Evidence Base Update for Brief, Free, and Accessible Youth Mental Health Measures
Evidence Base Update for Brief, Free, and Accessible Youth Mental Health Measures
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DOI：
10.1080/15374416.2019.1689824
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发表时间：
2019-12-13
影响因子：
4.2
通讯作者：
Beidas, Rinad S.
中科院分区：
文献类型：
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作者：
Becker-Haimes, Emily M.;Tabachnick, Alexandra R.;Beidas, Rinad S.
循证评估（EBA）是为青年提供高质量精神卫生保健的基础，也是循证实践的重要组成部分，但在社区中未得到充分利用。管理时间和措施成本是使用的障碍;因此，确定和传播简短，免费和可访问的措施是至关重要的。这一证据基础更新评估了经验文献，以获得简短，免费和可访问的措施，并提供心理测量支持，为青年研究和实践提供信息。一项使用PubMed和PsycINFO的系统性综述确定了以下领域的指标：整体心理健康、焦虑、抑郁、破坏性行为、创伤性应激、饮食失调、自杀、双相/躁狂、精神病和物质使用。要符合纳入条件，措施必须简短（50项或更少）、免费、可获得，并有心理测量支持用于青年。使用De洛斯雷耶斯和Langer（2018）建立的适应性标准对合格的测量进行评估，并将其分类为具有优秀、良好或足够的心理测量特性。共确定了672项措施; 95项（14%）符合纳入标准。其中，21例（22%）为“优秀”，34例（36%）为“良好”，40例（42%）为“适当”。“很少有措施支持他们的使用，以定期监测治疗的进展。少数具有良好心理测量支持的措施被确定为饮食失调，自杀，精神病和物质使用。未来的研究应评估现有的措施，用于常规进展监测和社区环境中的实施容易。需要为饮食失调，自杀，精神病和物质使用制定措施，以增加简短，免费，可访问和有效的措施的可用性。
Evidence-based assessment (EBA) is foundational to high-quality mental health care for youth and is a critical component of evidence-based practice delivery, yet is underused in the community. Administration time and measure cost are barriers to use; thus, identifying and disseminating brief, free, and accessible measures are critical. This Evidence Base Update evaluates the empirical literature for brief, free, and accessible measures with psychometric support to inform research and practice with youth. A systematic review using PubMed and PsycINFO identified measures in the following domains: overall mental health, anxiety, depression, disruptive behavior, traumatic stress, disordered eating, suicidality, bipolar/mania, psychosis, and substance use. To be eligible for inclusion, measures needed to be brief (50 items or less), free, accessible, and have psychometric support for their use with youth. Eligible measures were evaluated using adapted criteria established by De Los Reyes and Langer (2018) and were classified as having excellent, good, or adequate psychometric properties. A total of 672 measures were identified; 95 (14%) met inclusion criteria. Of those, 21 (22%) were "excellent," 34 (36%) were "good," and 40 (42%) were "adequate." Few measures had support for their use to routinely monitor progress in therapy. Few measures with excellent psychometric support were identified for disordered eating, suicidality, psychosis, and substance use. Future research should evaluate existing measures for use with routine progress monitoring and ease of implementation in community settings. Measure development is needed for disordered eating, suicidality, psychosis, and substance use to increase availability of brief, free, accessible, and validated measures.