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Towards Integrated Youth Care: A Systematic Review of Facilitators and Barriers for Professionals.

Authors
  • Nooteboom, Laura A1
  • Mulder, Eva A2, 3, 4
  • Kuiper, Chris H Z5, 6
  • Colins, Olivier F2, 7
  • Vermeiren, Robert R J M2, 8
  • 1 Department of Child and Adolescent Psychiatry, Curium-Leiden University Medical Centre, Post Box 15, 2300 AA, Leiden, The Netherlands. [email protected] , (Netherlands)
  • 2 Department of Child and Adolescent Psychiatry, Curium-Leiden University Medical Centre, Post Box 15, 2300 AA, Leiden, The Netherlands. , (Netherlands)
  • 3 Academic Workplace Youth at Risk, Pluryn, Nijmegen, The Netherlands. , (Netherlands)
  • 4 Department of Child and Adolescent Psychiatry, Amsterdam University Medical Centre - Location VUMC, Amsterdam, The Netherlands. , (Netherlands)
  • 5 Leiden University of Applied Sciences, Leiden, The Netherlands. , (Netherlands)
  • 6 Horizon Youth Care and Special Education, Rotterdam, The Netherlands. , (Netherlands)
  • 7 Department of Special Needs Education, Faculty of Psychology & Educational Sciences, Ghent University, Ghent, Belgium. , (Belgium)
  • 8 Youz, Parnassia Group, The Hague, The Netherlands. , (Netherlands)
Type
Published Article
Journal
Administration and policy in mental health
Publication Date
May 18, 2020
Identifiers
DOI: 10.1007/s10488-020-01049-8
PMID: 32424453
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To overcome fragmentation in support for children and their families with multiple and enduring problems across life domains, professionals increasingly try to organize integrated care. However, it is unclear what facilitators and barriers professionals experience when providing this integrated care. Our systematic review, including 55 studies from a broad variety of settings in Youth Care, showed that integrated care on a professional level is a multi-component entity consisting of several facilitators and barriers. Findings were clustered in seven general themes: 'Child's environment', 'Preconditions', 'Care process', 'Expertise', 'Interprofessional collaboration', 'Information exchange', and 'Professional identity'. The identified facilitators and barriers were generally consistent across studies, indicating broad applicability across settings and professional disciplines. This review clearly shows that when Youth Care professionals address a broad spectrum of problems, a variety of facilitators and barriers should be considered.Registration PROSPERO, registration number CRD42018084527.

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