2025, Vol. 7, Issue 2, Part B

Background: Adolescence is a critical developmental phase in which physical, cognitive, and emotional changes intersect, demanding comprehensive health interventions. Traditionally, child health nursing emphasizes physical well-being, while mental health nursing focuses on psychological care. The fragmentation between these disciplines limits holistic adolescent outcomes. Integrating both approaches is essential to address the interdependence of physical and mental health in youth.

Objective: To systematically review existing evidence on the integration of child and mental health nursing approaches in adolescent care, examining models, outcomes, barriers, and facilitators to implementation.

Methods: An integrative review design was applied following PRISMA 2020 guidelines. Searches were conducted in PubMed, CINAHL, PsycINFO, Scopus, and Web of Science for studies published between 2010 and 2025. Thirty-eight studies met inclusion criteria. Data were synthesized thematically and appraised using the JBI and CASP tools.

Results: Four integration models emerged co-located, liaison, stepped-care, and hybrid nursing. Integrated models demonstrated substantial improvements in screening rates, referral coordination, and patient satisfaction. Hybrid and stepped-care approaches yielded better symptom reduction and adherence outcomes. Key facilitators included leadership support, interprofessional collaboration, and structured training, while barriers involved role ambiguity, workload, and policy fragmentation.

Conclusion: Integration of child and mental health nursing enhances accessibility, holistic care, and early intervention for adolescents. Sustained success requires institutional commitment, cross-training, and digital support. The findings advocate embedding integrated nursing as a core model for adolescent health reform.