TREATMENT OF DEPRESSION 1
What are specialist mental health clinician attitudes to guideline recommendations for the treatment of depression in young people?
PSY326: Research Methods
Professor Mahaliah Bowman-Campbell
November 25, 2013
TREATMENT OF DEPRESSION 2
There is a high prevalence of depressive disorders in children and adolescents up to 18 years of age and these disorders have a significant negative impact on social and ...view middle of the document...
The research was conducted as a qualitative study adopting a social constructionist perspective using focus groups. The focus groups, conducted with all clinicians (medical and allied health), were audiotaped, transcribed and thematic analysis was undertaken. Clinicians were asked about the barriers to implementing four key recommendations from the National Institute for Health and Clinical Excellence (NICE) guidelines. Focus groups were held with six clinical programme teams and with a group of psychiatrists who worked with different teams. All clinicians (psychiatrists approximately 29%, nurses approximately 14%, allied health professionals including psychologists approximately 32%, occupational therapists approximately 14%, and social workers approximately
TREATMENT OF DEPRESSION 4
12%) from OYH who gave informed consent were eligible for inclusion in the study. Each clinical team consists of a slightly different mix of clinicians with IMYOS, PACE, HYPE, YMC and PACE made up of allied health professionals, while YAT has approximately 50% nurses and 50% allied health professionals and EPPIC has approximately 15% nurses and 85% allied health professionals. Clinicians had between 0.5 and 18 years’ experience in youth mental health.
The area of psychology that this study applies to is the area of clinical psychology. It is an applied field focused on understanding the best ways to treat psychological disorders. It is typically defined as the study of best practices for understanding, treating, and preventing distress and dysfunction which is what this research applies. It sought to examine potential barriers to the use of evidence-based guidelines for youth depression in a tertiary specialist mental health service, as part of an initiative to implement evidence based practice within the service.
Results: “Barriers existed at (i) the individual clinician level; (ii) the clinical level in terms of the presentation of young people; and (iii) the service level. The key individual clinician level barrier was a stated belief that the guidelines were not relevant to the...