Insights From a Child & Adolescent Mental Health In-Patient Unit: Towards the Potential Development of Person-Centred...

Area of Science:

• Child and Adolescent Psychiatry
• Mental Health Services Research
• Qualitative Inquiry

Background:

• Rising rates of mental health issues in children and adolescents necessitate improved, person-centered care models.
• Current child and adolescent mental health in-patient units require evaluation for person-centered practice development.

Purpose of the Study:

• To investigate the lived experiences of young persons, main caregivers, and healthcare professionals in an inpatient mental health unit.
• To identify key factors influencing the implementation of person-centered practices within child and adolescent mental health services.

Main Methods:

• A philosophical inquiry utilizing the SECI model and the concept of Ba.
• Data collection involved the draw, write, and tell method (young persons), semi-structured interviews (caregivers), observations (Workplace Culture Critical Appraisal Tool - revised), and world café method (healthcare professionals).
• Indicative thematic analysis was conducted collaboratively with participants.

Main Results:

• Six emergent themes included: power imbalance and communication, devaluing, boredom, support and isolation, desire for discharge, and environmental factors.
• Some themes were shared across young persons, caregivers, and healthcare professionals, while others were group-specific.
• Trusting relationships with healthcare professionals and mutual support were noted as positive aspects.

Conclusions:

• While instances of person-centered care were observed, significant challenges impede its consistent implementation.
• Further development is needed to overcome identified barriers and foster truly person-centered practices in child and adolescent mental health settings.