初级保健中的精神病学咨询:检查青少年抑郁症的治疗机会
Laura E Hurst1, Elizabeth Tengelitsch1, Teryn Bruni2
1Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.
概括
与密歇根州临床咨询和护理 (MC3) 计划的咨询改善了青少年获得抑郁症治疗的机会. 使用MC3的初级保健提供者增加了青少年心理健康的药物治疗,治疗和随访护理.
科学领域:
- 儿童和青少年精神病学
- 主要护理 儿科 儿科
- 心理健康服务研究 心理健康服务研究
背景情况:
- 年轻人对心理健康的担忧正在上升,造成了对护理准入的差距.
- 儿童精神病学准入计划 (CPAP) 旨在通过支持初级保健提供者来弥合这一差距.
- 密歇根州临床咨询和护理 (MC3) 计划是一个CPAP计划.
研究的目的:
- 为了确定与MC3的初级保健提供者咨询是否与中度至重度抑郁症青少年改善治疗机会有关.
- 分析MC3对利用基于证据的抑郁症治疗方法的影响.
主要方法:
- 青少年初级保健访问 (2017-2021) 的回顾性图表回顾,患者健康问卷-9得分为阳性.
- 后勤回归分析比较了MC3咨询和没有MC3咨询的患者的治疗机会.
- 纳入标准:青少年患者首次呈阳性患者健康问卷-9分.
主要成果:
- MC3咨询与更高的抗抑郁药处方几率有关 (OR 2.16).
- 接受MC3咨询的患者显示,对抑郁症监测进行初级保健随访的几率明显更高 (OR 4.56).
- 使用MC3也与获得更多心理健康治疗相关 (OR 2.14).
结论:
- MC3咨询显著增加了青少年使用基于证据的抑郁症治疗方法.
- 像MC3这样的模型可以提高初级保健的能力,以解决儿科精神健康需求.
- 更广泛地采用CPAP模型可能会改善儿童和青少年的心理健康护理可访问性.
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