SEM Level | Definition |
---|---|
Individual level | A young person with MHSU concerns. Factors at this level were considered internal to the individual including but not limited to biological, personal history, age, education, income, beliefs, symptoms, coping skills. |
Interpersonal level | Relationships and social connections to a young person with MHSU concerns. Factors considered were relationships (with family members, health care providers, peer support workers), family support/lack of support, household living situations, social connections (or lack of) with peers/peer support workers/health care providers. |
Organizational level | The emergency department within the hospital. Examples of factors considered were rules and regulations; hours; resources such as beds, staffing, etc. While focus was on the ED, the larger institution of the hospital and the ED within it were also considered. |
Community level | IYS services in the community such as Foundry, and other services for young people with MHSUÂ concerns. Factors here included the transition from the ED/hospital, access to the community services (post-discharge from the ED), as well as the care pathway from the community back to the ED. |
Policy level | Local, provincial, and national laws/regulations relevant to the health and health care of a young person with MHSU concerns. Examples of factors considered were charting systems throughout the province, bills, provincial health coverage. |