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How social context impacts on the development, identification and treatment of mental and substance use disorders among young people - a qualitative study of health care workers

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dc.contributor.author Leahy, Dorothy
dc.contributor.author Schaffalitzky, Elizabeth
dc.contributor.author Armstrong, Claire
dc.contributor.author Latham, Linda
dc.contributor.author McNicholas, Fiona
dc.contributor.author Meagher, David
dc.contributor.author Nathan, Yoga
dc.contributor.author O'Connor, Ray
dc.contributor.author O'Keane, Veronica
dc.contributor.author Ryan, Patrick
dc.contributor.author Smyth, Bobby P.
dc.contributor.author Swan, Davina
dc.contributor.author Cullen, Walter
dc.date.accessioned 2015-07-09T11:15:49Z
dc.date.issued 2015
dc.identifier.uri http://hdl.handle.net/10344/4532
dc.description peer-reviewed en_US
dc.description.abstract Introduction: Social context has a major influence on the detection and treatment of youth mental and substance use disorders in deprived urban areas, particularly where gang culture, community violence, normalisation of drug use and repetitive maladaptive family structures prevail. This paper aims to examine how social context influences the development, identification and treatment of youth mental and substance use disorders in deprived urban areas from the perspectives of health care workers. Method: Semi-structured interviews were conducted with health care workers (n=37) from clinical settings including: primary care, secondary care and community agencies and analysed thematically using Bronfenbrenner’s Ecological Theory to guide analysis. Results: Health care workers’ engagement with young people was influenced by the multilevel ecological systems within the individual’s social context which included: the young person’s immediate environment / ‘microsystem’ (e.g. family relationships), personal relationships in the ‘mesosystem’ (e.g. peer and school relationships), external factors in the young person’s local area context / ‘exosystem’ (e.g. drug culture and criminality) and wider societal aspects in the ‘macrosystem’ (e.g. mental health policy, healthcare inequalities and stigma). Conclusions: In deprived urban areas, social context, specifically the micro- meso- exo- and macro-system impact both on the young person’s experience of mental health or substance use problems and services which endeavour to address these problems. Interventions that effectively identify and treat these problems should reflect the additional challenges posed by such settings. en_US
dc.language.iso eng en_US
dc.publisher Cambridge University Press en_US
dc.relation.ispartofseries Irish Journal of Psychological Medicine;32, Special Issue 01, pp. 117-128
dc.relation.uri http://www.scopus.com/inward/record.url?eid=2-s2.0-84921364159&partnerID=40&md5=244d52048e87bc4ca471f35e411cb594
dc.relation.uri http://dx.doi.org/10.1017/ipm.2014.70
dc.rights Material on these pages is copyright Cambridge University Press or reproduced with permission from other copyright owners. It may be downloaded and printed for personal reference, but not otherwise copied, altered in any way or transmitted to others (unless explicitly stated otherwise) without the written permission of Cambridge University Press. Hypertext links to other Web locations are for the convenience of users and do not constitute any endorsement or authorisation by Cambridge University Press. en_US
dc.subject social context en_US
dc.subject urban deprivation en_US
dc.subject mental health and substance use en_US
dc.subject Bronfenbrenner’s ecological theory en_US
dc.subject young people en_US
dc.subject primary healthcare en_US
dc.title How social context impacts on the development, identification and treatment of mental and substance use disorders among young people - a qualitative study of health care workers 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.date.updated 2015-07-09T11:02:14Z
dc.description.version ACCEPTED
dc.identifier.doi 10.1017/ipm.2014.70
dc.contributor.sponsor HRB en_US
dc.relation.projectid HRB_HR_2010/4 en_US
dc.date.embargoEndDate 2015-07-13
dc.embargo.terms 2015-07-13 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1588857
dc.internal.copyrightchecked Yes
dc.description.status peer-reviewed


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