与针对性学校精神卫生服务相关的寻求帮助过程:系统性审查
Lauren McPhail1, Graham Thornicroft2, Petra C Gronholm2
1Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. Lauren.mcphail@kcl.ac.uk.
BMC public health
|May 2, 2024
概括
青少年面临着心理健康挑战,但很少有人获得学校支持. 耻辱,同行影响和学术要求阻碍了寻求帮助. 改善针对性学校心理健康服务 (TSMS) 对于更好的青少年心理健康至关重要.
科学领域:
- 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
- 教育心理学教育心理学
背景情况:
- 在全球范围内,每7名青少年中就有1名患有心理健康状况,使用专业帮助的比例很低.
- 基于学校的心理健康服务 (TSMS) 被认为可以改善青少年获得护理的机会.
- 尽管得到了认可,但在学校环境中,治疗利用的重大障碍仍然存在.
研究的目的:
- 系统地审查影响青少年寻求帮助和参与针对性学校精神卫生服务 (TSMS) 的因素.
- 确定青少年在学校环境中获得心理健康支持的促进者和障碍.
主要方法:
- 对定性,定量和混合方法研究的系统审查.
- 在主要数据库 (EMBASE,Medline,PsycINFO,CINAHL,ERIC,Web of Science) 和手动搜索中进行搜索.
- 来自16项研究的数据的主题和叙事综合.
主要成果:
- 确定了三个关键主题:与访问相关的因素,耻辱问题和学校环境.
- 寻求帮助是可变的,受到同行关注的影响,特别是对于少数群体和学术安排.
- 来自低社会经济或少数民族背景的青少年在获得服务方面面临更大的挑战.
结论:
- 结果应该为TSMS的开发和交付提供信息,以加强青少年的访问和参与.
- 强调需要未来的研究,特别是低收入和中等收入国家的定量研究.
- 解决耻辱感,同行影响和安排冲突对于有效的TSMS实施至关重要.
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