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首页> 外文期刊>Journal of paediatrics and child health >Pass the parcel: Service provider views on bridging gaps for youth with dual diagnosis of intellectual disability and mental health disorders in regional areas
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Pass the parcel: Service provider views on bridging gaps for youth with dual diagnosis of intellectual disability and mental health disorders in regional areas

机译：通过包裹：关于青少年跨越空白的服务提供商视图，具有区域地区的智力残疾和心理健康障碍的双重诊断

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Aim Youth with both intellectual disability (ID) and mental health (MH) disorders (dual diagnosis) have complex physical and MH needs that can make providing integrated care for this complex group challenging. We conducted a mixed methods needs assessment to identify gaps and challenges in care delivery, identify bridges for these and identify what works well in existing services. Methods Our research team recruited service providers ( n ?=?126) caring for youth aged 14–24 years with a dual diagnosis in the Illawarra Shoalhaven region of New South Wales, Australia, to participate in focus group interviews. Data were transcribed and analysed thematically. Results We identified six themes related to caring for youth with dual diagnosis in regional areas: access to services and information about services, communication between service providers and with clients and carers, the divide between MH and ID, early intervention and health promotion, capacity building of service providers and capacity building of clients and carers. Across these themes, service providers highlighted the transition from child to adult services as a particularly challenging time for clients, families and carers. Conclusions Our data suggest several approaches to break down silos and to facilitate collaboration between current services for youth with a dual diagnosis, including increasing specialised ID/MH services and building the capacity of current disability and MH service providers. Our results provide important information to provide quality and integrated care for youth with complex health needs.
机译：目的青年与智力残疾（ID）和心理健康（MH）紊乱（双重诊断）具有复杂的身体和MH的需求，可以为这一复杂的团体挑战提供综合照顾。我们进行了混合方法，需要评估，以确定护理差异和挑战，识别这些桥梁，并确定现有服务中的工作良好。方法采用新南威尔士州澳大利亚新南威尔士州伊拉瓦拉·斯瓦尔海岛地区的双重诊断，招募了服务提供商（N？= 126）的关注青少年，招募了14-24岁的青少年。数据被主题转录并分析。结果我们确定了与区域地区的双重诊断有关的六个主题：获取服务和信息，服务提供商与客户和护理人员之间的沟通，MH和ID之间的划分，早期干预和健康促进，能力建设客户和照顾者的服务提供商和能力建设。在这些主题中，服务提供商强调了从儿童到成人服务的过渡，这是客户，家庭和照顾者的特别具有挑战性的时期。结论我们的数据建议打破孤岛的几种方法，并促进青少年当前服务与双诊断的合作，包括增加专业ID / MH服务，并建立当前残疾和MH服务提供商的能力。我们的结果提供了重要信息，为青年提供复杂的健康需求提供质量和综合护理。

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