Community Mental Health Journal最新文献_第8页

Understanding and Navigating the Unique Barriers Rural Primary Care Settings Face when Implementing Collaborative Care for Mental Health. 了解和驾驭农村初级保健机构在实施精神健康协作护理时所面临的独特障碍。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-04-01 Epub Date: 2024-09-06 DOI: 10.1007/s10597-024-01348-6

Elizabeth J Austin, Elsa S Briggs, Angel Cheung, Erin LePoire, Brittany E Blanchard, Amy M Bauer, Morhaf Al Achkar, Diane M Powers

{"title":"Understanding and Navigating the Unique Barriers Rural Primary Care Settings Face when Implementing Collaborative Care for Mental Health.","authors":"Elizabeth J Austin, Elsa S Briggs, Angel Cheung, Erin LePoire, Brittany E Blanchard, Amy M Bauer, Morhaf Al Achkar, Diane M Powers","doi":"10.1007/s10597-024-01348-6","DOIUrl":"10.1007/s10597-024-01348-6","url":null,"abstract":"Rural primary care (RPC) clinics may face unique barriers to implementing the Collaborative Care Model (CoCM). We used mixed methods to explore RPC staff and practice facilitator (PF) perspectives on CoCM implementation. PFs reported on barriers and facilitators experienced after each monthly meeting with clinics (n = 459 surveys across 23 clinics). Data were analyzed descriptively and informed qualitative interviews with a purposive sample (n = 11) of clinic staff and PFs. Interviews were analyzed using Rapid Assessment Process and triangulated with quantitative data. The most prominent barriers experienced were: (1) the COVID-19 pandemic, (2) limited availability of site staff to participate in implementation activities, and (3) hiring of new CoCM staff. Qualitative data further characterized the ways these barriers uniquely influenced RPC settings and promising implementation strategies. RPC settings face unique challenges to CoCM implementation, but several promising implementation strategies - when tailored to RPC contexts - may help.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"401-410"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early Health Impacts of a Primary Care Consultation Model for People Served by Assertive Community Treatment teams. 针对接受自主社区治疗团队服务者的初级保健咨询模式的早期健康影响。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-04-01 Epub Date: 2024-10-04 DOI: 10.1007/s10597-024-01359-3

Pavithra Jaisankar, Emily Kingman, Drew LaStella, Elisa Chow, Edward Tabasky, Jeanie Tse

{"title":"Early Health Impacts of a Primary Care Consultation Model for People Served by Assertive Community Treatment teams.","authors":"Pavithra Jaisankar, Emily Kingman, Drew LaStella, Elisa Chow, Edward Tabasky, Jeanie Tse","doi":"10.1007/s10597-024-01359-3","DOIUrl":"10.1007/s10597-024-01359-3","url":null,"abstract":"The cardiometabolic health outcomes and life expectancy of people living with serious mental illness (SMI) continue to significantly flag behind that of the general population. This study explores the possibility of using the evidence-based Assertive Community Treatment (ACT) model and infrastructure to increase access to primary care and improve cardiometabolic outcomes of people with SMI. Four ACT teams in a large urban area received the services of a primary care consultant who was co-located at a Federally Qualified Health Center (FQHC), met regularly with ACT team clinicians to review a cardiometabolic registry of participants, and engaged participants in primary care services. Health screening rates, primary care utilization, and cardiometabolic outcomes-body mass index, blood pressure, hemoglobin A1c, cholesterol, and tobacco smoking status-were monitored over the course of a year. The efficacy of this integrated care model was also explored through focus groups with ACT team staff and participants. Significant improvements in screening rates were found for the ACT teams that received this integrated care intervention; however, only modest improvements in cardiometabolic outcomes were found. Future longitudinal, multi-site studies are needed to fully determine the impact of integrated care models on the physical health outcomes of this vulnerable population.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"523-530"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Implementation of Mental Healthcare Plans in Three Districts in Ghana: A Mixed-Method Process Evaluation Using Theory of Change. 加纳三个地区心理保健计划的制定与实施：采用变革理论的混合方法过程评估》。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-04-01 Epub Date: 2024-09-27 DOI: 10.1007/s10597-024-01357-5

