Xiaoxue Wang, Zixuan Song, Xueting Chen, Yangzi Zhou, Yingze Lou, Tong Liu, Dandan Zhang
Rapid cycle deliberate practice: application in forceps simulation training for gynecology and obstetrics residents
Annals of medicine
150 centers australiawide headspace national youth mental health foundation exemplary integrated youth health service headspace centers provide medical care mental health interventions alcohol drug aod services vocational support australian young people yp aged 12 25 years colocated headspace salaried youth workers private health care practitioners eg psychologists psychiatrists medical practitioners inkind community service providers eg aod clinicians form coordinated multidisciplinary teams article aims identify factors influencing access aod interventions yp australian rural headspace setting perceived yp family friends headspace staff study purposively recruited yp n 16 family friends n 9 headspace staff n 23 management n 7 four headspace centers rural new south wales australia recruited individuals participated semistructured focus groups access yp aod interventions headspace setting study team thematically analyzed data lens socioecological model study identified convergent themes across groups found several barriers access aod interventions 1 yps personal factors 2 yps family peer attitudes 3 practitioner skills 4 organizational processes 5 societal attitudes identified negatively impacting access yp aod interventions practitioners clientcentered stance youthcentric headspace model factors considered enablers engagement yp aod concern australian example integrated youth health care model well placed provide yp aod interventions mismatch existed practitioner capability yp needs sampled practitioners described limited aod knowledge low confidence providing aod interventions organizational level multiple aod intervention supply utilization issues occurred taken together problems likely underlie previous findings poor service utilization low user satisfaction clear enablers exist aod interventions better integrated headspace services future work determine integration achieved early intervention means relation aod interventions