Introduction
Adolescents with chronic conditions have disparate mental health outcomes. This study
aimed to explore the perspectives of adolescents with chronic conditions on mental
health system redesign to improve outcomes.
Method
Within an interpretive phenomenological approach, semistructured interviews with 17
adolescents aged 10–20 years with chronic conditions were conducted. Purposive sampling
and recruitment occurred at three ambulatory sites. Data were analyzed using inductive
and deductive thematic analysis until information saturation was achieved.
Results
Four themes were identified: (1) Brushed off: I need to be heard, (2) I need someone
I can really talk to and trust, (3) They need to reach out to us. Check in on us,
and (4) the school nurse is for physical illness only.
Discussion
Mental health system redesign should be considered for adolescents with chronic conditions.
The findings can inform future research to test innovative health care delivery models
to reduce mental health disparities in this vulnerable population.
KEY WORDS
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Article info
Publication history
Published online: February 28, 2023
Edited by: Martha SwartzPublication stage
In Press Corrected ProofFootnotes
This research was supported by the Doris Kemp Smith Research Award administered by the University of Colorado College of Nursing.
Conflicts of interest: None to report.
Identification
Copyright
Copyright © 2023 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