Kenneth A Ae-Ngibise, L Sakyi, L Adwan-Kamara, T D Cooper, B Weobong, C Lund

{"title":"Development and Implementation of Mental Healthcare Plans in Three Districts in Ghana: A Mixed-Method Process Evaluation Using Theory of Change.","authors":"Kenneth A Ae-Ngibise, L Sakyi, L Adwan-Kamara, T D Cooper, B Weobong, C Lund","doi":"10.1007/s10597-024-01357-5","DOIUrl":"10.1007/s10597-024-01357-5","url":null,"abstract":"In Ghana, a severe mental healthcare gap of 95-98% exists due to limited services. Ghana Somubi Dwumadie set out to address this by developing district mental healthcare plans (DMHPs) in three demonstration districts. Following the Programme for Improving Mental Healthcare model, district mental health operations teams were formed and used Theory of Change (ToC) to develop DMHPs. Key elements included training non-specialist health workers and enrolling individuals in relevant healthcare programmes. Evaluation methods included routine data, health facility surveys, and qualitative analysis within the ToC framework. Results showed improved integration of mental health services, enhanced case management through training, and increased service utilisation, shown through 691 service user enrollments. However, there was limited commitment of new resources and no significant improvement in primary care workers' capacity to detect priority mental health conditions. The study concludes that DMHPs, implemented with an integrated approach, can improve mental health service utilisation, contingent on committed leadership, resource availability, and stakeholder engagement.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"509-522"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racialized Immigrants' Encounters of Barriers and Facilitators in Seeking Mental Healthcare Services in Ontario, Canada. 加拿大安大略省种族移民在寻求心理保健服务时遇到的障碍和便利因素。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-04-01 Epub Date: 2024-09-24 DOI: 10.1007/s10597-024-01362-8

Zoha Salam, Mirna Carranza, Bruce Newbold, Olive Wahoush, Ameil Joseph

{"title":"Racialized Immigrants' Encounters of Barriers and Facilitators in Seeking Mental Healthcare Services in Ontario, Canada.","authors":"Zoha Salam, Mirna Carranza, Bruce Newbold, Olive Wahoush, Ameil Joseph","doi":"10.1007/s10597-024-01362-8","DOIUrl":"10.1007/s10597-024-01362-8","url":null,"abstract":"Racialized immigrants have low rates of accessing mental healthcare services. However, there are notable differences among immigrant groups (e.g., refugees, international students, dependants). The aim of this study is to understand racialized immigrants' experiences of accessing mental healthcare services at both systemic and individual levels. Through a qualitative descriptive methodology, interviews were conducted in English with 16 racialized immigrants to understand barriers and facilitators encountered. Additionally, focusing on how cultural and social conceptualizations ideas shape mental healthcare services. Interviews were analyzed through Braun & Clarke's six-step method to reflexive thematic analysis in identifying factors. Three major themes were identified: structural constraints, individual influences, and appraisal of services. With the first, racialized immigrants signaled to issues related to the systemic level that included affordability, wait times, and trust in the system. Individual influences highlighted factors of mental health literacy, social supports, stigma, severity of the issues, and awareness of services themselves. Lastly, extending on the previous theme, appraisal of services was reflective of how social and cultural ideals shaped attitudes towards the appropriateness of the provider or services themselves. The findings from this paper emphasize that racialized immigrants are not homogenous in their experiences and attitudes towards mental healthcare services. While there were similarities across different groups in the individual and systemic factors identified, there were key distinctions driven by appraisal of services themselves and if they were congruent based on their needs, more specifically, what was contributing to their negative mental health status.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":"556-567"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives. 以社区为基础的严重精神疾病合作护理：卫生保健提供者经验和观点的快速定性证据综合。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-03-27 DOI: 10.1007/s10597-025-01459-8

Saira Abdulla, Sherianne Kramer, Lesley Robertson, Samantha Mhlanga, Campion Zharima, Jane Goudge

