Impacts of COVID-19 on Mental Health Safety Net Services for Youths: A National Survey of Agency Officials.
Impacts of COVID-19 on Mental Health Safety Net Services for Youths: A National Survey of Agency Officials.
复制标题
COVID-19对青年人心理健康安全网服务的影响：全国对代理官员的调查。
DOI：
10.1176/appi.ps.202100176
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发表时间：
2022-04-01
期刊：
影响因子：
--
通讯作者：
Hoagwood KE
中科院分区：
文献类型：
--
作者：
Purtle J;Nelson KL;Horwitz SM;Palinkas LA;McKay MM;Hoagwood KE
心理健康机构为年轻人提供重要的安全网服务。先前并无研究评估COVID-19大流行对这些机构提供的服务或他们所服务的青少年的影响。这项研究试图描述精神卫生机构官员对流行病对青年的影响以及在流行病期间提供青年服务的挑战的看法，并研究这些挑战和影响之间的联系。来自46个州的159名州/县精神卫生机构官员于2020年9月至10月完成了调查。受访者对COVID-19大流行对青少年心理健康问题、一般服务挑战和远程精神病学服务挑战的影响进行了7分制评分，涵盖患者、提供者和融资领域。多元线性回归模型估计服务挑战（自变量）和流行病影响（因变量）之间的关联。大多数机构官员认为COVID-19大流行对社会弱势青年的心理健康产生了不成比例的负面影响（72%严重影响，平均值= 5.85）。只有15%的人认为这一流行病对接受所需的青年服务产生了严重的负面影响（平均值= 4.29）。严重的服务挑战与青少年缺乏可靠的远程精神病学服务设备/互联网（60%严重挑战，平均值= 5.47）和无法远程提供某些服务（42%严重挑战，平均值= 4.72）有关。在回归模型中，无法远程提供某些服务与六分之四的大流行影响显著相关（p≤ .01）。精神卫生机构官员认为，COVID-19大流行加剧了青少年心理健康的差距，但并没有显著影响所需服务的接受。然而，存在一些具体的服务挑战。
Mental health agencies provide critical safety net services for youths. No prior research has assessed the impacts of the COVID-19 pandemic on services these agencies provide or the youths they serve. This study sought to characterize mental health agency officials’ perceptions of the impacts of the pandemic on youths and challenges to providing youth services during the pandemic, and to examine associations between these challenges and impacts. Surveys were completed by 159 state/county mental health agency officials from 46 states in September-October 2020. Respondents rated the impact of the COVID-19 pandemic on youth mental health issues, general service challenges, and tele-psychiatry service challenges across patient, provider, financing domains on 7-point scales. Multiple linear regression models estimated associations between service challenges (independent variables) and pandemic impacts (dependent variables). Most agency officials perceived the COVID-19 pandemic as having disproportionately negative mental health impacts on socially disadvantaged youths (72% serious impact, mean= 5.85). Only 15% perceived the pandemic as having seriously negative impacts on receipt of needed youth services (mean= 4.29). Serious service challenges related to youths lacking reliable equipment/internet for tele-psychiatry services (60% serious challenge, mean= 5.47) and the inability to provide some services remotely (42% serious challenge, mean= 4.72). In regression models, the inability to provide some services remotely was significantly (p≤ .01) associated with four-of-six pandemic impacts. Mental health agency officials perceive the COVID-19 pandemic as exacerbating youth mental health disparities, but not dramatically impacting the receipt of needed services. However, some specific service challenges exist.
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影响因子：
3.8
作者：
Pinals, Debra A.;Hepburn, Brian;Stephenson, Arlene H.
通讯作者：
Stephenson, Arlene H.
影响因子：
16.4
作者：
Rosen, Craig S.;Morland, Leslie A.;Schnurr, Paula P.
通讯作者：
Schnurr, Paula P.
影响因子：
8
作者：
Patrick, Stephen W.;Henkhaus, Laura E.;Davis, Matthew M.
通讯作者：
Davis, Matthew M.
影响因子：
13.8
作者：
Krass P;Dalton E;Doupnik SK;Esposito J
通讯作者：
Esposito J
影响因子：
13.8
作者：
Raviv T;Warren CM;Washburn JJ;Kanaley MK;Eihentale L;Goldenthal HJ;Russo J;Martin CP;Lombard LS;Tully J;Fox K;Gupta R
通讯作者：
Gupta R