转移作为改善风险青年服务利用的途径
James G Barrett1, Michael Flores1, Esther Lee1
1Department of Psychiatry, Health Equity Research Lab, Cambridge Health Alliance/Harvard Medical School.
概括
安全网计划增加了司法涉及的年轻人的门诊行为健康和初级保健访问. 这种转移计划改善了精神疾病青少年获得服务的机会.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 青少年司法是什么意思 青少年司法
背景情况:
- 少年司法系统中的年轻人经历了高水平的精神疾病.
- 许多与司法有关的年轻人无法获得足够的行为健康服务.
- 申诉前转移计划旨在在正式诉讼之前将年轻人与社区资源联系起来.
研究的目的:
- 为了比较由安全网计划转移的年轻人与涉及少年司法的年轻人之间的卫生服务使用情况.
- 评估安全网计划对医疗保健服务使用的影响.
- 确定申诉前转移是否改善了获得行为健康和初级保健的机会.
主要方法:
- 采用差异差异方法与倾向性得分加权.
- 分析了个人逮捕和医疗记录.
- 在初次与警方接触之前和之后,评估了医疗服务的利用率 (住院,门诊,急救,初级保健).
主要成果:
- 安全网的年轻人显示,精神病诊所门诊次数显著增加 (26%).
- 在Safety Net中,被诊断患有精神疾病的年轻人增加了精神病室门诊 (19%) 和初级保健 (12%) 访问.
- 在急诊室访问或住院期间没有发现显著差异.
结论:
- 通过安全网转移预先投诉,提高了对门诊行为健康服务的获取.
- 该计划还改善了参与司法工作的年轻人获得初级保健的机会.
- 安全网有效地解决了导致青少年与警察接触的根本问题.
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