Services Addressing Mental Health Needs of Youth in Physical Rehabilitation: Perspectives of Clinicians, Youth and Family Members

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-12-04 DOI:10.1111/cch.70019

Stephanie M. Tremblay, Shalini Lal, Mark A. Ferro, Dana Anaby

{"title":"Services Addressing Mental Health Needs of Youth in Physical Rehabilitation: Perspectives of Clinicians, Youth and Family Members","authors":"Stephanie M. Tremblay, Shalini Lal, Mark A. Ferro, Dana Anaby","doi":"10.1111/cch.70019","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Knowledge about services addressing mental health provided in a rehabilitation setting to youth with physical disabilities is limited. This study aimed to better understand the needs, supports, challenges and potential solutions to optimize rehabilitation services for co-occurring physical and mental health needs, from the perspectives of youth, family members and clinicians.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A qualitative descriptive approach using 22 individual interviews with youth, parents and clinicians from five rehabilitation centres in a large Canadian city was employed. Inductive thematic analysis was conducted.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Three themes were identified across the three stakeholder groups: (1) available clinical resources for mental health (access to mental health professionals, impact of organizational structures and mandates and continuity of services during transition to adult care); (2) clinician workforce capacity (mental health knowledge, skills and professional development, and therapeutic rapport between clinician and youth); and (3) links and partnerships with key players (improved pathways to access mental health services across programmes and organizations, and family involvement and advocacy).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This study provides insights to barriers for mental health care (such as limited mental health knowledge, tools and professional development and access to specialists within the team, restrictive organizational mandates and disruption of services during the transition to adult care), illustrating important aspects to address. Clinicians can be better equipped to address mental health in rehabilitation settings via training opportunities and peer and organizational support in addition to establishing links with external partners. Organizations can also ensure adequate staffing and create pathways within and beyond their institutions to deliver well-coordinated mental health services in a more accessible way.</p>\n </section>\n </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"51 1","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.70019","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Care Health and Development","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cch.70019","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Knowledge about services addressing mental health provided in a rehabilitation setting to youth with physical disabilities is limited. This study aimed to better understand the needs, supports, challenges and potential solutions to optimize rehabilitation services for co-occurring physical and mental health needs, from the perspectives of youth, family members and clinicians.

Methods

A qualitative descriptive approach using 22 individual interviews with youth, parents and clinicians from five rehabilitation centres in a large Canadian city was employed. Inductive thematic analysis was conducted.

Results

Three themes were identified across the three stakeholder groups: (1) available clinical resources for mental health (access to mental health professionals, impact of organizational structures and mandates and continuity of services during transition to adult care); (2) clinician workforce capacity (mental health knowledge, skills and professional development, and therapeutic rapport between clinician and youth); and (3) links and partnerships with key players (improved pathways to access mental health services across programmes and organizations, and family involvement and advocacy).

Conclusion

This study provides insights to barriers for mental health care (such as limited mental health knowledge, tools and professional development and access to specialists within the team, restrictive organizational mandates and disruption of services during the transition to adult care), illustrating important aspects to address. Clinicians can be better equipped to address mental health in rehabilitation settings via training opportunities and peer and organizational support in addition to establishing links with external partners. Organizations can also ensure adequate staffing and create pathways within and beyond their institutions to deliver well-coordinated mental health services in a more accessible way.

Abstract Image

查看原文本刊更多论文

在身体康复中解决青少年心理健康需求的服务：临床医生、青少年和家庭成员的观点

背景：在康复环境中为身体残疾的青少年提供的心理健康服务的知识是有限的。本研究旨在从青少年、家庭成员和临床医生的角度，更好地了解身心健康共存的康复服务的需求、支持、挑战和潜在解决方案。方法采用定性描述方法，对加拿大某大城市5个康复中心的22名青少年、家长和临床医生进行访谈。进行归纳主题分析。结果三个利益相关者群体确定了三个主题：(1)可用的精神卫生临床资源（获得精神卫生专业人员、组织结构和任务的影响以及向成人护理过渡期间服务的连续性）；(2)临床医生队伍能力（心理健康知识、技能和专业发展，以及临床医生与青年之间的治疗关系）；(3)与主要参与者建立联系和伙伴关系（改善各规划和组织获得精神卫生服务的途径，以及家庭参与和宣传）。本研究提供了对精神卫生保健障碍的见解（如有限的精神卫生知识、工具和专业发展以及获得团队内专家的机会、限制性的组织任务和向成人护理过渡期间服务的中断），说明了需要解决的重要方面。临床医生除了与外部合作伙伴建立联系外，还可以通过培训机会以及同伴和组织的支持，更好地解决康复环境中的心理健康问题。各组织还可以确保配备足够的人员，并在机构内外开辟途径，以更容易获得的方式提供协调良好的精神卫生服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.