Implementation of an Electronic Mental Health Platform for Youth and Young Adults in a School Context Across Alberta, Canada: Thematic Analysis of the Perspectives of Stakeholders.
Background: Youth, aged 15 to 24 years, are more likely to experience mental health (MH) or substance use issues than other age groups. This is a critical period for intervention because MH disorders, if left unattended, may become chronic and serious and negatively affect many aspects of a young pe...
| Publicado en: | JMIR Mental Health Vol. 11; pp. 1 - 22 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
JMIR Publications Inc.
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180451801&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180451801 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23687959 MUYH jtl: JMIR Mental Health issn: 23687959 maglogo: N pubinfo: dt: 2024 vid: 11 pid: 21567 pub: JMIR Publications Inc. place: Toronto, Ontario artinfo: ui: 180451801 180451801 180451801 10.2196/49099 180451801 ppf: 1 ppct: 21 formats: tig: atl: Implementation of an Electronic Mental Health Platform for Youth and Young Adults in a School Context Across Alberta, Canada: Thematic Analysis of the Perspectives of Stakeholders. aug: au: Dimitropoulos, Gina Bassi, Emilie M Bright, Katherine S Gondziola, Jason Bradley, Jessica Fersovitch, Melanie Stamp, Leanne LaMonica, Haley M Iorfino, Frank Gaskell, Tanya Tomlinson, Sara Johnson, David Wyatt affil: Faculty of Social Work, University of Calgary, Calgary, AB, Canada sug: subj: Faculty Attitudes Evaluation Attitude of Health Personnel Evaluation Social Worker Attitudes Evaluation Work Experiences Evaluation Systems Implementation Electronic Health Records School Mental Health Services Schools, Secondary Alberta Human Male Female Adolescence Adult Middle Age Aged Alberta Descriptive Research Qualitative Studies Focus Groups Thematic Analysis Descriptive Statistics Internet Access Technology Caregivers Access to Information Therapeutic Alliance Teachers Administrative Personnel Psychologists Mental Health Counselors Social Workers Privacy and Confidentiality Problem Solving Collaboration Implementation Science Health Services Accessibility Interview Guides Schools, Elementary Schools, Middle Socioeconomic Factors Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Youth, aged 15 to 24 years, are more likely to experience mental health (MH) or substance use issues than other age groups. This is a critical period for intervention because MH disorders, if left unattended, may become chronic and serious and negatively affect many aspects of a young person's life. Even among those who are treated, poor outcomes will still occur for a percentage of youth. Electronic MH (eMH) tools have been implemented in traditional MH settings to reach youth requiring assistance with MH and substance use issues. However, the utility of eMH tools in school settings has yet to be investigated. Objective: The objective of this study was to gain an understanding of the perspectives of key school staff stakeholders regarding barriers and facilitators to the implementation of the Innowell eMH platform in secondary schools across the province of Alberta, Canada. Methods: Guided by a qualitative descriptive approach, focus groups were conducted to elicit stakeholder perspectives on the perceived implementation challenges and opportunities of embedding the Innowell eMH platform in secondary school MH services. In total, 8 focus groups were conducted with 52 key school staff stakeholders. Results: Themes related to barriers and facilitators to youth and school MH care professional (MHCP) capacity in implementing and using eMH tools were identified. With respect to youth capacity barriers, the following themes were inductively generated: (1) concerns about some students not being suitable for eMH services, (2) minors requiring consent from parents or caregivers to use eMH services as well as confidentiality and privacy concerns, and (3) limited access to technology and internet service among youth. A second theme related to school MHCP barriers to implementation, which included (1) feeling stretched with high caseloads and change fatigue, (2) concerns with risk and liability, and (3) unmasking MH issues in the face of limited resources. In contrast to the barriers to youth and MHCP capacity, many facilitators to implementation were discussed. Youth capacity facilitators included (1) the potential for youth to be empowered using eMH tools, (2) the platform fostering therapeutic relationships with school personnel, and (3) enhancing access to needed services and resources. MHCP capacity facilitators to implementation were (1) system transformation through flexibility and problem-solving, (2) opportunities for collaboration with youth and MHCPs and across different systems, and (3) an opportunity for the continuity of services. Conclusions: Our findings highlight nuanced school MHCP perspectives that demonstrate critical youth and MHCP capacity concerns, with consideration for organizational factors that may impede or enhance the implementation processes for embedding eMH in a school context. The barriers and facilitators to implementation provide future researchers and decision makers with challenges and opportunities that could be addressed in the preimplementation phase. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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