How to Approach a Child About Concerns for Their Mental Health and Seeking Help: A Delphi Expert Consensus Study to Develop Guidelines on Mental Health First Aid for Supporting Children

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2025-01-13 DOI:10.1111/hex.70126

Catherine L. Johnson, Claire M. Kelly, Anthony F. Jorm, William Garvey, Laura M. Hart

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Abstract

Background

Adults who live or work with children are an important source of support and are gateways to professional help when a child is experiencing a mental health problem. This study aimed to develop consensus-based guidelines on how adults such as parents, educators or health professionals should approach a child aged 5–12 years to discuss concerns about the child's mental health and seek help.

Methods

A Delphi consensus method with three rounds was used. Experts were recruited from six countries to form three panels: health professionals, educators and people with lived experience (parents and carers, and young people with mental health problems). Statements to be rated were sourced from an online search of websites designed for adults who live or work with children. Further suggestions for statements came from panellists. Statements that reached 80% consensus across all panels were included in the guidelines.

Results

132 participants completed the Round 1 survey, reducing to 54 by Round 3. A total of 248 statements were presented to panel members, with 151 being endorsed and included in the guidelines.

Conclusions

These guidelines represent the first recommendations developed for members of the public providing mental health first aid to children aged 5–12 years.

Patient or Public Contribution

Lived experience advocates (i.e. those with lived experience of a mental health problem in childhood and/or caregiving experience of raising a child with a mental health problem) were involved at two stages of this research: As part of the Advisory Group for the project and as expert panel members. Advisory Group members provided input into the conduct of the study and the content and design of the research outputs. Panel members provided their expertise to review every item to be included in the guidelines, proposed new items to be included, and reviewed and approved the finalised output documents.

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如何接近儿童对他们的心理健康的担忧和寻求帮助：德尔菲专家共识研究制定指导方针的心理健康急救支持儿童。

背景：与孩子一起生活或工作的成年人是一个重要的支持来源，当孩子经历心理健康问题时，他们是获得专业帮助的门户。这项研究旨在制定基于共识的指导方针，指导父母、教育工作者或卫生专业人员等成年人如何接近5-12岁的儿童，讨论有关儿童心理健康的问题并寻求帮助。方法：采用三轮德尔菲共识法。从六个国家招募了专家组成三个小组：卫生专业人员、教育工作者和有实际经验的人（父母和照顾者以及有精神健康问题的年轻人）。要评分的陈述来自于为与孩子一起生活或工作的成年人设计的网站的在线搜索。小组成员对发言提出了进一步的建议。在所有小组中达成80%共识的声明都包含在指南中。结果：132名参与者完成了第一轮调查，到第三轮时减少到54名。共向小组成员提交了248份声明，其中151份获得核可并列入准则。结论：这些指南是针对向5-12岁儿童提供心理健康急救的公众提出的首批建议。患者或公众贡献：亲身经历倡导者（即在儿童时期亲身经历过精神健康问题和/或养育有精神健康问题的儿童的人）参与了本研究的两个阶段：作为项目咨询小组的成员和作为专家小组成员。咨询小组成员对研究的进行以及研究成果的内容和设计提供了投入。小组成员提供了他们的专门知识，审查了将列入准则的每一个项目，提出了将列入准则的新项目，并审查和核准了最后的输出文件。

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来源期刊

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.