Evidence map›Paper›PMID 42640480›Full record

ArticleAdministration and policy in mental health2026

Mothers' Perceptions of System-Related Burden Following Their Youth's Psychiatric Hospitalization: A Longitudinal Qualitative Study.

Katherine M Harris, Debora G Goldberg, David B Goldston, MacKenzie C Feeken, Abigail B Fry, Lauren Seibel, John F Curry, Stephanie S Daniel, Otima Doyle, Bridget E Weller and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Administration and policy in mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Katherine M HarrisDepartment of Psychology, George Mason University, Fairfax, USA. kmaultsb@gmu.edu.
Debora G GoldbergDepartment of Health Administration and Policy, George Mason University, Fairfax, USA.
David B GoldstonDepartment of Psychiatry & Behavioral Sciences, and Department of Psychology & Neuroscience, Duke University, Durham, USA.ORCID https://orcid.org/0000-0001-7182-6553
MacKenzie C FeekenDepartment of Psychology, George Mason University, Fairfax, USA.
Abigail B FryDepartment of Psychology, George Mason University, Fairfax, USA.
Lauren SeibelDepartment of Psychology, George Mason University, Fairfax, USA.
John F CurryDepartment of Psychiatry & Behavioral Sciences, and Department of Psychology & Neuroscience, Duke University, Durham, USA.
Stephanie S DanielSchool of Medicine, Wake Forest University, Winston-Salem, USA.
Otima DoyleJane Addams College of Social Work, University of Illinois Chicago, Chicago, USA.
Bridget E WellerWayne State University, Detroit, USA.ORCID https://orcid.org/0000-0002-2295-0707
Christianne L Esposito-SmythersDepartment of Psychology, George Mason University, Fairfax, USA.

Funding

Impact of Adolescent Suicide Attempts on ParentsR01MH081947 · NIMH · DUKE UNIVERSITY · PI GOLDSTON, DAVID B. · 2009 to 2012
$2.3M
NIMH NIH HHS 1F31MH134462NIMH NIH HHS R01MH081947
6 · The paper itself

Abstract

The period following youth psychiatric hospitalization is characterized by considerable caregiver burden. Through research suggests that mental health system involvement, socioeconomic status, and change over time may influence caregiver experiences, these areas remain underexplored. Using qualitative methods, this study examined aspects of the mental health system that contribute to parental burden in the year following youth psychiatric hospitalization and compared burden between mothers with high and low household incomes. Drawing from a longitudinal dataset of 252 mothers with an adolescent recently discharged from psychiatric hospitalization, we randomly selected 20 mothers with high (>$100,000) and low (<$25,000) household incomes. Mothers completed semi-structured interviews one (M1), six (M6), and twelve (M12) months following their adolescent's hospital discharge. Interviews were analyzed using basic qualitative inductive and deductive coding approach and multi-cycle coding process; recurrent cross-sectional analysis explored longitudinal change. Four themes were found that generally persisted over time: (1) Difficulty accessing mental health services; (2) Dissatisfaction with mental health services; (3) Frustration with medications; and (4) Gaps in support from auxiliary systems. Exploratory analyses identified nuanced differences between income groups regarding dissatisfaction with services and gaps in support from auxiliary systems. Findings contribute to knowledge of service use following youth psychiatric hospitalization, a critical period for youth safety. Findings also highlight implications for clinical practice and systems reform, including the importance of collaborative and family-centered care, shared decision making, flexible and responsive provider-caregiver relationships, improved cross-system care coordination, and structural supports that reduce the burden on families navigating fragmented services.

Indexed as

AdolescentCaregiver burdenMental health systemPsychiatric hospitalizationQualitative

Identifiers

PMID42640480

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.