Katie A McCormick, Ana Chatham, Vanessa V Klodnick, Elizabeth A Schoenfeld, Deborah A Cohen
{"title":"过渡年龄青少年的心理健康服务经历:影响参与护理的人际连续性。","authors":"Katie A McCormick, Ana Chatham, Vanessa V Klodnick, Elizabeth A Schoenfeld, Deborah A Cohen","doi":"10.1007/s10560-022-00890-0","DOIUrl":null,"url":null,"abstract":"<p><p><b>Purpose.</b> Transition-age youth (TAY) who have experienced or are experiencing complex trauma, system involvement and homelessness are at increased risk for serious mental health needs and related challenges. However, these vulnerable and historically marginalized TAY typically have low rates of mental health service engagement. This study examines how and why TAY experiencing system involvement, homelessness, and serious mental health and substance use symptoms engage in mental health services, and what facilitates and/or hinders their engagement in services. <b>Methods.</b> Twenty-one TAY completed a virtual interview about their previous and current mental health service experiences, and why they did or did not engage with mental health services. A modified grounded theory qualitative analysis approach was used to understand how participants' personal sense of meaning interacted with programmatic factors to construct participant experiences with mental health services. <b>Results.</b> Most participants (81%, <i>n</i> = 17) received mental health services, namely psychiatry (76%, <i>n</i> = 16) and counseling/therapy (48%, <i>n</i> = 10), and peer support (10%, <i>n</i> = 2). Participants described their mental health service experiences along three interpersonal and relational continuums between themselves and their providers: feeling (mis)understood, being treated with (dis)respect, and experiencing (dis)trust. <b>Discussion.</b> Study findings reveal that for these particularly vulnerable and marginalized TAY, relational and interpersonal factors significantly influenced their engagement in mental health services. Study findings call for providers to re-imagine their working alliance with highly vulnerable TAY through culturally-attuned practices that promote understanding, respect, and trust. Findings also call for TAY-serving programs and policies to re-imagine peer support as a mental health service option for this highly vulnerable population.</p>","PeriodicalId":51512,"journal":{"name":"Child and Adolescent Social Work Journal","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2022-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9638293/pdf/","citationCount":"0","resultStr":"{\"title\":\"Mental Health Service Experiences Among Transition-Age Youth: Interpersonal Continuums that Influence Engagement in Care.\",\"authors\":\"Katie A McCormick, Ana Chatham, Vanessa V Klodnick, Elizabeth A Schoenfeld, Deborah A Cohen\",\"doi\":\"10.1007/s10560-022-00890-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Purpose.</b> Transition-age youth (TAY) who have experienced or are experiencing complex trauma, system involvement and homelessness are at increased risk for serious mental health needs and related challenges. However, these vulnerable and historically marginalized TAY typically have low rates of mental health service engagement. This study examines how and why TAY experiencing system involvement, homelessness, and serious mental health and substance use symptoms engage in mental health services, and what facilitates and/or hinders their engagement in services. <b>Methods.</b> Twenty-one TAY completed a virtual interview about their previous and current mental health service experiences, and why they did or did not engage with mental health services. A modified grounded theory qualitative analysis approach was used to understand how participants' personal sense of meaning interacted with programmatic factors to construct participant experiences with mental health services. <b>Results.</b> Most participants (81%, <i>n</i> = 17) received mental health services, namely psychiatry (76%, <i>n</i> = 16) and counseling/therapy (48%, <i>n</i> = 10), and peer support (10%, <i>n</i> = 2). Participants described their mental health service experiences along three interpersonal and relational continuums between themselves and their providers: feeling (mis)understood, being treated with (dis)respect, and experiencing (dis)trust. <b>Discussion.</b> Study findings reveal that for these particularly vulnerable and marginalized TAY, relational and interpersonal factors significantly influenced their engagement in mental health services. Study findings call for providers to re-imagine their working alliance with highly vulnerable TAY through culturally-attuned practices that promote understanding, respect, and trust. Findings also call for TAY-serving programs and policies to re-imagine peer support as a mental health service option for this highly vulnerable population.</p>\",\"PeriodicalId\":51512,\"journal\":{\"name\":\"Child and Adolescent Social Work Journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2022-11-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9638293/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Child and Adolescent Social Work Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10560-022-00890-0\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SOCIAL WORK\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child and Adolescent Social Work Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10560-022-00890-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SOCIAL WORK","Score":null,"Total":0}
Mental Health Service Experiences Among Transition-Age Youth: Interpersonal Continuums that Influence Engagement in Care.
Purpose. Transition-age youth (TAY) who have experienced or are experiencing complex trauma, system involvement and homelessness are at increased risk for serious mental health needs and related challenges. However, these vulnerable and historically marginalized TAY typically have low rates of mental health service engagement. This study examines how and why TAY experiencing system involvement, homelessness, and serious mental health and substance use symptoms engage in mental health services, and what facilitates and/or hinders their engagement in services. Methods. Twenty-one TAY completed a virtual interview about their previous and current mental health service experiences, and why they did or did not engage with mental health services. A modified grounded theory qualitative analysis approach was used to understand how participants' personal sense of meaning interacted with programmatic factors to construct participant experiences with mental health services. Results. Most participants (81%, n = 17) received mental health services, namely psychiatry (76%, n = 16) and counseling/therapy (48%, n = 10), and peer support (10%, n = 2). Participants described their mental health service experiences along three interpersonal and relational continuums between themselves and their providers: feeling (mis)understood, being treated with (dis)respect, and experiencing (dis)trust. Discussion. Study findings reveal that for these particularly vulnerable and marginalized TAY, relational and interpersonal factors significantly influenced their engagement in mental health services. Study findings call for providers to re-imagine their working alliance with highly vulnerable TAY through culturally-attuned practices that promote understanding, respect, and trust. Findings also call for TAY-serving programs and policies to re-imagine peer support as a mental health service option for this highly vulnerable population.
期刊介绍:
The Child and Adolescent Social Work Journal (CASW) features original articles that focus on social work practice with children, adolescents, and their families. Topics include issues affecting a variety of specific populations in special settings. CASW welcomes a range of scholarly contributions focused on children and adolescents, including theoretical papers, narrative case studies, historical analyses, traditional reviews of the literature, descriptive studies, single-system research designs, correlational investigations, methodological works, pre-experimental, quasi-experimental and experimental evaluations, meta-analyses and systematic reviews. Manuscripts involving qualitative, quantitative, and mixed methods are welcome to be submitted, as are papers grounded in one or more theoretical orientations, or those that are not based on any formal theory. CASW values different disciplines and interdisciplinary work that informs social work practice and policy. Authors from public health, nursing, psychology, sociology, and other disciplines are encouraged to submit manuscripts. All manuscripts should include specific implications for social work policy and practice with children and adolescents. Appropriate fields of practice include interpersonal practice, small groups, families, organizations, communities, policy practice, nationally-oriented work, and international studies. Authors considering publication in CASW should review the following editorial: Schelbe, L., & Thyer, B. A. (2019). Child and Adolescent Social Work Journal Editorial Policy: Guidelines for Authors. Child and Adolescent Social Work Journal, 36, 75-80.