Scott Elizabeth, Naismith Sharon, Whitwell Bradley, Hamilton Blake, Chudleigh Catherine, Hickie Ian
The Clinical Centre, Brain & Mind Research Institute, University of Sydney, Sydney, NSW, Australia.
Australas Psychiatry. 2009 Jun;17(3):189-94. doi: 10.1080/10398560802657322.
Evidence suggests that quality mental health care is based on well-integrated multi-disciplinary care provided by a range of mental health, substance use, and general healthcare clinicians. There is a growing focus in Australia on providing this type of mental health care to young people, particularly those in the early stages of a major disorder. The development of such services has proceeded on the basis of limited service-based data and has also been impeded by current healthcare funding structures.
This report outlines the service characteristics of three models: a traditional 'fee for service' model, a specialized youth mental health clinic, and a new headspace multi-disciplinary site in South Western Sydney.
Naturalistic data from these three services collected during their developmental phase indicate that each model is associated with differential demographic, illness and service organization characteristics.
Compared with 'fee-for-service' type care, specialized youth models provide greater access to a broad range of multi-disciplinary clinicians.
有证据表明,优质的精神卫生保健基于由一系列精神卫生、物质使用及普通医疗保健临床医生提供的整合良好的多学科护理。在澳大利亚,越来越关注为年轻人,尤其是处于重大疾病早期阶段的年轻人提供这类精神卫生保健。此类服务的发展是基于有限的基于服务的数据进行的,并且还受到当前医疗保健资金结构的阻碍。
本报告概述了三种模式的服务特点:传统的“按服务收费”模式、专门的青少年精神卫生诊所,以及悉尼西南部一个新的综合性多学科场所。
在这三种服务的发展阶段收集的自然主义数据表明,每种模式都与不同的人口统计学、疾病及服务组织特征相关。
与“按服务收费”型护理相比,专门的青少年模式能让更多人接触到广泛的多学科临床医生。