James Anthony M
Orielton Partnership/CME Australia, Hobart, TAS, Australia.
Med J Aust. 2007 Oct 1;187(S7):S57-60. doi: 10.5694/j.1326-5377.2007.tb01339.x.
Young people with mental illness face many barriers in accessing care and often have different needs to those of adult consumers. Young people's participation in mental health services is one way of addressing quality and access issues, through receiving feedback and implementing youth-driven and youth-friendly strategies. headspace, the National Youth Mental Health Foundation, established in July 2006, highlights the mental health care sector's commitment to young people. Existing youth participation programs provide examples of what can be achieved at national and local levels and with varying levels of financial and other support. These include: Ybblue, the youth program of beyondblue; Reach Out!, a web-based service; Headroom, providing health promotion and a website; and Platform Team (ORYGEN Youth Health), comprising current and past clients who advise the service and provide peer support. Current practice in youth participation in mental health services involves a variety of methods, such as ensuring information and education is appropriate for a youth audience, and participating in peer-support programs and staff selection panels. Challenges in the future development of youth participation in mental health services include avoiding tokenism, acknowledging that young people are not a uniform group, translating national strategies into local improvements in services, and gaining the support and cooperation of health care workers in genuine participation.
患有精神疾病的年轻人在获得护理方面面临诸多障碍,其需求往往与成年患者不同。年轻人参与心理健康服务是解决质量和可及性问题的一种方式,通过获取反馈并实施以青年为主导且对青年友好的策略来实现。2006年7月成立的全国青年心理健康基金会“headspace”,彰显了心理健康护理部门对年轻人的承诺。现有的青年参与项目展示了在国家和地方层面以及在不同程度的财政和其他支持下所能取得的成果。这些项目包括:“beyondblue”的青年项目“Ybblue”;在线服务“Reach Out!”;提供健康促进服务及网站的“Headroom”;以及由现任和前任客户组成的为该服务提供建议并提供同伴支持的“平台团队”(青少年心理健康组织)。目前青年参与心理健康服务的实践涉及多种方法,比如确保信息和教育内容适合青年受众,以及参与同伴支持项目和员工选拔小组。青年参与心理健康服务未来发展面临的挑战包括避免形式主义,认识到年轻人并非一个同质化群体,将国家战略转化为地方服务的改进,以及在真正的参与中获得医护人员的支持与合作。