A trial of telephone services to increase adolescent utilization of health care for psychosocial problems.
A trial of telephone services to increase adolescent utilization of health care for psychosocial problems.
复制标题
一项电话服务试验，以增加青少年利用医疗保健来解决心理社会问题。
DOI：
10.1016/j.jadohealth.2009.04.003
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Kelleher,KellyJ
中科院分区：
文献类型：
--
作者：
Stevens,Jack;Klima,Jennifer;Chisolm,Deena;Kelleher,KellyJ
PURPOSEAdolescents identified in primary care clinics as experiencing psychosocial problems frequently do not receive recommended referral mental health care services. The purpose of the present study was to test whether a Telephone Support Services (TSS) intervention would increase subsequent healthcare utilization. Our TSS intervention featured a combination of case management and motivational interviewing.METHODOne hundred seventy-nine adolescents who screened positive for at least one of three psychosocial problems—depressive symptoms, suicidal ideation, or substance use—were randomly assigned to one of two study conditions. Eighty-nine participants were randomly assigned to TSS, and 90 participants were assigned to Enhanced Usual Care (UC+). Adolescents completed self-report interviews of medical and mental health utilization at 4 months. In addition, research staff queried our hospital's administrative data warehouse to obtain each participant's medical service and mental health service use at 6 months.RESULTSTSS did not increase subsequent utilization of either medical or mental health services for adolescents screening positive for psychosocial problems in a primary care clinic. This finding held true whether service utilization was assessed through self-report or administrative data.DISCUSSIONThe lack of experimental effect on healthcare utilization suggests that certain aspects of our TSS require modification in future work. On a positive note, given that each of the three TSS calls was completed by a strong majority of participants, TSS appears feasible and acceptable to adolescents with psychosocial problems.
