安大略省儿童心理健康筛查与结果测量倡议概述。
Overview of Ontario's Screening and Outcome Measurement Initiative in Children's Mental Health.
作者信息
Barwick Melanie, Boydell Katherine M, Cunningham Charles E, Ferguson H Bruce
机构信息
Department of Psychiatry, University of Toronto.
出版信息
Can Child Adolesc Psychiatr Rev. 2004 Nov;13(4):105-9.
INTRODUCTION
Ontario's mental health practitioners strive to provide the best services for the most children and youth in the face of limited resources and increasing demand.
METHOD
To do this efficiently and ethically necessitates identifying those at greatest risk, determining which services are most effective for a variety of children, and demonstrating improved functioning post-treatment. Standardized screening can assist in triaging those at greatest risk and outcome measurement can demonstrate improvement and treatment effectiveness.
RESULTS
To this end, Ontario has initiated systematic screening and outcome measurement for children ages 6 to 17 years receiving mental health services in selected hospital-based and community organizations.
CONCLUSION
Standardized screening and outcome tools are key building blocks for improving the quality of service and promoting the use of evidence-based practices across the system. The lessons learned to date suggest there is a need to build individual and organizational readiness for change, to improve the state of technological literacy and infrastructure across the sector, and to improve the exchange of knowledge among stakeholders regarding the clinical benefits of the toolsand the data they will produce regarding the state of children and youth receiving mental health service in Ontario.
引言
面对资源有限且需求不断增加的情况，安大略省的心理健康从业者努力为尽可能多的儿童和青少年提供最佳服务。
方法
要高效且合乎道德地做到这一点，就需要确定风险最高的人群，确定哪些服务对各类儿童最为有效，并证明治疗后功能有所改善。标准化筛查有助于对风险最高的人群进行分类，而结果测量可以证明改善情况和治疗效果。
结果
为此，安大略省已在选定的医院和社区组织中，对接受心理健康服务的6至17岁儿童启动了系统的筛查和结果测量。
结论
标准化筛查和结果工具是提高服务质量以及在整个系统中推广循证实践的关键要素。迄今为止吸取的经验教训表明，有必要培养个人和组织对变革的准备程度，改善该部门的技术素养和基础设施状况，并改善利益相关者之间关于这些工具的临床益处以及它们将生成的有关安大略省接受心理健康服务的儿童和青少年状况的数据的知识交流。
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