Digital disclosures: Exploring the role of online mental health services in supporting young people who disclose violence or maltreatment

Robyn Molyneaux , Evelyn Mirembe , Steve Leicester , Carsten Schley , Eva Alisic
{"title":"Digital disclosures: Exploring the role of online mental health services in supporting young people who disclose violence or maltreatment","authors":"Robyn Molyneaux ,&nbsp;Evelyn Mirembe ,&nbsp;Steve Leicester ,&nbsp;Carsten Schley ,&nbsp;Eva Alisic","doi":"10.1016/j.chipro.2024.100016","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Mental health practitioners can play a role in identifying and responding to young people at risk of harm and connecting them with appropriate supports. However, little is known about how clinicians providing mental health services through digital platforms support young people disclosing experiences of violence.</p></div><div><h3>Objective</h3><p>This study sought to understand the perspectives of clinicians working within digital mental health services on supporting young people disclosing violence.</p></div><div><h3>Participants and setting</h3><p>This study recruited 19 practitioners who were currently or had recently worked within The Digital Mental Health Programs of an Australia-wide mental health service, which provides online chat, email, and phone support to young people aged 12–25.</p></div><div><h3>Methods</h3><p>Sixteen individual interviews and one focus group were recorded, transcribed, and analysed using a reflexive thematic analysis approach.</p></div><div><h3>Findings</h3><p>The analysis generated six themes relating to clinicians' experiences: <em>balancing a client centered and empowering approach with clinicians’ duty of care; systemic or structural challenges; navigating a sense of dilemma and the impacts upon clinicians; tensions around anonymity; differing understandings of violence; and navigating the transparency continuum.</em></p></div><div><h3>Conclusions</h3><p>Mental health clinicians work to reconcile a client centered approach with their professional duty of care and at times legal mandate to report abuse concerns. Clinicians navigate structural challenges, the anonymous nature of an online service, and work to develop common ground with young people and communicate transparently. Despite challenges, online services may provide a space for young people experiencing violence to be heard, provided with information, and connected with supports.</p></div>","PeriodicalId":100237,"journal":{"name":"Child Protection and Practice","volume":"1 ","pages":"Article 100016"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950193824000160/pdfft?md5=98e4ec01adfffb158e5e91700f2b92f9&pid=1-s2.0-S2950193824000160-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Protection and Practice","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950193824000160","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Mental health practitioners can play a role in identifying and responding to young people at risk of harm and connecting them with appropriate supports. However, little is known about how clinicians providing mental health services through digital platforms support young people disclosing experiences of violence.

Objective

This study sought to understand the perspectives of clinicians working within digital mental health services on supporting young people disclosing violence.

Participants and setting

This study recruited 19 practitioners who were currently or had recently worked within The Digital Mental Health Programs of an Australia-wide mental health service, which provides online chat, email, and phone support to young people aged 12–25.

Methods

Sixteen individual interviews and one focus group were recorded, transcribed, and analysed using a reflexive thematic analysis approach.

Findings

The analysis generated six themes relating to clinicians' experiences: balancing a client centered and empowering approach with clinicians’ duty of care; systemic or structural challenges; navigating a sense of dilemma and the impacts upon clinicians; tensions around anonymity; differing understandings of violence; and navigating the transparency continuum.

Conclusions

Mental health clinicians work to reconcile a client centered approach with their professional duty of care and at times legal mandate to report abuse concerns. Clinicians navigate structural challenges, the anonymous nature of an online service, and work to develop common ground with young people and communicate transparently. Despite challenges, online services may provide a space for young people experiencing violence to be heard, provided with information, and connected with supports.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
数字披露:探索在线心理健康服务在为披露暴力或虐待行为的年轻人提供支持方面的作用
背景心理健康从业人员可以在识别和应对有伤害风险的年轻人并将他们与适当的支持联系起来方面发挥作用。然而,人们对通过数字平台提供心理健康服务的临床医生如何为披露暴力经历的年轻人提供支持却知之甚少。本研究旨在了解在数字心理健康服务机构工作的临床医生在为披露暴力经历的年轻人提供支持时所持的观点。参与者和环境本研究招募了 19 名目前或最近在澳大利亚一家心理健康服务机构的数字心理健康项目中工作的从业人员,该机构为 12-25 岁的年轻人提供在线聊天、电子邮件和电话支持。研究结果分析得出了与临床医生经验相关的六个主题:平衡以客户为中心的赋权方法与临床医生的护理责任;系统性或结构性挑战;驾驭两难感及其对临床医生的影响;匿名的紧张关系;对暴力的不同理解;以及驾驭透明度的连续性。结论 心理健康临床医生努力调和以客户为中心的方法与他们的专业护理职责,有时是报告虐待问题的法律授权。临床医生要应对结构性挑战、在线服务的匿名性,并努力与年轻人达成共识,以透明的方式进行沟通。尽管存在挑战,但在线服务可以为遭受暴力的年轻人提供一个倾诉的空间,为他们提供信息,并与支持机构建立联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Systematic review: Impact of juvenile incarceration Attitudes towards parents with a diagnosis of borderline personality disorder in child protection settings Silent group sandplay activates healing How could you help me? Children's voices on violence in child welfare files: A thematic analysis The use of technology and mobile health apps in child maltreatment interventions: Perspectives of TF-CBT therapists and SafeCare providers
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1