在塞拉利昂整合青年准备干预和创业:一种混合型II集群随机试验

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Jordan A Freeman¹, Jordan C Farrar², Matias Placencio-Castro²

¹Johns Hopkins University, Baltimore, Maryland.

Journal of the American Academy of Child and Adolescent Psychiatry

|December 24, 2023

概括

将青年准备干预 (YRI) 整合到创业计划中,显著改善了受冲突影响的年轻人的心理健康结果. 这种方法增强了抑郁和焦虑症状,以及冲突后环境中的整体表现.

科学领域:

全球心理健康全球心理健康
实施科学实施科学
青年发展青年发展

背景情况:

受冲突影响的年轻人面临着严重的心理和社会结果差的风险.
这种弱势群体对心理健康服务的获取是有限的.
需要新的交付平台来支持基于证据的干预措施 (EBI).

研究的目的:

评估将青年准备干预 (YRI) 整合到青年创业计划 (ENTR) 的可行性和影响.
测试一种协作团队方法,在冲突后的环境中提供EBI.
评估实施结果 (能力,忠诚) 和有效性结果 (心理健康,功能).

主要方法:

使用了混合型II实施效率试验,并采用了集群随机设计.
1,151名年轻人进行了查,并随机分配到控制,ENTR或YRI和ENTR组合 (YRI+ENTR) 组.
通过情绪调节,心理痛苦和人际功能来衡量有效性;通过能力和忠诚来实现.

主要成果:

与对照组相比,YRI+ENTR组显示出抑郁和焦虑症状的显著改善.
实施结构,能力和忠诚度表明了可接受的干预质量.
社区领导人报告说,与对照组相比,YRI+ENTR参与者的工作/培训表现有所改善.

结论:

将像YRI这样的EBI纳入青年就业计划可以扩大冲突地区的覆盖范围.
一个协作式的团队方法促进了EBI的整合和忠诚度.
这种模式有潜力在低资源的冲突后环境中解决心理健康需求.

关键词:

冲突冲突冲突冲突混合动力II型混合动力II型混合动力实施科学实施科学心理健康心理健康年轻人年轻人年轻人年轻人年轻人年轻人

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