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Primary care and youth mental health in Ireland:qualitative study in deprived urban areas

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dc.contributor.author Leahy, Dorothy
dc.contributor.author Schaffalitzky, Elizabeth
dc.contributor.author Armstrong, Claire
dc.contributor.author Bury, Gerard
dc.contributor.author Cussen-Murphy, Paula
dc.contributor.author Davis, Rachel
dc.contributor.author Dooley, Barbara
dc.contributor.author Gavin, Blanaid
dc.contributor.author Keane, Rory
dc.contributor.author Keenan, Eamon
dc.contributor.author Latham, Linda
dc.contributor.author Meagher, David
dc.contributor.author McGorry, Pat
dc.contributor.author McNicholas, Fiona
dc.contributor.author O'Connor, Ray
dc.contributor.author O'Dea, Ellen
dc.contributor.author O'Keane, Veronica
dc.contributor.author O'Toole, Thomas P.
dc.contributor.author Reilly, Edel
dc.contributor.author Ryan, Patrick
dc.contributor.author Sanci, Lena
dc.contributor.author Smyth, Bobby P.
dc.contributor.author Cullen, Walter
dc.date.accessioned 2014-04-02T09:09:40Z
dc.date.available 2014-04-02T09:09:40Z
dc.date.issued 2013
dc.identifier.uri http://hdl.handle.net/10344/3751
dc.description peer-reviewed en_US
dc.description.abstract Background: Mental disorders account for six of the 20 leading causes of disability worldwide with a very high prevalence of psychiatric morbidity in youth aged 15–24 years. However, healthcare professionals are faced with many challenges in the identification and treatment of mental and substance use disorders in young people (e.g. young people’s unwillingness to seek help from healthcare professionals, lack of training, limited resources etc.) The challenge of youth mental health for primary care is especially evident in urban deprived areas, where rates of and risk factors for mental health problems are especially common. There is an emerging consensus that primary care is well placed to address mental and substance use disorders in young people especially in deprived urban areas. This study aims to describe healthcare professionals’ experience and attitudes towards screening and early intervention for mental and substance use disorders among young people (16–25 years) in primary care in deprived urban settings in Ireland. Methods: The chosen method for this qualitative study was inductive thematic analysis which involved semistructured interviews with 37 healthcare professionals from primary care, secondary care and community agencies at two deprived urban centres. Results: We identified three themes in respect of interventions to increase screening and treatment: (1) Identification is optimised by a range of strategies, including raising awareness, training, more systematic and formalised assessment, and youth-friendly practices (e.g. communication skills, ensuring confidentiality); (2) Treatment is enhanced by closer inter-agency collaboration and training for all healthcare professionals working in primary care; (3) Ongoing engagement is enhanced by motivational work with young people, setting achievable treatment goals, supporting transition between child and adult mental health services and recognising primary care’s longitudinal nature as a key asset in promoting treatment engagement. Conclusions: Especially in deprived areas, primary care is central to early intervention for youth mental health. Identification, treatment and continuing engagement are likely to be enhanced by a range of strategies with young people, healthcare professionals and systems. Further research on youth mental health and primary care, including qualitative accounts of young people’s experience and developing complex interventions that promote early intervention are priorities. (350 words) en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en_US
dc.relation.ispartofseries BMC Family Practice;14: 194
dc.relation.uri http://www.biomedcentral.com/1471-2296/14/194
dc.subject young people en_US
dc.subject urban deprivation en_US
dc.subject medical health en_US
dc.subject substance use en_US
dc.subject primary care en_US
dc.subject general practice en_US
dc.title Primary care and youth mental health in Ireland:qualitative study in deprived urban areas en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1186/1471-2296-14-194
dc.contributor.sponsor HRB
dc.relation.projectid HRB_HRA 2010/4
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1556349


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