Within-state availability of transition-to-adulthood services for youths with serious mental health conditions
Within-state availability of transition-to-adulthood services for youths with serious mental health conditions
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DOI：
10.1176/appi.ps.57.11.1594
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发表时间：
2006-11-01
影响因子：
3.8
通讯作者：
Hunt, Bethany
中科院分区：
文献类型：
--
作者：
Davis, Maryann;Geller, Jeffrey L.;Hunt, Bethany
目的：这项研究描述了州立儿童和成人精神卫生系统中支持从青春期向成年期过渡的服务的存在和性质。方法：对除一个州外所有州的州儿童和成人心理卫生管理者进行电话访谈，采用半结构问卷调查其心理卫生系统的过渡性服务，如支持性住房、职业支持、独立生活准备和双重诊断治疗。8个州被认为足够分散，使州一级的行政报告无效。对其余41个州和哥伦比亚特区的具体服务数据进行了描述性统计分析。结果：四分之一的儿童状态心理健康系统和一半的成人状态心理健康系统不提供过渡性服务，很少在一个以上的地点提供任何类型的过渡性服务。大多数类型的过渡服务在不到20%的州都可以使用。结论：全美缺乏过渡支持服务。成人系统尤其需要进行重大改革，以提供所需的服务能力，以满足有严重精神健康问题的年轻美国人获得过渡服务的现行标准。
Objective: This study describes the existence and nature of services within state child and adult mental health systems that support the transition from adolescence to adulthood. Methods: State child and adult mental health administrators from all but one state were interviewed by telephone with a semistructured questionnaire regarding transition services in their state mental health system, such as supported housing, vocational support, preparation for independent living, and dual diagnosis treatment. Eight states were deemed sufficiently decentralized to render state-level administrator reports invalid. Specific service data from the remaining 41 states and the District of Columbia were analyzed with descriptive statistics. Results: One-quarter of child state mental health systems and one-half of adult state mental health systems offered no transition services, and few provided any kind of transition service at more than one site. Most types of transition services were available at all in less than 20 percent of the states. Conclusions: Across the United States transition support services are lacking. The adult system in particular will require major transformation to provide the service capacity that is needed to meet the current standards of transition service accessibility for young Americans with serious mental health conditions.