Caregivers experience significant strains as a result of navigating the complex mental health and/or addiction (MHA) system for their youth with MHA issues. We examined the characteristics of Ontario families with youth with MHA issues and their service needs. A cross-sectional survey study investigated the characteristics and service needs of families with youth with MHA issues across the province of Ontario, Canada. A total of 840 caregivers were recruited. 259 participants (Mage = 45.94, SD = 7.11) identified as caregiving for at least one youth with MHA issues. The majority of the participants were female (70.7%), married (73.4%), and completed at least some college/Bachelor degree (59.1%). The mean age of youth was 16.72 years (SD = 5.33) and the most frequently reported diagnoses were Depression (30.1%), ADHD (27.8%) and Generalized Anxiety Disorder (21.2%). Regression results demonstrated that presently accessing services, presently seeking services, and higher levels of barriers MHA services were significantly predictive of identifying navigation as helpful for finding appropriate MHA services (χ2(7) = 28.69, p < .001, Nagelkerke R2 = .16). Furthermore, presently accessing services was significantly predictive of identifying case management as helpful (χ2(7) = 29.59, p < .001, Nagelkerke R2 = .156), and of identifying a primary healthcare provider as helpful (χ2(7) = 38.75, p < .001, Nagelkerke R2 = .197) for finding appropriate MHA services. Identifying the nature and extent of youth MHA issues, service needs, and family preferences can inform the development of services that address families’ needs and lend vital support for accessing services within a complex system.

中文翻译：

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有心理健康和/或成瘾问题的青少年的照顾者的需求和服务偏好。


由于患有 MHA 问题的青少年需要应对复杂的心理健康和/或成瘾 (MHA) 系统，护理人员会承受巨大的压力。我们研究了有 MHA 问题青少年的安大略省家庭的特征及其服务需求。一项横断面调查研究调查了加拿大安大略省有 MHA 问题青少年的家庭的特征和服务需求。总共招募了840名护理人员。 259 名参与者（Mage = 45.94，SD = 7.11）被确定为至少一名患有 MHA 问题的青少年的照顾者。大多数参与者是女性（70.7%），已婚（73.4%），并至少完成了一些大学/学士学位（59.1%）。青少年的平均年龄为 16.72 岁（SD = 5.33），最常报告的诊断为抑郁症（30.1%）、多动症（27.8%）和广泛性焦虑症（21.2%）。回归结果表明，目前正在获取服务、正在寻求服务以及较高水平的 MHA 服务障碍可显着预测识别导航是否有助于寻找适当的 MHA 服务 (χ2(7) = 28.69，p < .001，Nagelkerke R2 = .16 ）。此外，目前获得的服务可以显着预测确定病例管理是否有帮助（χ2(7) = 29.59，p < .001，Nagelkerke R2 = .156），以及确定初级医疗保健提供者是否有帮助（χ2(7) = 38.75） ，p < .001，Nagelkerke R2 = .197）用于寻找适当的 MHA 服务。确定青少年 MHA 问题、服务需求和家庭偏好的性质和程度，可以为满足家庭需求的服务开发提供信息，并为在复杂系统内获取服务提供重要支持。