{"title":"Community-based Collaborative Care for Serious Mental Illness: A Rapid Qualitative Evidence Synthesis of Health Care Providers' Experiences and Perspectives.","authors":"Saira Abdulla, Sherianne Kramer, Lesley Robertson, Samantha Mhlanga, Campion Zharima, Jane Goudge","doi":"10.1007/s10597-025-01459-8","DOIUrl":"https://doi.org/10.1007/s10597-025-01459-8","url":null,"abstract":"Community-based collaborative care (CBCC) is an effective approach for addressing the needs of people with mental health conditions. However, even with the established components of CBCC in place, CBCCs effectiveness for serious mental illnesses (SMIs) remains unknown. This review aims to synthesize qualitative evidence of health care providers' experiences of CBCC in order to identify key factors that facilitate or hinder collaboration in the specific context of SMIs. We searched databases to identify 3368 studies. The eligibility criteria included qualitative studies focusing on health care providers' experiences in delivering a CBCC intervention for people with SMIs. Studies were included if they had at least 2 of 3 CBCC components: a multidisciplinary team, case management, and structured communication. Thematic analysis was used to synthesise the findings, and the Standards for Reporting Qualitative Research framework was used to assess the quality of included studies. The protocol is registered on Prospero. Of the 19 studies included in our review, 5 had achieved collaboration, which was driven by several key ingredients: the availability of on-site case managers and psychiatrists, or the psychiatrists' willingness to travel to the site; the psychiatrists' efforts in actively engaging and supporting the CBCC team; the primary care clinicians' willingness to collaborate with the team and reduce traditional hierarchical engagement; the team's understanding of CBCC; and case managers with strong interpersonal and professional skills. The inclusion of CBCC components do not guarantee collaboration. The findings emphasise the importance of on-site mental health specialists, clearly defined roles, and proactive providers in achieving collaboration.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Participatory Survey to Investigate the Long-Term Effectiveness of Adult Psychiatric Services (PSILEAPS): Baseline Data and Recruitment Experiences. 一项调查成人精神病学服务（PSILEAPS）长期有效性的参与性调查：基线数据和招募经验。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-03-11 DOI: 10.1007/s10597-025-01462-z

Tomi Bergström, Tapio Gauffin, Teija Hietasaari, Nina Koivuniemi, Anne Leinonen, Enni Öfverberg, Reetta Viitakoski, Timo Haaraniemi, Katja Partanen, Katariina Rantamaa, Vilhelmiina Yrjänheikki, Tiina Jauhiainen, Annika Olli, Jouko Miettunen, Jouni Petäjäniemi

{"title":"A Participatory Survey to Investigate the Long-Term Effectiveness of Adult Psychiatric Services (PSILEAPS): Baseline Data and Recruitment Experiences.","authors":"Tomi Bergström, Tapio Gauffin, Teija Hietasaari, Nina Koivuniemi, Anne Leinonen, Enni Öfverberg, Reetta Viitakoski, Timo Haaraniemi, Katja Partanen, Katariina Rantamaa, Vilhelmiina Yrjänheikki, Tiina Jauhiainen, Annika Olli, Jouko Miettunen, Jouni Petäjäniemi","doi":"10.1007/s10597-025-01462-z","DOIUrl":"https://doi.org/10.1007/s10597-025-01462-z","url":null,"abstract":"In clinical psychology and psychiatry, traditional hypothesis testing is challenging due to the subjective and contextual nature of the studied phenomenon. To address this, more exploratory and participatory research is needed. This paper reports recruitment experiences and baseline data of a prospective exploratory cohort study with participatory elements, initiated in mental health services in one Finnish region. The primary aims, design, and survey for data collection were developed through community meetings involving local mental health workers, peer experts, and service users. Over 2 weeks, all mental health service users, their care teams, and social network members were asked to share their views on the reasons for needing services and what aspects of treatment have been or could be helpful or unhelpful. Descriptive statistics summarized baseline data, and simple thematic analysis examined field notes on supporting and hindering aspects of the study design. A total of 117 service users, 54 care team members, and 34 social network members participated, with a service user attrition rate of 40-50%. The study achieved 79% of the target sample size. Women and participants with mood disorder diagnoses and long-term service usage were overrepresented. Findings suggest that integrating participatory research into Finnish public mental health services would require additional resources. Despite its limitations, the collected data will facilitate exploratory research into real-life mental health treatment processes from various perspectives.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How are Ambulatory Treatment and Personalised Care Being Implemented in Psychiatry? An Analysis of Eight Years of Activity Records of a Belgian Mobile Crisis Team Developed in the Context of the 'Psy 107' Reform. 精神病学如何实施门诊治疗和个性化护理？“Psy 107”改革背景下比利时移动危机小组8年活动记录分析

