Parents' Role in Adolescent Depression Care: Primary Care Provider Perspectives - 24/09/15
Abstract |
Objective |
To understand how primary care providers (PCPs) perceive barriers to adolescent depression care to inform strategies to increase treatment engagement.
Study design |
We conducted semistructured interviews with 15 PCPs recruited from community pediatric offices with access to integrated behavioral health services (ie, low system-level barriers to care) who participated in a larger study on treating adolescent depression. Interviews addressed PCP perceptions of barriers to adolescents' uptake of care for depression. Interviews were audiorecorded, transcribed, and coded for key themes.
Results |
Although PCPs mentioned several adolescent barriers to care, they thought parents played a critical role in assisting adolescents in accessing mental health services. Important aspects of the parental role in accessing treatment included transportation, financial support, and social support. PCPs perceived that parental unwillingness to accept the depression diagnosis, family dysfunction, and trauma were common barriers. PCPs contrasted this with examples of good family support they believed would enable adolescents to attend follow-up appointments and have a “life coach” at home to help monitor for side effects and watch for increased suicidality when starting antidepressants.
Conclusions |
In this PCP population, which had enhanced access to mental health specialists, PCPs primarily reported attitudinal barriers to adolescent depression treatment, focusing mainly on perceived parent barriers. The results of these qualitative interviews provide a framework for understanding PCP perceptions of parental barriers to care, identifying that addressing complex parental barriers to care may be important for future interventions.
Le texte complet de cet article est disponible en PDF.Keyword : PCP
Plan
Supported by the Agency for Healthcare Research and Quality (T32 HS019486-01 and K12HS022989) and the University of Pittsburgh (Clinical and Translational Science Institute's pediatric practice based research network, Pediatric PittNet, through the National Institutes of Health UL1-TR000005). The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. The authors declare no conflicts of interest. |
Vol 167 - N° 4
P. 911-918 - octobre 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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