Pathways into and through mental health services for children and adolescents
Pathways into and through mental health services for children and adolescents
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DOI：
10.1176/appi.ps.54.1.60
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发表时间：
2003-01-01
影响因子：
3.8
通讯作者：
Costello, EJ
中科院分区：
文献类型：
--
作者：
Farmer, EMZ;Burns, BJ;Costello, EJ
目的：本研究探讨了进入儿童和青少年心理健康服务系统的切入点，以及通过五个服务部门的运动模式：专业心理健康服务，教育，普通医学，少年司法和儿童福利。研究方法：这些数据来自大烟山研究，这是一项关于青少年心理健康问题和服务使用的纵向流行病学研究。样本由1，420名进入研究时年龄为9岁、11岁或13岁的青少年组成。在三年的研究期间，每一位青少年和一位家长在基线和此后每年接受采访，了解他们使用心理健康问题服务的情况。结果：人口估计表明，54%的年轻人在一生中的某个时候使用过心理健康服务。教育部门是所有年龄组最常见的进入点和服务提供者。专业精神卫生部门是13岁以下青少年的第二个最常见的进入点，少年司法是14至16岁青少年的第二个最常见的进入点。通过专业精神卫生部门进入精神卫生系统的青年最有可能随后接受其他部门的服务，而通过教育部门进入的青年最不可能这样做。结论：教育部门作为进入精神卫生系统的切入点发挥着核心作用。三个主要部门教育、专业精神卫生服务和普通医学之间的机构间合作对于确保需要精神卫生保健的青少年获得适当的服务至关重要。
Objective: This study examined points of entry into the mental health service system for children and adolescents as well as patterns of movement through five service sectors: specialty mental health services, education, general medicine, juvenile justice, and child welfare. Methods: The data were from the Great Smoky Mountains Study, a longitudinal epidemiologic study of mental health problems and service use among youths. The sample consisted of 1,420 youths who were nine, 11, or 13 years old at study entry. Each youth and a parent were interviewed at baseline and every year thereafter about the use of services for mental health problems over the three-year study period. Results: Population estimates indicated that 54 percent of youths have used mental health services at some time during their lives. The education sector was the most common point of entry and provider of services across all age groups. The specialty mental health sector was the second most common point of entry for youths up to age 13 years, and juvenile justice was the second most common point of entry for youths between the ages of 14 and 16. Youths who entered the mental health system through the specialty mental health sector were the most likely to subsequently receive services from other sectors, and those who entered through the education sector were the least likely, to do so. Conclusions: The education sector plays a central role as a point of entry into the mental health system. Interagency collaboration among three primary sectors-education, specialty mental health services, and general medicine-is critical to ensuring that youths who are in need of mental health care receive appropriate services.