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-03-05 DOI: 10.1007/s10597-025-01457-w

Sophie Pesesse

{"title":"How are Ambulatory Treatment and Personalised Care Being Implemented in Psychiatry? An Analysis of Eight Years of Activity Records of a Belgian Mobile Crisis Team Developed in the Context of the 'Psy 107' Reform.","authors":"Sophie Pesesse","doi":"10.1007/s10597-025-01457-w","DOIUrl":"https://doi.org/10.1007/s10597-025-01457-w","url":null,"abstract":"Since 2009, the 'Reform 107' has been carrying out a substantial transformation of mental healthcare in Belgium, underpinned by two high ideals: ambulatory treatment and personalised care. Whilst there is broad support for the reform, its implementation is not without its problems and little data exists as to its effects. With that in mind, this article endeavours to assess the care provided by a Brussels-based mobile crisis team. Established by funding generated for the reform, this team has taken these ideals fully on board and, as a crisis response measure providing intensive and short-term care, is playing a central role in the organisation and management of mental healthcare across its territory. Therefore, with an approach at the intersection of the sociology of health and the sociology of public action, this article asks the following question: how are these ambitions- ambulatory treatment and personalised care- enacted in concrete terms in this mobile crisis team's care provision practices? The analysis, based on eight years of activity records of this team, has brought to light that, on the one hand, the care interventions provided and patient referrals, when they occur, are for the most part ambulatory, but that hospitalisations still play a prominent role. On the other hand, this mobile team's care provision is personalised, in particular regarding its duration. It emerges that this duration is correlated with certain individual characteristics, but the analyses nevertheless highlight the presence of other circumstantial determinants, calling for more research to be carried out as to their impact.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Through the Lens of Psychiatrists: Understanding Smoking Cessation Behaviour Among People with Serious Mental Illness. 透过精神科医生的镜头：了解严重精神疾病患者的戒烟行为。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-02-27 DOI: 10.1007/s10597-025-01460-1

Parul Parul, Bindu Joseph, Sunil Datta, Avinash Desousa, Muhammad Aziz Rahman

{"title":"Through the Lens of Psychiatrists: Understanding Smoking Cessation Behaviour Among People with Serious Mental Illness.","authors":"Parul Parul, Bindu Joseph, Sunil Datta, Avinash Desousa, Muhammad Aziz Rahman","doi":"10.1007/s10597-025-01460-1","DOIUrl":"https://doi.org/10.1007/s10597-025-01460-1","url":null,"abstract":"Smoking among people with Serious Mental Illness (SMI) is a pleading public health concern as the rates are much higher compared to the general population. Although different interventions are available to provide cessation support, there is limited evidence of assessing psychiatrists' perspectives on smoking cessation among people with SMI. The study aims to explore the perspectives of psychiatrists regarding smoking cessation among people with SMI. The study used a qualitative approach. In-depth interviews were conducted with ten psychiatrists, exploring their opinions about smoking and its cessation among people with SMI. Purposive sampling was employed. Data saturation was achieved when no new information was gathered. The verbatim transcripts were analysed using thematic analyses. A total of 14 subthemes emerged under seven themes, highlighting the perspective of psychiatrists in terms of the utilisation of smoking as a coping mechanism among people with SMI. Findings, such as priority of care, time constraints and patient initiative, emphasised the factors impacting cessation. Psychiatrists expressed that support from peers and family members significantly influences smoking cessation among people with SMI. Furthermore, merely engaging in asking, assessing and advicing components from the World Health Organisation 5As scale implied insufficient usage of the 5As tool while discussing cessation. Psychiatrists recognise the impact of cessation on mental health outcomes, like the utilisation of smoking as a coping mechanism. Their experiences and challenges with cessation highlighted time commitment and priority of care while contemplating cessation. The deepened insight provided by our study findings has been instrumental in shaping the content of tailored interventions related to smoking cessation among people with SMI.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Discrimination on Help-Seeking Behavior Among Individuals With Serious Mental Illness in South Korea: Role of Social Participation Services. 歧视对韩国严重精神疾病患者求助行为的影响：社会参与服务的作用

