青少年多动症的服务使用模式。
ADHD service use patterns in youth.
作者信息
Leslie Laurel K, Wolraich Mark L
机构信息
Child and Adolescent Services Research Center (CASRC), Pediatrics Department at the University of California San Diego, San Diego, CA 92123, USA.
出版信息
Ambul Pediatr. 2007 Jan-Feb;7(1 Suppl):107-20. doi: 10.1016/j.ambp.2006.05.002.
OBJECTIVE
To review what is currently known about service use by youth with attention-deficit/hyperactivity disorder (ADHD) and discuss research and policy implications.
METHODS
Literature review.
RESULTS
The primary care, mental health, and educational service system sectors all play an essential role in caring for youth with ADHD. Recent studies also suggest increasing use of stimulants and other psychoactive medication for youth with ADHD, decreasing mental health visits for ADHD unassociated with medication use, increased use of other psychotropic medications, and a number of barriers to care coordination across primary care, mental health, and schools.
CONCLUSIONS
Four important services, research, and policy areas that need to be addressed over the next decade include: 1) delving deeper into current service use, 2) paying attention to the context in which service use occurs, 3) operationalizing evidence-based care for real-world settings, and 4) learning what changes clinician and educator behavior.
目的
回顾目前已知的有关注意力缺陷多动障碍（ADHD）青少年的服务使用情况，并讨论研究及政策意义。
方法
文献综述。
结果
初级保健、心理健康和教育服务系统部门在照顾ADHD青少年方面均发挥着重要作用。近期研究还表明，ADHD青少年使用兴奋剂和其他精神活性药物的情况有所增加，与药物使用无关的ADHD心理健康就诊次数减少，其他精神药物的使用增加，以及在初级保健、心理健康和学校之间进行护理协调存在诸多障碍。
结论
未来十年需要解决的四个重要服务、研究和政策领域包括：1）更深入地探究当前的服务使用情况；2）关注服务使用发生的背景；3）在现实环境中实施循证护理；4）了解哪些因素会改变临床医生和教育工作者的行为。
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