E Schaffalitzky1, D Leahy1, W Cullen2,3, B Gavin4, L Latham5, R O'Connor1,6, B P Smyth7, E O'Dea8, S Ryan9. 1. Graduate Entry Medical School, University of Limerick, Limerick, Ireland. 2. Graduate Entry Medical School, University of Limerick, Limerick, Ireland. walter.cullen@ul.ie. 3. UCD School of Medicine, Dublin, Ireland. walter.cullen@ul.ie. 4. Department of Child & Adolescent Psychiatry, Lucena Clinic, Rathgar, Dublin 6, Ireland. 5. Thomas Court Primary Care Centre, Dublin 8, Ireland. 6. HSE Midwest Specialist GP Training Programme, Limerick, Ireland. 7. Youth Drug and Alcohol project (YoDA) Service, Health Services Executive, Dublin, Ireland. 8. HSE Dublin Mid-Leinster, Dublin, Ireland. 9. HSE Midwest Addiction Services, Dublin, Ireland.
Abstract
BACKGROUND: GPs, as healthcare professionals with whom young people commonly interact, have a central role in early intervention for mental health problems. However, successfully fulfilling this role is a challenge, and this is especially in deprived urban areas. AIMS: To inform a complex intervention to support GPs in this important role, we aim to identify the key areas in which general practice can help address youth mental health and strategies to enhance implementation. METHODS: We conducted a modified Delphi study which involved establishing an expert panel involving key stakeholders/service providers at two deprived urban areas. The group reviewed emerging literature on the topic at a series of meetings and consensus was facilitated by iterative surveys. RESULTS: We identified 20 individual roles in which GPs could help address youth mental health, across five domains: (1) prevention, health promotion and access, (2) assessment and identification, (3) treatment strategies, (4) interaction with other agencies/referral, and (5) ongoing support. With regard to strategies to enhance implementation, we identified a further 19 interventions, across five domains: (1) training, (2) consultation improvements, (3) service-level changes, (4) collaboration, and (5) healthcare-system changes. CONCLUSIONS: GPs have a key role in addressing youth mental health and this study highlights the key domains of this role and the key components of a complex intervention to support this role.
BACKGROUND: GPs, as healthcare professionals with whom young people commonly interact, have a central role in early intervention for mental health problems. However, successfully fulfilling this role is a challenge, and this is especially in deprived urban areas. AIMS: To inform a complex intervention to support GPs in this important role, we aim to identify the key areas in which general practice can help address youth mental health and strategies to enhance implementation. METHODS: We conducted a modified Delphi study which involved establishing an expert panel involving key stakeholders/service providers at two deprived urban areas. The group reviewed emerging literature on the topic at a series of meetings and consensus was facilitated by iterative surveys. RESULTS: We identified 20 individual roles in which GPs could help address youth mental health, across five domains: (1) prevention, health promotion and access, (2) assessment and identification, (3) treatment strategies, (4) interaction with other agencies/referral, and (5) ongoing support. With regard to strategies to enhance implementation, we identified a further 19 interventions, across five domains: (1) training, (2) consultation improvements, (3) service-level changes, (4) collaboration, and (5) healthcare-system changes. CONCLUSIONS: GPs have a key role in addressing youth mental health and this study highlights the key domains of this role and the key components of a complex intervention to support this role.
Entities:
Keywords:
Delphi study; Early; General practice; Intervention; Primary care; Substance addiction; Youth mental health
Authors: Boris Birmaher; David Brent; William Bernet; Oscar Bukstein; Heather Walter; R Scott Benson; Allan Chrisman; Tiffany Farchione; Laurence Greenhill; John Hamilton; Helene Keable; Joan Kinlan; Ulrich Schoettle; Saundra Stock; Kristin Kroeger Ptakowski; Jennifer Medicus Journal: J Am Acad Child Adolesc Psychiatry Date: 2007-11 Impact factor: 8.829
Authors: Kyleigh Schraeder; Brooke Allemang; Ashley N Felske; Cathie M Scott; Kerry A McBrien; Gina Dimitropoulos; Susan Samuel Journal: J Prim Care Community Health Date: 2022 Jan-Dec