PDF(Pubmed)
Abstract：
BACKGROUND: Youth mental health is a major health concern in almost every country. Mental health accounts for about 13% of the global burden of disease in the 10-to-19-year age group. Still there are significant gaps between the mental health needs of young people and the quality and accessibility of available services. Collaboration between health and social service actors is a recognized way of reducing gaps in quality and access. Yet there is little scientific evidence on how these collaborations are applied, or on the challenges of cross-boundary collaboration in the youth mental health space. This study aims to explore how collaboration is understood and practiced by professionals working in the Swedish youth mental health system.
METHODS: We conducted 42 interviews (November 2020 to March 2022) with health and social care professionals and managers in the youth mental health system in Sweden. Interviews explored participants\' experience and understanding of the purpose, realization, and challenges of collaboration. Data were analysed under an emergent study design using reflexive thematic analysis.
RESULTS: The analysis produced three themes. The first shows that collaboration is considered as essential and important, and that it serves diverse purposes and holds multiple meanings in relation to professionals\' roles and responsibilities. The second addresses the different layers of collaboration, in relation to activities, relationships, and target levels, and the third captures the challenges and criticisms in collaborating across the youth mental health landscape, but also in growing possibilities for future development.
CONCLUSIONS: We conclude that collaboration serves multiple purposes and takes many shapes in the Swedish youth mental health system. Despite the many challenges, participants saw potential in further building collaboration. Interestingly our participants also raised concerns about too much collaboration. There was scepticism about collaboration directing attention away from young people to the professionals, thereby risking the trust and confidentiality of their young clients. Collaboration is not a panacea and will not compensate for an under-resourced youth mental health system.
METHODS: We conducted 42 interviews (November 2020 to March 2022) with health and social care professionals and managers in the youth mental health system in Sweden. Interviews explored participants\' experience and understanding of the purpose, realization, and challenges of collaboration. Data were analysed under an emergent study design using reflexive thematic analysis.
RESULTS: The analysis produced three themes. The first shows that collaboration is considered as essential and important, and that it serves diverse purposes and holds multiple meanings in relation to professionals\' roles and responsibilities. The second addresses the different layers of collaboration, in relation to activities, relationships, and target levels, and the third captures the challenges and criticisms in collaborating across the youth mental health landscape, but also in growing possibilities for future development.
CONCLUSIONS: We conclude that collaboration serves multiple purposes and takes many shapes in the Swedish youth mental health system. Despite the many challenges, participants saw potential in further building collaboration. Interestingly our participants also raised concerns about too much collaboration. There was scepticism about collaboration directing attention away from young people to the professionals, thereby risking the trust and confidentiality of their young clients. Collaboration is not a panacea and will not compensate for an under-resourced youth mental health system.
摘要：
背景：青少年心理健康是几乎每个国家的主要健康问题。在10至19岁年龄组中，心理健康约占全球疾病负担的13％。年轻人的心理健康需求与现有服务的质量和可及性之间仍然存在巨大差距。卫生和社会服务行为者之间的合作是减少质量和获取差距的公认方式。然而，几乎没有科学证据表明这些合作是如何应用的，或关于青年心理健康领域跨界合作的挑战。这项研究旨在探索在瑞典青年心理健康系统工作的专业人员如何理解和实践合作。
方法：我们对瑞典青年心理健康系统的健康和社会护理专业人员和管理人员进行了42次访谈（2020年11月至2022年3月）。访谈探讨了参与者的经验和对目的的理解，实现，合作的挑战。在紧急研究设计下，使用反身主题分析对数据进行了分析。
结果：分析产生了三个主题。第一个表明合作被认为是必不可少和重要的，它服务于不同的目的，并具有与专业人员的角色和责任相关的多种含义。第二个解决了协作的不同层次，关于活动，关系,和目标水平，第三部分抓住了青年心理健康领域合作的挑战和批评，而且在未来发展的可能性越来越大。
结论：我们得出的结论是，在瑞典青年心理健康系统中，合作有多种目的和形式。尽管面临许多挑战,参与者看到了进一步建立合作的潜力。有趣的是，我们的参与者也对过多的合作表示担忧。人们对合作将注意力从年轻人转移到专业人士表示怀疑，从而冒着年轻客户的信任和保密风险。合作不是灵丹妙药，也不能弥补资源不足的青年心理健康系统。
方法：我们对瑞典青年心理健康系统的健康和社会护理专业人员和管理人员进行了42次访谈（2020年11月至2022年3月）。访谈探讨了参与者的经验和对目的的理解，实现，合作的挑战。在紧急研究设计下，使用反身主题分析对数据进行了分析。
结果：分析产生了三个主题。第一个表明合作被认为是必不可少和重要的，它服务于不同的目的，并具有与专业人员的角色和责任相关的多种含义。第二个解决了协作的不同层次，关于活动，关系,和目标水平，第三部分抓住了青年心理健康领域合作的挑战和批评，而且在未来发展的可能性越来越大。
结论：我们得出的结论是，在瑞典青年心理健康系统中，合作有多种目的和形式。尽管面临许多挑战,参与者看到了进一步建立合作的潜力。有趣的是，我们的参与者也对过多的合作表示担忧。人们对合作将注意力从年轻人转移到专业人士表示怀疑，从而冒着年轻客户的信任和保密风险。合作不是灵丹妙药，也不能弥补资源不足的青年心理健康系统。
