Utilization of Mental Health Services by Medical College of Wisconsin Trainees.

Jenna T Le, Timothy McAuliffe, Himanshu Agrawal, David Cipriano
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Abstract

Introduction: The goal of this study is to describe the change in utilization of mental health services by trainees at a private medical college in Wisconsin after specific interventions were instituted by the administration.

Methods: Multiphase interventions designed to increase access to care were instituted at the student behavioral health clinic. These interventions were based on the findings of online wellness surveys distributed to the Medical College of Wisconsin during the 2016-2017 school year. The authors collected annual utilization reports of student use of mental health services at the Medical College of Wisconsin and plotted them along a timeline of specific administrative interventions.

Results: Since the 2016-2017 academic year, medical students have used an average of 1274 mental health service visits per year compared to 637 visits annually during the academic years 2010-2011 through 2015-2016. The number of mental health visits increased significantly during 2016-2017 versus the average number of visits in previous years (P < 001; Cohen's d  = 4.39).

Discussion: Similar to results shown worldwide, medical students in Wisconsin experience diminished mental health relative to their nonmedical peers. Recommendations have been made to provide additional administrative support to provide increased mental health resources to medical trainees. The findings in this report imply that incorporation of recommendations from the stakeholder medical trainees may be a key feature in the successful design and implementation of these supports.

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威斯康星医学院受训人员利用心理健康服务的情况。
简介本研究的目的是描述威斯康星州一所私立医学院在管理部门采取特定干预措施后,学员利用心理健康服务的变化情况:方法:学生行为健康诊所采取了多阶段干预措施,旨在增加获得医疗服务的机会。这些干预措施基于 2016-2017 学年向威斯康星医学院发放的在线健康调查的结果。作者收集了威斯康星医学院学生使用心理健康服务的年度使用报告,并将其绘制成具体行政干预措施的时间表:自2016-2017学年以来,医学生平均每年使用1274次心理健康服务,而在2010-2011至2015-2016学年期间,平均每年使用637次。与前几年的平均就诊次数相比,2016-2017 学年的心理健康就诊次数明显增加(P 讨论:与世界范围内显示的结果类似,威斯康星州的医学生与非医学专业的学生相比,心理健康水平较低。有人建议提供更多的行政支持,为医科见习生提供更多的心理健康资源。本报告的研究结果表明,采纳利益相关者的建议可能是成功设计和实施这些支持措施的一个关键因素。
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