Department of Mental Health Law & Policy, Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 2718, Tampa, FL 33612, USA.
Adm Policy Ment Health. 2010 Nov;37(6):484-96. doi: 10.1007/s10488-010-0291-2.
The objective of this study was to evaluate community-based outpatient mental health services for young adults. Participants were interviewed at ages 21, 24, 27, and 30. Outcomes included: (1) symptoms of depression, generalized anxiety, social phobia, dysthymia and post traumatic stress individually and as a global scale; and (2) a dichotomous diagnosis variable inclusive of all above disorders. Treatment was indicated by an outpatient visit to a psychiatrist or other professional. Treatment did not reduce mental disorder or symptoms. Substance use, violence, poverty, community disorganization, and family history of antisocial behavior increased risks for negative outcomes, while social support was protective. The absence of positive findings associated with outpatient treatment is troubling given the empirically supported interventions for the conditions examined. Practitioners, agencies, and managed care organizations share a responsibility to implement effective and comprehensive interventions.
本研究旨在评估面向年轻成年人的社区门诊精神卫生服务。参与者在 21、24、27 和 30 岁时接受了访谈。研究结果包括：（1）抑郁、广泛性焦虑、社交恐惧症、心境恶劣和创伤后应激障碍的症状，分别和综合评估；（2）包括所有上述障碍的二分诊断变量。治疗指征为精神科医生或其他专业人士的门诊就诊。治疗并未减少精神障碍或症状。药物使用、暴力、贫困、社区组织混乱和反社会行为家族史增加了负面结果的风险，而社会支持具有保护作用。鉴于所研究的条件有经验支持的干预措施，门诊治疗没有关联的积极发现令人困扰。从业者、机构和管理式医疗组织都有责任实施有效和全面的干预措施。
