关键词: PPI children co-customisation digital platform mental health referral participatory design young people

Mesh : Humans Mental Health Services / organization & administration Adolescent Referral and Consultation Health Services Accessibility Female Male Young Adult Child England Focus Groups Child Health Services / organization & administration Stakeholder Participation

来  源:   DOI:10.3390/ijerph21060784   PDF(Pubmed)

Abstract:
(1) Background: Pre-pandemic, child and adolescent mental health service (CAMHS) referrals were paper based in Liverpool and Sefton (England, United Kingdom), causing delays in waiting times. The \"CYP as One\" online mental health referral platform was co-created to overcome these challenges. (2) Methods: This study aims to improve \"CYP as One\" accessibility and usability and, subsequently, support CAMHS to improve waiting times. The current study utilised the Living Lab approach. We conducted content analysis on completed online referrals extracted from the \"CYP as One\" platform. These findings were supplemented by seven online focus groups, with 16-19-year-old young people, parents of children under 16, and health service providers. Thematic analysis was conducted on all data. (3) Results: The thematic analysis returned seven themes, namely (i) \"CYP as One\" vs. Traditional Referrals, (ii) Gender and Language Dynamics, (iii) Digital Empathy in Action, (iv) the Influence of the Provider Perspective, (v) Age and Social Sensitivity, (vi) Enhancing Access to Information, and (vii) Boosting Admin and Clinical Efficiency. (4) Conclusions: Digital content that seeks to replace in-person referrals can provide adequate support to children and young people who have faced difficulties accessing mental health services.
摘要:
(1)背景:大流行前,儿童和青少年心理健康服务(CAMHS)推荐是基于利物浦和塞夫顿(英格兰,UnitedKingdom),造成等待时间的延迟。共同创建了“CYP为一体”在线心理健康转诊平台,以克服这些挑战。(2)方法:本研究旨在提高“CYP合一”的可访问性和可用性,随后,支持CAMHS以改善等待时间。当前的研究采用了LivingLab方法。我们对从“CYPasOne”平台提取的完整在线推荐进行了内容分析。这些发现得到了七个在线焦点小组的补充,16-19岁的年轻人,16岁以下儿童的父母和医疗服务提供者。对所有数据进行了专题分析。(3)结果:主题分析返回了七个主题,即(I)“CYP为一体”与传统推荐,(二)性别和语言动态,(三)数字移情在行动,(Iv)提供者视角的影响,(五)年龄和社会敏感性,(六)加强信息获取,和(vii)提高管理和临床效率。(4)结论:旨在取代亲自转介的数字内容可以为难以获得心理健康服务的儿童和年轻人提供足够的支持。
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