Editorial Perspective: Reaching beyond the clinic: leveraging implementation science to improve access to child and adolescent mental health services.

Editorial Perspective: Reaching beyond the clinic: leveraging implementation science to improve access to child and adolescent mental health services.
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编辑观点:超越临床:利用实施科学改善儿童和青少年心理健康服务的获取。

DOI:
10.1111/jcpp.13017
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发表时间:
2019
期刊:
Journal of child psychology and psychiatry, and allied disciplines
影响因子:
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通讯作者:
Wainberg,Milton
Wainberg,Milton
中科院分区:
--
文献类型:
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作者:
Scorza,Pamela;Duarte,Cristiane;Lovero,Kathryn;Carlson,Catherine;Mootz,Jennifer;Johnson,Karen;Wainberg,Milton

文献摘要

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世界范围内儿童和青少年的精神卫生治疗差距要求开展实施科学研究,以帮助将基于证据的干预措施付诸实践。鉴于高收入国家和低收入及中等收入国家几乎缺乏专门针对儿童和青少年心理健康的服务,我们建议将儿童和青少年心理健康的实施研究扩展到精神卫生诊所和初级保健机构之外,并将重点放在实施、采用和维持由非专业卫生工作者跨部门提供的从预防到治疗的综合干预措施上。我们通过选定的例子描述了这项研究在实践中的样子,突出了针对儿童和青少年的实施研究中的差距,并为未来的研究提出建议。以儿童和青少年为重点的心理健康研究,在实施框架的指导下,可以产生有效的解决办法,增进全世界儿童的福祉。
The mental health treatment gap for children and adolescents worldwide calls for implementation science research to help bring evidence-based interventions into practice. Given the near absence of services specific to child and adolescent mental health in both high-income and low- and middle-income countries, we recommend that implementation research for child and adolescent mental health extend beyond mental health clinics and primary care settings and focus on implementing, adopting, and sustaining integrated interventions from prevention to treatment, delivered by lay health workers, across sectors. We depict through selected examples what this research looks like in practice, highlight gaps in implementation research specific to children and adolescents, and make recommendations for future research. Child and adolescent focused mental health research informed by an implementation framework can generate effective solutions and increase the well-being of children worldwide.