Adult perceptions of mental health access barriers facing youth in rural Washington State: A group concept mapping study.

Autor: Graves JM; WWAMI Rural Health Research Center, Department of Family Medicine, School of Medicine, University of Washington, Seattle, Washington, USA.; Nursing and Systems Science Department, College of Nursing Spokane, Washington State University, Spokane, Washington, USA., Abshire DA; Department of Biobehavioral Health & Nursing Science, College of Nursing, University of South Carolina, Columbia, South Carolina, USA., Mackelprang JL; Department of Psychological Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia., Klein TA; Nursing and Systems Science Department, College of Nursing Vancouver, Washington State University, Vancouver, Washington, USA., Gonzalez C; Department of Communications, University of Washington, Seattle, Washington, USA., Parrott K; Nursing and Systems Science Department, College of Nursing Spokane, Washington State University, Spokane, Washington, USA.; Department of Biochemistry, University of Washington, Seattle, Washington, USA., Eti DU; Advanced Practice and Community-Based Care Department, College of Nursing Spokane, Washington State University, Spokane, Washington, United States., Ferris JG; Nursing and Systems Science Department, College of Nursing Spokane, Washington State University, Spokane, Washington, USA., Chacon CM; Advanced Practice and Community-Based Care Department, College of Nursing Tri Cities, Washington State University, Richland, Washington, USA., Beck AD; Washington State Department of Health, Olympia, Washington, USA.
Jazyk: angličtina
Zdroj: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association [J Rural Health] 2025 Jan; Vol. 41 (1), pp. e12866. Date of Electronic Publication: 2024 Aug 13.
DOI: 10.1111/jrh.12866
Abstrakt: Purpose: To explore adult community members' perspectives concerning barriers to mental health care that confront rural-dwelling youth.
Methods: Group concept mapping, a participatory community-engaged research method, was used. Adult community members brainstormed and sorted statements describing barriers rural youth encounter in accessing mental health services. Point and cluster maps were created to visualize conceptual similarities between statements. Statements were rated according to their commonness and importance (1: low commonness/importance, 5: high commonness/importance).
Findings: Thirty-five adults sorted and/or rated 71 barriers facing rural youth in accessing mental health services. Seven conceptual clusters were identified: system-level barriers, knowledge and communication, youth concerns, parent/guardian concerns, parent/guardian barriers, costs and convenience, and school-level barriers. Within youth concerns, community members also identified a subcluster focused on stigma. Common and important statements related to limited after-school programs and community mental health support initiatives.
Conclusions: Group concept mapping methodology provides structure for conceptualizing challenges facing rural youth in accessing mental health services. Policies should be informed by rural community concerns and priorities. After-school and support programs may align with mental health needs identified by rural communities.
(© 2024 National Rural Health Association.)
Databáze: MEDLINE
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