Lost in space - an exploration of help-seeking among young people with mental health problems: a constructivist grounded theory study

Westberg, Katrin Häggström; Nygren, Jens M.; Nyholm, Maria; Carlsson, Ing‐Marie; Svedberg, Petra

doi:10.1186/s13690-020-00471-6

Cited by 11 publications

(13 citation statements)

References 35 publications

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“…A sheltering environment, with a professional who is interested in listening to the adolescent tell their story, increases their autonomy. Westberg Häggström et al (2020) have pointed out that adolescents are not able to access adequate help from public health services regarding their mental ill-health. However, in our study, a vast majority of the adolescents (Table 1) did gain access to both formal mental-health services and SSWs.…”

Section: Discussionmentioning

confidence: 99%

Adolescents’ perspectives on SSWs’ counselling practice in Swedish elementary schools: “plumb the depths and navigate to shore”

Kjellgren,

Lilliehorn,

Markström

2023

JCS

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Purpose This study aims to gain a comprehensive understanding of adolescent’s experiences of individual school social work counselling in Swedish elementary schools. Design/methodology/approach The study encompasses interviews with 16 adolescents about their experiences of individual counselling with school social workers (SSWs). The data was analysed using conventional content analysis. Findings The main result was the adolescents’ desire “to navigate to shore” to speak freely about their whole lives with a professional SSW and find a “ safe haven,” […] where a trusting professional cared for and comforted them in counselling. The counselling contact contributed to increased knowledge about oneself. The results reveal the importance of the SSWs paying attention and listening to the adolescents’ narratives. The creation of a coherent life narrative enables to finally end counselling and “Cast off.” Originality/value The results highlight the importance of Swedish SSWs focusing on individual counselling sessions with adolescents to provide a setting for growth.

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Section: Discussionmentioning

confidence: 99%

Adolescents’ perspectives on SSWs’ counselling practice in Swedish elementary schools: “plumb the depths and navigate to shore”

Kjellgren,

Lilliehorn,

Markström

2023

JCS

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“…Furthermore, not all young people have access to professional services and so families and friends are often essential helpers for youth in rural communities (Hernan et al 2010), youth experiencing marginalisation, or those who live in communities with differing conceptualisations of mental health living within a majority western culture (Freedenthal and Stiffman, 2007;De Anstiss & Ziaian, 2010;Ellis et al 2010;Valibhoy et al 2017). When young people are in a position to seek support from a formal service, informal supports play an essential role in providing resources and in assisting young people to access and stay engaged with services (Medlow et al 2010;Valibhoy et al 2017;Westberg et al 2020;Eigenhuis et al 2021).…”

Section: Informal Sources Of Help As Important Pathway Agentsmentioning

confidence: 99%

“…Research has demonstrated that social relationships are vital to young people's quality of life and that youth mental health problems are frequently connected to issues or conflict with family and friends (Gilchrist & Sullivan, 2006;Fox and Butler, 2007;Moen and Hall-Lord 2019;Westberg et al 2020). An impossible situation can arise when a young person requires both a professional helper from outside of their social networks and the emotional, financial or logistical resources provided by friends and family to access and attend a mental health service.…”

Section: Informal Sources Of Help As Important Pathway Agentsmentioning

confidence: 99%

“…of confidentialityDraucker, 2005;Gilchrist & Sullivan, 2006;Fox & Butler, 2007 Mental health literacy issuesGilchrist & Sullivan, 2006;Fox & Butler, 2007;Freedenthal & Stiffman, 2007;Quinn et al 2009;Ellis et al 2010; Lourerio et al 2013;Bilican, 2013; Yap et al 2013;Damian et al 2018;Coleman-Fountain et al 2020;Wang et al 2020;Eigenhuis et al 2021 Inappropriate responsesDraucker, 2005;Gilchrist & Sullivan, 2006;Medlow et al 2010; Lourerio et al 2013;Persson et al 2017;Mahsoon et al 2020;Westberg et al 2020 …”

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confidence: 99%

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The Role of Informal Sources of Help In Young People’s Access To, Engagement With, And Maintenance In Professional Mental Health Care—A Scoping Review

