Manager Perspectives on Services Addressing Mental Health Needs of Youth in Physical Rehabilitation

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-05-28 DOI:10.1111/cch.70102

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

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Abstract

Background

Youth mental health is becoming a priority, but models for organizing services in physical rehabilitation centres to meet the growing needs of youth with chronic physical disabilities and mental health problems are scarce. Initial research revealed barriers faced by youth, families and rehabilitation specialists when accessing or providing mental health services for this population. This study explores managers' perspectives on challenges, strengths and opportunities for mental health service delivery and integration in physical rehabilitation at the organizational level.

Methods

Two semistructured focus groups were conducted with nine managers across five organizations offering rehabilitation services in a large Canadian city. Data were analysed using inductive and deductive thematic analysis.

Results

Barriers and facilitators expressed by managers fell into three categories: (1) available clinical resources for mental health (access to mental health specialists within internal team and internal organizational structures and mandates), (2) clinician workforce capacity (internal mental health knowledge and professional development for staff in physical rehabilitation and external mental health professionals' knowledge in physical disability) and (3) links and partnerships with key players (working in silos, external organizational structures and procedures and actions to improve pathways to access mental health services across external programs and organizations).

Conclusions

Managers' insights can guide the development of policies and advocacy for change at the organizational level to support mental health service delivery within physical rehabilitation. This can be done by building capacity on mental health knowledge and skills of rehabilitation teams and establishing collaborative partnerships and well-coordinated procedures within and outside of their organizations.

查看原文本刊更多论文

管理者对青少年身体康复心理健康需求服务的看法

背景：青年心理健康正在成为一个优先事项，但在身体康复中心组织服务以满足有慢性身体残疾和心理健康问题的青年日益增长的需求的模式却很少。初步研究揭示了青年、家庭和康复专家在为这一人群获得或提供心理健康服务时面临的障碍。本研究探讨了管理者在组织层面上对心理健康服务提供和物理康复整合的挑战、优势和机会的看法。方法对加拿大某大城市5家康复服务机构的9名管理者进行了2个半结构化的焦点小组调查。数据分析采用归纳和演绎主题分析。结果管理者表达的障碍和促进因素分为三类：(1)现有的精神卫生临床资源（在内部团队和内部组织结构和任务中获得精神卫生专家的机会），(2)临床医生队伍能力（内部精神卫生知识和身体康复工作人员的专业发展以及外部精神卫生专业人员在身体残疾方面的知识），以及(3)与主要参与者的联系和伙伴关系(各自为重；外部组织结构、程序和行动（通过外部项目和组织改善获得精神卫生服务的途径）。结论管理者的见解可以指导政策的制定和组织层面的变革倡导，以支持身体康复中的心理健康服务提供。要做到这一点，可以建设康复小组的精神卫生知识和技能能力，并在其组织内外建立合作伙伴关系和良好协调的程序。

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

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.