Child and Adolescent Mental Health Interface Work with Primary Services: A Survey of NHS Provider Trusts.
Child and Adolescent Mental Health Interface Work with Primary Services: A Survey of NHS Provider Trusts.
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DOI：
10.1111/1475-3588.00067
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发表时间：
2003-11-01
影响因子：
6.1
通讯作者：
Harrington, Richard
中科院分区：
文献类型：
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作者：
Bradley, Sally;Kramer, Tami;Harrington, Richard
背景：我们通过向英格兰所有有中级儿童和青少年心理健康(CAMHS)的信托机构发送结构化问卷(通过124/150或83%的回复)，记录了CAMHS与初级服务之间的接口工作的程度、性质和预测因素。结果：三分之二的CAMHS报告了对初级保健服务的培训和教育，大约三分之一的CAMHS报告了结构化咨询服务，五分之一的CAMHS报告在初级保健环境中进行门诊诊所和联合个案工作。三分之一的人发展了初级精神卫生工作者的职位。多元回归分析首先确定了CAMHS内的专科诊所，其次是CAMHS的规模，这是跨机构接口工作的最强预测因素。因此，接口工作随着更发达、更大的CAMHS而增长。
BACKGROUND: We document the extent, nature and predictors of interface work between secondary Child and Adolescent Mental Health (CAMHS) and primary services, through structured questionnaires sent to all Trusts with CAMHS in England (returned by 124/150 or 83%).RESULTS: Two-thirds of CAMHS reported training and education to primary care services, about one-third a structured consultation service, one-fifth reported undertaking outpatient clinics in primary care settings and joint casework. One-third had developed primary mental health worker posts. Multiple regression analysis identified firstly specialist clinics within CAMHS, and secondly CAMHS size, as the strongest predictors of interface work across agencies. Interface work thus grows with more developed, larger CAMHS.