Therapist, Parent, and Youth Perspectives of Treatment Barriers to Family-Focused Community Outpatient Mental Health Services
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This exploratory qualitative study describes treatment barriers to receiving family-focused child mental health services for youths with disruptive behavior problems from multiple perspectives. Data were collected during a series of focus groups and interviews, including: 4 therapist focus groups, 3 parent focus groups, and 10 youth semi-structured interviews. Therapist, parent, and youth stakeholder participants discussed perceived barriers to effective treatment, the problems with current child outpatient therapy, and desired changes (i.e., policy, intervention, etc.) to improve mental health services. Results indicate similar themes around treatment barriers and dissatisfaction with services within and across multiple stakeholder groups, including inadequate support and lack of family involvement; however, parents and therapists, in particular, identified different contributing factors to these barriers. Overall, stakeholders reported much frustration and dissatisfaction with current community-based outpatient child therapy services. Study findings can inform service provision, intervention development, and future research.
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Treatment ideologies held by clinicians, parents, and children/youth lead them to greater skepticism about whether eMental healthcare can deliver the same quality of care as face-to-face services for children and adolescents.
“It may because the treatment ideologies (ie, beliefs about the etiology of illness, the roles of the provider/patient, and the efficacy of various treatments) [92] held by clinicians, parents, and children/youth lead them to greater skepticism about whether eMental healthcare can deliver the same quality of care [93] as face-to-face services for children and adolescents.”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [93]
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- Authors
- Baker-Ericzén, M. J., Jenkins, M. M., & Haine-Schlagel, R.
- Affiliations
- Rady Children's Hospital-San Diego (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Baker-Ericzén, Mary J.
- Venue
- Journal of Child and Family Studies
- Published
- 2012-08-10
- Volume
- 22
- Issue
- 6
- Pages
- 854-868
- ISSN
- 1062-1024 (ISSN-L)
- 1573-2843
- PMC
- PMC3765037
- OpenAlex
- W2053319221
- Cited by
- 96
- References
- 97
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 8 · 2023: 8 · 2022: 3 · 2021: 9 · 2020: 14 · 2019: 10 · 2018: 3 · 2017: 7 · 2016: 11 · 2015: 7 · 2013: 2 · 2012: 2
- FWCI
- 4.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Child and Family Studies (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- American Psychological Association
- National Institutes of Health
- National Institute of Mental Health (K01MH069665, K23MH080149, T32MH018399)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- barriers to treatment, family-focused therapy, child mental health services, disruptive behavior problems, stakeholder perspectives, parents, therapists, youth, family involvement, service dissatisfaction, service delivery, child psychotherapy
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