Parent Burden in Accessing Outpatient Psychiatric Services for Adolescent Depression in a Large State System.

Parent Burden in Accessing Outpatient Psychiatric Services for Adolescent Depression in a Large State System.
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DOI:
10.1176/appi.ps.201600111
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发表时间:
2017-04-01
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Horwitz SM
Horwitz SM
中科院分区:
其他
文献类型:
--
作者:
Gallo KP;Olin SS;Storfer-Isser A;O'Connor BC;Whitmyre ED;Hoagwood KE;Horwitz SM

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探讨在一个大型国家系统中,青少年抑郁症患者的父母寻求门诊精神病治疗所面临的障碍。在纽约,264家有执照治疗青少年的门诊机构采用神秘顾客方法进行了联系。打电话的人跟踪了在看精神病医生之前的电话尝试次数、亲自预约和其他步骤。只有不到三分之二的父母能够预约精神科、治疗或入院。19%无法预约的人没有得到转介。大多数呼叫者在开始计划之前至少进行了2次呼叫尝试,并与至少两个人交谈。几乎所有的诊所都要求在精神病学预约之前进行摄入和/或治疗预约。父母的负担水平没有不同的地区,城市,诊所类型,季节性(春季或夏季)或保险状态。有心理健康需求的青年家庭在及时获得治疗方面面临相当大的负担。
To examine barriers facing parents of adolescents with depression seeking outpatient psychiatric care in a large state system. 264 outpatient facilities licensed to treat youths in New York were contacted using a mystery shopper methodology. Callers tracked the number of call attempts, in-person appointments and other steps required prior to seeing a psychiatrist. Fewer than two thirds of parents were able to make a psychiatry, therapy, or intake appointment. 19% of those who could not make an appointment received no referrals. Most callers made at least 2 call attempts and spoke with at least two people before initiating scheduling. Virtually all clinics required intake and/or therapy appointment(s) before a psychiatry appointment. The level of parental burden did not differ by region, urbanicity, clinic type, seasonality (Spring or Summer) or insurance status. Families of youth with mental health needs face considerable burden in accessing treatments in a timely manner.
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