城市流动医疗站计划中青少年抑郁和心理健康转诊的社会心理预测因素。

IF 0.3 Q4 PSYCHOLOGY, CLINICAL Journal of Child and Adolescent Mental Health Pub Date : 2024-11-18 DOI:10.2989/17280583.2024.2390942
Alia Richardson, Icy Cade-Bell, Madison DeRoo, Blair Foushi, Emily Wang, Alexandra Knitter, Anna Volerman
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引用次数: 0

摘要

导言:鉴于过去几年来青少年心理健康状况不断恶化,流动医疗队是增加心理保健服务的潜在途径:这项为期 1 年的回顾性研究考察了流动医疗机构为青少年患者提供的自我心理社会评估和心理健康服务转诊情况。我们提取了2022年流动医疗队就诊患者的社会心理评估回答、患者健康问卷(PHQ-9)得分和心理健康转诊信息,并研究了抑郁症和心理健康服务转诊的比例和预测因素:在完成社会心理评估的 326 名患者中,根据 PHQ-9 评分,每五名患者中就有一人有中度至重度抑郁症状。与转介到心理医疗机构相关的因素包括女性性别身份、LGBTQ+身份以及社会心理评估中的几个因素。此外,13.8% 的患者希望转诊至心理医疗机构,16.6% 的患者被转诊至心理医疗机构。希望看心理医生的患者被转诊的几率更高(P < 0.0001)。所有尚未获得心理保健服务但希望转诊的中重度抑郁症患者都被转诊了:本研究记录了流动医疗单位项目在识别有心理健康需求的青少年患者并将其转诊至心理医疗机构方面所产生的影响。
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Psychosocial predictors of adolescent depression and mental health referral in an urban mobile medical unit programme.

Introduction: Given worsening youth mental health over the past years, mobile medical units are a potential avenue to increase access to mental healthcare services.Methods: This 1-year retrospective study examined a self-administered psychosocial assessment, and referrals made to mental health services for adolescent patients served by a mobile medical unit. We extracted psychosocial assessment responses, Patient Health Questionnaire (PHQ-9) scores, and mental health referral information for patients seen by the mobile medical unit in 2022 and examined rates and predictors of depression and referral to mental health services.Results: Of the 326 patients who completed the psychosocial assessment, one in five had moderate to severe depression symptoms based on PHQ-9 scores. Factors associated with referral to mental healthcare included female gender identity, LGBTQ+ identity, and several factors from the psychosocial assessment. Additionally, 13.8% wanted a mental health referral, and 16.6% were referred to mental healthcare. Patients who desired to see a mental health provider had higher odds of being referred (p < 0.0001). All patients with moderate to severe depression who were not already connected to mental healthcare and wanted a referral were referred.Conclusion: This study documents the impact of a mobile medical unit programme in identifying adolescent patients with mental health needs and referring them to mental healthcare.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
2
期刊介绍: The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).
期刊最新文献
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