Integrated (one-stop shop) youth health care: best available evidence and future directions
Integrated (one-stop shop) youth health care: best available evidence and future directions
复制标题
DOI：
10.5694/mja17.00694
复制
发表时间：
2017-11-20
影响因子：
11.4
通讯作者：
McGorry, Patrick D.
中科院分区：
文献类型：
--
作者：
Hetrick, Sarah E.;Bailey, Alan P.;McGorry, Patrick D.
虽然心理健康问题是青年人最大的疾病负担，但这一群体获得心理保健的机会很少。综合青少年保健服务是一种创新的解决办法，它将身体健康、精神健康和社会保健服务结合在一起，最好是在一个地点，以便青少年以协调的方式获得全面的保健。通过对现有文献的回顾，确定了一系列报告综合护理服务评估研究结果的研究。现有最佳数据表明，许多可能没有寻求帮助的年轻人正在获得这些精神卫生服务，并且大多数人在症状和功能恢复方面都有希望。青少年对这些服务感到非常满意，但有些青少年，例如症状较严重的青少年和接受治疗次数较少的青少年，未能受惠，这表明需要进一步整合更多的专科护理。目前正在努力阐明综合护理服务的标准和核心特征，并进一步评估成果。这将指导目前正在制定的提供服务的最佳做法模式。
Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution.Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways.A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services.The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery.Where evaluated, young people report having benefited from and being highly satisfied with these services.Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care.Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.