Types and aspects of support that young carers need and value, and barriers and enablers to access: the REBIAS-YC qualitative study

Brimblecombe, Nicola ORCID: 0000-0002-6147-5726, Stevens, Madeleine ORCID: 0000-0003-3540-3494, Gowen, Sara, Moriarty, Jo, Skyer, Robin, Bauer, Annette ORCID: 0000-0001-5156-1631 and Bou, Camille (2024) Types and aspects of support that young carers need and value, and barriers and enablers to access: the REBIAS-YC qualitative study. Health and Social Care Delivery Research, 12 (36). 1 - 108. ISSN 2755-0060

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Abstract

Background Many children and young people in England provide support to family members who are disabled, have mental or physical ill health, or misuse drugs or alcohol. Providing care can negatively impact children and young people’s education, employment, health and social participation, with associated costs. Support is needed to prevent and reduce these negative impacts. The study sought to provide new knowledge and address prior research gaps regarding how best to support young carers from their perspective and that of the people they care for. Objectives To address the following questions: What types, components or features of services and other support are seen as helpful, valued, and acceptable to young people who look after someone at home and the people they support? Conversely, what is found to be less or unhelpful? What additional support is perceived as needed? What are the barriers experienced by young and young adult carers in seeking and accessing services for themselves or the person they support? What are the barriers and facilitators for practitioners in providing support and services perceived as valued, helpful and needed by young and young adult carers and the people they support? Design and setting In-depth qualitative methodology using focus groups, in-depth semistructured interviews and workshops in four localities in England. Participants One hundred and thirty-three carers aged 9–25 years with a range of caring and life circumstances and sociodemographic characteristics. Seventeen adult care recipients (parents) with a range of physical and/or mental healthcare and support needs. Nineteen practitioners from schools, colleges, young carers organisations, voluntary sector services, mental health services, the National Health Service, adult social care and local authority adult and children’s social care commissioners. Results The types and aspects of support that young carers and their families need, and value when received, include: support that reduces or removes their practical and emotional caring responsibilities; support to mitigate the negative impacts of care and help with other life issues; information and advice about services and wider resources and support; someone trusted available to talk to; greater awareness, recognition and understanding; and choice, flexibility, and co-development of plans and solutions. We found a great deal of unmet need for support, and variation in type and quality of support received, including geographically. Limitations Potential limitations are that we were not able to engage with, or recruit, young carers from some intended subgroups, meaning some perspectives are missing. Partly because of COVID-19 measures during the study, we mainly recruited through young carers organisations and their family projects, although this was balanced by recruitment through schools and extensive outreach and engagement by the collaborating organisations prior to the project starting. Conclusions Action is now needed to consistently and sustainably implement the types of support that young carers and the people they care for say they need and value. Future work Future work should include more research from the perspectives of young carers and the people they care for, especially from particularly marginalised groups; and research to understand what works and how to improve implementation of the support needed and valued. Study registration This study is registered as Current Controlled Trials ISRCTN13478876. https://doi.org/10.1186/ISRCTN13478876

Item Type:	Article
Additional Information:	© 2024 The Author(s)
Divisions:	Care Policy and Evaluation Centre
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences
Date Deposited:	08 Mar 2024 17:06
Last Modified:	18 Nov 2024 20:03
URI:	http://eprints.lse.ac.uk/id/eprint/122258

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