学校卫生中心的创伤信息护理:对行为健康查和服务的混合方法研究
Erum Nadeem1, Whitney Greswold2, Laura Zepeda Torres2
1Department of School Psychology, Graduate School of Applied and Professional Psychology, Rutgers University.
School psychology (Washington, D.C.)
|December 21, 2023
概括
在学校卫生中心 (SBHCs) 进行创伤查是可行的,并改善了青少年获得行为健康服务的机会. 对文化敏感的护理和解决人员配置等障碍是有效创伤信息护理的关键.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 心理健康服务研究 心理健康服务研究
背景情况:
- 基于学校的健康中心 (SBHCs) 服务于各种年轻人群体,经常面临创伤.
- 整合创伤查和行为健康服务对于青少年福祉至关重要.
研究的目的:
- 检查在城市SBHC中创伤查和行为健康服务的利用情况.
- 了解SBHC人员对文化响应性,创伤信息化的护理的经验.
主要方法:
- 混合方法设计,将电子病历上的逻辑回归 (N=4,794) 和半结构面试 (N=9) 结合起来.
- 对12-22岁年轻人创伤查率和行为健康服务使用率的分析.
主要成果:
- 整体创伤查率为69.2%,对于老年人和西班牙语青年来说更高.
- 行为健康服务的使用率为32.9%,对于以前接受过查的人,最近的移民和女性来说更高.
- 定性数据揭示了创伤信息化护理的促进者 (使命,协作) 和障碍 (人员,语言).
结论:
- 在SBHC中进行创伤查是可行的,并提高了获得行为健康护理的机会.
- 文化敏感的做法和解决系统性障碍对于公平的服务提供至关重要.
- 调查结果为在SBHC环境中为不同年轻人群量身定制护理的实践提供了信息.
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