User satisfaction in child and adolescent mental health service: Comparison of background, clinical and service predictors for adolescent and parent satisfaction

Background and Objective: To improve quality, child and adolescent mental health services (CAMHS) are expected to quantify families' views on healthcare with user satisfaction measures. As little is known about what influences satisfaction in CAMHS, this study aimed to examine predictors of adolescents' and parents' user satisfaction. Methods: Data from 231 adolescents and 495 parents in treatment at an outpatient clinic who returned a user satisfaction measure, the Experience of Service Questionnaire (ESQ), was analyzed. Registry data on background, clinical and service characteristics were predictors for the ESQ factors general satisfaction, satisfaction with care and satisfaction with environment. Results: In regression models, satisfaction with care for adolescents (r 2 = .12) was significant and was predicted by low parent‐self‐reported mental health burden and low clinician‐rated overall symptom burden at intake. For parents, regression models for general satisfaction (r 2 = .07), satisfaction with care (r 2 = .06) and satisfaction with environment (r 2 = .08) were significant. Parents general satisfaction was predicted by higher levels of hyperactivity, less family stress and longer travelling distances to the service. Satisfaction with care for parents was predicted by higher levels of hyperactivity at intake and longer travelling distances. Satisfaction with environment for parents was more likely if the adolescents was a boy, with low levels of family stress and longer travelling distances. Conclusion: Predictors for adolescent and parent user satisfaction in CAMHS differ. Hence, to improve quality CAMHS should enhance focus on collaborative practice with parents, and person‐centred care for adolescents with moderate to severe mental health illness. Patient or Public Contribution: Representatives from the hospitals' youth panel and the non‐governmental organization called The Change Factory have been consulted regarding study design and results

Tyskland og Russland under Gerhard Schröder : den rød-grønne regjeringens satsning på det energipolitiske og økonomiske samarbeidet med Russland 1998-2005

I løpet av Gerhard Schröders tid som kansler (1998-2005) satset den tyske rød-grønne regjeringen på å styrke det energipolitiske og økonomiske samarbeidet med Russland. Den gikk inn for forsterket samarbeid mellom tyske og russiske energiselskaper innenfor produksjon, transport og salg av energi, særlig naturgass. Dermed befestet den Russlands stilling som Tysklands viktigste leverandør av gass også på lang sikt. Den rød-grønne regjeringen opprettet også flere fora for dialog som hadde til formål å fremme det øvrige bilaterale økonomiske samarbeidet. I løpet av Schröders regjeringstid opplevde den tysk-russiske bilaterale handelen en sterk økning. Undersøkelsen søker å forklare hvorfor den rød-grønne regjeringen gikk inn for å styrke det bilaterale samarbeidet med Russland. Satsningen på Russland var iøynefallende fordi den fant sted meget kort tid etter den kalde krigens slutt, fordi den brøt med den tyske multilaterale utenrikspolitiske tradisjonen, og fordi den ikke tok hensyn til negative utviklingstrekk i Russland under president Vladimir Putin. Den tyske regjeringens satsning på Russland analyseres ut fra tre teoretiske perspektiver; et regimeteoretisk perspektiv, et perspektiv som vektlegger nasjonal identitet og et personorientert perspektiv. Undersøkelsen konkluderer med at det regimeteoretiske perspektivet, som vektlegger interesser og gjensidig avhengighet, er best egnet til å forklare den tyske regjeringens politikk. Tyskland og Russland stod i et asymmetrisk gjensidig avhengighetsforhold til hverandre, og dette avhengighetsforholdet motiverte den tyske regjeringens satsning på Russland

Vurderingssamtaler – en gyllen mulighet for tillit og håp

Source at https://www.dagensmedisin.no/.Gjennom fokus på samvalg, mål og åpen dialog om hjelpebehov er vurderingssamtalen en gyllen mulighet for å skape tillit, engasjement og håp – og sikre at de kommer inn riktig dør til psykisk helsevern for barn og unge (PHBU)

Vurderingssamtaler – en gyllen mulighet for tillit og håp

Gjennom fokus på samvalg, mål og åpen dialog om hjelpebehov er vurderingssamtalen en gyllen mulighet for å skape tillit, engasjement og håp – og sikre at de kommer inn riktig dør til psykisk helsevern for barn og unge (PHBU)

Examining the psychometric properties of the Norwegian version of the Social Aptitudes Scale in two clinical samples

Abstract Background Few studies have examined the psychometric properties of the Social Aptitudes Scale (SAS). The study aims of the current paper were to examine the internal consistency and the validity of the Norwegian SAS. Methods Parents of children from a clinical neuropediatric sample (N = 257) and from a clinical sample from child and adolescent’s mental health services (N = 804) filled in the SAS. Results Internal consistency for the SAS were good in both samples and correlations between the SAS and different scales were in the expected directions. The results from the Confirmatory Factor Analyses indicated poor model fit. Conclusions Future validity studies should investigate whether SAS is suitable as a screening instrument for detecting autism spectrum disorder

A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial

“Mental health for everyone” is a school program for mental health literacy and prevention aimed at secondary schools (13–15 yrs). The main aim was to investigate whether mental health literacy, could be improved by a 3-days universal education programme by: a) improving naming of symptom profiles of mental disorder, b) reducing prejudiced beliefs, and c) improving knowledge about where to seek help for mental health problems. A secondary aim was to investigate whether adolescent sex and age influenced the above mentioned variables. A third aim was to investigate whether prejudiced beliefs influenced knowledge about available help. This non-randomized cluster controlled trial included 1070 adolescents (53.9% boys, M age14 yrs) from three schools in a Norwegian town. One school (n = 520) received the intervention, and two schools (n = 550) formed the control group. Pre-test and follow-up were three months apart. Linear mixed models and generalized estimating equations models were employed for analysis. Mental health literacy improved contingent on the intervention, and there was a shift towards suggesting primary health care as a place to seek help. Those with more prejudiced beleifs did not suggest places to seek help for mental health problems. Generally, girls and older adolescents recognized symptom profiles better and had lower levels of prejudiced beliefs. A low cost general school program may improve mental health literacy in adolescents. Gender specific programs and attention to the age and maturity of the students should be considered when mental health literacy programmes are designed and tried out. Prejudice should be addressed before imparting information about mental health issues