TY  - JOUR
AU  - Lyzwinski, Lynnette
AU  - Mcdonald, Sheila
AU  - Zwicker, Jennifer
AU  - Tough, Suzanne
PY  - 2024
DA  - 2024/6/25
TI  - Digital and Hybrid Pediatric and Youth Mental Health Program Implementation Challenges During the Pandemic: Literature Review With a Knowledge Translation and Theoretical Lens Analysis
JO  - JMIR Pediatr Parent
SP  - e55100
VL  - 7
KW  - mental health
KW  - knowledge translation
KW  - KT
KW  - flourishing
KW  - youth
KW  - teenagers
KW  - mindfulness
KW  - positive psychology
KW  - telehealth
KW  - implementation
KW  - knowledge dissemination
KW  - pandemic
KW  - COVID-19
KW  - service delivery
AB  - Background: The pandemic brought unprecedented challenges for child and youth mental health. There was a rise in depression, anxiety, and symptoms of suicidal ideation. Objective: The aims of this knowledge synthesis were to gain a deeper understanding of what types of mental health knowledge translation (KT) programs, mental health first aid training, and positive psychology interventions were developed and evaluated for youth mental health. Methods: We undertook a literature review of PubMed and MEDLINE for relevant studies on youth mental health including digital and hybrid programs undertaken during the pandemic (2020-2022). Results: A total of 60 studies were included in this review. A few KT programs were identified that engaged with a wide range of stakeholders during the pandemic, and a few were informed by KT theories. Key challenges during the implementation of mental health programs for youth included lack of access to technology and privacy concerns. Hybrid web-based and face-to-face KT and mental health care were recommended. Providers required adequate training in using telehealth and space. Conclusions: There is an opportunity to reduce the barriers to implementing tele–mental health in youth by providing adequate technological access, Wi-Fi and stationary internet connectivity, and privacy protection. Staff gained new knowledge and training from the pandemic experience of using telehealth, which will serve as a useful foundation for the future. Future research should aim to maximize the benefits of hybrid models of tele–mental health and face-to-face sessions while working on minimizing the potential barriers that were identified. In addition, future programs could consider combining mental health first aid training with hybrid digital and face-to-face mental health program delivery along with mindfulness and resilience building in a unified model of care, knowledge dissemination, and implementation. 
SN  - 2561-6722
UR  - https://pediatrics.jmir.org/2024/1/e55100
UR  - https://doi.org/10.2196/55100
UR  - http://www.ncbi.nlm.nih.gov/pubmed/38916946
DO  - 10.2196/55100
ID  - info:doi/10.2196/55100
ER  -