Mathew C. Luehring PhD, BCBA-D, NCSP, Patrick W. Romani PhD, BCBA-D, Merlin Ariefdjohan PhD, MPH
{"title":"Preliminary evaluation of behavior technician burnout when working with boarded and traditional psychiatric inpatients diagnosed with developmental disabilities","authors":"Mathew C. Luehring PhD, BCBA-D, NCSP, Patrick W. Romani PhD, BCBA-D, Merlin Ariefdjohan PhD, MPH","doi":"10.1111/jcap.12461","DOIUrl":"https://doi.org/10.1111/jcap.12461","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>The COVID-19 pandemic has led to a youth mental health crisis, with research demonstrating an increased prevalence of depression, anxiety, and disruptive behavior in youth compared to pre-pandemic years. Consequently, the insurgence of emergency psychiatric evaluations has increased the demands for extended inpatient stay (or patient boarding) at various licensed treatment facilities. Questions remain about the extent of burnout being experienced by behavior technicians who are caring for these patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Shirom-Melamed Burnout Measure was used to evaluate symptoms of burnout of behavior technicians practicing at a specialized psychiatric inpatient unit. Comparisons were made for instances of caring for boarded (meeting criteria for discharge but unable to be discharged due to disposition) and traditional patients (short-term treatment).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Behavior technicians caring for boarded patients reported significantly higher scores in overall stress, physical exhaustion, cognitive fatigue, and emotional exhaustion than those managing patients getting traditional care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Extensive burnout can have adverse impacts at both the personal level (staff well-being, individual staff–patient interactions) and clinic level (daily operations and service, general quality of care). Efforts need to be made to address this issue to prevent staff turnover.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140343070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The correlation between domestic violence awareness and attitudes toward child marriage: The case of Turkey","authors":"Eda Gülbetekin, Sait Yildirim","doi":"10.1111/jcap.12460","DOIUrl":"10.1111/jcap.12460","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>The aim of this study is to determine the correlation between domestic violence awareness and attitudes toward child marriages among individuals living in Iğdır city.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The correlational survey model was used in the study. The sample consisted of 814 adult individuals who lived in Iğdır city, did not have any health problem, and volunteered to participate in the study between September 2022 and January 2023. Personal Information Form, Domestic Violence Awareness Scale, and Attitude Toward Child(Girls) Marriages Scale were used to collect data. Data were obtained through online environment and face-to-face interview.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>It was found that 59.5% of the sample group were female and 27% were aged between 18 and 24 years. 61.9% of the participants were married and 88.1% were married when they were over the age of 18. In addition, 51.9% were university graduates while 50.9% of them stated that they had witnessed domestic violence. The results of the study revealed that while the variables of gender, age, marital status, education level, and place of residence affected the attitudes toward child marriages, the variables of gender, age, age at marriage, education level, place of residence and witnessing domestic violence affected domestic violence awareness. Furthermore, when examining the scales used, it was concluded that the attitude toward child marriages affected the awareness of domestic violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Since domestic violence and child marriages are very common, it is recommended to conduct further studies on these issues and to identify support systems that will increase the awareness of the society on these issues.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jodie Gill MSc, BSc, RMN, Alexis Jones PhD, Klara Price PhD, Egan Goodison BSc, Philip Tyson PhD
