Psychological Medicine,
Год журнала:
2024,
Номер
unknown, С. 1 - 14
Опубликована: Дек. 19, 2024
Abstract
Background
At
a
time
of
increased
demand
for
specialist
mental
health
services,
more
nuanced
understanding
how
adolescents
navigate
systems
care
and
support
is
essential.
We
mapped
‘networks
care’
to
explore
patterns
help-seeking
alongside
the
perceived
helpfulness
accessed.
Methods
examined
data
from
23
927
aged
11–18
years
who
participated
in
2023
OxWell
Student
Survey,
an
English
school-based,
repeated
cross-sectional
survey
wellbeing.
Students
self-reported
past-year
access
18
types
across
informal
(e.g.
friends
family),
semi-formal
school
charities),
formal
social
care)
domains,
helpful
they
found
support.
used
network
approach
interconnections
between
sources
accessed
helpfulness.
Results
One
four
(27.0%,
6449/23927)
reported
support,
which
56.7%
(3658/6449)
accessing
multiple
types.
Informal
networks
were
most
commonly
(23.1%,
5523/23927),
followed
by
(9.7%,
2317/23927)
(6.8%,
1623/23927)
supports.
had
high
acceptability,
with
around
80–90%
reporting
them
as
helpful,
whereas
child
adolescent
services
(CAMHS),
helplines,
online
supports
be
least
helpful.
The
also
identified
groups
might
not
optimally
served
current
systems,
including
gender
diverse
their
parents
unhelpful.
Conclusions
Adolescents
are
informal,
semi-formal,
care.
Services
can
no
longer
developed,
delivered,
or
evaluated
isolation
these
networks.
BMJ Open,
Год журнала:
2024,
Номер
14(12), С. e081603 - e081603
Опубликована: Дек. 1, 2024
There
are
insufficient
scalable,
evidence-based
treatments
to
meet
increasing
mental
health
needs
of
young
people.
Offering
interim,
brief
interventions
for
persons
with
psychological
distress
can
improve
access
care
and
mitigate
adverse
effects
long
waiting
times.
This
study
tests
the
efficacy
solution-focused
therapy
(SFBT),
a
strength-based,
goal-directed
intervention,
in
adolescents
adults
at
community-based
youth
service
Singapore.
is
fully
powered,
randomised,
single-centre,
two-arm,
parallel,
superiority,
controlled
trial.
From
September
2023
March
2025,
will
recruit
124
participants
(aged
16-30)
presenting
national
Singapore
(CHAT,
Centre
Excellence
Youth
Mental
Health)
clinically
assessed
general
distress,
subthreshold
or
prodromal
symptoms,
first
episode
mood
disorder.
Participants
be
excluded
if
they
have
high
risk
suicide,
psychosis,
cognitive
impairments,
current
treatments.
randomised
1:1
ratio
receive
six-session,
case
manager
delivered
SFBT
treatment
as
usual
(TAU)
management,
followed
up
3
months
post-intervention.
receiving
hypothesised
greater
improvements
self-reported
from
baseline
8
weeks,
compared
control
group.
Secondary
outcomes
depression
anxiety
functional
impairment.
The
also
explore
whether
associated
increased
self-efficacy
decreased
hopelessness,
downstream
referrals
post-intervention,
sustained
clinical
gains
post-intervention
TAU.
Adverse
events
deterioration
recorded
reported.
Institute
Health
(IMH)
Institutional
Research
Review
Committee
(reference
822-2022)
National
Group
Domain
Specific
Board
(DSRB)
2023/00052)
approved
protocol.
Findings
published
international,
peer-reviewed
scientific
journals.
Summaries
disseminated
funders,
healthcare
systems
administrators,
clinicians.
ISRCTN13671612
https://doi.org/10.1186/ISRCTN13671612.