Teen Mental Health Project

青少年心理健康项目

• 批准号: 8053206
• 负责人: ARDIS L OLSON
• 金额: $ 146.17万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2013-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8053206
• 关键词: Teen; Mental; Health; Project

DESCRIPTION (provided by applicant): Adolescence is a time when mental health issues are common. Half of all lifetime mental health disorders emerge by age 14. Despite the majority of adolescents being seen every year in primary care, only a third of depressed teens are identified in the usual health visit without use of a screening tool. One in every twelve teens in rural New England at health visits screen at risk for depression or suicide. Evidence exists that a collaborative care system where teens are screened for depression, providers receive training and supports to assess teens, and office staff are trained to provide follow up and referral will lead to better outcomes. The US Preventive Services Task Force recommends this approach. However, most clinicians, especially in small rural practices, find it overwhelming to change usual care and lack resources to establish enhanced office care linked to mental health services. Linking clinicians through the practice research network has provided regional practices with the support to implement innovative changes to enhance patient care. Through AHRQ support the Dartmouth COOP Project and CECH Practice-Based Research Networks (PBRNs) will partner with Dartmouth Hitchcock and regional mental health key stakeholders to establish the structure to train clinicians and their office staff, enhance mental health counseling options, provide clinicians with adolescent psychiatric input, and support office changes to respond to teen depression. The Dartmouth COOP Project will provide the tools and staff to assist practices in quality improvement with the office and form an ongoing group of practices and stakeholders to sustain improvements in the delivery of primary care adolescent mental health services. PUBLIC HEALTH RELEVANCE: The proposed Teen Mental Health program addresses a major public health issue affecting youth. By ages 19-20 twenty-three percent (23%) of youth have had an episode of depression and suicide is nationally the 3rd leading cause of death for 15-24 year olds. Enhanced primary care screening and management can play an important role in prevention and early treatment.

描述（由申请人提供）： 青春期是心理健康问题普遍存在的时期。一半的终生精神健康障碍是在 14 岁时出现的。尽管每年都会在初级保健机构就诊大多数青少年，但只有三分之一的抑郁青少年在不使用筛查工具的情况下在常规健康就诊中被发现。在新英格兰农村地区，每十二名青少年中就有一人在接受健康检查时筛查出患有抑郁症或自杀的风险。有证据表明，在协作护理系统中，对青少年进行抑郁症筛查，提供者接受培训和支持以评估青少年，办公室工作人员接受培训以提供跟进和转介，这将带来更好的结果。美国预防服务工作组推荐这种方法。然而，大多数临床医生，尤其是小型农村诊所的临床医生，发现改变常规护理势不可挡，并且缺乏资源来建立与精神卫生服务相关的强化办公室护理。通过实践研究网络将临床医生联系起来，为区域实践提供了支持，以实施创新变革，以加强患者护理。 通过 AHRQ 的支持，达特茅斯 COOP 项目和 CECH 基于实践的研究网络 (PBRN) 将与达特茅斯希区柯克和地区心理健康主要利益相关者合作，建立培训临床医生及其办公室工作人员的结构，增强心理健康咨询选择，为临床医生提供青少年精神病学投入，并支持办公室变革以应对青少年抑郁症。达特茅斯 COOP 项目将提供工具和人员，协助办公室提高实践质量，并形成一个持续的实践和利益相关者小组，以持续改进初级保健青少年心理健康服务的提供。 公共卫生相关性： 拟议的青少年心理健康计划解决了影响青少年的重大公共卫生问题。 19-20 岁之间，百分之二十三 (23%) 的青少年曾患过抑郁症，而自杀是全国 15-24 岁青少年的第三大死因。加强初级保健筛查和管理可以在预防和早期治疗中发挥重要作用。