The role of navigation services in supporting mental health and addictions care transitions: A qualitative exploration of perspectives from transitional-aged youth, family, and service providers (part 2)

Health Care Transitions Pub Date : 2024-11-23 DOI:10.1016/j.hctj.2024.100082

Roula Markoulakis , Hinaya Cader , Karen Wong , Sugy Kodeeswaran , Tracey Addison , Cathy Walsh , Jocelyn Charles , Amy Cheung , Deepy Sur , David Willis , Anthony Levitt

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Abstract

Introduction

Transitional-aged youth (TAY) are at a vulnerable stage of their development in which mental health and/or addiction (MHA) issues tend to manifest and/or increase in severity. These youth also tend to find themselves caught in the gap between child and adult MHA services, often resulting in sub-optimal access to and transition through MHA services. Navigation services may be one way to close this and other system gaps and improve service utilization and supports for TAY. The objective of this study was to explore the perspectives of TAY, family members, and system providers regarding the support that can be provided by navigation services in addressing the needs and barriers encountered during transitions in MHA care.

Methods

This is a descriptive qualitative study of TAY, family, and provider perspectives on the role of navigation as it pertains to transitions in care for TAY with MHA concerns. Focus groups and semi-structured interviews were conducted with 63 participants with varying levels of familiarity with navigation. Participants were asked about their experiences with navigating transitions through the MHA system and their views on the role of navigation services in supporting transitions in care. Data was analyzed utilizing a thematic analysis approach.

Results

Five themes emerged during data analysis: navigation to traverse difficult pathways, navigation to ensure appropriate and comprehensive care, navigation to sustain continuity of care, navigation to support informed care, and navigation to facilitate TAY and family involvement.

Discussion

These findings contribute to an understanding of how navigation services can be meaningful in mitigating the challenges faced by TAY and their families when seeking help for MHA issues. Navigation services have the potential to support MHA system transformation for enhanced transitions in care for TAY with MHA concerns and their families.

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导航服务在支持心理健康和成瘾护理过渡中的作用：从过渡期青少年、家庭和服务提供者的角度进行定性探索（第二部分）

导言过渡适龄青少年（TAY）正处于成长的脆弱阶段，在这个阶段，心理健康和/或成瘾（MHA）问题往往会显现出来和/或变得更加严重。这些青少年也往往会发现自己处于儿童和成人精神健康和/或成瘾（MHA）服务之间的夹缝中，这往往会导致他们无法获得最佳的精神健康和/或成瘾（MHA）服务，也无法通过精神健康和/或成瘾（MHA）服务过渡。导航服务可能是缩小这一差距和其他系统差距、改善青少年对服务的利用和支持的一种方法。本研究的目的是探讨青少年、家庭成员和系统服务提供者对导航服务所能提供的支持的看法，以解决他们在向玛哈护理过渡期间所遇到的需求和障碍。方法这是一项描述性定性研究，探讨青少年、家庭成员和服务提供者对导航的作用的看法，因为它涉及到有玛哈问题的青少年的护理过渡。研究人员对 63 名参与者进行了焦点小组讨论和半结构式访谈，这些参与者对导航的熟悉程度各不相同。参与者被问及他们在通过 MHA 系统进行过渡时的经验，以及他们对导航服务在支持护理过渡中的作用的看法。结果在数据分析过程中出现了五个主题：导航以穿越困难的路径、导航以确保适当和全面的护理、导航以保持护理的连续性、导航以支持知情护理，以及导航以促进青少年和家庭的参与。讨论这些发现有助于人们理解导航服务如何能够在减轻青少年及其家庭在寻求 MHA 问题帮助时所面临的挑战方面发挥重要作用。导航服务有可能支持医疗保健系统的转型，以加强对有医疗保健问题的青少年及其家人的护理过渡。

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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Health Care Transitions

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