青少年心理健康住院病房:照顾者的经验

IF 1.7 2区 社会学 Q1 FAMILY STUDIES
Mackenzie Sternbeck-Rutter , Karlen R. Barr , Karina Rovere , Rachael Wade , Kevan McLean , Michelle L Townsend
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引用次数: 0

摘要

建立了青少年心理健康住院病房,为有严重心理健康问题的青少年提供安全和治疗环境。当孩子被送入AIPU时,家庭通常会报告高压力,疲惫和家庭功能障碍。照顾者经常感到不确定如何有效地支持他们的孩子,并对缺乏参与和与这些服务的合作感到不满。此外,尽管出院后青少年症状稳定,但家庭功能障碍和照顾者与儿童关系受损往往持续存在。本研究旨在探讨在AIPU中参与儿童护理的照顾者的经历,以了解合作照顾者的参与如何影响照顾者管理痛苦的能力、照顾者与儿童的关系和护理后的家庭功能。对10名护理人员进行了访谈,并使用反身性主题分析对数据进行了分析。产生的主题表明,护理人员对他们的参与水平总体满意,并描述了接收有关痛苦管理的适用信息和策略的好处。照顾者对孩子的心理健康问题有了更多的了解,这改善了他们与孩子之间的沟通。据报道,新的和共同的沟通痛苦的方式对亲子关系产生了积极的影响。照顾者表示希望增加家庭参与和进一步支持,以确保他们的青少年出院后得到照顾。本研究提供了证据,证明照顾者积极参与孩子的照顾,有助于照顾者使用有效的痛苦管理策略,改善照顾者与孩子的关系。根据照顾者的反应,建议类似的青少年服务优先考虑照顾者和整个家庭的个性化信息和技能提升。基于这些发现,我们为护理人员参与AIPU开发了一个框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adolescent mental health inpatient unit: The experience of caregivers
Adolescent mental health inpatient units (AIPU) have been established to provide a safe and therapeutic environment for adolescents with serious mental health presentations. Families often report high stress, exhaustion, and family dysfunction when a child is admitted to an AIPU. Caregivers frequently experience uncertainty about how to effectively support their child, and dissatisfaction with a lack of involvement and collaboration with these services. Further, family dysfunction and impaired caregiver-child relationships often persist despite adolescent symptom stabilisation following discharge. This study aimed to explore the experiences of caregivers who were involved in their child’s episode of care at an AIPU to understand how collaborative caregiver involvement may influence caregivers’ ability to manage distress, the caregiver-child relationship, and family functioning post-episode of care. Interviews were conducted with 10 caregivers and data were analysed using reflexive thematic analysis. The themes generated indicated that caregivers were satisfied overall with their level of involvement and described the benefits of receiving applicable information and strategies around distress management. Caregivers gained an increased understanding of their child’s mental health difficulties, which improved communication between themselves and their child. New and shared ways of communicating about distress were reported to positively impact the parent–child relationship. Caregivers expressed a desire for increased family involvement and further support in ensuring care for their adolescent after being discharged from the unit. This research provides evidence that the active involvement of the caregiver in their child’s care facilitates the caregiver’s use of effective distress management strategies and improves the caregiver-child relationship. In line with caregiver responses, it is recommended that similar adolescent services prioritise individualised information and upskilling for caregivers and whole families. Based on these findings, we have developed a framework for caregiver involvement in an AIPU.
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来源期刊
CiteScore
6.30
自引率
6.10%
发文量
303
期刊介绍: Children and Youth Services Review is an interdisciplinary forum for critical scholarship regarding service programs for children and youth. The journal will publish full-length articles, current research and policy notes, and book reviews.
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