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In this study, we aimed to examine health-related quality of life during the COVID-19 pandemic among a general sample of young people in Norway aged 11–19 years. More specifically, we examine: (1) Change over 2 time-points in five health-related quality of life dimensions, (2) Whether sociodemographic- and COVID-19-related factors contributed to change in these five dimensions, (3) Whether parental stress and socioeconomic status at T1 interacted with change in health-related quality of life across T1 and T2. Data collection lasted from April 27th to May 11th, 2020 (T1), and from December 16th, 2020, to January 10th, 2021 (T2). Youth aged 11–19 years (N = 2997) completed the KIDSCREEN-27, COVID-19 related and sociodemographic items. Parents (N = 744) of youth aged 15 years and younger completed the parental stress scale and sociodemographic items. Physical and psychological wellbeing declined significantly from March to December 2020. Subscale scores for social support and peers increased. Controlling for a broad number of sociodemographic and COVID-19-related factors did not make an overall impact on the estimates. Those worried about infection, older aged, girls, and youth born outside Norway had a steeper decline in health-related quality of life subdimensions from T1 to T2. In the wake of the COVID-19 pandemic, we warrant special attention to the recovery of youth's physical and psychological wellbeing.

More than one out of ten adolescents suffer from mental illness at any given time. Still, there is limited knowledge about their involvement in mental healthcare. Adolescents have the right to be involved in decisions affecting their healthcare, but limited research focuses on their engagement and decision-making. Therefore, this systematic review aims to explore the existing experiences with, the effectiveness of, and safety issues associated with user involvement for adolescents’ mental healthcare at the individual and organizational level. A systematic literature review on user involvement in adolescents’ mental healthcare was carried out. A protocol pre-determined the eligibility criteria and search strategies, and established guidelines were used for data extraction, critical appraisal, and reporting of results. Quantitative studies were analysed individually due to heterogeneity of the studies, while qualitative studies were analysed using thematic synthesis. A total of 31 studies were included in the review. The experiences with user involvement were reported in 24 studies with three themes at the individual level: unilateral clinician control versus collaborative relationship, capacity and support for active involvement, the right to be involved; and two themes at the organizational level: involvement outcomes relevant to adolescents’ needs, conditions for optimal involvement. The effectiveness of user involvement was reported in seven studies documenting fragmented evidence related to different support structures to facilitate adolescents’ involvement. The safety associated with user involvement was not reported in any studies, yet a few examples related to potential risks associated with involvement of adolescents in decision-making and as consultants were mentioned.

Master i læring i komplekse systemer Artikkel 1: Det psykiske helsevern for barn og unge gjennomgår store endringer, og behandling foregår i større grad på de unges arena og med større delaktighet av nettverket i behandlingen. Det gjelder også for behandling i akuttsituasjoner. Det er lite dokumentert om behandling på de unges arena kan erstatte institusjonsbehandling, selv om erfaringer fra fagfeltet er positive. Dette spørsmålet belyses fra et kompleksitetsperspektiv hvor valg av systemgrenser sees som en avgjørende faktor for effekt av behandling. Artikkelen konkluderer med å peke på sterke sider for begge behandlingsformer. Behandling på unges arena kan dermed ikke erstatte institusjonsbehandling fullt ut, men utfylle den i større grad enn den gjør per i dag Artikkel 2: Undersøkelsen evaluerer effekten av behandling av ungdommer som er henvist til akuttvurdering i Avdeling for Barn- og Unges Psykiske helse i Aust Agder. Ungdommer som ble henvist i perioden april 2009 til april 2010 har deltatt i undersøkelsen. I kartleggingen er spørreskjema SDQ (Strength and Difficulties Questionnaire) brukt. Før akuttvurderingen har ungdommer og foresatte fylt ut dette skjema og dette gjorde de igjen etter fullført behandling, eller etter 3 måneder. Når vurderingen medfører igangsetting av tiltak, er dette døgnbasert - eller ambulant behandling. Gruppen som har mottatt ambulant behandling blir sammenlignet med gruppen som har mottatt døgnbehandling. Det framkommer liten grad av korrelasjon mellom presentert problematikk og valg av tiltak. Valg av tiltak styres i hovedsak av arbeidsstedet til personen som foretar vurderingen. Behandlingseffekt for ambulant- og døgnbehandling er signifikant forskjellig. Inkludering av nettverket i behandlingen viser seg til å være en betydningsfull faktor for effekt av behandling