Improving medical and social measures to protect the mental health of adolescents in the primary health care system (literature review).

E. V. Bulycheva
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Abstract

Actuality. To develop effective tools for protecting the mental health of adolescents, medical workers need to clarify the leading reasons for its formation in modern conditions, predictors and criteria for the risk of its deterioration. Currently, there are no integrated medicalpsychological- social monitoring studies of adolescent mental health, including dynamic monitoring of psychological, pedagogical, social and medical indicative indicators. The purpose of the study is to review scientific publications devoted to the analysis of the state of mental health of children and adolescents in the Russian Federation. Research methods. Using the search image: («mental health of children and adolescents», «organization of psychiatric care for children and adolescents», «addictive behavior of children and adolescents», «risk factors for mental health of children and adolescents»), a collection of 63 relevant articles published by domestic and foreign authors over the past 15 years (2013–2023) have been formed, indexed in the bibliometric databases WoS, Scopus, RSCI, and in the search engines PubMed, Google Scholar. Research results. The performed analysis allows us to note that such issues as the manifestation of clinical mental disorders, their predictors with age-related detail, and the development of integral indicators of mental health deterioration have not been sufficiently studied. Studies indicating the presence of problems in the system of mental health protection of minors during their studies in general education organizations do not provide specific recommendations for their solution.. Conclusion. To develop effective tools for the protection of adolescent mental health, medical professionals need to clarify the leading causes of its formation in modern conditions, predictors and criteria for the risk of its deterioration. This will make it possible to fill the existing deficit in the algorithms of medical support for adolescents during their studies in general education organizations and medical, psychological and pedagogical integration.
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改进医疗和社会措施,在初级保健系统中保护青少年的心理健康(文献综述)。
实际情况。为了开发保护青少年心理健康的有效工具,医务工作者需要弄清在现代条件下青少年心理健康形成的主要原因,以及心理健康恶化风险的预测因素和标准。目前,还没有对青少年心理健康进行医学-心理-社会综合监测研究,包括对心理、教育、社会和医学指标的动态监测。本研究旨在审查专门分析俄罗斯联邦儿童和青少年心理健康状况的科学出版物。研究方法。使用搜索图像:("儿童和青少年的心理健康"、"儿童和青少年精神病治疗的组织"、"儿童和青少年的成瘾行为"、"儿童和青少年心理健康的风险因素"),收集了国内外作者在过去 15 年(2013-2023 年)中发表的 63 篇相关文章,并在文献计量数据库 WoS、Scopus、RSCI 以及搜索引擎 PubMed、Google Scholar 中进行了索引。研究成果。通过分析我们可以发现,对于临床精神障碍的表现、其与年龄相关的预测因素以及精神健康恶化综合指标的发展等问题的研究还不够充分。研究表明,在普通教育机构学习期间,未成年人心理健康保护系统存在问题,但没有提出具体的解决建议。结论为了开发保护青少年心理健康的有效工具,医疗专业人员需要弄清在现代条件下青少年心理健康形成的主要原因,以及其恶化风险的预测因素和标准。这将有可能弥补目前普通教育机构在青少年学习期间为其提供医疗支持的算法以及医疗、心理和教学一体化方面的不足。
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