Youth mental health first aid: a description of the program and an initial evaluation.

Youth mental health first aid: a description of the program and an initial evaluation.
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DOI:
10.1186/1752-4458-5-4
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发表时间:
2011-01-27
影响因子:
3.6
通讯作者:
Scanlan C
Scanlan C
中科院分区:
医学3区
文献类型:
--
作者:
Kelly CM;Mithen JM;Fischer JA;Kitchener BA;Jorm AF;Lowe A;Scanlan C

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青春期是精神疾病发病的高峰年龄,一半患有精神疾病的人在 18 岁之前经历第一次发作。精神疾病的早期发作是未来发作的重要预测因素。然而,与整体人口相比,青少年和年轻人寻求或接受精神疾病治疗的可能性较小。青少年生活中成年人的知识和态度可能会影响是否寻求帮助以及寻求帮助的速度。 2007年,澳大利亚启动了青少年心理健康急救计划,旨在向与青少年一起工作或照顾青少年的成年人传授识别精神疾病早期迹象所需的技能,识别潜在的心理健康相关危机,并帮助青少年尽早获得所需的帮助。本文提供了该计划的描述、一些初步评估以及未来方向的概述。该计划以两种方式进行评估。第一项是对 246 名澳大利亚成年公众进行的非对照试验,他们在参加 14 小时课程之前、一个月后和六个月后填写了问卷。结果测量是: 认识到精神分裂症或抑郁症;提供援助的意愿和提供援助的信心;污蔑态度;有关青少年心理健康问题以及心理健康急救行动计划的知识。第二种评估方法是跟踪该计划的采用情况,包括在澳大利亚各地接受培训以讲授该课程的讲师人数、他们讲授的课程数量以及 YMHFA 计划在其他国家/地区的采用情况。这项非对照试验发现了以下方面的改进:对精神分裂症的认识;提供帮助的信心;污蔑态度;有关青少年心理健康问题的知识以及心理健康急救行动计划的应用。大多数结果在随访时得到维持。在该项目的前 3 年里,共有 318 名讲师接受了课程授课培训,这些讲师已为澳大利亚各州和地区的 10,686 人授课。该计划还推广到加拿大、新加坡和英国,并将在不久的将来推广到香港、瑞典和中国。初步评估表明,青少年心理健康急救课程提高了参与者的知识、态度和帮助行为。该计划已在国内和国际上成功推广。 ACTRN12609000033246
Adolescence is the peak age of onset for mental illness, with half of all people who will ever have a mental illness experiencing their first episode prior to 18 years of age. Early onset of mental illness is a significant predictor for future episodes. However, adolescents and young adults are less likely than the population as a whole to either seek or receive treatment for a mental illness. The knowledge and attitudes of the adults in an adolescent's life may affect whether or not help is sought, and how quickly. In 2007, the Youth Mental Health First Aid Program was launched in Australia with the aim to teach adults, who work with or care for adolescents, the skills needed to recognise the early signs of mental illness, identify potential mental health-related crises, and assist adolescents to get the help they need as early as possible. This paper provides a description of the program, some initial evaluation and an outline of future directions. The program was evaluated in two ways. The first was an uncontrolled trial with 246 adult members of the Australian public, who completed questionnaires immediately before attending the 14 hour course, one month later and six months later. Outcome measures were: recognition of schizophrenia or depression; intention to offer and confidence in offering assistance; stigmatising attitudes; knowledge about adolescent mental health problems and also about the Mental Health First Aid action plan. The second method of evaluation was to track the uptake of the program, including the number of instructors trained across Australia to deliver the course, the number of courses they delivered, and the uptake of the YMHFA Program in other countries. The uncontrolled trial found improvements in: recognition of schizophrenia; confidence in offering help; stigmatising attitudes; knowledge about adolescent mental health problems and application of the Mental Health First Aid action plan. Most results were maintained at follow-up. Over the first 3 years of this program, a total of 318 instructors were trained to deliver the course and these instructors have delivered courses to 10,686 people across all states and territories in Australia. The program has also spread to Canada, Singapore and England, and will spread to Hong Kong, Sweden and China in the near future. Initial evaluation suggests that the Youth Mental Health First Aid course improves participants' knowledge, attitudes and helping behaviour. The program has spread successfully both nationally and internationally. ACTRN12609000033246
DOI: 10.1111/j.1751-7893.2007.00056.x
发表时间: 2008-02-01
影响因子: 2
作者:
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DOI: 10.1192/bjp.bp.107.039404
发表时间: 2008-02-01
影响因子: 10.5
作者:
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DOI: 10.1186/1471-244x-10-51
发表时间: 2010-06-24
期刊: BMC psychiatry
影响因子: 4.4
作者:
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通讯作者: Cvetkovski S
DOI: 10.1016/j.jad.2007.05.004
发表时间: 2008-01-01
影响因子: 6.6
作者:
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通讯作者: Kitchener, Betty A.
DOI: 10.1186/1471-244x-10-49
发表时间: 2010-06-21
期刊: BMC PSYCHIATRY
影响因子: 4.4
作者:
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通讯作者: Kitchener, Betty A.