Abstract
There is little research reporting the “lived experience” of young people undertaking treatment for mental health conditions. This pilot study explores the phenomenological experiences of a small group of six young people aged 14–18 years who were resident of a youth stepped-care mental health program in the Australian Capital Territory. Using semi-structured interviews, data were collected and two main themes emerged: (a) “Life engagement” and (b) “Relationships.” Participants also provided responses on self-report measures at baseline and follow-up and feedback on aspects of the program. Further research is suggested to build on this study to increase research outcomes.
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References
ACT Health. (2009). Building a strong foundation: A framework for promoting mental health and wellbeing in the ACT 2009–2014. Retrieved from http://www.health.act.gov.au/c/health?a=da&did=10050411&pid=1061180547
Ainsworth, F., & Hansen, P. (2005). A dream come true—No more residential care. A corrective note. International Journal of Social Welfare, 14, 195–199.
Australian Bureau of Statistics (ABS). (2008). National Survey of Mental Health and Wellbeing: Summary of results. Australia, 2007. ABS cat.no. 4326.0 Canberra: ABS.
Bratter, B. L., Bratter, T. E., Radda, H. T., & Steiner, K. M. (1993). The residential therapeutic caring community. Psychotherapy, 30(2), 299–304.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. ISSN 1478-0887.
Ciarrochi, J., Deane, F. P., Wilson, C. J., & Rickwood, D. (2002). Adolescents who need help the most are the least likely to seek it: The relationship between low emotional competence and low intention to seek help. British Journal of Guidance and Counselling, 30(2), 173–186.
Ciarrochi, J., Wilson, C. J., Deane, F. P., & Rickwood, D. (2003). Do difficulties with emotions inhibit help-seeking in adolescence? The role of age and emotional competence in predicting help-seeking intentions. Counselling Psychology Quarterly, 16(2), 103–120.
Davison, G. C. (2000). Stepped-care: Doing more with less? Journal of Consulting and Clinical Psychology, 68(4), 580–585.
Department of Health and Ageing (DoHA). (2009). The mental health of Australians 2: Report on the 2007 national survey of mental health and wellbeing. Canberra: DoHA.
Department of Human Services, Mental Health and Drugs Division. (2008). Final report for evaluation of the prevention and recovery care (PARC) services project. Retrieved from http://www.health.vic.gov.au/mentalhealth/publications/parc-evaluation.pdf
Drell, M. (2006). “Sweet are the uses of adversity”: A transition program for children discharged from an inpatient unit. Psychiatric Services, 57(1), 31–33.
Duppong Hurley, K., Trout, A., Chmelka, M. B., Burns, B. J., Epstein, M. H., Thompson, R. W., et al. (2009). The changing mental health needs of youth admitted to residential group care. Journal of Emotional and Behavioural Disorders, 17(3), 164–176.
Frojd, S., Marttunen, M., Pelkonen, M., Von der Pahlen, B., & Kaltiala-Heino, R. (2007). Adult and peer involvement in help-seeking for depression in adolescent population. Social Psychiatry Psychiatric Epidemiology, 42, 945–952.
Hickie, I. B., Groom, G. L., McGorry, P. D., Davenport, T. A., & Luscombe, G. M. (2005). Australian mental health reform: Time for real outcomes. MJA, 182(8), 401–406.
Kessler, R. C., Andrews, G., & Colpe, L. J. (2002). Short screening scales to monitor population prevalence and trends in non-specific psychological distress. Psychological Medicine, 32, 959–976.
Kessler, R., Avenevoli, S., Costello, J., Georgiades, K., Green, J. G., Gruber, M., et al. (2012). Prevalence, persistence and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Archives of General Psychiatry, 69(4), 372–380.
Leichtman, M. (2006). Residential treatment of children and adolescents: Past, present and future. American Journal of Orthopsychiatry, 76(3), 285–294.
Luszczynska, A., Scholz, U., & Schwarzer, R. (2005). The General Self-Efficacy Scale: Multicultural validation studies. The Journal of Psychology: Interdisciplinary and Applied, 139(5), 439–457. doi:10.3200/JRLP.139.5.439-457.
McGorry, P. D. (2007). The specialist youth mental health model: Strengthening the weakest link in the public mental health system. MJA, 187(7), S53–S56.
McGorry, P. D., Purcell, R., Hickie, I. B., & Jorm, A. F. (2007). Investing in youth mental health is a best buy. MJA, 187(7), S5–S7.
McNeal, R., Handwerk, M. L., Field, C. E., Roberts, M. C., Soper, S., Huefner, J. C., et al. (2006). Hope as an outcome variable among youths in a residential care setting. American Journal of Orthopsychiatry, 76(3), 304–311.
O’Herlihy, A., Worrall, A., Lelliott, P., Jaffa, T., Mears, A., Banerjee, S., et al. (2004). Characteristics of the residents of in-patient child and adolescent mental health services in England and Wales. Clinical Child Psychology and Psychiatry, 9(4), 579–588.
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. Adolescent Health, 3(369), 1302–1313.
Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128(2), 330–366.
Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy Scale. In J. Weinman, S. Wright, & M. Johnston (Eds.), Measures in health psychology: A user’s portfolio. Causal and control beliefs (pp. 35–37). Windsor: NFER-NELSON.
Smith, J., Jarman, M., & Osborne, M. (2003). Interpretative phenomenological analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to methods. London: Sage.
Snyder, C. R., Hoza, B., Pelham, W. E., Rapoff, M., Ware, L., Danovsky, M., et al. (1997). The development and validation of the Children’s Hope Scale. Journal of Pediatric Psychology, 22(3), 399–421.
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The authors acknowledge the support of CatholicCare Canberra and Goulburn (Australia), and ACT Health in the development of this study.
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Magor-Blatch, L.E., Ingham, L. Youth with Mental Illness: Attitudes Towards and Therapeutic Benefits of Residential Stepped Care. Community Ment Health J 51, 338–346 (2015). https://doi.org/10.1007/s10597-014-9778-8
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DOI: https://doi.org/10.1007/s10597-014-9778-8