عنوان انگلیسی مقاله:
Mental and reproductive health in multisystem youth: An in-depth qualitative approach
ترجمه فارسی عنوان مقاله:
سلامت روان و تولید مثل در جوانان چند سیستم: یک رویکرد کیفی عمیق
Sciencedirect - Elsevier - Children and Youth Services Review, 109 (2020) 104693. doi:10.1016/j.childyouth.2019.104693
Elizabeth Trejos-Castilloa,⁎, Ivette Noriegab
Background: Multisystem youth involved in both the child welfare and juvenile justice systems report elevated
rates of risky sexual behaviors, associated health problems as well as having a disproportionally higher risk for
concurrent mental health disorders.
Objective: The current study aimed to provide in-depth nuanced insights about mental and reproductive needs
and challenges of multisystem youth using a multi-informant approach (youth, parole/probation officers).
Participants and setting: Qualitative in-depth interviews were conducted with multisystem youth (N = 15;
14–17-years-old; 40% females) and parole/probation officers (N = 20; 35–67-years-old; 33% females) working
with foster care and juvenile justice systems.
Methods: Informed by Socio-Ecological Theory, analyses were conducted using Thematic Network Analysis
(TNA) and qualitative software Atlas.ti.7.
Results: Youth and parole/probation officers identified key challenges related to mental health (e.g., criminalization
of behaviors, unstandardized screening procedures), reproductive health (e.g., abnormalization of
sexual behaviors, lack of parenting and comprehensive reproductive services), and shared challenges across
systems (e.g., lack of data sharing across systems, overuse of “crisis” procedures, lack of trauma-informed
providers and services).
Conclusions: Multisystem youth have significant mental and reproductive health needs that are not adequately
met mostly due to system and institutional challenges, differences in protocols, and discontinuance of services
and treatment across systems among other problems. Mental and reproductive health disparities are key factors
in stigmatization, criminalization and further victimization of youth across systems. Multidisciplinary and multisectoral
partnerships are key to advance service, protocols and procedural gaps that address the mental and
reproductive health needs of multisystem youth.
Keywords: Multisystem youth | Mental health | Reproductive health | Qualitative research | Multi-informant