Home > Primary care and youth mental health in Ireland: qualitative study in deprived urban areas.

Leahy, D and Schaffalitzky, Elisabeth and Armstrong, Claire and Bury, Gerard and Cussen-Murphy, Paula and Davis, Rachel and Dooley, Barbara and Gavin, Blanaid and Keane, Rory and Keenan, Eamon and Latham, Linda and Meagher, David and McGorry, Pat and McNicholas, Fiona and O'Connor, Ray and O'Dea, Ellen and O'Keane, Veronica and O'Toole, Tom P and Reilly, Edel and Ryan, Patrick and Sanci, Lena and Smyth, Bobby P and Cullen, Walter (2013) Primary care and youth mental health in Ireland: qualitative study in deprived urban areas. BMC Family Practice , 14 , (194) .

URL: http://www.biomedcentral.com/content/pdf/1471-2296...

Mental disorders account for six of the 20 leading causes of disability worldwide with a very high prevalence of psychiatric morbidity in youth aged 15–24 years. However, healthcare professionals are faced with many challenges in the identification and treatment of mental and substance use disorders in young people (e.g. young people’s unwillingness to seek help from healthcare professionals, lack of training, limited resources etc.) The challenge of youth mental health for primary care is especially evident in urban deprived areas, where rates of and risk factors for mental health problems are especially common. There is an emerging consensus that primary care is well placed to address mental and substance use disorders in young people especially in deprived urban areas. This study aims to describe healthcare professionals’ experience and attitudes towards screening and early intervention for mental and substance use disorders among young people (16–25 years) in primary care in deprived urban settings in Ireland.

Methods The chosen method for this qualitative study was inductive thematic analysis which involved semi-structured interviews with 37 healthcare professionals from primary care, secondary care and community agencies at two deprived urban centres.

Results We identified three themes in respect of interventions to increase screening and treatment: (1) Identification is optimised by a range of strategies, including raising awareness, training, more systematic and formalised assessment, and youth-friendly practices (e.g. communication skills, ensuring confidentiality); (2) Treatment is enhanced by closer inter-agency collaboration and training for all healthcare professionals working in primary care; (3) Ongoing engagement is enhanced by motivational work with young people, setting achievable treatment goals, supporting transition between child and adult mental health services and recognising primary care’s longitudinal nature as a key asset in promoting treatment engagement.

Conclusions Especially in deprived areas, primary care is central to early intervention for youth mental health. Identification, treatment and continuing engagement are likely to be enhanced by a range of strategies with young people, healthcare professionals and systems. Further research on youth mental health and primary care, including qualitative accounts of young people’s experience and developing complex interventions that promote early intervention are priorities.


Item Type:Article
Date:2013
Publisher:BioMed Central
Volume:14
Number:194
EndNote:View
Accession Number:HRB (Electronic Only)
Subjects:G Health and disease > State of health > Mental health
T Demographic characteristics > Adolescent / youth (teenager / young person)
VA Geographic area > Europe > Ireland
MA-ML Social science, culture and community > Type of society and culture > Urban society
G Health and disease > Substance use disorder > Drug use
G Health and disease > Substance related disorder > Substance related mental disorder
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)

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