“Unless you overdose or something you’re not going to get help”: What do adolescent experiences reveal about the mental health system in Perth, Western Australia?
- 10 March 2020
- journal article
- research article
- Published by Wiley in Health Promotion Journal of Australia
- Vol. 32 (2), 238-247
- https://doi.org/10.1002/hpja.332
Abstract
Issues addressed To explore adolescents’ experiences of access to and continued use of mental health services, and identify factors influencing their perceived satisfaction with their care. This paper focusses on the role of organisational and policy‐level factors in the mental health system. Method Qualitative semi‐structured face‐to‐face interviews with 22 adolescents aged 14‐18 years living in Perth, Western Australia. Results Adolescents identified key policy, systemic and service‐based factors which influenced their access to and continued use of mental health services. These were strongly related to the processes of service intake, level of orientation towards person‐centred care, and adequacy of service resourcing and funding. Areas of concern for adolescents included, complex service intake procedures, suboptimal mental health service environments, lack of client‐centred care, and the quality of mental health support provided in school settings. Conclusions Our research has identified a wide spectrum of factors influencing mental health service access and use amongst adolescents. The findings further support the growing national consensus for major reform to address the mental health needs of this age group. The current strengths within mental health services and the system identified by adolescents need to be supported and extended. So what? Although there have been numerous recommendations on ways to improve mental health service access and ongoing engagement for Australian adolescents, a number of the major challenges faced by this high‐risk population have shown little improvement. The findings of this research indicate the importance of now moving on from government reviews and audits to implementing meaningful plans for action.Keywords
This publication has 21 references indexed in Scilit:
- Global burden of disease in young people aged 10–24 years: a systematic analysisThe Lancet, 2011
- Nested Learning Systems for the Thinking CurriculumEducational Researcher, 2010
- Stigma and mental health professionals: A review of the evidence on an intricate relationshipInternational Review of Psychiatry, 2007
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006
- Can hopelessness and adolescents' beliefs and attitudes about seeking help account for help negation?Journal of Clinical Psychology, 2005
- Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey ReplicationArchives of General Psychiatry, 2005
- The Role of Caregiver Strain and Other Family Variables in Determining Children's Use of Mental Health ServicesJournal of Emotional and Behavioral Disorders, 2003
- Adolescent Opinions About Reducing Help-Seeking Barriers and Increasing Appropriate Help EngagementJournal of Educational and Psychological Consultation, 2001
- Family experience of barriers to treatment and premature termination from child therapy.Journal of Consulting and Clinical Psychology, 1997
- Dropping out of child psychotherapy: Distinguishing early and late dropouts over the course of treatment.Journal of Consulting and Clinical Psychology, 1994