实施青少年心理健康和物质使用查和咨询
Sheila V Patel1, Laura Hart2, Graham Booth1
1RTI International, Research Triangle Park, North Carolina.
Pediatrics
|April 15, 2025
概括
在初级保健中实施多方面的策略可以改善青少年心理健康和物质使用障碍 (MHSUD) 的查和治疗,尽管对患者结果的证据仍然有限.
科学领域:
- 儿科健康 儿科健康
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 青少年心理健康和物质使用障碍 (MHSUD) 正在增加.
- 儿科医生在实施基于证据的MHSUD查和咨询方面面临障碍.
- 初级保健机构对于早期识别和干预至关重要.
研究的目的:
- 系统地审查实施战略的有效性,以将MHSUD查和咨询整合到儿科初级保健中.
- 评估改善与MHSUD护理相关的实施,服务和健康结果的活动.
主要方法:
- 自2010年以来出版的文献的系统综述.
- 包括的研究比较了MHSUD干预措施在18岁以下的个人初级保健中的实施策略.
- 数据提取涉及研究设计,干预,障碍,促进者和结果.
主要成果:
- 十一项研究检查了对抑郁症,饮食障碍,物质使用障碍和行为健康风险的查和咨询的实施.
- 多方面的方法包括整合行为健康提供者,学习合作伙伴,临床医生支持和技术.
- 这些策略通常增加了查,后续行动和治疗启动,而不是最小或没有策略.
结论:
- 多方面的实施方法显示出改善MHSUD在初级保健中的识别和管理的希望.
- 关于患者结果和研究重叠的有限证据限制了最终结论.
- 需要进一步的研究来加强有效的MHSUD实施策略的证据基础.
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