Evaluating quality in adolescent mental health services: a systematic review

Objectives To evaluate the quality of adolescent mental health service provision globally, according to the WHO Global Standards of adolescent mental health literacy, appropriate package of services and provider competencies.Design and data sources Systematic review of 5 databases, and screening of...

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Autores principales:	Delan Devakumar, Rafael Cortez, Lígia Kiss, Meaghen Quinlan-Davidson, Kathryn J Roberts, Susan M. Sawyer
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/4d9119a5191f4616a3e01d9651f56c1b
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spelling	oai:doaj.org-article:4d9119a5191f4616a3e01d9651f56c1b2021-12-03T16:00:06ZEvaluating quality in adolescent mental health services: a systematic review10.1136/bmjopen-2020-0449292044-6055https://doaj.org/article/4d9119a5191f4616a3e01d9651f56c1b2021-06-01T00:00:00Zhttps://bmjopen.bmj.com/content/11/5/e044929.fullhttps://doaj.org/toc/2044-6055Objectives To evaluate the quality of adolescent mental health service provision globally, according to the WHO Global Standards of adolescent mental health literacy, appropriate package of services and provider competencies.Design and data sources Systematic review of 5 databases, and screening of eligible articles, from 1 January 2008 to 31 December 2020.Study eligibility criteria We focused on quantitative and mixed-method studies that evaluated adolescent mental health literacy, appropriate package of services and provider competencies in mental health services, and that targeted depression, anxiety and post-traumatic stress disorder among adolescents (10–19 years). This included adolescents exposed to interventions or strategies within mental health services.Study appraisal and synthesis methods Study quality was assessed using the National Institutes for Health Study Quality Assessment Tools. Data were extracted and grouped based on WHO quality Standards.Results Of the 20 104 studies identified, 20 articles were included. The majority of studies came from high-income countries, with one from a low-income country. Most of the studies did not conceptualise quality. Results found that an online decision aid was evaluated to increase adolescent mental health literacy. Studies that targeted an appropriate package of services evaluated the quality of engagement between the therapist and adolescent, patient-centred communication, mental health service use, linkages to mental health services, health facility culture and intensive community treatment. Provider competencies focused on studies that evaluated confidence in managing and referring adolescents, collaboration between health facility levels, evidence-based practices and technology use.Conclusions and implications There is limited evidence on quality measures in adolescent mental health services (as conforms to the WHO Global Standards), pointing to a global evidence gap for adolescent mental health services. There are several challenges to overcome, including a need to develop consensus on quality and methods to measure quality in mental health settings.PROSPERO registration number CRD42020161318.Delan DevakumarRafael CortezLígia KissMeaghen Quinlan-DavidsonKathryn J RobertsSusan M. SawyerBMJ Publishing GrouparticleMedicineRENBMJ Open, Vol 11, Iss 5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Delan Devakumar Rafael Cortez Lígia Kiss Meaghen Quinlan-Davidson Kathryn J Roberts Susan M. Sawyer Evaluating quality in adolescent mental health services: a systematic review
description	Objectives To evaluate the quality of adolescent mental health service provision globally, according to the WHO Global Standards of adolescent mental health literacy, appropriate package of services and provider competencies.Design and data sources Systematic review of 5 databases, and screening of eligible articles, from 1 January 2008 to 31 December 2020.Study eligibility criteria We focused on quantitative and mixed-method studies that evaluated adolescent mental health literacy, appropriate package of services and provider competencies in mental health services, and that targeted depression, anxiety and post-traumatic stress disorder among adolescents (10–19 years). This included adolescents exposed to interventions or strategies within mental health services.Study appraisal and synthesis methods Study quality was assessed using the National Institutes for Health Study Quality Assessment Tools. Data were extracted and grouped based on WHO quality Standards.Results Of the 20 104 studies identified, 20 articles were included. The majority of studies came from high-income countries, with one from a low-income country. Most of the studies did not conceptualise quality. Results found that an online decision aid was evaluated to increase adolescent mental health literacy. Studies that targeted an appropriate package of services evaluated the quality of engagement between the therapist and adolescent, patient-centred communication, mental health service use, linkages to mental health services, health facility culture and intensive community treatment. Provider competencies focused on studies that evaluated confidence in managing and referring adolescents, collaboration between health facility levels, evidence-based practices and technology use.Conclusions and implications There is limited evidence on quality measures in adolescent mental health services (as conforms to the WHO Global Standards), pointing to a global evidence gap for adolescent mental health services. There are several challenges to overcome, including a need to develop consensus on quality and methods to measure quality in mental health settings.PROSPERO registration number CRD42020161318.
format	article
author	Delan Devakumar Rafael Cortez Lígia Kiss Meaghen Quinlan-Davidson Kathryn J Roberts Susan M. Sawyer
author_facet	Delan Devakumar Rafael Cortez Lígia Kiss Meaghen Quinlan-Davidson Kathryn J Roberts Susan M. Sawyer
author_sort	Delan Devakumar
title	Evaluating quality in adolescent mental health services: a systematic review
title_short	Evaluating quality in adolescent mental health services: a systematic review
title_full	Evaluating quality in adolescent mental health services: a systematic review
title_fullStr	Evaluating quality in adolescent mental health services: a systematic review
title_full_unstemmed	Evaluating quality in adolescent mental health services: a systematic review
title_sort	evaluating quality in adolescent mental health services: a systematic review
publisher	BMJ Publishing Group
publishDate	2021
url	https://doaj.org/article/4d9119a5191f4616a3e01d9651f56c1b
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Evaluating quality in adolescent mental health services: a systematic review

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