开发一个创新的儿科综合心理健康护理计划:跨学科团队的成功和挑战
Jason Schweitzer1,2, Anne Bird1,2, Hilary Bowers1,2,3
1Child and Adolescent Division, Department of Psychiatry, University of California, San Diego, La Jolla, CA, United States.
Frontiers in psychiatry
|December 4, 2023
概括
综合儿科精神卫生保健有效地减少了年轻人的焦虑和抑郁症状. 这种协作模式提高了获得及时,基于证据的治疗的机会,解决了儿童和青少年的关键需求.
科学领域:
- 儿科综合精神卫生保健服务
- 儿童和青少年心理健康服务
- 提供医疗保健的模式.
背景情况:
- 由于COVID-19大流行,结构性种族主义,获得医疗保健的不平等以及提供者短缺等因素,儿童和青少年心理健康已被宣布为国家紧急情况.
- 迫切需要为年轻人提供有效且易于获得的心理健康治疗.
- 由跨学科团队提供的儿科综合精神卫生保健已经证明了有效性,可访问性和成本效益.
研究的目的:
- 描述雷迪儿童医院-圣地亚哥初级保健精神健康整合 (PCMHI) 计划的开发和实施情况.
- 改善精神疾病的早期诊断,并提高儿童和青少年获得有效治疗的机会.
- 使用 RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架评估 PCMHI 计划.
主要方法:
- 一个涉及儿科诊所和社区组织的利益相关者参与过程告知了项目开发.
- 该PCMHI计划将护理团队整合到圣地亚哥和河县的10家初级保健诊所.
- 实施了基于测量的护理,以跟踪患者的进展和治疗反应.
主要成果:
- 在儿童患者中,PCMHI计划实现了44%的焦虑症状减少和62%的抑郁症状减少.
- 在三年内,在10个初级保健诊所成功建立了综合护理团队.
- 该计划通过服务费偿还和扩大付款人合同来追求财政可持续性.
结论:
- 初级保健精神健康整合计划是一个成功的,合作模式,用于识别和治疗青少年的心理健康需求.
- 该计划将其整合到多个初级保健机构中,为未来的扩展提供了基础.
- 这种综合护理模式在解决青少年心理健康危机和改善对护理的准入方面表现有前途.
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