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-02-25 DOI: 10.1007/s10597-025-01458-9

Subin Na, Sang Kyoung Kahng, Phyllis Solomon

{"title":"Impact of Discrimination on Help-Seeking Behavior Among Individuals With Serious Mental Illness in South Korea: Role of Social Participation Services.","authors":"Subin Na, Sang Kyoung Kahng, Phyllis Solomon","doi":"10.1007/s10597-025-01458-9","DOIUrl":"https://doi.org/10.1007/s10597-025-01458-9","url":null,"abstract":"This study investigated the relationship between perceived discrimination, help-seeking behaviors, and the adequacy of social participation services among individuals with serious mental illness in South Korea. Data were drawn from a 2020 survey conducted by the National Human Rights Commission of Korea, involving 607 participants who used community-based mental health rehabilitation facilities. Structural equation modeling was employed to examine the extent to which perceived discrimination in healthcare, employment, and personal-social relationships affects help-seeking behaviors, including the mediating effect of perceived adequacy of social participation services. Results revealed that experiences of discrimination in healthcare and employment significantly influenced help-seeking, whereas discrimination in personal-social relationships did not. Although the adequacy of social participation services positively impacted help-seeking, it did not mediate the relationship between discrimination and help-seeking behaviors. The findings suggest addressing discrimination in healthcare and employment and expanding diverse, accessible social participation services are crucial for encouraging help-seeking among individuals with serious mental illness across regions in Korea.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Youth Emotional Pathways to Mental Health Services: I Came to Foundry to "Remember What it Feels Like to Cry". 青少年情感通往心理健康服务的途径：我来到铸造厂是为了“记住哭泣的感觉”。

IF 1.8 4区医学

Community Mental Health Journal Pub Date : 2025-02-19 DOI: 10.1007/s10597-025-01456-x

Shelly Ben-David, Michelle Biddell, Jessica P Lougheed, Chantal Vien, Radha Ortiz, David Kealy, Shelagh Turner, Mike Gawliuk, Steve Mathias, Skye Barbic

{"title":"Youth Emotional Pathways to Mental Health Services: I Came to Foundry to \"Remember What it Feels Like to Cry\".","authors":"Shelly Ben-David, Michelle Biddell, Jessica P Lougheed, Chantal Vien, Radha Ortiz, David Kealy, Shelagh Turner, Mike Gawliuk, Steve Mathias, Skye Barbic","doi":"10.1007/s10597-025-01456-x","DOIUrl":"https://doi.org/10.1007/s10597-025-01456-x","url":null,"abstract":"Mental health difficulties typically develop during adolescence, yet service utilization rates among youth are low. We sought to understand perspectives among Canadian youth accessing mental health services at an integrated youth services centre called Foundry. Forty-one semi-structured qualitative interviews were conducted with youth aged 15-24 years. A grounded theory framework was developed. Youth described emotional experiences of distress as catalysts to seeking mental health services. They also discussed challenges in understanding their own emotions as barriers to accessing mental health services. Gender identity and norms influenced participants' experiences of accessing services. Anxious emotions were predominantly associated with youths' experiences with seeking mental health services. Conversely, once at Foundry, over half the youth experienced positive emotions about help-seeking, with more than half of these youth continuing to access services post interview. Providing Integrated Youth Services like Foundry can increase service engagement and support adaptive emotional development for youth of all genders.","PeriodicalId":10654,"journal":{"name":"Community Mental Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0