青少年拘留机构的心理健康干预:有效措施的系统回顾

IF 0.4 Q4 PEDIATRICS Adolescent Psychiatry Pub Date : 2021-11-16 DOI:10.2174/2210676611666211116163220
Kishwen Kanna Yoga Ratnam, Abid Nordin, P. S. K. Tok, Nik Daliana Nik Farid, M. Dahlui
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引用次数: 0

摘要

与未被监禁的同龄人相比,在少年司法系统中被监禁的青少年更容易被诊断出精神健康状况不佳。由于拘留所的性质,在被监禁的青少年人群中进行心理健康干预的临床试验具有挑战性。本系统综述检查了随机临床试验(RCT)的现有文献,以评估全球被监禁青少年的心理健康干预措施,并确定在这种情况下最有效的干预类型。在这项研究中,进行了系统的回顾,以寻找、识别和推荐最适合保护和改善拘留机构环境中被监禁青少年心理健康的有效干预措施。在Medline中通过Ovid、Cochrane Library、Scopus和web of Science数据库进行检索,检索1970年至2021年3月之间发布的相关出版物。主要纳入标准是用英文发表的随机对照试验文章,这些文章报告了在少年拘留中心进行的涉及10至19岁犯罪青少年的任何心理健康干预措施。搜索发现了10篇符合要求的纳入标准的相关文章。总的来说,所有研究中使用了七种不同类型的心理健康干预措施。在选定的研究中确定的三个主要主题是对被监禁青少年的应对策略、危险行为和注意力障碍的干预。干预的效果取决于被监禁青少年的智力水平、监禁时间、治疗扩散的风险和抑郁症状。认知行为疗法(CBT)干预简单、简短、独特,针对抑郁症状,有可能最有效地改善被监禁青少年的心理健康。
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Mental Health Interventions in Juvenile Detention Institutions: A Systematic Review of What Works
Incarcerated adolescents within the juvenile justice system are more likely to be diagnosed with poor mental health compared with their non-incarcerated peers. Conducting clinical trials on mental health interventions among an incarcerated adolescent population is challenging due to the nature of detention facilities. This systematic review examines available literature on Randomized Clinical Trials (RCT) done to assess mental health interventions among incarcerated adolescents globally and to determine the type of intervention that would best work in this setting. In this study, a systematic review was conducted to search, identify, and recommend effective interventions best suited to preserve and improve the mental wellbeing of incarcerated adolescents within the detention institution setting. The search was performed in Medline via Ovid, Cochrane Library, Scopus, and Web of Science databases to retrieve related publications released between 1970 and March 2021. The principal inclusion criteria were RCT articles issued in English that reported any mental health interventions performed in juvenile detention centers involving delinquent adolescents aged 10 to 19 years old. The search discovered 10 related articles that fulfilled the required inclusion criteria. In total, there were seven different types of mental health interventions used in all the studies. The three major themes identified among the selected studies are the interventions for coping strategies, risky behavior, and attention disorder among incarcerated adolescents. The efficacy of the interventions was dependent on the level of intelligence, duration of incarceration, risk of treatment diffusion, and depression symptoms among incarcerated adolescents. Cognitive behavioral therapy (CBT) intervention that is simple, brief, unique, and targets depressive symptoms, has the potential to be most efficacious in improving mental health among incarcerated adolescents.
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来源期刊
Adolescent Psychiatry
Adolescent Psychiatry PEDIATRICS-
CiteScore
0.80
自引率
0.00%
发文量
20
期刊介绍: Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.
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