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Sheikh A, Jacob J, Vostanis P, Ruby F, Spuerck I, Stankovic M, Morgan N, Mota CP, Ferreira R, Eruyar Ş, Yılmaz EA, Fatima SZ, Edbrooke-Childs J. What Should Personalised Mental Health Support Involve? Views of Young People with Lived Experience and Professionals from Eight Countries. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2024:10.1007/s10488-024-01382-2. [PMID: 38907740 DOI: 10.1007/s10488-024-01382-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2024] [Indexed: 06/24/2024]
Abstract
Research demonstrates that young people value mental health support that is tailored to their needs and preferences, rather than a "one size fits all" offer, which is often not equitably accessible (National Children's Bureau, 2021). Understanding young people's lived experiences across different sociocultural contexts is important. The aim of this research was to conduct an international qualitative study on the views of young people with lived experience and professionals, on proposed aspects of personalised support for anxiety and/or depression. Participatory action focus groups were conducted with N = 120 young people with lived experience of anxiety and/or depression (14-24 years) and with N = 63 professionals in Brazil, India, Kenya, Pakistan, Portugal, South Africa, Turkey, and the United Kingdom. Data were analysed using the rigorous and accelerated data reduction (RADaR) technique. Overall, although some country-specific differences were found in terms of what aspects of support young people found to be most important, individual preferences were considered stronger, furthering the view that support should be personalised to the needs of the individual young person. Young people experiencing anxiety and/or depression should be able to choose for themselves which aspects of support they would prefer in their own care and support plans, with families and mental health professionals providing guidance where appropriate, rather than removing the young person from the decision-making process altogether. It should also be ensured that the aspects of personalised support can be understood by young people and professionals from different contexts, including marginalised and minoritised groups and communities.
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Affiliation(s)
| | - Jenna Jacob
- Anna Freud, 4-8 Rodney Street, London, N1 9JH, UK.
- Clinical, Educational and Health Psychology, University College London, London, UK.
| | - Panos Vostanis
- School of Media, Communication and Sociology, University of Leicester, University Road, Leicester, UK
| | | | - Inga Spuerck
- Euro Youth Mental Health, The Carling Building, Coopers Yard, Off, Market Pl, Hitchin, SG5 1AR, UK
| | - Milos Stankovic
- Euro Youth Mental Health, The Carling Building, Coopers Yard, Off, Market Pl, Hitchin, SG5 1AR, UK
| | - Nicholas Morgan
- Euro Youth Mental Health, The Carling Building, Coopers Yard, Off, Market Pl, Hitchin, SG5 1AR, UK
| | - Catarina Pinheiro Mota
- University of Trás-Os-Montes and Alto Douro, Vila Real, Portugal
- Center for Psychology, University of Porto, Porto, Portugal
| | - Rúben Ferreira
- University of Trás-Os-Montes and Alto Douro, Vila Real, Portugal
| | - Şeyda Eruyar
- Department of Psychology, Necmettin Erbakan University, Köyceğiz, Meram, Konya, 42140, Turkey
| | - Elmas Aybike Yılmaz
- Department of Psychology, Necmettin Erbakan University, Köyceğiz, Meram, Konya, 42140, Turkey
| | - Syeda Zeenat Fatima
- Hussaini Foundation-Child and Adolescent Development Program, Karachi, Pakistan
| | - Julian Edbrooke-Childs
- Anna Freud, 4-8 Rodney Street, London, N1 9JH, UK
- Clinical, Educational and Health Psychology, University College London, London, UK
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Spuerck I, Stankovic M, Fatima SZ, Yilmas E, Morgan N, Jacob J, Edbrooke-Childs J, Vostanis P. International youth mental health case study of peer researchers' experiences. RESEARCH INVOLVEMENT AND ENGAGEMENT 2023; 9:33. [PMID: 37189172 DOI: 10.1186/s40900-023-00443-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 05/03/2023] [Indexed: 05/17/2023]
Abstract
BACKGROUND The involvement of young people as peer researchers, especially with lived experience, is increasingly considered important in youth mental health research. Yet, there is variation in the understanding of the role, and limited evidence on its implementation across different research systems. This case study focusses on the barriers and enablers of implementing peer researcher roles within and across majority world countries contexts. METHODS Based on an international youth mental health project involving different levels of peer researchers and participants from eight countries, peer researchers and a co-ordinating career researcher reflect on lessons regarding enabling and challenging factors. These reflections are captured and integrated by a systematic insight analysis process. RESULTS Building on existing international networks, it was feasible to actively involve peer researchers with lived experience in a multi-country mental health study, who in turn recruited and engaged young participants. Identified challenges include the terminology and definition of the role, cultural differences in mental health concepts, and consistency across countries and sites. DISCUSSION Peer researchers' role could be strengthened and mainstreamed in the future through ongoing international networks, training, sufficient planning, and active influence throughout the research process. TRIAL REGISTRATION Not applicable.
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Affiliation(s)
| | | | | | | | | | - Jenna Jacob
- Anna Freud Centre, London, UK
- University College London, London, UK
| | | | - Panos Vostanis
- University of Leicester, Leicester, UK.
- University of Johannesburg, Johannesburg, South Africa.
