Thematic analysis of youth mental health providers' perceptions of neuropsychological assessment services.


Journal

Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027

Informations de publication

Date de publication:
04 2020
Historique:
received: 26 03 2019
revised: 09 08 2019
accepted: 25 08 2019
pubmed: 13 9 2019
medline: 12 1 2021
entrez: 13 9 2019
Statut: ppublish

Résumé

A growing number of quantitative studies have investigated the utility of neuropsychological assessment in mental health settings. However, to the best of our knowledge, no previous study has qualitatively explored youth mental health providers' perceptions of neuropsychological assessment services. A more in-depth understanding of the perceived advantages and barriers associated with neuropsychological assessment in youth mental health settings is critical to better inform policy, practice and service uptake. Thus, the aim of this study was to qualitatively explore clinicians' views about neuropsychological assessments for youth with mental health concerns. A single open-ended qualitative question, included as part of an anonymous cross-sectional online survey, was completed by clinicians (N = 206) treating or assessing adolescents and young adults within Australian primary care mental health centres (headspace). Responses were analysed using an inductive approach to thematic analysis. Five main themes were identified. Clinicians (a) identified barriers to accessing neuropsychological assessments (53%), (b) indicated a range of mixed outcomes following neuropsychological assessment (39%), (c) highlighted a need for neuropsychological assessments (22%), (d) reported a lack of awareness about this resource (10%) and (e) described practice issues associated with neuropsychological services (4%). This study uncovered perceived factors contributing to reduced access to neuropsychological assessment in Australian youth mental health settings. Given potential adverse outcomes resulting from this clinical service gap, efforts should be made to address factors contributing to poorer access, thereby mitigating the impact of poor access on the management of mental illness in youth. Several strategies, including funding neuropsychological assessments, are discussed.

Identifiants

pubmed: 31512388
doi: 10.1111/eip.12876
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

220-227

Subventions

Organisme : National Health and Medical Research Council
ID : APP1141207
Pays : International

Informations de copyright

© 2019 John Wiley & Sons Australia, Ltd.

Références

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Auteurs

Garance Delagneau (G)

Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.

Stephen C Bowden (SC)

Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.

Shayden Bryce (S)

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Kristi van-der-El (K)

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Matthew Hamilton (M)

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Sophie Adams (S)

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.
Orygen Youth Health, Parkville, Victoria, Australia.

Liz Burgat (L)

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Eoin Killackey (E)

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

Debra Rickwood (D)

Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia & headspace The National Youth Mental Health Foundation, Melbourne, Australia.

Kelly Allott (K)

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.
Centre for Youth Mental Health, The University of Melbourne, Parkville, Australia.

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