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Hickey L, Harms L, Evans J, Noakes T, Lee H, McSwan A, Bean H, Hope J, Allison L, Price S, Harris N. Review: Improving access to mental health interventions for children from birth to five years: A Scoping Review. Child Adolesc Ment Health 2024; 29:84-95. [PMID: 37137699 DOI: 10.1111/camh.12652] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/07/2023] [Indexed: 05/05/2023]
Abstract
BACKGROUND In spite of infants and children aged 0-5 years experiencing mental health difficulties being estimated to be in the range of 6%-18% globally, the mental health care needs for this age group are often overlooked in the design of specialist mental health services. Although there is increasing recognition of the importance of infant mental health services and treatments for younger children, access remains a barrier. Mental health services specifically designed for children 0-5 years are vital; however, little is known about how these services ensure access for infants at risk of mental health difficulties and their families. This scoping review seeks to address this knowledge gap. METHODS A scoping review methodology framework was used to search for relevant articles published between January 2000 and July 2021, identified using five databases: MEDLINE, CINAHL, PsycINFO, SocIndex and Web of Science. The selection of studies was based on empirical research about access to infant mental health services and models of care. A total of 28 relevant articles met the eligibility criteria for inclusion in this review. RESULTS Findings can be summarised under five broad themes: (1) accessibility for at-risk populations (2) the importance of early detection of infants in need of mental health services and interventions; (3) the promotion of culturally responsive services and interventions; (4) ensuring the sustainability of IMH services and programs and (5) the integration of innovative interventions to improve existing practice models. CONCLUSIONS The findings from this scoping review highlight barriers to access and provision of infant mental health services. Future infant mental health service design, informed by research, is needed to improve access for infants and young children with mental health difficulties and their families.
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Affiliation(s)
- Lyndal Hickey
- Department of Social Work, The University of Melbourne, Melbourne, Vic., Australia
| | - Louise Harms
- Department of Social Work, The University of Melbourne, Melbourne, Vic., Australia
| | - Jackson Evans
- Department of Social Work, The University of Melbourne, Melbourne, Vic., Australia
| | - Tahnee Noakes
- Department of Social Work, The University of Melbourne, Melbourne, Vic., Australia
| | - Henrietta Lee
- Department of Social Work, The University of Melbourne, Melbourne, Vic., Australia
| | - Amity McSwan
- Child and Youth Mental Health Service, Eastern Health, Box Hill, Vic., Australia
| | - Helena Bean
- Child and Youth Mental Health Service, Eastern Health, Box Hill, Vic., Australia
| | - Judith Hope
- Eastern Health Clinical School, Monash University, Box Hill, Vic., Australia
- Mental Health Program, Eastern Health, Box Hill, Vic., Australia
- Centre for Mental Health Education and Research, Delmont Private Hospital, Glen Iris, Vic., Australia
| | - Lynne Allison
- Child and Youth Mental Health Service, Eastern Health, Box Hill, Vic., Australia
- Perinatal Emotional Health Service, Eastern Health, Box Hill, Vic., Australia
| | - Sophie Price
- Child and Youth Mental Health Service, Eastern Health, Box Hill, Vic., Australia
| | - Nicole Harris
- Child and Youth Mental Health Service, Eastern Health, Box Hill, Vic., Australia
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Salam Z, Odenigbo O, Newbold B, Wahoush O, Schwartz L. Systemic and Individual Factors That Shape Mental Health Service Usage Among Visible Minority Immigrants and Refugees in Canada: A Scoping Review. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2022; 49:552-574. [PMID: 35066740 DOI: 10.1007/s10488-021-01183-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2021] [Indexed: 11/30/2022]
Abstract
There exists considerable research which reports that mental health disparities persist among visible minority immigrants and refugees within Canada. Accessing mental health care services becomes a concern which contributes to this, as visible minority migrants are regarded as an at-risk group that are clinically underserved. Thus, the purpose of this review is to explore the following research question: "what are the barriers and facilitators for accessing mental health care services among visible immigrants and refugees in Canada?". A scoping review following guidelines proposed by Arksey and O'Malley (International Journal of Social Research Methodology 8(1): 19-32, 2005) was conducted. A total of 45 articles published from 2000 to 2020 were selected through the review process, and data from the retrieved articles was thematically analyzed. Wide range of barriers and facilitators were identified at both the systemic and individual levels. Unique differences rooted within landing and legal statuses were also highlighted within the findings to provide nuance amongst immigrants and refugees. With the main layered identity of being a considered a visible minority, this yielded unique challenges patterned by other identities and statuses. The interplay of structural issues rooted in Canadian health policies and immigration laws coupled with individual factors produce complex barriers and facilitators when seeking mental health services. Through employing a combined and multifaceted approach which address the identified factors, the findings also provide suggestions for mental health care providers, resettlement agencies, policy recommendations, and future directions for research are discussed as actionable points of departure.
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Affiliation(s)
- Zoha Salam
- Department of Global Health, McMaster University, 1280 Main St. West MDCL 3500, Hamilton, ON, L8S 4L8, Canada.
| | - Odera Odenigbo
- School of Counselling, Psychotherapy, and Spirituality, Saint Paul University, Ottawa, Canada
| | - Bruce Newbold
- School of Earth, Environment and Society, McMaster University, Hamilton, Canada
| | - Olive Wahoush
- School of Nursing, McMaster University, Hamilton, Canada
| | - Lisa Schwartz
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada
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