Predictors and barriers to engagement in caring for children with a mental health diagnosis: A qualitative study of caregivers perception of power

IF 1.6 Q2 NURSING
Valerie Seney
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Abstract

Background

Evidence-based treatments used in managing behaviors of children require caregiver engagement. However, there is a gap in understanding a caregiver's level of comprehension of how they can advocate for their children's mental health needs and how to help their children in the home once outpatient treatment is initiated.

Methods

This was a qualitative study using interviews with semi-structured research questions. Recruitment was through convenience sampling at a private practice mental health agency. Nine participants were interviewed. A thematic analysis was completed posttranscription and coding.

Results

Four themes emerged that captured the lived experience of the caregivers as they sought to facilitate care for the child/adolescent: Feeling lost (powerless navigating the mental health care system); Feeling a loss of control (Lack of Return Communication and Lack of Available Providers); Feeling frustrated (insurance and/or cost barriers); and Feeling powerless to help (their child at home and not included in treatment).

Relevance

This study addresses the gaps in the current health care system. Through examining the caregiver's sense of power in their role in mental health care for their children, interventions may be developed to encourage more active involvement in treatment outcomes and more involvement in interventions for the home setting. Moreover, this study highlights the importance of giving insight to providers on how to help families navigate mental health care, communicate more, and include the patient and caregiver in the development of comprehensive treatment plans.

参与照顾被诊断患有精神疾病的儿童的预测因素和障碍:对照顾者权力感的定性研究
背景 用于控制儿童行为的循证治疗需要照顾者的参与。然而,在了解看护者对如何倡导儿童心理健康需求以及门诊治疗开始后如何在家中帮助儿童的理解程度方面还存在差距。 研究方法 这是一项定性研究,使用半结构化研究问题进行访谈。研究人员是在一家私人心理健康机构通过方便抽样的方式招募的。九名参与者接受了访谈。转录和编码后完成了主题分析。 结果 有四个主题反映了照顾者在为儿童/青少年提供照顾时的生活经历:感到迷失(在心理健康护理系统中无能为力);感到失去控制(缺乏回访沟通和缺乏可用的提供者);感到沮丧(保险和/或费用障碍);感到无能为力(他们的孩子在家里,没有被纳入治疗范围)。 相关性 本研究探讨了当前医疗保健系统中存在的差距。通过研究照顾者在子女心理健康护理中的角色权力感,可以制定干预措施,鼓励他们更积极地参与治疗结果,并更多地参与家庭环境的干预。此外,本研究还强调了让医疗服务提供者了解如何帮助家庭驾驭心理健康护理、加强沟通以及让患者和看护者参与制定综合治疗计划的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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