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首页> 外文期刊>BMC Psychiatry >Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: a qualitative study
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Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: a qualitative study

机译：抑郁症的年轻人及其为正在出现的精神健康问题的年轻人获得增强的初级保健服务的经验：定性研究

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Background Despite the emergence of mental health problems during adolescence and early adulthood, many young people encounter difficulties accessing appropriate services. In response to this gap, the Australian Government recently established new enhanced primary care services (headspace) that target young people with emerging mental health problems. In this study, we examine the experience of young people with depression accessing one of these services, with a focus on understanding how they access the service and the difficulties they encounter in the process. Method Individual, in-depth, audio-recorded interviews were used to collect data. Twenty-six young people with depression were recruited from a headspace site in Melbourne, Australia. Interpretative phenomenological analysis was used to analyse the data. Results Four overlapping themes were identified in the data. First, school counsellors as access mediators, highlights the prominent role school counsellors have in facilitating student access to the service. Second, location as an access facilitator and inhibitor. Although the service is accessible by public transport, it is less so to those who do not live near public transport. Third, encountering barriers accessing the service initially. Two main service access barriers were experienced: unfamiliarity with the service, and delays in obtaining initial appointments for ongoing therapy. Finally, the service’s funding model acts as an access facilitator and barrier. While the model provides a low or no cost services initially, it limits the number of funded sessions, and this can be problematic. Conclusions Young people have contrasting experiences accessing the service. School counsellors have an influential role in facilitating access, and its close proximity to public transport enhances access. The service needs to become more prominent in young people’s consciousness, while the appointment system would benefit from providing more timely appointments with therapists. The service’s funding model is important in enabling access initially to young people from low socioeconomic backgrounds, but the government needs to reassess the model for those who require additional support.
机译：背景信息尽管在青春期和成年初期出现了精神健康问题，但许多年轻人在获得适当服务方面仍遇到困难。为了弥补这一差距，澳大利亚政府最近建立了新的增强型初级保健服务（顶空），针对出现新的精神健康问题的年轻人。在这项研究中，我们研究了抑郁症青年获得这些服务之一的经历，重点是了解他们如何获得服务以及他们在此过程中遇到的困难。方法使用单独的，深入的，音频记录的访谈来收集数据。从澳大利亚墨尔本的一家顶空场所招募了26名患有抑郁症的年轻人。解释性现象学分析用于分析数据。结果在数据中确定了四个重叠的主题。首先，学校辅导员作为访问调解人，突显了学校辅导员在促进学生获得服务方面的显著作用。第二，定位为访问的促进者和抑制者。尽管可以通过公共交通工具获得该服务，但对于那些不住在公共交通工具附近的人来说却更少。第三，最初遇到访问服务的障碍。经历了两个主要的服务障碍：对服务不熟悉，以及延迟获得正在进行治疗的初始任命。最后，该服务的融资模式充当了访问便利和障碍。尽管该模型最初提供的是低成本或无成本的服务，但它限制了资助会议的数量，这可能会出现问题。结论年轻人在使用该服务方面有不同的经验。学校辅导员在促进出入方面发挥了重要作用，并且其与公共交通的紧密距离增加了入学机会。服务需要在年轻人的意识中变得更加突出，而约会系统将从与治疗师提供更及时的约会中受益。该服务的资金模式对于使最初具有较低社会经济背景的年轻人获得访问权非常重要，但是政府需要为那些需要更多支持的人重新评估该模式。

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