加强对儿童和青少年心理健康服务的转诊:EN-CAMHS混合方法研究
Kathryn M Abel1,2, Pauline Whelan2,3, Lesley-Anne Carter3
1Centre for Women's Mental Health, University of Manchester, Manchester, UK.
Health and social care delivery research
|June 16, 2025
概括
近四分之一的儿童和青少年心理健康服务 (CAMHS) 的转诊都没有成功,造成了痛苦和服务效率低下. 这项研究确定了推过程中的问题,并提出了诸如数字化简化和改进沟通等解决方案,以加强年轻人获得CAMHS的机会.
科学领域:
- 提供儿童和青少年心理健康服务.
- 获得医疗保健和青少年心理健康的平等.
背景情况:
- 国家卫生服务儿童和青少年心理健康服务 (CAMHS) 对于治疗年轻人的心理健康问题至关重要.
- 在2020-2021年期间,近25%的497,502个CAMHS转诊没有成功,导致了痛苦和效率低下.
- 不成功的转诊往往发生在长时间的等待后,没有替代服务重定向,影响及时的护理.
研究的目的:
- 了解CAMHS推过程中的问题.
- 找出改善推成功率的解决方案.
- 收集来自年轻人,家庭和专业人士的观点.
主要方法:
- 收集了来自九个CAMHS和四个NHS信托机构的伪名患者和转诊数据.
- 分析数据的完整性和转介人数和成功率的变化.
- 开展了聚焦小组,有100多名参与者,包括年轻人,家长,推者和CAMHS专业人员.
主要成果:
- 在信托之间和信托内部,推人数和成功率存在显著差异.
- 常规数据收集包括年龄和性别,但种族和转介原因的记录不那么一致.
- 鉴定了关于CAMHS范围的困惑和在转诊期间缺乏支持是关键问题.
结论:
- 建议通过数字技术和标准化表格简化推途径.
- 在整个推过程中,加强家庭和推者的沟通至关重要.
- 标准化和改进CAMHS推流程对于更好的结果至关重要.
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