Establishing ongoing, early identification programs for mental health problems in our schools: A feasibility study
Establishing ongoing, early identification programs for mental health problems in our schools: A feasibility study
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DOI：
10.1097/chi.0b013e318160c5b1
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发表时间：
2008-03-01
影响因子：
13.3
通讯作者：
Jensen, Peter S.
中科院分区：
文献类型：
--
作者：
Nemeroff, Robin;Levitt, Jessica Mass;Jensen, Peter S.
目的：探讨在学校建立持续、早期识别心理健康问题服务的可行性。方法：对41名初高中心理咨询师和其他心理健康专业人员（N= 23）进行为期11/2学年的循证心理健康评估工具儿童语音诊断访谈表（DISC-IV）的使用培训和监督。结果：在研究期间，530名学生被选中进行DISC评估，其中72%被确认有心理健康问题的风险（DISC+）。在DISC+病例中，71%以前从未接受过治疗。DISC发现的最常见的问题是与自杀（28%）、社交恐惧症（20%）、注意力缺陷/多动障碍（19%）和对立违抗性障碍（19%）相关的症状。根据学校的建议，82%有DISC+孩子的家长同意预约进行后续评估。在父母同意寻求进一步评估的DISC+儿童中，65%的儿童在2周内由健康或心理健康专业人员进行了评估。结论：使用计算机化的、基于证据的心理健康评估工具是在学校提供早期心理健康识别服务的一种可行策略，可以帮助弥合心理健康提供者与社区中存在心理健康问题风险的儿童未满足需求之间的差距。
Objective: To investigate the feasibility of establishing ongoing, early identification services for mental health problems in school settings. Method: School counselors and other mental health professionals (N = 41) in middle, junior, and high schools (N= 23) were given training and supervision in the administration of an evidence-based mental health assessment tool, the Voice Diagnostic Interview Schedule for Children IV (DISC-IV), over the course of 11/2 school years. Results: During the study, 530 students were selected to be assessed with the DISC, and 72% were confirmed to be at risk for a mental health problem (DISC+). Among DISC+ cases, 71% had never been in treatment before. The most common problems identified by the DISC were symptoms related to suicide (28%), social phobia (20%), aftention-deficit/hyperactivity disorder (19%), and oppositional defiant disorder (19%). Based on schools' recommendations, 82% of parents with DISC+ children agreed to make an appointment for a follow-up evaluation. Of DISC+ children whose parents agreed to seek further evaluation, 65% of them were evaluated by a health or mental health professional within 2 weeks. Conclusions: Use of a computerized, evidence-based mental health assessment tool is a feasible strategy for providing early mental health identification services in schools and can help to bridge the gap between mental health providers and the unmet needs of children who are at risk for mental health problems within the community.