Mental health service use of young people in child welfare services in Quebec, Canada.

IF 2.9 Q2 PSYCHIATRY
Kathleen MacDonald, Lyne Desrosiers, Lise Laporte, Srividya N Iyer
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引用次数: 0

Abstract

Background: Youth involved in child welfare have high rates of mental health problems and are known to receive mental health services from multiple settings. Still, gaps remain in our understanding of service use patterns across settings over the course of youth's involvement with child welfare.

Objective: To examine the settings, reasons for contact, persons involved in initiating care, and timing of each mental health service contact for individuals over their involvement with the child welfare system, and to identify factors that predict multi-setting use.

Methods: Data on mental health service contacts were collected retrospectively from charts for youth aged 11-18 (n=226) during their involvement with child welfare services in Montreal, Quebec. Logistic regression analysis was conducted to determine predictors of multi-setting mental health services use (defined as ≥3 settings).

Results: 83% of youth had at least one mental health service contact over the course of their child welfare services follow-up, with 45% having multi-setting use. Emergency Departments were the top setting for mental health services. Youth with a higher number of placements and from neighborhoods with greater social and material deprivation were significantly likelier to use ≥3 mental health service settings over the course of their follow-up.

Conclusion: These findings suggest a need for enhanced collaboration between youth-serving sectors to ensure that continuous and appropriate mental health care is being offered to youth followed by child welfare systems. The relationship between placement instability and multi-setting mental health service use calls for specific policies to ensure that young people do not experience multiple discontinuities of care.

加拿大魁北克省儿童福利服务机构中青少年使用心理健康服务的情况。
背景:参与儿童福利的青少年有较高的心理健康问题发生率,而且众所周知,他们会在多种环境中接受心理健康服务。然而,我们对青少年在参与儿童福利过程中在不同环境中使用服务的模式的了解仍然存在差距:目的:研究青少年在参与儿童福利系统的过程中,每次接触心理健康服务的环境、接触原因、参与启动护理的人员和时间,并确定预测多环境使用的因素:我们从魁北克省蒙特利尔市 11-18 岁青少年(n=226)参与儿童福利服务期间的病历中回顾性地收集了他们接触心理健康服务的数据。我们进行了逻辑回归分析,以确定使用多机构心理健康服务(定义为≥3 个机构)的预测因素:结果:83%的青少年在接受儿童福利服务跟踪期间至少接触过一次心理健康服务,其中45%的青少年使用过多种心理健康服务。急诊室是接受心理健康服务最多的场所。在随访过程中,安置次数较多且来自社会和物质条件较差社区的青少年更有可能使用≥3个心理健康服务机构:这些研究结果表明,有必要加强青少年服务部门之间的合作,以确保为儿童福利系统跟踪的青少年提供持续、适当的心理健康护理。安置的不稳定性与使用多套心理健康服务之间的关系要求制定具体的政策,以确保青少年不会经历多次护理中断。
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
3.90
自引率
4.30%
发文量
35
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