GPs' responses to adolescents presenting with psychological difficulties: A conceptual model of fixers, future planners, and collaborators

British Journal of General Practice

Volumn 64, Issue 622, 2014, Pages

  Roberts, Jane ^a   Crosland, Ann ^a   Fulton, John ^a  

^a UNIVERSITY OF SUNDERLAND   (United Kingdom)

Author keywords

Adolescent psychological difficulties; GP consultation style; Youth mental health

Indexed keywords

ADOLESCENT DISEASE; ADULT; ANXIETY; ARTICLE; CONSTANT COMPARATIVE METHOD; CONSULTATION; DOCTOR PATIENT RELATION; FEMALE; FOLLOW UP; GENERAL PRACTITIONER; GROUNDED THEORY; HEALTH CARE NEED; HEALTH PROMOTION; HUMAN; INTERVIEW; MALE; MENTAL DISEASE; MIDDLE AGED; PERCEPTION; QUALITATIVE RESEARCH; SELF CARE; SOCIAL STATUS; ADOLESCENT; COOPERATION; GENERAL PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE SURVEY; HEALTH PERSONNEL ATTITUDE; MENTAL DISORDERS; ORGANIZATION AND MANAGEMENT; STANDARDS; THEORETICAL MODEL; TRENDS; UNITED KINGDOM;

ADOLESCENT; ADULT; ATTITUDE OF HEALTH PERSONNEL; COOPERATIVE BEHAVIOR; DELIVERY OF HEALTH CARE; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONERS; GREAT BRITAIN; HEALTH CARE SURVEYS; HEALTH PLANNING; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; MODELS, THEORETICAL; PHYSICIAN-PATIENT RELATIONS; QUALITATIVE RESEARCH;

EID: 84903281528     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp14X679679     Document Type: Article

References (42)

