A qualitative analysis of child and family complaints related to child mental health services

Laura Darcy PhD, RN, Anna Råberus MScN, RN, Annelie J. Sundler PhD, RN
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Abstract

Problem

Little is known about issues of patient-reported problems, in particular within psychiatric services for children with mental ill health. Child and family complaints related to child mental health services can be analyzed and discussed in light of the universal human right to health and healthcare. Therefore, the aim of this study was to analyze child and family complaints related to child mental health services.

Methods

A retrospective, descriptive design was used. Child and family complaints were analyzed with a qualitative thematic analysis.

Findings

The findings were described in three themes describing lack of access to care, inadequate communication between services and children with mental ill health and their families, and lack of clarity of who is responsible for care, leading to neglect of children's needs. These issues place a huge responsibility on parents or relatives.

Conclusion

Better communication within mental health services, and better collaboration with other services such as school and social services, could limit children's suffering. Healthcare services with named professionals who specialize in child mental health and provide continuity in care, are required. General human rights principles should guide planning and care of children.

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对与儿童心理健康服务相关的儿童和家庭投诉的定性分析
问题 我们对病人报告的问题知之甚少,尤其是在为患有精神疾病的儿童提供的精神科服务中。与儿童精神健康服务相关的儿童和家庭投诉可以从健康和医疗保健的普遍人权角度进行分析和讨论。因此,本研究旨在分析与儿童精神健康服务相关的儿童和家庭投诉。 方法 采用回顾性、描述性设计。对儿童和家庭的投诉进行了定性专题分析。 研究结果 研究结果分为三个主题,分别描述了缺乏获得护理的途径、服务机构与患有精神疾病的儿童及其家人之间沟通不足,以及护理责任人不明确,从而导致忽视儿童的需求。这些问题使父母或亲属承担了巨大的责任。 结论 心理健康服务机构内部更好的沟通,以及与其他服务机构如学校和社会服务机构更好的合 作,可以减少儿童的痛苦。医疗保健服务机构需要配备专门从事儿童心理健康工作的专业人员,并提供持续的护理。规划和护理儿童的工作应遵循一般的人权原则。
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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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