Search

Background: Videoconferencing is considered an alternative to face-to-face consultations and a possibility to help overcome access-to-care barriers in mental health care services. Barriers to child and adolescent mental health services are particularly apparent in the case of children and adolescents receiving child welfare services. This scoping review aims to provide an overview of research on videoconferencing in the mental health treatment of children and adolescents receiving support from child welfare services. Methods: This scoping review follows the review framework outlined by the Joanna Briggs Institute. The following databases were searched from January 2012 to April 2024: Scopus, Web of Science, PubMed, PsycINFO (Ovid), CINAHL Plus, Social Services Abstracts (ProQuest), Sociological Abstracts (ProQuest), and Google Scholar. Results: The search yielded 4322 unique records and resulted in the inclusion of 22 articles that met the inclusion criteria. The studies originated from Denmark, England, Australia, Norway, Canada, Chile, and the USA, and were grouped into four areas: (1) videoconferencing to increase access to mental health treatment for vulnerable groups (2) young people's perspectives (3) videoconferencing in interdisciplinary collaborative meetings, and (4) use, awareness, and acceptance of videoconferencing among health and social care providers. Conclusions: This scoping review shows that if videoconferencing in mental health care is to become an established and trusted method aimed at children and adolescents receiving child welfare services, several unresolved and potentially negative issues need attention and more research. This particularly applies to whether videoconferencing decreases or exacerbates inequalities in access to mental health services. A further question is whether new barriers are raised by screen-based treatment to threaten good therapeutic relationships, and by extension treatment quality and clinical outcomes. [ABSTRACT FROM AUTHOR]

Background: Video consultations has been suggested to lower the threshold for child and adolescent mental healthcare treatment. This study explores how young people receiving child welfare services experience video consultations in child and adolescent mental healthcare. The study is part of a larger Norwegian study of access to health services for this target group. Methods: The study has a mixed methods design including qualitative interviews and a quantitative survey, with young people receiving child welfare services. The qualitative interviews included 10 participants aged 15–19. The survey included 232 participants aged 16–24 of which 36 reported having received video consultations in mental healthcare. The interviews were analysed using thematic analysis. The survey data was presented as frequencies to clarify the distribution of positive and negative perceptions of video consultation. Results: The results show that the participants experienced video consultations as more superficial and less binding, compared to in-person sessions. They raised concerns of the therapeutic relationship, however some found it easier to regulate closeness and distance. In the survey several reported that their relationship with the therapist got worse, and that it was much more difficult to talk on screen. Moreover, a large proportion (42%) claimed that video consultations did not fit their treatment needs overall. However, a minority of the participants found it easier to talk to the therapist on screen. Conclusions: The study reveals important weaknesses and disadvantages of online therapy as experienced by young people receiving child welfare services. It is particularly worrying that their criticism involves the relational aspects of treatment, as children receiving child welfare services often have relational experiences which make them particularly sensitive to challenges in relationships. This study shows that youth involvement in decision making of video consultations in therapy has been rare. Clinicians should be aware of these young people's doubts regarding the quality of video consultations in child and adolescent mental health care. Further studies should examine how user involvement can be incorporated in video consultations in therapy and how this could improve experiences and the quality of video consultations. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic has severely affected the daily lives and well-being of children and families. During the lockdown of Norway in spring 2020, many families were socially isolated and left with little support from their networks. Children and young people had limited contact with teachers, peers and other positive social contacts. The lockdown also affected the daily running of the Norwegian child welfare services (CWS), which are obliged to provide help and support to children at risk and their families. Aim: The aim of this study was to explore how leaders and staff in the CWS balanced their two-part mandate to protect children from harm, and to provide support and care during the first lockdown in Norway. Design and method: The study has a qualitative approach with a descriptive and explorative design. Thirty-six CWS workers and nine leaders participated. Focus groups, dyadic and individual qualitative interviews were used for data collection. The data were analysed with a thematic analysis. Findings: 1) 'Running the services during a pandemic' deals with the practical organization of staff and child welfare cases, and 2) 'The quality of child welfare work during lockdown' describes qualitative aspects of the child welfare work. Conclusions: The study revealed the prioritization of acute cases and a reduction in CWS contact with children and families. CWS staff worried about whether at-risk children were receiving the help they were entitled to. The study shows how the crisis led to innovative approaches and teleworking solutions. The CWS had to decide how to organize and run the services in a way that ensured both acute assessments and the long-term aspects of the CWS mandate. Considering the strain the long-term pandemic has placed on children at risk, the further organization and running of the CWS is of great importance. [ABSTRACT FROM AUTHOR]

The aim of this study was to obtain parents' perspectives on the development and importance of teacher-student relationships (TSR) and parental involvement in upper secondary school. The study had a qualitative approach where 14 parents of upper secondary school students were interviewed. The data were analysed via a thematic analysis and organized into three main themes: (1) 'The multitalented teacher': mastering school subjects and personal relationships. (2) 'Parents are responsible': to support and guide students in teacher-student relationships. (3) 'Between childhood and adulthood': students must gradually take on more responsibility. The findings demonstrate that home and school are pivotal contexts in the lives of upper secondary students, and contribute to the development of a tripartite relationship between teacher, student, and parent (TSPR). Parental involvement is described as crucial, especially for students at risk. The study calls for awareness of how positive TSPR in upper secondary school can be developed. [ABSTRACT FROM AUTHOR]

This study aimed to obtain students’ first-person perspectives of their experience of positive teacher–student relationships (TSRs) in upper secondary school. We also explored their experiences of qualities of TSRs concerning students’ mental health and dropout from upper secondary school. We used a qualitative and participative approach, whereby key stakeholders were included as co-researchers. Seventeen students participated in semi-structured individual interviews and focus groups. Interview data were analysed via thematic analysis. Participants’ experiences were clustered around five themes: (1) it takes two: mutual responsibility in TSRs, (2) don’t be unfair: negative experiences challenge TSRs, (3) talk to us: bonding and problem solving through conversation, (4) help us: adapting to students’ academic and personal needs, and (5) we need kind teachers: the importance of teachers’ demeanour. The findings demonstrated the value of positive TSRs and illustrated the ways in which they promote students’ well-being at school. [ABSTRACT FROM PUBLISHER]