针对儿童和青少年急性心理健康状况的基于证据的简短干预措施:系统性审查
Valsamma Eapen1, Brigitte Gerstl1, Bright Opoku Ahinkorah2
1Academic Unit of Infant, Child, and Adolescent Psychiatry Services (AUCS), South Western Sydney Local Health District and Ingham Institute, Australia; and Discipline of Psychiatry and Mental Health, University of New South Wales, Australia.
BJPsych open
|April 11, 2024
概括
简短的干预有效地管理儿童和青少年 (CYP) 的急性心理健康危机,减少住院和急诊室的访问. 这种方法为传统精神病医疗服务提供了有价值的替代方案.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 基于证据的实践.
背景情况:
- 短期干预服务为儿童和青少年急性精神健康危机 (CYP) 提供快速,移动和灵活的短期支持.
- 这些服务可以作为儿童心理健康紧急情况的急诊室或住院精神病医疗护理的替代方案.
研究的目的:
- 系统地审查和综合有关简短干预措施改善急性精神健康状况的CYP (0-17岁) 中心理健康结果的有效性证据.
主要方法:
- 在五个数据库中对2000年1月至2022年9月期间发表的同行评审文章进行了系统的文献搜索.
- 包含的研究的方法质量被严格评估.
主要成果:
- 综合了30篇文章,检查了各种简短干预类型,包括危机干预,综合服务,群体/个人疗法和药物治疗.
- 一项高级别的证据研究表明,危机干预在减少住院时间和重复访问急诊室方面是有效的.
- 其他质量中等的证据研究表明,多式联运短期干预措施具有有益影响.
结论:
- 本综述证实了在各种环境中利用简短干预措施的好处.
- 有证据表明,这些干预措施可以有效地减少住院住院患者的负担,以及儿童精神健康危机的急诊室再接收率.
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