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Vostanis P, Ruby F, Jacob J, Eruyar Ş, Mironga Getanda E, Haffejee S, Krishna M, Edbrooke-Childs J. Youth and professional perspectives of mental health resources across eight countries. CHILDREN AND YOUTH SERVICES REVIEW 2022; 136:106439. [PMID: 35521438 PMCID: PMC8972066 DOI: 10.1016/j.childyouth.2022.106439] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 01/25/2022] [Accepted: 02/20/2022] [Indexed: 05/28/2023]
Abstract
INTRODUCTION Youth mental health support and services vary across sociocultural contexts. It is important to capture the perspectives of youth with lived experiences for planning needs-led interventions and services, especially in Global South Countries (GSC), with limited specialist resources and representative literature. METHODS The aim was to establish how youth with lived experiences of anxiety and depression viewed external support in different countries, and how these views were juxtaposed with those of professionals. We involved 121 youth aged 14-24 years and 62 professionals from different disciplines in eight countries, predominantly from the Global South. Two youth and one professional focus group was facilitated in each country. The data were analysed through a codebook thematic approach. RESULTS Youth across all countries largely valued informal support from family, peers and community, whilst those from GSC had limited access to structural support. They related lived experiences to therapeutic engagement and processes, in contrast with professionals who focused on outcomes and service delivery. Mental health awareness and integration of interventions with social support were considered essential by both youth and professionals, especially in disadvantaged communities. CONCLUSION The mental health needs of youth in disadvantaged GSC communities can be best met through multi-modal interventions addressing these needs across their socioecology and positioned within a stepped care model. Youth with lived experiences should be involved in service planning, implementation and monitoring.
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Affiliation(s)
- Panos Vostanis
- University of Leicester, School of Media, Communication and Sociology, University Road, Leicester, UK
| | - Florence Ruby
- Anna Freud Centre, Child Outcomes Research Consortium, 4-8 Rodney Street, London N1 9JH, UK
| | - Jenna Jacob
- Anna Freud Centre, Child Outcomes Research Consortium, 4-8 Rodney Street, London N1 9JH, UK
| | - Şeyda Eruyar
- Necmettin Erbakan University, Department of Psychology, Köyceğiz 42140 Meram, Konya, Turkey
| | | | - Sadiyya Haffejee
- University of Johannesburg, Auckland Park, Johannesburg 2092, South Africa
| | - Murali Krishna
- FRAMe Mysore, New Kanthraj Urs Road, Kuvempunagar, Mysore 570023, India
| | - Julian Edbrooke-Childs
- Anna Freud Centre, Child Outcomes Research Consortium, 4-8 Rodney Street, London N1 9JH, UK
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Vostanis P, Eruyar S, Hassan S, AlOwaybil R, O'Reilly M. Application of digital child mental health training to improve capacity in majority world countries: Professional perspectives from Turkey and Pakistan. Clin Child Psychol Psychiatry 2022; 27:439-454. [PMID: 34569308 PMCID: PMC9047166 DOI: 10.1177/13591045211046809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Digital technology offers opportunities for child mental health capacity building, which is a priority for Majority World Countries (MWC). The aim of this study was to explore the experiences and perspectives of professionals from different disciplines in Turkey (n=12) and Pakistan (n=15), who had completed a two-module digital trauma-informed programme on enhancing practice skills and instigating systemic changes. Interview data were analysed through a coding thematic approach. Participants especially valued the interdisciplinary and holistic approach of the training, and its proposed scaled service model. Digital training, particularly in blended format, can enhance reach and capacity in MWC low-resource settings.
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Affiliation(s)
- Panos Vostanis
- Department of Neuroscience, Psychology and Behaviour, 4488University of Leicester, Leicester, UK
| | - Seyda Eruyar
- Department of Psychology, 226846Necmettin Erbakan University, Konya, Turkey
| | | | - Reem AlOwaybil
- Department of Neuroscience, Psychology and Behaviour, 4488University of Leicester, Leicester, UK
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Eruyar S, Haffejee S, Anderson ES, Vostanis P. Implementation of child mental health service improvement plans in four low- and middle-income countries: stakeholders' perspectives. J Interprof Care 2021:1-8. [PMID: 34657552 DOI: 10.1080/13561820.2021.1982881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 08/26/2021] [Accepted: 09/11/2021] [Indexed: 10/20/2022]
Abstract
Children in low- and middle-income countries (LMIC) have high levels of unmet mental health needs, especially in disadvantaged communities. To address this gap, we developed a child mental health service improvement programme. This was co-facilitated using interprofessional principles and values in four countries, South Africa, Kenya, Turkey and Brazil. Eighteen stakeholders from different professions were interviewed after six months on their perspectives on enabling factors and challenges they faced in implementing service plans. Participants valued the holistic case management approach and scaled service model that underpinned the service plans. Emerging themes on participants' priorities related to service user participation, integrated care, and different levels of capacity-building. We propose that an integrated care model in LMIC contexts can maximize available resources, engage families and mobilize communities. Implementation requires concurrent actions at micro-, meso- and macro-level.
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Affiliation(s)
- Seyda Eruyar
- Department of Psychology, Necmettin Erbakan University, Konya, Turkey
| | - Sadiyya Haffejee
- Centre for Social Development in Africa, University of Johannesburg, Johannesburg, South Africa
| | - E S Anderson
- School of Medicine, University of Leicester, Leicester, UK
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