Perspectives of young people who access support for mental health in primary care : a systematic review of their experiences and needs

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Abstract

Background: There is an increasing demand for mental health support in primary care, especially for young people. To improve mental health support for young people in general practice, the needs of young people must be considered.

Aim: To explore the experiences of young people (aged 12–25 years) on receiving mental health care in primary care and identify the needs of young people who present with mental health concerns.

Design and setting: A systematic review and narrative synthesis.

Method: This was a systematic review and narrative synthesis. Six databases were searched for literature relating to young people’s experiences of receiving mental health care in primary care. Additional handsearching and manual internet searching were conducted. Narrative synthesis was employed.

Results: Five papers and a further two reports from manual internet searching were found, resulting in the inclusion of 1823 young people from four different countries (UK, US, Ireland, and Canada) for synthesis. The synthesis generated four themes: the centrality of a trusting relationship; showing empathy and taking concerns seriously; being given time to talk; and barriers to accessing mental health support in primary care.

Conclusion: Young people need a trusting relationship to discuss sensitive issues. To enable high-quality and effective mental health consultations with young people and the development of trust, GPs require unhurried consultations and the ability to maintain continuity of care.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
R Medicine > RJ Pediatrics
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Physicians (General practice) , Primary health care , Mental health , Youth -- Mental health services , Youth -- Mental health, Mentally ill teenagers -- Services for
Journal or Publication Title: British Journal of General Practice
Publisher: Royal College of General Practitioners
ISSN: 0960-1643
Official Date: March 2022
Dates:
Date
Event
March 2022
Published
7 February 2022
Available
14 September 2021
Accepted
Volume: 72
Number: 716
Page Range: e161-e167
DOI: 10.3399/BJGP.2021.0335
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons open licence)
Date of first compliant deposit: 8 February 2022
Date of first compliant Open Access: 8 February 2022
RIOXX Funder/Project Grant:
Project/Grant ID
RIOXX Funder Name
Funder ID
NIHR300957
[NIHR] National Institute for Health Research
URI: https://wrap.warwick.ac.uk/162617/

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