PDF(Pubmed)
Abstract：
BACKGROUND: One in seven adolescents globally are affected by mental health conditions, yet only a minority receive professional help. School-based mental health services have been endorsed as an effective way to increase access to mental health support for people at risk, or currently presenting with mental health conditions, throughout adolescence. Despite this, low treatment utilisation prevails, therefore the aim of this review is to contribute insights into the processes related to adolescents\' accessing and engaging with essential targeted mental health support within schools.
METHODS: This systematic review extracted qualitative, quantitative and mixed-methods data to determine what processes affect adolescents seeking help from targeted school-based mental health services (TSMS). Searches were conducted in EMBASE, Medline, PsycINFO, CINAHL, ERIC, Web of Science, in addition to manual searching and expert consultations. Data were synthesised following guidelines for thematic synthesis and narrative style synthesis.
RESULTS: The search resulted in 22 articles reflecting 16 studies with participant sample sizes ranging from n = 7 to n = 122. Three main themes were identified: \'access-related factors\', \'concerns related to stigma\', and \'the school setting\'. These findings elucidate how help-seeking processes are variable and can be facilitated or hindered depending on the circumstance. We identified disparities with certain groups, such as those from low-socio economic or ethnic minority backgrounds, facing more acute challenges in seeking help. Help-seeking behaviours were notably influenced by concerns related to peers; an influence further accentuated by minority groups given the importance of social recognition. Conflicting academic schedules significantly contribute to characterising treatment barriers.
CONCLUSIONS: The findings of this review ought to guide the delivery and development of TSMS to facilitate access and promote help-seeking behaviours. Particularly, given the evidence gaps identified in the field, future studies should prioritise investigating TSMS in low- and middle-income settings and through quantitative methodologies.
BACKGROUND: The protocol for this systematic review was registered on PROSPERO (ID CRD42023406824).
METHODS: This systematic review extracted qualitative, quantitative and mixed-methods data to determine what processes affect adolescents seeking help from targeted school-based mental health services (TSMS). Searches were conducted in EMBASE, Medline, PsycINFO, CINAHL, ERIC, Web of Science, in addition to manual searching and expert consultations. Data were synthesised following guidelines for thematic synthesis and narrative style synthesis.
RESULTS: The search resulted in 22 articles reflecting 16 studies with participant sample sizes ranging from n = 7 to n = 122. Three main themes were identified: \'access-related factors\', \'concerns related to stigma\', and \'the school setting\'. These findings elucidate how help-seeking processes are variable and can be facilitated or hindered depending on the circumstance. We identified disparities with certain groups, such as those from low-socio economic or ethnic minority backgrounds, facing more acute challenges in seeking help. Help-seeking behaviours were notably influenced by concerns related to peers; an influence further accentuated by minority groups given the importance of social recognition. Conflicting academic schedules significantly contribute to characterising treatment barriers.
CONCLUSIONS: The findings of this review ought to guide the delivery and development of TSMS to facilitate access and promote help-seeking behaviours. Particularly, given the evidence gaps identified in the field, future studies should prioritise investigating TSMS in low- and middle-income settings and through quantitative methodologies.
BACKGROUND: The protocol for this systematic review was registered on PROSPERO (ID CRD42023406824).
摘要：
背景：全球七分之一的青少年受到心理健康状况的影响，然而，只有少数人得到专业帮助。以学校为基础的精神卫生服务已被认可为增加风险人群获得精神卫生支持的有效途径，或者目前有精神健康状况，整个青春期。尽管如此,低处理利用率普遍存在，因此,本综述的目的是对青少年在学校内获得和参与必要的有针对性的心理健康支持的过程提供见解.
方法：本系统综述提取了定性，定量和混合方法数据，以确定哪些过程会影响从有针对性的学校心理健康服务（TSMS）寻求帮助的青少年。搜索是在EMBASE中进行的，Medline,PsycINFO,CINAHL,ERIC,WebofScience,除了手动搜索和专家咨询。数据是根据主题合成和叙事风格合成的指南进行合成的。
结果：搜索结果产生了22篇文章，反映了16项研究，参与者样本量从n=7到n=122。确定了三个主要主题：“与访问相关的因素”，\'与污名有关的担忧\'，和“学校设置”。这些发现阐明了寻求帮助的过程是如何变化的，并且可以根据情况来促进或阻碍。我们发现了与某些群体的差异，例如来自低社会经济或少数民族背景的人，在寻求帮助方面面临更严峻的挑战。寻求帮助的行为尤其受到与同龄人有关的关注的影响；鉴于社会认可的重要性，少数群体进一步加剧了这种影响。冲突的学术时间表显着有助于表征治疗障碍。
结论：本综述的结果应指导TSMS的交付和发展，以促进获取和促进寻求帮助的行为。特别是,鉴于该领域发现的证据空白，未来的研究应优先考虑在低收入和中等收入环境中通过定量方法调查TSMS.
背景：本系统综述的方案已在PROSPERO（IDCRD42023406824）上注册。
方法：本系统综述提取了定性，定量和混合方法数据，以确定哪些过程会影响从有针对性的学校心理健康服务（TSMS）寻求帮助的青少年。搜索是在EMBASE中进行的，Medline,PsycINFO,CINAHL,ERIC,WebofScience,除了手动搜索和专家咨询。数据是根据主题合成和叙事风格合成的指南进行合成的。
结果：搜索结果产生了22篇文章，反映了16项研究，参与者样本量从n=7到n=122。确定了三个主要主题：“与访问相关的因素”，\'与污名有关的担忧\'，和“学校设置”。这些发现阐明了寻求帮助的过程是如何变化的，并且可以根据情况来促进或阻碍。我们发现了与某些群体的差异，例如来自低社会经济或少数民族背景的人，在寻求帮助方面面临更严峻的挑战。寻求帮助的行为尤其受到与同龄人有关的关注的影响；鉴于社会认可的重要性，少数群体进一步加剧了这种影响。冲突的学术时间表显着有助于表征治疗障碍。
结论：本综述的结果应指导TSMS的交付和发展，以促进获取和促进寻求帮助的行为。特别是,鉴于该领域发现的证据空白，未来的研究应优先考虑在低收入和中等收入环境中通过定量方法调查TSMS.
背景：本系统综述的方案已在PROSPERO（IDCRD42023406824）上注册。
