Experiences of barriers and facilitators in mental health care transitions: A qualitative exploration of perspectives from transitional-aged youth, family, and service providers (part 1)

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. TAY also tend to find themselves subject to multiple care transitions, often resulting in sub-optimal access to MHA services. The objective of this study was to explore the perspectives of TAY, family members, and system providers regarding the supports needed by TAY and their families during transitions through MHA care.

Methods

This is a descriptive qualitative study of TAY, family, and provider perspectives on their experiences with accessing/providing MHA care and transition supports for TAY. Focus groups and interviews were conducted with 14 TAY, 26 family members, and 23 service providers. Participants were asked about their experiences with regard to barriers and facilitators to transitions in care for TAY with MHA concerns. Data was analyzed utilizing a thematic analysis approach.

Results

Six themes emerged during data analysis: pathways to care, appropriate and comprehensive care, continuity of care, informed care, family involvement, and TAY involvement. These results provide a better understanding of the needs of TAY and their families in relation to accessing and transitioning through MHA system supports and improving MHA outcomes. They also include the views of service providers on the current state of access to and transitions through MHA care, specifically for the TAY population.

Discussion

This information reveals the supports needed by TAY and their families along with the challenges created due to a lack of guidance, transition preparation, collaboration, and continuity in the MHA system. MHA providers working with TAY and families can utilize these findings to promote effective TAY and family engagement for positive transitions and care experiences.
心理健康护理过渡中的障碍和促进因素:对过渡阶段青少年、家庭和服务提供者观点的定性探索(第一部分)
导言过渡适龄青少年(TAY)正处于成长的脆弱阶段,心理健康和/或成瘾(MHA)问题往往会在这个阶段显现出来并/或变得更加严重。此外,过渡期青少年往往会经历多次护理过渡,这往往会导致他们无法获得最佳的心理健康和/或成瘾(MHA)服务。本研究的目的是探讨泰勒-亚利桑那州青少年、家庭成员和系统服务提供者对泰勒-亚利桑那州青少年及其家庭在通过 MHA 护理过渡期间所需的支持的看法。方法这是一项描述性定性研究,研究对象是泰勒-亚利桑那州青少年、家庭成员和服务提供者对他们在获得/提供 MHA 护理以及为泰勒-亚利桑那州青少年提供过渡支持方面的经验的看法。对 14 名青少年、26 名家庭成员和 23 名服务提供者进行了焦点小组讨论和访谈。参与者被问及他们在为患有精神健康和心理健康问题的青少年提供过渡护理时遇到的障碍和促进因素方面的经验。结果在数据分析过程中出现了六个主题:护理途径、适当和全面的护理、护理的连续性、知情护理、家庭参与和青少年参与。这些结果让我们更好地了解了泰勒及其家人在获得和过渡到玛哈护理系统支持以及改善玛哈护理结果方面的需求。讨论这些信息揭示了 TAY 及其家庭所需要的支持,以及由于缺乏指导、过渡准备、合作和 MHA 系统的连续性而造成的挑战。为泰勒及其家人提供服务的 MHA 提供者可以利用这些发现来促进泰勒及其家人的有效参与,以获得积极的过渡和护理体验。
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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