{"title":"A mixed-method systematic review of the perspectives of young people, carers and professionals on psychiatric diagnosis in childhood and adolescence","authors":"Jodie Gill MSc, BSc, RMN, Alexis Jones PhD, Klara Price PhD, Egan Goodison BSc, Philip Tyson PhD","doi":"10.1111/jcap.12459","DOIUrl":"10.1111/jcap.12459","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>The significance and complexities of a psychiatric diagnosis have been well-documented in existing literature. Despite the reliability and accuracy of such diagnoses, the impact and use of diagnostic labelling on young people remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review was conducted using six databases, identifying 13 studies that explored psychiatric diagnosis experiences in professionals, caregivers, and young people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>This review focuses on three main themes related to psychiatric diagnosis in young people. The first theme is diagnostic subjectivity, which explores the accuracy, usefulness, potential harm and alternatives (e.g. psychological formulation) to psychiatric diagnosis in this population. The second theme is the utility of psychiatric diagnosis, which considers whether it helps young people access appropriate support and gain a better understanding of themselves and their presenting issues. The third theme is stigma, which examines the negative experiences and discrimination that young people may face due to their psychiatric diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is relatively limited literature which discusses the experience of psychiatric diagnosis in young people, caregivers and professionals. The available literature is difficult to compare due to discrepancies between methodologies and services, and there are several gaps i.e. a limited focus on the experience of young people themselves. Different views and experiences of psychiatric diagnosis among professionals, caregivers, and young people could impact young people's quality of life, access to healthcare, and identity development. The current literature needs to be more comprehensive to draw firm conclusions about young people's experiences with psychiatric diagnosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Have the effects of Covid-19 been overcome? Levels of Covid-19 fear, Covid-19 anxiety and hopelessness in young adolescents: A structural equation modeling","authors":"Abdullah Sarman RN, PhD, Suat Tuncay RN, PhD","doi":"10.1111/jcap.12458","DOIUrl":"10.1111/jcap.12458","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This research aimed to determine the level of fear, anxiety, and hopelessness of Covid-19 in young adolescents’ post Covid-19 period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Samples</h3>\u0000 \u0000 <p>Young adolescents in the 17–24 age group were included in this study, which was conducted in a descriptive-cross-sectional design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Sociodemographic characteristics questionnaire form and Coronavirus (Covid-19) Fear Scale, Coronavirus Anxiety Scale, and Beck Hopelessness Scale were used to collect data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>90.8% of the participants had been vaccinated, 26.9% had previously caught in Covid-19, and 10.3% of those who had been caught in the disease had a severe course. 10.7% of young adolescents had to take medicines, 56.4% had a family history of Covid-19, and 18.7% had lost a relative as a result of Covid-19, was found. The level of fear, anxiety and hopelessness was higher among women, first-grade students, those who did not receive the Covid-19 vaccine, those who have caught in Covid-19 before, and those who have lost a family due to Covid-19.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is thought that the increase in the awareness level of young adolescents about Covid-19 improves preventive health behaviors and enables the development of positive behaviors related to the disease.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of a training program on adolescents' stress levels and healthy lifestyle behaviors during the Covid-19 pandemic: A randomized controlled study","authors":"Edanur Tar Bolacali PhD, Derya Kaya Şenol PhD","doi":"10.1111/jcap.12456","DOIUrl":"10.1111/jcap.12456","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Topic</h3>\u0000 \u0000 <p>Adolescence is the period when people adopt healthy lifestyle behaviors and turn them into habits. Healthy lifestyle behaviors are a significant step toward a long and healthy life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study investigated the effect of a training program on adolescents' stress levels and healthy lifestyle behaviors during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled study was conducted between May and July 2021. The sample consisted of 100 adolescents living in a city in the south of Turkey. Participants were randomized into intervention and control groups using block randomization. The intervention group participated in an online (Zoom) training program consisting of two 45 min sessions once a week for 8 weeks. Data were collected using the adolescent stress questionnaire (ASQ) and the adolescent lifestyle profile (ALP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that 73% (<i>n</i>: 73) of the participants had developed hygiene habits since the onset of the pandemic. However, the pandemic negatively affected participants' dietary habits (45%, <i>n</i>: 45), physical activity (70%, <i>n</i>: 70), coping mechanisms (68%, <i>n</i>: 68), sleep patterns (54%, <i>n</i>: 54), Internet/social media/video game addiction (64%, <i>n</i>: 64), and interpersonal