Table 1.
Summary of Responses by Clinician (n=9), Parent (n=10) and Teen (n=10)
| Transition of Care | |||
| Clinicians | Parents | Teens | |
| What makes for a successful transition between levels of care? | Communication between providers (6) Family and patient adherence (2) Follow-up contact (1) |
Timing/quick transition (4) Transition plan (2) Support of teen (2) Communication (1) Unsure (1) |
Safety plan (5) Immediate after care (2) Therapy (2) Social support (1) |
| What information should be shared between providers? | Everything (7) Specific targets (2) Unsure (1) |
Everything (5) General information (5) |
|
| What are barriers to transition of care? | Time/availability (8) Lack of patient information (1) |
Scheduling (5) Rapport with a new provider (2)Insurance (1) Patient buy in (1) No barriers (1) |
Motivation (4) Lack of communication (2) Time/distance (2) Uncertainty (2) |
| Safety Plan | |||
| Clinicians | Parents | Teens | |
| What is your involvement in safety plan development? | Editing/feedback on existing plan (5) Creating/helping patient develop the plan (3) No involvement (1) |
No Involvement (8) Moderate Involvement (1) Very Involved (1) |
Self-created (5) Collaborative with providers (5) |
| How involved should the parent be in the safety planning process? | A great deal of involvement (4) Limited involvement (3) Not specified (3) |
Unspecified degree of involvement (6) Limited involvement (3) None (1) |
|
| What contributes to successfully using the plan? | Commitment (3) Rapport (2) Appropriate skills and contacts (3) Availability (1) |
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| What are the contents of your/your child’s safety plan? | Social support and distractions (4) Does not know (4) Reaching out to others (2) |
Social Support (9) Distractions (6) Reasons for Living (1) Mindfulness (1) Cognitive Skills (1) |
|
| How helpful is the safety plan on a scale from 0 to 5, where 5 is the most helpful? | 0–2 (3) 3–5 (6) Don’t know (1) |
0–2 (0) 3 (2) 4 (6) 5 (2) |
|
| What are patient barriers to | Too distressed (4) | Too distressed (4) | Lack of motivation (3) |
| using the plan? | Unhelpful skills/content on safety plan (3) Plan lost or not with teen (2) | Lack of appropriate skills or Contacts on safety plan (2) Lost or not with teen (1) Unsure (1) No response (2) |
Not wanting to involve others (2) Plan not with them/forgot (2) No barriers/no response (2) Too upset (1) |
| What happens to the safety plan after it is created or after discharge? | Not utilized(4) Uses plan (3) Varies by patient (2) |
Don’t know (4) In bedroom (4) No response (2) |
In bedroom (8) On mirror (1) Does not know (1) |
| Treatment Targets | |||
| Clinicians | Parents | Teens | |
| Include sleep/sobriety strategies in treatment? | Targeting sleep and sobriety would be important (9) | Alcohol only (5) Sleep/alcohol (5) Sleep only (0) |
Alcohol only (0) Sleep/alcohol (5) Sleep only (5) |
| Social support strategies? | Important (9) | Identification of support (5) Availability (2) Don’t know (3) |
Ask for help (8) Being around others (2) |
| Applicability of Technology/Phone Application | |||
| Clinicians | Parents | Teens | |
| What do you think of a safety plan in a smart phone application?/ Rate helpfulness on a scale from 1–5, where 5 is the most helpful | Great idea, would improve practice (9) | 5 (8) 4 (2) |
5 (5) 4 (3) 3(1) 2 (0) 1 (1) |
| What are possible drawbacks or problems of a phone application? | Confidentiality (4) Phone restriction (4) No paper copy (1) |
Privacy (4) Not as personal (2) None/no reply (4) |
Confidentiality (5) No concerns (3) No response (2) |
| Would you feel comfortable using the phone application? | Yes, with training (6) Comfortable (3) |
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| Do you think patients/your teens/you would use this application? | Yes (9) | Yes (8) Don’t know (2) |
Yes (10) |
| What circumstances would you be most likely to use the application? | As needed (9) No response (1) | At school (3) During a crisis (2) At home (1) At school/home (1) Down mood (1) When bored (1) No response (1) |
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