A Digital Platform Designed for Youth Mental Health Services to Deliver Personalized and Measurement-Based Care
A Digital Platform Designed for Youth Mental Health Services to Deliver Personalized and Measurement-Based Care
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DOI：
10.3389/fpsyt.2019.00595
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发表时间：
2019-08-23
影响因子：
4.7
通讯作者：
Hickie, Ian B.
中科院分区：
文献类型：
--
作者：
Iorfino, Frank;Cross, Shane P.;Hickie, Ian B.
精神障碍通常出现在青春期和青壮年，与巨大的直接负担和风险有关，并可能导致终生发病率和过早死亡。虽然发展以青年为重点并将早期干预作为优先事项的保健服务是向前迈出的关键一步，但一个持续的挑战是症状特征和疾病轨迹的不同性质。因此，往往很难大规模地提供高质量的精神卫生保健，以满足年轻人广泛的健康、社会和功能需求。在这里，我们描述了一个新的数字平台，旨在提供个性化和基于测量的护理。它为保健服务和临床医生提供了直接满足年轻人多层面需求的工具。“个性化”一词描述了这样一种概念，即对精神障碍的评估和干预顺序是为年轻人量身定做的--以及他们随时间变化的需求，而“基于测量”是指在整个临床护理过程中对年轻人的结果进行系统和持续的评估。总之，这些概念支持一个框架，超越了狭隘地关注减少症状或降低风险的护理框架。相反，它优先将更广泛的重点放在提高年轻人的社会、健康和身体成果上，并承诺在这一关键的发展阶段跟踪这些成果。现在，有了21世纪的技术，就有可能用提供高质量精神卫生保健所需的工具来提供卫生服务。
Mental disorders that commonly emerge during adolescence and young adulthood are associated with substantial immediate burden and risks, as well as potentially imparting lifetime morbidity and premature mortality. While the development of health services that are youth focused and prioritize early intervention has been a critical step forward, an ongoing challenge is the heterogeneous nature of symptom profiles and illness trajectories. Consequently, it is often difficult to provide quality mental health care, at scale, that addresses the broad range of health, social, and functional needs of young people. Here, we describe a new digital platform designed to deliver personalized and measurement-based care. It provides health services and clinicians with the tools to directly address the multidimensional needs of young people. The term "personalized" describes the notion that the assessment of, and the sequence of interventions for, mental disorders are tailored to the young person-and their changing needs over time, while "measurement-based" describes the use of systematic and continuing assessment of a young person's outcomes over the entire course of clinical care. Together, these concepts support a framework for care that transcends a narrow focus on symptom reduction or risk reduction. Instead, it prioritizes a broader focus on enhancing social, health, and physical outcomes for young people and a commitment to tracking these outcomes throughout this key developmental period. Now, with twenty-first century technologies, it is possible to provide health services with the tools needed to deliver quality mental health care.