Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK.
Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK.
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DOI：
10.1192/bjp.bp.112.119214
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发表时间：
2013-01-01
期刊：
影响因子：
--
通讯作者：
Birchwood, Max
中科院分区：
文献类型：
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作者：
McGorry, Patrick;Bates, Tony;Birchwood, Max
尽管有证据表明，12-25岁的年轻人在一生中精神疾病的发病率和患病率最高，并且承担着不成比例的与精神障碍相关的疾病负担，但他们获得精神卫生服务的机会是所有年龄组中最差的。造成这种机会不足的一个主要因素是我们目前的精神卫生保健系统的设计，这显然不足以满足年轻人独特的发展和文化需求。如果我们要减少精神障碍对这一最弱势群体的影响，就必须进行转型变革和服务重新设计。在这里，我们介绍了来自澳大利亚、爱尔兰和英国的三个最近且快速发展的服务结构，它们各自在各自的医疗保健环境中工作，以重新定位现有服务，以提供针对青少年的、基于证据的心理保健，使年轻人能够获得和接受。
Despite the evidence showing that young people aged 12-25 years have the highest incidence and prevalence of mental illness across the lifespan, and bear a disproportionate share of the burden of disease associated with mental disorder, their access to mental health services is the poorest of all age groups. A major factor contributing to this poor access is the current design of our mental healthcare system, which is manifestly inadequate for the unique developmental and cultural needs of our young people. If we are to reduce the impact of mental disorder on this most vulnerable population group, transformational change and service redesign is necessary. Here, we present three recent and rapidly evolving service structures from Australia, Ireland and the UK that have each worked within their respective healthcare contexts to reorient existing services to provide youth-specific, evidence-based mental healthcare that is both accessible and acceptable to young people.