Lynch

Moorhead²,

Long

et al. 2022

J Child Fam Stud

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Young people can be reluctant to seek help for a mental health problem due to many factors, and research suggests that early and meaningful intervention within this demographic is essential to support improved quality of life and reduce youth death by suicide. The role of informal sources of help in youth mental health help-seeking pathways is an important subject however, there are no reviews on this topic. The aim of this scoping review was to map the existing literature regarding how informal sources of help affect young people’s access to, engagement with and maintenance in professional mental health care. Nine databases were searched for original peer-reviewed research published between 1994 and 2021 with young people aged 10–25 years. A thematic analysis was performed on 32 studies that met selection criteria. Two key themes were identified: 1. Informal helpers as supportive intermediaries and 2. Informal helpers as obstructive forces. This review found that informal sources of help are dynamic and essential pathway agents in helping or hindering young people with accessing and staying engaged in professional mental health care. Further research on this topic with young people about their actual help-seeking experiences is required. Through an improved understanding of how these interpersonal relationships function within a young person’s help-seeking process, on a spectrum of supportive to obstructive behaviour, services and practitioners can ensure the provision of responsive and appropriate support to young people and their families, facilitating service use and ensuring better outcomes for young people’s mental health and quality of life.

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“…There is a shortage of psychiatrists, psychologists, nurses, and social workers ( Fricchione et al, 2012 ; Liu et al, 2017 ); almost half of the world's population live in countries where there is less than one psychiatrist per 100,000 people ( World Health Organization, 2017 ). This shortage of mental healthcare professionals restricts care opportunities, resulting in long waiting lists, delays, and multiple, diverse contacts before appropriate care is obtained ( MacDonald et al., 2018 ; Westberg et al, 2020 ).…”

mentioning

confidence: 99%

Accelerating the impact of artificial intelligence in mental healthcare through implementation science

Nilsén

Svedberg

Nygren

et al. 2022

Implementation Research and Practice

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Background The implementation of artificial intelligence (AI) in mental healthcare offers a potential solution to some of the problems associated with the availability, attractiveness, and accessibility of mental healthcare services. However, there are many knowledge gaps regarding how to implement and best use AI to add value to mental healthcare services, providers, and consumers. The aim of this paper is to identify challenges and opportunities for AI use in mental healthcare and to describe key insights from implementation science of potential relevance to understand and facilitate AI implementation in mental healthcare. Methods The paper is based on a selective review of articles concerning AI in mental healthcare and implementation science. Results Research in implementation science has established the importance of considering and planning for implementation from the start, the progression of implementation through different stages, and the appreciation of determinants at multiple levels. Determinant frameworks and implementation theories have been developed to understand and explain how different determinants impact on implementation. AI research should explore the relevance of these determinants for AI implementation. Implementation strategies to support AI implementation must address determinants specific to AI implementation in mental health. There might also be a need to develop new theoretical approaches or augment and recontextualize existing ones. Implementation outcomes may have to be adapted to be relevant in an AI implementation context. Conclusion Knowledge derived from implementation science could provide an important starting point for research on implementation of AI in mental healthcare. This field has generated many insights and provides a broad range of theories, frameworks, and concepts that are likely relevant for this research. However, when taking advantage of the existing knowledge basis, it is important to also be explorative and study AI implementation in health and mental healthcare as a new phenomenon in its own right since implementing AI may differ in various ways from implementing evidence-based practices in terms of what implementation determinants, strategies, and outcomes are most relevant. Plain Language Summary: The implementation of artificial intelligence (AI) in mental healthcare offers a potential solution to some of the problems associated with the availability, attractiveness, and accessibility of mental healthcare services. However, there are many knowledge gaps concerning how to implement and best use AI to add value to mental healthcare services, providers, and consumers. This paper is based on a selective review of articles concerning AI in mental healthcare and implementation science, with the aim to identify challenges and opportunities for the use of AI in mental healthcare and describe key insights from implementation science of potential relevance to understand and facilitate AI implementation in mental healthcare. AI offers opportunities for identifying the patients most in need of care or the interventions that might be most appropriate for a given population or individual. AI also offers opportunities for supporting a more reliable diagnosis of psychiatric disorders and ongoing monitoring and tailoring during the course of treatment. However, AI implementation challenges exist at organizational/policy, individual, and technical levels, making it relevant to draw on implementation science knowledge for understanding and facilitating implementation of AI in mental healthcare. Knowledge derived from implementation science could provide an important starting point for research on AI implementation in mental healthcare. This field has generated many insights and provides a broad range of theories, frameworks, and concepts that are likely relevant for this research.

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Lost in space - an exploration of help-seeking among young people with mental health problems: a constructivist grounded theory study

Cited by 11 publications

References 35 publications

Adolescents’ perspectives on SSWs’ counselling practice in Swedish elementary schools: “plumb the depths and navigate to shore”

Adolescents’ perspectives on SSWs’ counselling practice in Swedish elementary schools: “plumb the depths and navigate to shore”

The Role of Informal Sources of Help In Young People’s Access To, Engagement With, And Maintenance In Professional Mental Health Care—A Scoping Review

Accelerating the impact of artificial intelligence in mental healthcare through implementation science

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