ドイツの心理社会的にストレスの多い子供と家族の予防的な精神保健サービスへのアクセスと利用の障壁:さまざまな分野の専門家の視点
A Reinhart1, A Alayli2, S Beierle3
1Child Health Services Research Unit, Department for General Pediatrics, Neonatology and Pediatric Cardiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Germany; Mental Health Research and Treatment Center (FBZ), Ruhr University Bochum, Germany; German Center for Mental Health (DZPG), Germany.
Preventive medicine
|August 31, 2025
まとめ
専門家は,子供,若者,家族 (CYF) のための予防的な精神保健サービスに対するクライアント,提供者,組織,およびシステムの障壁を特定しました. これらの障壁を総合的に解決することは,重要な支援へのアクセスと利用の改善の鍵です.
科学分野:
- 公衆衛生
- メンタルヘルスサービス研究
- 健康社会学
背景:
- 心理的社会的な課題に直面している子供,若者,家族 (CYF) は,精神的健康リスクが増加しています.
- 医療,教育,社会セクターの 予防的な精神保健サービスは 十分に活用されていないので 待機時間が長いのです
- サービスへのアクセスの障壁に関する専門家の見解を理解することは,体系的および組織的な解決策を特定するために不可欠です.
研究 の 目的:
- 複数のセクターの専門家の観点から,予防的な精神保健サービスへのアクセスと利用の障壁を調査する.
- 心理社会的にストレスの多い若年者のためのサービスアクセシビリティを改善するための実行可能な戦略を特定する.
主な方法:
- 貧しい都市部で医療,教育,社会部門の専門家を対象に19件の半構造面接が行われました.
- インタビューは2024年に実施され,オーディオで録音され,文字どおり書き換えられ,テーマ分析を用いて分析されました.
主要な成果:
- 専門家は,クライアント (例えば,恥),プロバイダー (例えば,知識不足),組織 (例えば,不一致の専門知識),およびシステム (例えば,長い待ち時間) レベルでの障壁を特定しました.
- 提案された解決策は,家族との信頼を築き, 専門間の協力を強化し, 共同の場所,ワンストップショップのサービスモデルを開発することです.
結論:
- CYFの予防的な精神保健サービスへのアクセスの障壁を特定し,解決策を考案するために,専門家は不可欠です.
- 効果的なサービス提供には,多層の障壁に対処する分野間の協力と総合的なアプローチが不可欠です.
- セクター間の意識と協力の向上は,サービスの利用と家族への支援を高めることができます.
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