The integration of behavioral health interventions in children's health care: services, science, and suggestions.
The integration of behavioral health interventions in children's health care: services, science, and suggestions.
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DOI：
10.1080/15374416.2013.862804
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Perrin E
中科院分区：
文献类型：
--
作者：
Kolko DJ;Perrin E
由于在儿科初级保健中整合精神或行为健康服务是国家的优先事项，因此有必要对医疗保健环境中应用的干预措施进行描述和评估。本文考察了几种基于替代模型的干预研究，以结合综合儿科护理提供行为卫生保健。本文介绍了应用于不同临床问题的各种方法，如简要心理健康技能、临床指南和循证实践（EBP），以及本研究文献的实证结果。接下来，讨论了几个关键的治疗考虑因素，以最大限度地提高这些干预措施的效率和效果。提出了克服主要服务障碍的一些实际建议，以提高实践提供行为保健的能力。对于治疗内化和外化行为问题的这些干预措施的可行性、可接受性和临床效用，有适度的经验支持。利用旨在简化处理工作的最新框架（例如，共同要素），提供了扩展这项工作和解决方法限制的实际战略。儿科初级保健已成为向儿童和青少年提供精神卫生服务的重要场所，部分原因是其许多可取的特点（例如，没有耻辱、当地环境、熟悉的提供者）。进一步调整现有的交付模式可能会促进与初级保健提供者作为合作伙伴提供有效的综合干预措施，以解决儿科保健中的心理健康问题。
Because the integration of mental or behavioral health services in pediatric primary care is a national priority, a description and evaluation of the interventions applied in the healthcare setting is warranted. This paper examines several intervention research studies based on alternative models for delivering behavioral health care in conjunction with comprehensive pediatric care. This review describes the diverse methods applied to different clinical problems, such as brief mental health skills, clinical guidelines, and evidence-based practices (EBP), and the empirical outcomes of this research literature. Next, several key treatment considerations are discussed to maximize the efficiency and effectiveness of these interventions. Some practical suggestions for overcoming key service barriers are provided to enhance the capacity of the practice to deliver behavioral health care. There is moderate empirical support for the feasibility, acceptability, and clinical utility of these interventions for treating internalizing and externalizing behavior problems. Practical strategies to extend this work and addressing methodological limitations are provided that draw upon recent frameworks designed to simplify the treatment enterprise (e.g., common elements). Pediatric primary care has become an important venue for providing mental health services to children and adolescents due, in part, to its many desirable features (e.g., no stigma, local setting, familiar providers). Further adaptation of existing delivery models may promote the delivery of effective integrated interventions with primary care providers as partners designed to address mental health problems in pediatric healthcare.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
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作者：
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发表时间：
2007-05-01
影响因子：
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