Implementing the Routine Use of Electronic Mental Health Screening for Youth in Primary Care: Systematic Review

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dc.citation.issue11
dc.citation.volume8
dc.contributor.authorMartel R
dc.contributor.authorShepherd M
dc.contributor.authorGoodyear-Smith F
dc.coverage.spatialCanada
dc.date.accessioned2023-11-27T23:53:35Z
dc.date.accessioned2024-07-25T06:51:56Z
dc.date.available2021-11-19
dc.date.available2023-11-27T23:53:35Z
dc.date.available2024-07-25T06:51:56Z
dc.date.issued2021-11-19
dc.description.abstractBackground: Adolescents often present at primary care clinics with nonspecific physical symptoms when, in fact, they have at least 1 mental health or risk behavior (psychosocial) issue with which they would like help but do not disclose to their care provider. Despite global recommendations, over 50% of youths are not screened for mental health and risk behavior issues in primary care. Objective: This review aimed to examine the implementation, acceptability, feasibility, benefits, and barriers of e-screening tools for mental health and risk behaviors among youth in primary care settings. Methods: Electronic databases—MEDLINE, CINAHL, Scopus, and the Cochrane Database of Systematic Reviews—were searched for studies on the routine screening of youth in primary care settings. Screening tools needed to be electronic and screen for at least 1 mental health or risk behavior issue. A total of 11 studies that were reported in 12 articles, of which all were from high-income countries, were reviewed. Results: e-Screening was largely proven to be feasible and acceptable to youth and their primary care providers. Preconsultation e-screening facilitated discussions about sensitive issues and increased disclosure by youth. However, barriers such as the lack of time, training, and discomfort in raising sensitive issues with youth continued to be reported. Conclusions: To implement e-screening, clinicians need to change their behaviors, and e-screening processes must become normalized into their workflows. Co-designing and tailoring screening implementation frameworks to meet the needs of specific contexts may be required to ensure that clinicians overcome initial resistances and perceived barriers and adopt the required processes in their work.
dc.format.paginatione30479-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/34807833
dc.identifier.citationMartel R, Shepherd M, Goodyear-Smith F. (2021). Implementing the Routine Use of Electronic Mental Health Screening for Youth in Primary Care: Systematic Review.. JMIR Ment Health. 8. 11. (pp. e30479-).
dc.identifier.doi10.2196/30479
dc.identifier.eissn2368-7959
dc.identifier.elements-typejournal-article
dc.identifier.issn2368-7959
dc.identifier.numberARTN e30479
dc.identifier.piiv8i11e30479
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/71057
dc.languageeng
dc.publisherJMIR Publications
dc.relation.isPartOfJMIR Ment Health
dc.rights(c) 2021 The Author/s
dc.rightsCC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectadolescent
dc.subjectmental health
dc.subjectprimary care
dc.subjectrisk behavior
dc.subjectscreening
dc.titleImplementing the Routine Use of Electronic Mental Health Screening for Youth in Primary Care: Systematic Review
dc.typeJournal article
pubs.elements-id449730
pubs.organisational-groupOther
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