确定“户外谈话疗法”的可接受性、疗效和效率。我们的目标是帮助解决澳大利亚确定的青少年心理保健服务短缺问题,并潜在地支持我们的心理保健工作人员的健康。
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来源期刊
CiteScore
2.60
自引率
35.00%
发文量
28
期刊介绍: The Journal of Outdoor and Environmental Education (JOEE) is a double-blind peer-reviewed journal devoted to the scholarly examination of issues in outdoor and environmental education. JOEE provides a forum in which outdoor and environmental education professionals from all settings can exchange and discuss ideas and practices relevant to their work.JOEE invites submissions of papers of between 4000 and 8000 words (including reference list and abstract) that focus on enhancing understanding of outdoor and environmental education issues through balanced and in-depth investigation of practices and theories relevant to outdoor and environmental education. Shorter book/document reviews are also welcomed.JOEE does not privilege any particular methodology or theory and welcomes contributions from various standpoints. However, editorial will prioritise papers that take into consideration a broad readership which includes teachers and other practitioners as well as researchers, requiring authors to express and explain evidence and theory using language that is accessible to readers beyond a particular community. With this in mind, we ask authors, on acceptance of their paper, to produce a short video which will be made accessible in order to share the main messages contained in their paper with a wide audience.
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