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Tytuł pozycji:

Adolescents' perceptions of barriers and facilitators to engaging in mental health treatment: A qualitative meta-synthesis.

Tytuł:
Adolescents' perceptions of barriers and facilitators to engaging in mental health treatment: A qualitative meta-synthesis.
Autorzy:
Roberts M; University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA.
Jones J; University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA.
Garcia L; University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA.
Techau A; University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA.
Źródło:
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc [J Child Adolesc Psychiatr Nurs] 2022 May; Vol. 35 (2), pp. 113-125. Date of Electronic Publication: 2021 Oct 04.
Typ publikacji:
Journal Article; Meta-Analysis
Język:
English
Imprint Name(s):
Publication: Oxford : Wiley
Original Publication: Philadelphia, PA : Nursecom, Inc., c1994-
MeSH Terms:
Mental Health Services*
Substance-Related Disorders*
Adolescent ; Child ; Humans ; Mental Health ; Psychotherapy ; Qualitative Research ; Social Stigma
References:
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Contributed Indexing:
Keywords: adolescents; autonomy; barriers; facilitators; mental health; meta-synthesis; qualitative
Entry Date(s):
Date Created: 20211005 Date Completed: 20220510 Latest Revision: 20220531
Update Code:
20240105
DOI:
10.1111/jcap.12354
PMID:
34609034
Czasopismo naukowe
Problem: One in seven children, aged 3-17, have a mental health diagnosis with suicide being the second leading cause of death in the United States in persons aged 10-24. Adolescents are at high risk for mental health disorders, substance use, and risky behaviors, yet most adolescents never receive treatment. Research is needed to answer the question, "What are adolescents' perceived barriers and facilitators to engaging in mental health treatment?"
Methods: A four-step qualitative meta-synthesis design included: A structured research question and search strategy, data immersion through quality appraisal, thematic synthesis of primary research studies, and reciprocal translation of derived themes.
Findings: Eight studies met inclusion criteria. Autonomy was the primary theme that emerged. Meta-synthesis produced five subthemes: (a) choice as integral to engagement, (b) stigma as barrier to engagement, (c) quality of the therapeutic relationship as integral to engagement, (d) systemic influences as both barrier and facilitator to engagement, and (e) mental health literacy as crucial factor in decision to engage.
Conclusion: Adolescents require autonomy to engage in mental health treatment. Improving treatment engagement in adolescents requires interventions that address their ability to be autonomous.
(© 2021 Wiley Periodicals LLC.)

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