What Do Adolescents and Their Parents Need From Mental Health Integration in Primary Care? A Qualitative Exploration of Design Insights

Autor: Andrea J. Hoopes, Susan D. Brandzel, Casey Luce, Dawn M. Ferguson, Lisa Shulman, Blanca Chavez, Paula Lozano, Gwen T. Lapham
Rok vydání: 2022
Předmět:
Zdroj: Journal of Pediatric Health Care. 36:570-581
ISSN: 0891-5245
DOI: 10.1016/j.pedhc.2022.06.006
Popis: The design of integrated adolescent mental health care design should address needs and preferences of patients and parents/guardians.We conducted interviews and focus groups with adolescents aged 13-17 years who received care at Kaiser Permanente Washington in 2020 and interviews with parents of such adolescents. We sought to (1) understand the challenges of primary care-based mental health and substance use screening and care for adolescents and (2) identify program design solutions. Sessions were audio-recorded, transcribed, and coded. Thematic analysis was applied to identify key challenges and design solutions.Emerging themes from interviews (n = 41) and focus groups (n = 10) were summarized in five overarching design principles: Engagement, Privacy, Communication, Choice, and Ease. Each design principle was expanded for operationalization within a new health system program.Health systems serving adolescents in primary care may consider application of these design principles to the development of mental health integration programs.
Databáze: OpenAIRE