Predicting Child-to-Adult Community Mental Health Service Continuation
Predicting Child-to-Adult Community Mental Health Service Continuation
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DOI：
10.1007/s11414-020-09690-9
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发表时间：
2020-02-19
影响因子：
1.9
通讯作者：
Baker, James
中科院分区：
文献类型：
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作者：
Cohen, Deborah A.;Klodnick, Vanessa V.;Baker, James
在向成年过渡期间（大约16-25岁），严重精神健康状况的患病率和发病率达到高峰。当年轻人不再有资格获得儿童心理健康服务时，中断护理的风险很高。本研究使用州行政数据来检查德克萨斯州儿童系统服务中老年人的服务延续（N = 3135）。大多数（63.5%）在18岁生日之后没有参加成人服务。二元逻辑回归分析发现，儿童到成人继续服务的显著预测因素包括：(1)严重的初级心理健康诊断（即精神分裂症、双相情感障碍、重度抑郁症），(2)对自己和他人的风险，以及(3)上一年接受过的心理健康服务数量。这些发现表明，历史上的心理健康政策和做法可能导致德克萨斯州18岁时的服务中断。讨论了对地方和全国精神卫生政策和制度改革的影响。
Serious mental health conditions peak in prevalence and incidence during the transition to adulthood (approximately ages 16-25). Young adults are at high risk for discontinuation of care when no longer eligible for child mental health services. This study uses state administrative data to examine service continuation among those aging out of child system services in Texas (N = 3135). Most (63.5%) did not enroll in adult services following their 18th birthday. Binary logistic regression analyses found that significant predictors of child-to-adult service continuation included (1) a serious primary mental health diagnosis (i.e., schizophrenia, bipolar disorder, major depressive disorder), (2) risks to self and others, and (3) number of prior-year mental health services received. These findings suggest that historical mental health policies and practices may contribute to service disconnection at age 18 in Texas. Implications for mental health policy and system reform locally and nationally are discussed.