relationships (57%, <i>n</i>: 57). The intervention group had a lower mean ASQ posttest score and a higher mean ALP posttest score than the control group. The intervention group had a lower mean ASQ posttest score than their pretest score. The intervention group also had a higher mean ALP posttest score than their pretest score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions/Implications for Practice</h3>\u0000 \u0000 <p>The training program helped adolescents feel less stress and adopt more healthy lifestyle behaviors. Pediatric nurses should identify risk factors and design and implement appropriate plans to help adolescents go through future pandemics with as little damage as possible. Parents and educators should support adolescents against the adverse impacts of events such as the COVID 19 pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siti Khuzaiyah MEpid, PhD (Cand), Qorinah Estiningtyas Sakilah Adnani PhD, Ainun Muthoharoh MSc, Nur Chabibah MPH, Windha Widyastuti MNS, Sandi Ari Susiatmi MMid, Nina Zuhana MEpid, Wahyu Ersila MPH, Paul Barach BMedSci, MD, MPH, Maj (Ret), AUA, Ka Yiu Lee PhD
{"title":"Indonesian COVID-19 lesson: A mixed-methods study on adolescent health status and health services during pandemic","authors":"Siti Khuzaiyah MEpid, PhD (Cand), Qorinah Estiningtyas Sakilah Adnani PhD, Ainun Muthoharoh MSc, Nur Chabibah MPH, Windha Widyastuti MNS, Sandi Ari Susiatmi MMid, Nina Zuhana MEpid, Wahyu Ersila MPH, Paul Barach BMedSci, MD, MPH, Maj (Ret), AUA, Ka Yiu Lee PhD","doi":"10.1111/jcap.12457","DOIUrl":"10.1111/jcap.12457","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Topic</h3>\u0000 \u0000 <p>The COVID-19 pandemic affected adolescents' physical and psychological health. There must be specific services to cater to the needs of adolescents during COVID-19 in Indonesia. Lessons learned from previous pandemics will be beneficial for nurses and other health professionals to prepare services for future pandemics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This mixed-method study aimed to examine 459 Indonesian adolescents' health, literacy, preventive measures, and preferred health services during the COVID-19 pandemic. This study also examines sociodemographics, respondent characteristics, health information sources, and media choices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 47.5% of adolescents knew about COVID-19, 26.8% experienced physical health changes, and 61.7% considered wearing masks. Adolescent health information came from teachers (26.6%) and the Internet (32.9%). Psychological changes showed 67.8% irritation. Indonesians preferred online counseling (53.8%) and WhatsApp (45.8%) for pandemic health services. COVID-19 literacy did not affect physical or mental health (<i>p</i> > 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most adolescents reported mental and physical health changes during COVID-19. Our data suggest that adolescents' strong COVID−19 knowledge did not prevent anxiety and other psychological difficulties. The longitudinal studies could be utilized if pandemic demands social and physical distance. The government, as well as nurses, might utilize WhatsApp-based remote online treatment for health services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12457","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laureen H. Smith PhD, RN, Marliese D. Nist PhD, RN, Christine A. Fortney PhD, RN, Barbara Warren PhD, RN, Tondi Harrison PhD, RN, Shannon Gillespie PhD, RN, Kayla Herbell PhD, RN, Lisa Militello PhD, RN, Cindy M. Anderson PhD, RN, Sharon Tucker PhD, RN, Jodi Ford PhD, RN, Mei-Wei Chang PhD, RN, Christine Sayre DNP, RN, Rita Pickler PhD, RN, FAAN
{"title":"Using the life course health development model to address pediatric mental health disparities","authors":"Laureen H. Smith PhD, RN, Marliese D. Nist PhD, RN, Christine A. Fortney PhD, RN, Barbara Warren PhD, RN, Tondi Harrison PhD, RN, Shannon Gillespie PhD, RN, Kayla Herbell PhD, RN, Lisa Militello PhD, RN, Cindy M. Anderson PhD, RN, Sharon Tucker PhD, RN, Jodi Ford PhD, RN, Mei-Wei Chang PhD, RN, Christine Sayre DNP, RN, Rita Pickler PhD, RN, FAAN","doi":"10.1111/jcap.12452","DOIUrl":"https://doi.org/10.1111/jcap.12452","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Topic</h3>\u0000 \u0000 <p>Early-life experiences, the transmission of health and disease within families, and the influence of cumulative risks as well as protective factors throughout life shape the trajectory of health, including mental health. Long-term health trajectories established early in life are influenced by biologic, social, and environmental factors. Negative trajectories may be more salient if exposures to adversity occur during critical developmental periods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this brief is to (a) review pediatric health disparities related to depression and the intergenerational transmission of pediatric depression using a Life Course Health Development (LCHD) model and (b) provide recommendations for pediatric mental health research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources</h3>\u0000 \u0000 <p>Peer-reviewed papers available for PubMed, CINAL, and Medline. Other sources include published books, papers, and gray materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The LCHD model is a perspective to guide and foster new scientific inquiry about the development of mental health outcomes over the life course. The model enables synthesis of mental health, nursing, and public health, linking mental health prevention, risk reduction, and treatment in children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12452","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maha M. Albdour PhD, APHN-BC, RN, Elizabeth S. Jenuwine PhD, MLIS, Jun Sung Hong PhD
{"title":"Consequences of high school bullying on stress and health of Arab American college students","authors":"Maha M. Albdour PhD, APHN-BC, RN, Elizabeth S. Jenuwine PhD, MLIS, Jun Sung Hong PhD","doi":"10.1111/jcap.12453","DOIUrl":"https://doi.org/10.1111/jcap.12453","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Existing bullying research among Arab Americans is limited, focusing mainly on school-age adolescents and victimization. There is a lack of studies that examine retrospective bullying perpetration, bullying victimization, and physical fights during high school and their effect on current Arab American college students' stress and health outcomes. This study examines if bullying perpetration, bullying victimization, and physical fights during high school predict current stress and the physical and mental health of Arab American college students. In addition, we examined if perceived psychological stress mediates the relationships between bullying and fighting involvement and health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred and sixty-two undergraduate Arab American college students were recruited from a Midwestern university and completed self-report measures of bullying, stress, and health (both physical and mental).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Controlling for demographic variables, only high school victimization was significantly associated with current stress and physical and mental health. Stress fully mediated the relationship between victimization and health (both physical and mental).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Victimization during high school years may result in serious physical and mental health consequences during college years. However, perpetration and fighting may not have similar effects. Addressing stress among bullying victims may reduce the negative impact of this experience on immigrant Arab American college students. Implications for practice and future research are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictors and barriers to engagement in caring for children with a mental health diagnosis: A qualitative study of caregivers perception of power","authors":"Valerie Seney","doi":"10.1111/jcap.12454","DOIUrl":"https://doi.org/10.1111/jcap.12454","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence-based treatments used in managing behaviors of children require caregiver engagement. However, there is a gap in understanding a caregiver's level of comprehension of how they can advocate for their children's mental health needs and how to help their children in the home once outpatient treatment is initiated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a qualitative study using interviews with semi-structured research questions. Recruitment was through convenience sampling at a private practice mental health agency. Nine participants were interviewed. A thematic analysis was completed posttranscription and coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes emerged that captured the lived experience of the caregivers as they sought to facilitate care for the child/adolescent: Feeling lost (powerless navigating the mental health care system); Feeling a loss of control (Lack of Return Communication and Lack of Available Providers); Feeling frustrated (insurance and/or cost barriers); and Feeling powerless to help (their child at home and not included in treatment).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance</h3>\u0000 \u0000 <p>This study addresses the gaps in the current health care system. Through examining the caregiver's sense of power in their role in mental health care for their children, interventions may be developed to encourage more active involvement in treatment outcomes and more involvement in interventions for the home setting. Moreover, this study highlights the importance of giving insight to providers on how to help families navigate mental health care, communicate more, and include the patient and caregiver in the development of comprehensive treatment plans.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139655596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}