School Mental Health Resources and Adolescent Mental Health Service Use
School Mental Health Resources and Adolescent Mental Health Service Use
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DOI：
10.1016/j.jaac.2013.03.002
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发表时间：
2013-05-01
影响因子：
13.3
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
--
作者：
Green, Jennifer Greif;McLaughlin, Katie A.;Kessler, Ronald C.
目的：虽然学校被认为是检测青少年精神障碍的关键，但很少有人知道心理健康提供者的数量和他们提供的资源类型是否会影响学生心理健康服务的使用。这些信息可以为发展和分配适当的学校资源提供信息，以增加服务的使用。本文探讨协会的学校资源与过去一年的精神卫生服务使用的学生与12个月的DSM-IV精神障碍。方法：数据来自美国全国科摩罗调查青少年补充（NCS-A），这是一项全国性的青少年心理健康调查，包括227所学校的4，445对青少年父母，其中校长和心理健康协调员完成了关于学校资源和解决学生情绪问题的政策的调查。青少年和家长完成了综合国际诊断访谈，并报告了多个部门的精神卫生服务使用情况。多层次多元回归分析被用来检查协会的学校心理健康资源和个人层面的服务使用。结果：近一半（45.3%）的青少年与12个月的DSM-IV障碍接受了过去一年的心理卫生服务。学校资源存在很大差异。增加学校参与早期识别与轻度/中度精神和行为障碍青少年的精神卫生服务使用显着相关。学生与心理健康提供者的比例与整体服务使用无关，但与服务使用部门有关。结论：学校心理健康资源，特别是那些与早期识别，可能会促进心理健康服务的使用，并可能影响部门的服务使用与DSM的青少年障碍。J. Am. Acad.儿童青少年精神病学，2013;52（5）：501-510。
Objective: Although schools are identified as critical for detecting youth mental disorders, little is known about whether the number of mental health providers and types of resources that they offer influence student mental health service use. Such information could inform the development and allocation of appropriate school-based resources to increase service use. This article examines associations of school resources with past-year mental health service use among students with 12-month DSM-IV mental disorders. Method: Data come from the U.S. National Comorbidity Survey Adolescent Supplement (NCS-A), a national survey of adolescent mental health that included 4,445 adolescent parent pairs in 227 schools in which principals and mental health coordinators completed surveys about school resources and policies for addressing student emotional problems. Adolescents and parents completed the Composite International Diagnostic Interview and reported mental health service use across multiple sectors. Multilevel multivariate regression was used to examine associations of school mental health resources and individual-level service use. Results: Nearly half (45.3%) of adolescents with a 12-month DSM-IV disorder received past-year mental health services. Substantial variation existed in school resources. Increased school engagement in early identification was significantly associated with mental health service use for adolescents with mild/moderate mental and behavior disorders. The ratio of students to mental health providers was not associated with overall service use, but was associated with sector of service use. Conclusions: School mental health resources, particularly those related to early identification, may facilitate mental health service use and may influence sector of service use for youths with DSM disorders. J. Am. Acad. Child Adolesc. Psychiatry, 2013;52(5):501-510.