Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs

Version 1 : Received: 14 January 2024 / Approved: 15 January 2024 / Online: 15 January 2024 (06:14:38 CET)

A peer-reviewed article of this Preprint also exists.

Graaf, G.; Kitchens, K.; Sweeney, M.; Thomas, K.C. Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs. Int. J. Environ. Res. Public Health 2024, 21, 172. Graaf, G.; Kitchens, K.; Sweeney, M.; Thomas, K.C. Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs. Int. J. Environ. Res. Public Health 2024, 21, 172.

Abstract

To support the development of research evidence and behavioral health policy that aligns with the priorities of youth and families serviced in child and youth mental health systems, this project documents the service outcomes that caregivers value most. A diverse group of caregivers, representing six regions of the United States, participated in two rounds of virtual one-hour focus groups. In round 1, participants identified what they hoped to gain from using behavioral health services for themselves, their families, and their child and discussed what made services a positive experience for them. They then reported their top three most hoped for outcomes. In round 2, groups validated and refined summary findings from round 1. Caregivers prioritize service quality outcomes, primarily. They expressed a desire for an accessible, respectful, and supportive treatment environment underpinned by well-trained and culturally responsive professionals. Caregivers also desire seamless cross-sector provider collaboration and care transitions which integrate the insights and preferences of families and children themselves to craft a customized care plan. Priority outcomes not related to service quality included hoping to gain increased knowledge, resources, and tools and techniques to support the mental health needs of their children, help them improve their daily functioning, and develop more effective interpersonal communication skills. Caregivers also reported hoping to experience less stigma related to the mental health needs of their children and to achieve personal fulfillment for themselves and their children. Research and policies should prioritize and be designed to address the outcomes that matter to youth and families.

Keywords

Youth mental health; child mental health; parent support in child mental health; caregiver perspectives

Subject

Public Health and Healthcare, Health Policy and Services

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