解决青少年拘留中的心理健康干预缺口:试点研究
Jennifer E Duchschere1, Samantha J Reznik1, Caroline E Shanholtz1
1The University of Arizona.
Evidence-based practice in child and adolescent mental health
|August 28, 2023
概括
在少年监狱的青少年中,精神健康障碍的发生率很高,但服务获取率很低. 接受和承诺疗法 (ACT) 的干预表明,它有望减少这种服务不足的群体的症状和改善福祉.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 在少年监狱的青少年中,精神健康障碍的患病率较高 (60-70%) 与普通人口 (20%) 相比.
- 这些青少年在拘留期间经常经历恶化的症状,与教育成绩差和成人复发有关.
- 在少年司法系统中,有色人种的年轻人占比不成,加剧了健康不平等.
研究的目的:
- 为青少年拘留所的青少年试行基于接受和承诺疗法 (ACT) 的行为技能干预.
- 评估干预措施的可接受性,可行性和对心理健康症状和ACT特定构造的影响.
主要方法:
- 一项试点研究涉及128名在少年监狱的男青少年 (年龄14-17岁).
- 参与者接受了基于ACT的行为技能干预.
- 收集的数据涉及干预的可接受性,可行性,忠实性和心理健康症状的变化,体验性回避,认知融合和感知障碍.
主要成果:
- 发现ACT干预是可以接受的,可行的,并且可以在少年拘留机构中忠实地实施.
- 干预参与者显示精神健康症状显著下降.
- 参与者还表现出经验回避,认知融合和追求价值观的感知障碍的减少.
结论:
- 基于ACT的干预是一种可行和有效的方法,可以改善司法涉及青少年的心理健康.
- 这种干预有可能打破青少年心理健康护理中的系统性不平等.
- 需要进一步的研究,包括随机对照试验,以证实这些发现.
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