学校医疗中心与儿童心理健康结果的联系
Carrie E Fry1, Mason Shero2, Melinda B Buntin3
1Assistant Professor, Department of Health Policy, Vanderbilt University School of Medicine, Nashville, USA.
Health services research
|September 11, 2025
概括
基于学校的健康中心 (SBHCs) 将学生的心理健康诊断减少了6.6%. 此外,SBHC也增加了门诊访问,同时减少了儿童心理健康需求的紧急护理.
科学领域:
- 公共卫生 公共卫生
- 儿科健康 儿科健康
- 医疗保健管理的管理
背景情况:
- 学生的心理健康是一个日益关注的问题.
- 及时获得心理健康护理对于学术成功和福祉至关重要.
- 基于学校的健康中心 (SBHCs) 为教育环境中的综合护理提供了一个有前途的模式.
研究的目的:
- 评估实施学校健康中心 (SBHCs) 对学生心理健康诊断和医疗保健利用的影响.
- 为了比较SBHCs和没有SBHCs的学区的心理健康结果.
- 分析SBHC采用前后心理健康诊断和医疗保健寻求行为的变化.
主要方法:
- 追溯式,准实验性设计,比较SBHC和没有SBHC的地区的学生.
- 堆叠的差异差异估计器来解释分阶段的SBHC采用.
- 利用与学校记录 (2006-2021) 相关的非识别的Medicaid索赔数据 (住院,门诊,医生,药房).
主要成果:
- 采用SBHC与任何精神健康诊断的学生比例相对下降6.6%有关.
- 抑郁症,焦虑症和ADHD等特定诊断在SBHC实施后减少.
- 观察到门诊心理健康访问的显著增加和心理健康状况的急诊室访问的减少.
结论:
- 基于学校的健康中心 (SBHC) 在解决学龄儿童的心理健康需求方面是有效的.
- SBHCs可以改善获得护理的机会,并可能减少学生心理健康状况的负担.
- 持续的资金和资源对于SBHC继续提供重要服务至关重要.
更多相关视频
相关概念视频
01:30Community Based Intervention
281
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
281
01:30Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
01:30Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
01:30Stress and Mental Health
816
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
816
01:30Primary Healthcare Services
2.0K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.0K
01:19Autism Spectrum Disorder
994
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
994