Including Voices of Adolescents With Chronic Conditions in the Redesign of Children's Mental Health Systems: Implications for Resource Allocation

Suzanne E. Courtwright; Jacqueline Jones; Amy Barton; Kerry Peterson; Karen Eigen; Jessica Feuerstein; Anil Pawa; Akhil Pawa; Jessica Northridge; Harpreet Pall

doi:10.1016/j.pedhc.2023.01.004

Including Voices of Adolescents With Chronic Conditions in the Redesign of Children's Mental Health Systems: Implications for Resource Allocation

Suzanne E. Courtwright
, Jacqueline Jones
, Amy Barton
, Kerry Peterson
, Karen Eigen
, Jessica Feuerstein
, Anil Pawa
, Akhil Pawa
, Jessica Northridge
, Harpreet Pall

School of Medicine

University of Colorado
Assistant Dean and PhD Program Dire
Daniel and Janet Mordecai Endowed Chair in Rural Health Nursing
University of Colorado Anschutz Medical Campus
Pediatric Emergency Medicine Physician
Hackensack University Medical Center
Chair of Pediatrics
Hackensack Meridian School of Medicine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Introduction: Adolescents with chronic conditions have disparate mental health outcomes. This study aimed to explore the perspectives of adolescents with chronic conditions on mental health system redesign to improve outcomes. Method: Within an interpretive phenomenological approach, semistructured interviews with 17 adolescents aged 10–20 years with chronic conditions were conducted. Purposive sampling and recruitment occurred at three ambulatory sites. Data were analyzed using inductive and deductive thematic analysis until information saturation was achieved. Results: Four themes were identified: (1) Brushed off: I need to be heard, (2) I need someone I can really talk to and trust, (3) They need to reach out to us. Check in on us, and (4) the school nurse is for physical illness only. Discussion: Mental health system redesign should be considered for adolescents with chronic conditions. The findings can inform future research to test innovative health care delivery models to reduce mental health disparities in this vulnerable population.

Original language	English
Pages (from-to)	381-390
Number of pages	10
Journal	Journal of Pediatric Health Care
Volume	37
Issue number	4
DOIs	https://doi.org/10.1016/j.pedhc.2023.01.004
State	Published - 1 Jul 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

health services research
Mental health
nursing
social determinants of health

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10.1016/j.pedhc.2023.01.004

Cite this

Courtwright, S. E., Jones, J., Barton, A., Peterson, K., Eigen, K., Feuerstein, J., Pawa, A., Pawa, A., Northridge, J., & Pall, H. (2023). Including Voices of Adolescents With Chronic Conditions in the Redesign of Children's Mental Health Systems: Implications for Resource Allocation. Journal of Pediatric Health Care, 37(4), 381-390. https://doi.org/10.1016/j.pedhc.2023.01.004

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title = "Including Voices of Adolescents With Chronic Conditions in the Redesign of Children's Mental Health Systems: Implications for Resource Allocation",

abstract = "Introduction: Adolescents with chronic conditions have disparate mental health outcomes. This study aimed to explore the perspectives of adolescents with chronic conditions on mental health system redesign to improve outcomes. Method: Within an interpretive phenomenological approach, semistructured interviews with 17 adolescents aged 10{\textendash}20 years with chronic conditions were conducted. Purposive sampling and recruitment occurred at three ambulatory sites. Data were analyzed using inductive and deductive thematic analysis until information saturation was achieved. Results: Four themes were identified: (1) Brushed off: I need to be heard, (2) I need someone I can really talk to and trust, (3) They need to reach out to us. Check in on us, and (4) the school nurse is for physical illness only. Discussion: Mental health system redesign should be considered for adolescents with chronic conditions. The findings can inform future research to test innovative health care delivery models to reduce mental health disparities in this vulnerable population.",

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author = "Courtwright, \{Suzanne E.\} and Jacqueline Jones and Amy Barton and Kerry Peterson and Karen Eigen and Jessica Feuerstein and Anil Pawa and Akhil Pawa and Jessica Northridge and Harpreet Pall",

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Courtwright, SE, Jones, J, Barton, A, Peterson, K, Eigen, K, Feuerstein, J, Pawa, A, Pawa, A, Northridge, J & Pall, H 2023, 'Including Voices of Adolescents With Chronic Conditions in the Redesign of Children's Mental Health Systems: Implications for Resource Allocation', Journal of Pediatric Health Care, vol. 37, no. 4, pp. 381-390. https://doi.org/10.1016/j.pedhc.2023.01.004

TY - JOUR

T1 - Including Voices of Adolescents With Chronic Conditions in the Redesign of Children's Mental Health Systems

T2 - Implications for Resource Allocation

AU - Courtwright, Suzanne E.

AU - Jones, Jacqueline

AU - Barton, Amy

AU - Peterson, Kerry

AU - Eigen, Karen

AU - Feuerstein, Jessica

AU - Pawa, Anil

AU - Pawa, Akhil

AU - Northridge, Jessica

AU - Pall, Harpreet

PY - 2023/7/1

Y1 - 2023/7/1

N2 - Introduction: Adolescents with chronic conditions have disparate mental health outcomes. This study aimed to explore the perspectives of adolescents with chronic conditions on mental health system redesign to improve outcomes. Method: Within an interpretive phenomenological approach, semistructured interviews with 17 adolescents aged 10–20 years with chronic conditions were conducted. Purposive sampling and recruitment occurred at three ambulatory sites. Data were analyzed using inductive and deductive thematic analysis until information saturation was achieved. Results: Four themes were identified: (1) Brushed off: I need to be heard, (2) I need someone I can really talk to and trust, (3) They need to reach out to us. Check in on us, and (4) the school nurse is for physical illness only. Discussion: Mental health system redesign should be considered for adolescents with chronic conditions. The findings can inform future research to test innovative health care delivery models to reduce mental health disparities in this vulnerable population.

AB - Introduction: Adolescents with chronic conditions have disparate mental health outcomes. This study aimed to explore the perspectives of adolescents with chronic conditions on mental health system redesign to improve outcomes. Method: Within an interpretive phenomenological approach, semistructured interviews with 17 adolescents aged 10–20 years with chronic conditions were conducted. Purposive sampling and recruitment occurred at three ambulatory sites. Data were analyzed using inductive and deductive thematic analysis until information saturation was achieved. Results: Four themes were identified: (1) Brushed off: I need to be heard, (2) I need someone I can really talk to and trust, (3) They need to reach out to us. Check in on us, and (4) the school nurse is for physical illness only. Discussion: Mental health system redesign should be considered for adolescents with chronic conditions. The findings can inform future research to test innovative health care delivery models to reduce mental health disparities in this vulnerable population.

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KW - nursing

KW - social determinants of health

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AN - SCOPUS:85150433179

SN - 0891-5245

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JF - Journal of Pediatric Health Care

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ER -

Including Voices of Adolescents With Chronic Conditions in the Redesign of Children's Mental Health Systems: Implications for Resource Allocation

Abstract

UN SDGs

Keywords

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