Nursing Standard. All articles are subject to external double-blind peer review and checked for plagiarism using automated software. Recommend to your librarian.
Interprofessional Health Care
Ok, I Agree More Info. In discussions with the reference group, we decided to limit the age range to comprise adolescents and young adults. This period of life entails important transitions, from childhood to adolescence and further to adulthood. This means that the young person faces certain expectations and demands.
This may also necessitate transitions for young people when shifting from one agency to another, and create specific challenges for them. Part of the problem identification stage concerned what work practices and interventions we should focus on as specific for the category of young people with a variety of problems and needs.
For instance, some youth categorized as young people with complex needs may have problems with addiction, but this is not representative of or applicable to the group as a whole. Some may have a psychiatric diagnosis and others may not. Some may live in residential care and others may live with their families. Our aim was to include studies that focused on what this category of youth might share.
The final task of the problem identification stage was to formulate inclusion and exclusion criteria. Another criterion was that the studies as well as the journals should have an international scope.
Families, policy and the law
As mentioned, we define young people as adolescents and young adults, and therefore studies of practices relating to these age groups were included. Only publications based on empirical qualitative and quantitative research were included, and literature reviews and theoretical articles were excluded. Empirical studies about practices that were related to youth more generally but did not address complex needs were excluded, as were studies about young people with complex needs that did not focus on interventions or practices.
Since our focus was on mental ill-health, studies about young people with other types of ill-health, such as severe somatic diseases or physical disability were excluded. Studies on juvenile delinquency and interventions within the criminal justice systems as well as the educational system were also excluded.
The final inclusion and exclusion criterion concerned the quality in terms of transparency. A publication was excluded if there was not sufficient information about the methodology. For these stages, a librarian was consulted. The search was limited to peer-reviewed publications written in English published between and We used different combinations of search terms in order to cover our topic of interest. Asterisk refers to that search terms have been truncated. This means that the word has been shortened, in order to make it possible to find more similar words.
Different combinations of search terms were used, until we reached a balance in precision and recall rates. We set a benchmark for a balance between precision and recall rate at — records for one search, and 2—3 such searches per database were saved as samples. Records collected after database searches, and sample size after each screening. In the first screening, the records were assessed based on a reading of title and abstract in relation to our inclusion and exclusion criteria.
After excluding doublets, this screening reduced the number of records to In the next phase, we divided the articles between us and did a brief reading of the selected articles. To strengthen the validity of the selection we carried out the following procedure.
We put the articles we thought should be included in one folder, those we thought should be excluded in another folder, and those we were uncertain about in a third folder. During this phase we continuously discussed exclusion and inclusion criteria in relation to the articles, particularly those we had decided to exclude or were uncertain about. One such topic of discussion concerned when there were uncertainties regarding the age criterion. We had decided to include studies with both professionals and young people.
The studies with professionals did not always specify the age range. Some of these studies just referred to the professionals as working with youth. After a more thorough reading, we could eliminate studies that targeted younger children. We read and discussed how specific criteria should be interpreted in relation to specific articles, with the aim to strengthen the internal reliability.
This procedure validated the grounds for whether or not a record should be included, in which we also evaluated the quality of the studies in terms of methodological transparency. Articles with insufficient or unreliable information about how the study was conducted were excluded. The result of the third screening, after the uncertain articles had been mutually assessed and validated, was a reduction of the sample to 24 articles, which is the final number of articles included in the review.
Alam and Griffiths Australia. Investigate aspects in management control systems for inter-agency collaboration. Barwick et al. Quasi experimental design. Exploratory evaluation of walk-in counselling versus usual care for youth with psychosocial problems. Cahill, Holt and Kirwan Ireland. To identify knowledge base of professionals in residential care regarding relationship-building skills. To explore professionals views on interventions and practices regarding families with long-term and complex needs.
Edinburgh and Saewyc USA. Journal for Specialists in Pediatric Nursing. Preliminary outcomes of an out-reach intervention for young, sexually assaulted girls. Examine the relation between therapist stability, therapist characteristics and therapy outcomes in intensive in-home therapy. Harder, Knorth, and Kalverboer Netherlands. To identify factors associated with good versus poor quality relationships between adolescents and staff in secure residential youth care.
Lamers and Vermeiren Netherlands. Clinical Child Psychology and Psychiatry. Assessment of the therapeutic alliance between youth, their parents and team members in youth residential psychiatry. Macpherson, Hart, and Heaver UK. Malvaso, Delfabbro, Hackett and Mills Australia. Focus groups and one-on-one interviews 29 interviews with professionals 66 participators working with young people with complex needs. To investigate perceived needs, best practice and strategies for young people with complex needs leaving care.
To evaluate a yoga program in a residential home regarding the effects on relationship building and well-being for youth and staff.
To discuss the benefits of an intervention program IMYOS on three levels; the individual level, the family level and the level of system professionals. To investigate the relationship between service utilization, service experience and resilience for multiple service using youth. Ungar, Liebenberg and Ikeda Canada. Explore patterns of service use in relation to risk factors and resilience among adolescents using multiple psychosocial services. Ungar, Liebenberg, Landry and Ikeda Canada. To analyse interactional patterns between multiple service using youth, their service providers and their care-givers as triangulated relationships.
Core participants Formative evaluation of an intervention for excluded young people with complex unmet needs. International Journal of Integrated Care. To capture how young adults with mental health illness and complex needs experience treatment and care. Qualitative data analysis has the potential to reveal the complexity and richness of a phenomenon.
We divided the articles between us and did a thorough reading of the 24 articles.
We summarized important features in each article. Then we constructed a case-level display for partially ordered meta-matrix to compare and contrast the contents of the articles with each other cf.
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In this process of the analysis we were guided by our research questions: What are the major themes in studies of practices for young people with complex needs? In the summative content analysis we identified a wide variety of different features in each article. We compared them by displaying them in the meta-matrix, and identified three major themes. The first theme we identified in several of the articles was collaboration-oriented practices. Many different services and welfare agencies are involved in the care of young people with complex needs, and a recurring subject in several of the articles was different types of collaborative strategies between different welfare agents in order to mitigate a fragmentation of care.
The second theme was relationship-oriented practices. This theme highlights the importance of creating a good relationship between the client and the professional, in order for treatment of youth with complex needs to be successful. The third theme was empowerment-oriented practices. This theme highlights practices emphasizing the importance of youth involvement for successful treatment. In the third step of the analysis we used the three themes of collaboration-, relationship- and empowerment-oriented practices to do a second and more structured reading of the articles, and the presentation of the findings are structured according to these three themes.