Barriers and facilitators to social prescribing in child and youth mental health: Perspectives from the frontline

Article


Hayes, D., Olsson, A., Begum, S., Bertotti, M., Jarvis-Beesley, P. and Stapley, E. 2023. Barriers and facilitators to social prescribing in child and youth mental health: Perspectives from the frontline. European Child & Adolescent Psychiatry. In Press. https://doi.org/10.1007/s00787-023-02257-x
AuthorsHayes, D., Olsson, A., Begum, S., Bertotti, M., Jarvis-Beesley, P. and Stapley, E.
Abstract

There is growing interest in the role of Social Prescribing (SP) to help promote mental wellbeing and support individuals with mental health difficulties. Yet, implementation of SP to children and young people (CYP) has proved slow and underdeveloped compared with adult populations. Understanding the barriers and facilitators will help key stakeholders to better embed SP for CYP into practice. Using the Theoretical Domains Framework (TDF), a comprehensive, theoretical-led framework, underpinned by 33 behaviour change theories and 128 constructs, perceived barriers and facilitators to SP were investigated. The sample comprised of 11 Link Workers and 9 individuals involved in facilitating SP with CYP, who took part in semi-structured interviews. Transcripts were analysed using a deductive thematic analysis, and themes were coded under each theoretical domain. Overall, 33 barriers and facilitators for SP were identified across 12 domains of the TDF. Under capability, barriers and facilitators were found for knowledge, skills, memory/attention/decision making processes, and behavioural regulation. For opportunity, barriers and facilitators were found for social/professional influences, as well as environmental context and resources. Finally, for motivation, domains covered included: beliefs about consequences, beliefs about capabilities, optimism, motivations/goals, reinforcement, and emotions. Findings suggest that a wide range of barriers and facilitators affect the implementation of CYP SP to improve mental health and wellbeing. Interventions which target different domains related to capability, opportunity and motivation should be developed to better facilitate CYP SP.

KeywordsSocial Prescribing; Theoretical Domains Framework; Child; Young Person; Mental Health; Wellbeing
JournalEuropean Child & Adolescent Psychiatry
Journal citationIn Press
ISSN1018-8827
Year2023
PublisherSpringer
Publisher's version
License
File Access Level
Anyone
Digital Object Identifier (DOI)https://doi.org/10.1007/s00787-023-02257-x
Publication dates
Online05 Jul 2023
Publication process dates
Accepted27 Jun 2023
Deposited05 Jul 2023
FunderEmerging Minds Network
Copyright holder© 2023, The Author(s)
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