Hides Leanne, Lubman Dan I, Elkins Kathryn, Catania Lisa S, Rogers Nich
ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.
Drug Alcohol Rev. 2007 Sep;26(5):509-15. doi: 10.1080/09595230701499126.
The high prevalence of co-occurring mental health and substance use disorders in young people is well established. Despite this, there are low rates of detection of co-occurring disorders across alcohol and other drug (AOD) services within Australia. This paper describes the development, implementation and evaluation of a mental health screening tool and training programme within the youth AOD sector. Thirty youth AOD workers received training in mental health screening, and the screening tool was subsequently piloted on 84 young people accessing two youth AOD services. Training was evaluated using measures of the trainee's mental health knowledge, attitudes, skills and confidence in mental health screening at baseline and 12-month follow-up. Feedback from young people supported the feasibility, acceptability and relevance of the screening tool. Evaluation of the associated training programme indicated improvements in AOD workers' mental health knowledge, skills and confidence in mental health screening. These findings provide preliminary evidence of the feasibility and acceptability of the mental health screening tool to young people and the effectiveness of the training package within the youth AOD sector.
青少年中同时存在心理健康问题和物质使用障碍的情况非常普遍,这一点已经得到充分证实。尽管如此,澳大利亚各地酒精及其他药物(AOD)服务机构对共病障碍的检出率却很低。本文介绍了青少年AOD领域心理健康筛查工具和培训项目的开发、实施及评估情况。30名青少年AOD工作者接受了心理健康筛查培训,随后该筛查工具在84名使用两项青少年AOD服务的年轻人中进行了试点。通过在基线和12个月随访时测量学员的心理健康知识、态度、技能以及心理健康筛查方面的信心,对培训进行了评估。年轻人的反馈支持了筛查工具的可行性、可接受性和相关性。对相关培训项目的评估表明,AOD工作者在心理健康知识、技能以及心理健康筛查信心方面有所提高。这些发现为心理健康筛查工具对年轻人的可行性和可接受性以及该培训方案在青少年AOD领域的有效性提供了初步证据。