1. World Health Organization. The second decade: improving adolescent health and development. Geneva: WHO, 2001.
2. Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet 2007; 369(9569): 1302-1313. (Pubitemid 46552025)
3. Kramer T, Garralda ME. Psychiatric disorders in adolescents in primary care. Br J Psychiatry 1998; 173: 508-513. (Pubitemid 28557133)
4. Hickie IB, Fogarty AS, Davenport TA, et al. Responding to experiences of young people with common mental health problems attending Australian general practice. Med J Aust 2007; 187(7 Suppl): S47-S52.
5. Haller D, Sanci L, Sawyer S, Patton G. The identification of young people's emotional distress: a study in primary care. Br J Gen Pract 2009; DOI: 10.3399/bjgp09X419510.
6. Kramer T, Garralda ME. Child and adolescent mental health problems in primary care. Advances in Psychiatric Treatment 2000; 6: 287-294.
7. Ozer EM, Zahnd EG, Adams SH, et al. Are adolescents being screened for emotional distress in primary care? J Adolesc Health 2009; 44(6): 520-527.
8. Sanci L, Lewis D, Patton G. Detecting emotional disorder in young people in primary care. Curr Opin Psychiatry 2010; 23(4): 318-323.
9. Viet FC, Sanci LA, Young DY, Bowes G. Adolescent health care: perspectives of Victorian general practitioners. Med J Aust 1995; 163(1): 16-18.
10. Cockburn K, Bernard P. Child and adolescent mental health within primary care: a study of general practitioners' perceptions. Child and Adolescent Mental Health 2004; 9(1): 21-24.
11. Roberts J. Low mood and depression in adolescence: clinical update. Br J Gen Pract 2013; 63(610): 273-274.
12. McGorry PD, Purcell R, Hickie IB, Jorm AF. Investing in youth mental health is a best buy. Med J Aust 2007; 187(7): S5-S7.
13. Hagell A, Coleman J, Brooks F. Key data on adolescence 2013. London: Association for Young People's Health, 2013.
14. Biddle L, Donovan JL, Gunnell D, Sharp D. Young adults' perceptions of GPs as a help source for mental distress: a qualitative study. Br J Gen Pract 2006; 56(533): 924-931. (Pubitemid 44941790)
15. Mauerhofer A, Berchtold A, Michaud PA, Suris JC. GPs' role in the detection of psychological problems of young people: a population-based study. Br J Gen Pract 2009; DOI: 10.3399/bjgp09X454115.
16. Jacobson LD, Wilkinson C, Owen PA. Is the potential of teenage consultations being missed? A study of consultation times in primary care. Fam Pract 1994; 11(3): 296-299. (Pubitemid 24309689)
17. Jacobson L, Churchill R, Donovan C, et al. Tackling teenage turmoil: primary care recognition and management of mental ill health during adolescence. Fam Pract 2002; 19(4): 401-409. (Pubitemid 34846843)
18. Macfarlane A, McPherson A. Getting it right in health services for young people. In: Coleman J, Hendry L, Kloep M, eds. Adolescence and health. Chichester: John Wiley, 2007. 123-142.
19. Department of Health. National Service Framework for Children, Young People and Maternity Services: the mental health and psychological well-being of children and young people. https://www.gov.uk/government/uploads/system/ uploads/attachment-data/file/199959/National-Service-Framework-for-Children- Young-People-and-Maternity-Services---The-Mental-Health--and-Psychological-Well- being-of-Children-and-Young-People.pdf (accessed 3 Apr 2014).
20. Department of Health. Healthy lives, brighter futures. The strategy for children and young people's health. London: The Stationery Office, 2009.
21. Department for Children, Schools and Families. Early intervention: securing good outcomes for all children and young people. London: The Stationery Office, 2010.
22. National Institute for Health and Clinical Excellence. Depression in children and young people: identification and management in primary, community and secondary care. Clinical Guideline 28. London: NICE, 2005.
23. National Institute for Health and Care Excellence. Quality standard QS48: Depression in children and young people. London: NICE, 2013. http://guidance.nice.org.uk/QS48 (accessed 20 Mar 2014).
24. Roberts JH, Crosland A, Fulton J. 'I think this is maybe our Achilles heel ...' exploring GPs' responses to young people presenting with emotional distress in general practice: a qualitative study. BMJ Open 2013; 3(9): e002927.
25. Roberts JH, Crosland A, Fulton J. Patterns of engagement between GPs and adolescents presenting with psychological difficulties: a qualitative study. Br J Gen Pract 2014: DOI: 10.3399/bjgp14X679660.
26. Glaser B, Strauss A. The discovery of grounded theory: strategies for qualitative research. Chicago, IL: Aldine, 1967.
27. Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. London: Sage Publications, 2006.
28. Denzin NK, Lincoln YS. The landscape of qualitative research. 3rd edn. Thousand Oaks, CA: Sage Publications, Inc., 2008.
29. Reeve J. Interpretive medicine: supporting generalism in a changing primary care world. Occas Pap R Coll Gen Pract 2010; (88): 1-20, v.
30. Iliffe S, Williams G, Fernandez V, et al. General practitioners' understanding of depression in young people: qualitative study. Primary Health Care Research and Development 2008; 9(4): 269-279.
31. lliffe S, Gallant C, Kramer T, et al. Therapeutic identification of depression in young people: lessons from the introduction of a new technique in general practice. Br J Gen Pract 2012; DOI: 10.3399/bjgp12X630061.
32. Martinez R, Reynolds S, Howe A. Factors that influence the detection of psychological problems in adolescents attending general practices. Br J Gen Pract 2006; 56(529): 594-599. (Pubitemid 44209982)
33. Dowrick C. Beyond depression: a new approach to understanding and management. 2nd edn. Oxford: Oxford University Press, 2009.
34. Brennan S. Cuts to CAMHS services. Young Minds, 2012. http://www.youngminds.org.uk/about/our-campaigns/cuts-to-camhs-services (accessed 2 Apr 2014).
35. Duncan PM, Garcia AC, Frankowski BL, et al. Inspiring healthy adolescent choices: a rationale for and guide to strength promotion in primary care. J Adolesc Health 2007; 41(6): 525-535. (Pubitemid 350102796)
36. Ozer EM. The adolescent primary care visit: time to build on strengths. J Adolesc Health 2007; 41(6): 519-520. (Pubitemid 350130219)
37. Launer J. Moving on from Balint: embracing clinical supervision. Br J Gen Pract 2007; 57(536): 182-183. (Pubitemid 46358933)
38. Blum R, Dick B. Strengthening global programs and policies for youth based on the emerging science. J Adolesc Health 2013; 52(2 Suppl 2): S1-S3.
39. Sawyer SM, Afifi RA, Bearinger LH, et al. Adolescence: a foundation for future health. Lancet 2012; 379(9826): 1630-1640.
40. Roberts J, Sanci L, Haller D. Global adolescent health: is there a role for general practice? Br J Gen Pract 2012; 62(604): 608-610.
41. Davies SC. Annual report of the Chief Medical Officer 2012. Our children deserve better: prevention pays. London: The Stationery Office, 2013.
42. Lamb S, Poynton J. Understanding the health needs and experiences of young people: evidence from a young person's clinic in London. Improving young people's health and wellbeing-Research into Practice. Cardiff: Association of Young People's Health, 2012.