Treatment retention among children entering a new episode of mental health care
Treatment retention among children entering a new episode of mental health care
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DOI：
10.1176/appi.ps.55.9.1022
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发表时间：
2004-09-01
影响因子：
3.8
通讯作者：
Rosenheck, RA
中科院分区：
文献类型：
--
作者：
Harpaz-Rotem, I;Leslie, D;Rosenheck, RA
目的：本研究调查了正在接受治疗的拥有私人保险的儿童和青少年对心理健康服务的使用情况。通过年龄、性别、诊断、最近的精神病住院治疗和保险类型来检查服务使用的差异。还检查了接受心理健康专业人员治疗的儿童和接受初级保健医生治疗的儿童之间的差异。方法：样本取自大型数据库，包含 11,659 名心理健康服务新用户。服务使用的定义是儿童接受治疗的总天数和记录的心理健康接触总数。结果：六个月内的总体平均访问次数为 3.9 次。平均治疗时间为75.36天。接受心理健康专家治疗的儿童放弃治疗的可能性较小，而且就诊次数较多。疾病严重程度、精神科住院治疗和管理式医疗保险覆盖范围也与较低的辍学风险和较高的护理强度相关。结论：儿童获得服务并不能保证持续参与治疗。为了更全面地解决儿童使用服务的性质，需要仔细研究继续参与服务的具体障碍。
Objective: This study examined use of mental health services among children and adolescents with private insurance who were entering treatment. Variations in service use were examined by age, gender, diagnosis, recent psychiatric hospitalization, and type of insurance. Differences between children who received treatment from mental health professionals and those who were treated by primary care physicians were also examined. Methods: Drawn from a large database, the sample comprised 11,659 new users of mental health services. Service use was defined as the total number of days children were retained in treatment and the total number of mental health contacts recorded. Results: The overall mean number of visits within a six-month period was 3.9. The average duration of treatment was 75.36 days. Children who were treated by a mental health specialist were less likely to drop out of treatment and had a larger number of visits. Severity of illness, psychiatric hospitalization, and managed care insurance coverage were also associated with lower risk of dropout and greater intensity of care. Conclusions: Children's access to services does not guarantee sustained involvement in treatment. To more fully address the nature of service use among children, a closer look at specific barriers to continued involvement in services is needed.