电子连接:将有自杀风险的缓刑青少年与行为健康服务联系起来
Katherine S Elkington1, Gail A Wasserman1, Margaret E Ryan2
1Department of Psychiatry, Columbia University.
Journal of consulting and clinical psychology
|June 1, 2023
概括
电子连接系统显著改善了与自杀思想和行为有关的司法涉及的年轻人的识别和转介到行为健康服务. 这种数字工具提高了治疗联系,即使是在COVID-19大流行期间.
科学领域:
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
- 青少年行为健康问题
背景情况:
- 参与司法系统 (YIJ) 的年轻人表现出更高的自杀思想和行为 (STB) 和行为健康 (BH) 问题.
- 与一般年轻人群相比,YIJ显示BH服务的使用率较低.
- 缓刑官在连接YIJ与必要的BH服务方面发挥着至关重要的作用.
研究的目的:
- 评估e-Connect,一个数字临床决策支持系统 (CDSS) 的有效性,以提高STB风险识别.
- 评估e-Connect对缓刑官推和链接到BH服务对YIJ的影响.
- 检查COVID-19期间公共机构服务提供中断对研究结果的影响.
主要方法:
- 利用来自1488名年轻人 (10-18岁) 的行政数据,将照顾照顾与e-Connect干预进行比较.
- 评估了查,识别STB和BH问题,转诊率和治疗开始的差异.
- 分析了涵盖COVID-19前后关闭期间的数据.
主要成果:
- 使用e-Connect的缓刑官员识别YIJ与STB的可能性超过5倍 (aOR = 5.86).
- 随着e-Connect的使用,BH服务的推率增加了11倍以上 (aOR = 11.04).
- 通过e-Connect推的年轻人开始治疗的可能性几乎是17倍 (aOR = 16.92),在COVID-19期间的结果一致.
结论:
- e-Connect是一个开创性的数字系统,利用CDSS技术进行STB查,转介和YIJ的服务链接.
- 该系统有效地支持缓刑官员将处于危险的年轻人与治疗联系起来.
- 这种CDSS方法有可能改善STB识别和服务链接在其他青年服务组织,如学校.
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