Cited by 99Counseling, Therapy, and Family DynamicsChild and Adolescent Psychosocial and Emotional DevelopmentPsychotherapy Techniques and Applications

Therapist, Parent, and Youth Perspectives of Treatment Barriers to Family-Focused Community Outpatient Mental Health Services

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Baker-Ericzén, Mary J., Jenkins, Melissa M., Haine-Schlagel, Rachel·2013·Journal of Child and Family Studies

Abstract

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.”

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Research works printed but not linked: 2

  1. Bernard HR Qualitative methods in cultural anthropology 1988 Newbury Park, CA Sage Publications, Inc
  2. Morgan DL Practical strategies for combining qualitative and quantitative methods Emergent methods in social reserach 2006 Thousand Oaks, CA Sage Publications, Inc 165 182

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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
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
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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