BACKGROUND Depression is a common condition among adolescents, with rates continuing to rise. A gap exists between evidence-based recommendations for the treatment of depression and clinical practice. Integrated Care Pathways (ICPs) can help address this gap, but to date no study has examined how young people and their caregivers experience ICPs and whether these pathways are an acceptable form of care. This study used focus groups with adolescents, caregivers, and service providers to examine experiences of an ICP. METHODS Six individual interviews with service providers, four focus groups with youth, and two focus groups with caregivers were completed. Data was analyzed consistent with Braun & Clarke's Thematic Analysis Framework within an interpretivist paradigm. RESULTS AND CONCLUSION The study demonstrated that ICPs are acceptable to youth and their caregivers and that ICPs facilitate shared decision making between youth/caregivers and care providers. Findings also indicated that youth are willing to engage with ICPs particularly when there is a trusted clinician involved who helps interpret and tailor the ICP to the young person's experience. Further questions include how to best integrate these into the overall system and how to further tailor these pathways to support youth with diagnostic complexity and treatment resistance.

中文翻译：

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谈论青少年抑郁症的更好结果：青少年和护理人员对抑郁症综合护理途径的看法。

背景抑郁症是青少年的常见病症，且发病率持续上升。抑郁症治疗的循证建议与临床实践之间存在差距。综合护理途径 (ICP) 可以帮助解决这一差距，但迄今为止，还没有研究探讨年轻人及其护理人员如何经历 ICP 以及这些途径是否是可接受的护理形式。这项研究利用由青少年、护理人员和服务提供者组成的焦点小组来考察 ICP 的经验。方法 完成了对服务提供者的六次单独访谈、四个针对青少年的焦点小组以及两个针对护理人员的焦点小组。数据分析符合解释主义范式内的 Braun & Clarke 主题分析框架。结果和结论 该研究表明，ICP 可以为青少年及其护理人员所接受，并且 ICP 有助于青少年/护理人员和护理提供者之间的共同决策。研究结果还表明，年轻人愿意参与 ICP，特别是当有值得信赖的临床医生参与时，他可以根据年轻人的经历帮助解释和定制 ICP。进一步的问题包括如何最好地将这些整合到整个系统中，以及如何进一步调整这些途径来支持诊断复杂性和治疗耐药性的青少年。研究结果还表明，年轻人愿意参与 ICP，特别是当有值得信赖的临床医生参与时，他可以根据年轻人的经历帮助解释和定制 ICP。进一步的问题包括如何最好地将这些整合到整个系统中，以及如何进一步调整这些途径来支持诊断复杂性和治疗耐药性的青少年。研究结果还表明，年轻人愿意参与 ICP，特别是当有值得信赖的临床医生参与时，他可以根据年轻人的经历帮助解释和定制 ICP。进一步的问题包括如何最好地将这些整合到整个系统中，以及如何进一步调整这些途径来支持诊断复杂性和治疗耐药性的青少年。