Primary Health Care System SEED FUNDING REPORTS
Abstract: Key Messages: Access is an ongoing issue within the systems that provide care for children and youth with mental health problems. The creation of primary health care teams which include specialized mental health providers, such as social workers and psychologists, is an important step in improving access to mental health care. However, lack of training and/or confidence to address mental health problems for children and youth limits access within primary health care. This leads to variation in care available across primary health care teams, which may lead to frustration for both families of children with mental health issues and individuals in other sectors (e.g., specialized mental health, child welfare) that help care for these children and their families. Primary care providers have a general sense that mental health issues in general for children and youth were complex. However, there was a wide range of perspectives expressed. Variation in providers’ views on what constitutes a complex mental health problem may contribute to difficulties in collaborating with individuals in other sectors. Collaboration with other sectors involved with children and youth with mental health problems was highly problematic and typically a source of frustration for providers. Most primary health care providers felt receiving written feedback on the care being provided in other sectors would balance the need and desire for information on their patients, and the difficulties with organizing direct communication with multiple providers in other sectors.
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