Mental Health Agency Officials' Perceived Priorities for Youth Mental Health and Factors That Influence Priorities.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2024-08-02 DOI:10.1176/appi.ps.20230430

Blanche Wright, Katherine L Nelson, Kimberly E Hoagwood, Jonathan Purtle

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Abstract

Objective: This study aimed to characterize the perceived priorities of state and county policy makers for youth mental health services and the factors that influence those priorities.

Methods: Mental health agency officials (N=338; N=221 state officials, N=117 county officials) representing 49 states completed a Web-based survey in 2019-2020. On 5-point scales, respondents rated the extent to which 15 issues were priorities for their agency in providing youth mental health services and the extent to which nine factors influenced those priorities.

Results: Suicide was identified as the highest priority (mean±SD rating=4.38±0.94), followed by adverse childhood experiences and childhood trauma and then increasing access to evidence-based treatments. Budget issues (mean=4.27±0.92) and state legislative priorities (mean=4.01±0.99) were perceived as having the greatest influence on setting priorities.

Conclusions: These findings provide insights into youth mental health policy priorities and can be used to guide implementation and dissemination strategies for research and program development within state and county systems.

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心理健康机构官员对青少年心理健康的优先考虑以及影响优先考虑的因素。

研究目的本研究旨在了解州和县决策者对青少年心理健康服务的优先考虑以及影响这些优先考虑的因素：代表 49 个州的心理健康机构官员（N=338；N=221 名州级官员，N=117 名县级官员）于 2019-2020 年完成了一项基于网络的调查。受访者用 5 点量表对 15 个问题在多大程度上是其机构提供青少年心理健康服务的优先事项以及 9 个因素对这些优先事项的影响程度进行评分：自杀被认为是最优先考虑的问题（平均值±SD=4.38±0.94），其次是不良童年经历和童年创伤，然后是增加循证治疗的可及性。预算问题（平均值=4.27±0.92）和州立法优先事项（平均值=4.01±0.99）被认为对优先事项的确定影响最大：这些研究结果提供了有关青少年心理健康政策优先事项的见解，可用于指导州和县系统内研究和项目开发的实施和传播策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.