Husky Mathilde M, Miller Kathleen, McGuire Leslie, Flynn Laurie, Olfson Mark
Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University and TeenScreen National Center for Mental Health Checkups at Columbia University, 1775 Broadway, New York, NY 10019, USA.
J Behav Health Serv Res. 2011 Apr;38(2):159-69. doi: 10.1007/s11414-009-9207-x.
This study examines routine computerized mental health screening for adolescents scheduled for a routine physical examination in a group pediatric practice. Medical records of adolescents aged 13 to 17 who were offered screening (n = 483) were reviewed. Approximately 44.7% (95% confidence interval (CI) 40.3-49.2) were screened, and 13.9% (95% CI 9.3-18.5) were identified as being at risk. Screening was associated with significantly increased odds of receiving either pediatric mental health care or a referral for specialty mental health care (adjusted odds ratio (AOR): 2.6 95% CI 1.2-5.6). Among patients who received either mental health intervention, those who were screened were significantly more likely to be referred to specialty care (AOR: 15.9 95% CI 2.5-100.4), though they were less likely to receive pediatric mental health care (AOR: 0.10 95% CI 0.02-0.54). The findings support the feasibility of routine mental health screening in pediatric practice. Screening is acceptable to many parents and adolescents, and it is associated with referral for specialized mental health care rather than care from the pediatrician.
本研究调查了在一家儿科综合诊所为计划进行常规体检的青少年开展常规计算机化心理健康筛查的情况。对13至17岁接受筛查的青少年（n = 483）的病历进行了回顾。约44.7%（95%置信区间（CI）40.3 - 49.2）的青少年接受了筛查，其中13.9%（95%CI 9.3 - 18.5）被确定为有风险。筛查与接受儿科心理健康护理或被转介至专科心理健康护理的几率显著增加相关（调整优势比（AOR）：2.6，95%CI 1.2 - 5.6）。在接受任何一种心理健康干预的患者中，接受筛查的患者被转介至专科护理的可能性显著更高（AOR：15.9，95%CI 2.5 - 100.4），不过他们接受儿科心理健康护理的可能性较小（AOR：0.10，95%CI 0.02 - 0.54）。这些发现支持了在儿科实践中进行常规心理健康筛查的可行性。筛查为许多家长和青少年所接受，并且它与转介至专科心理健康护理相关，而非由儿科医生提供护理。
