Gampetro Pam, Wojciechowski Elizabeth A, Amer Kim Siarkowski
Children's Memorial Hospital, Chicago, IL, USA.
Pediatr Nurs. 2012 Jan-Feb;38(1):23-30.
Health clinics within schools are designed to provide comprehensive care to the student population. Little research has been conducted to identify how effectively school-based health clinics are meeting the mental health needs of adolescents. This qualitative study explored the perceptions of mental health needs of 18 inner-city teens between 12 to 18 years of age with diagnosed behavioral or mental health issues. A single, face-to-face, semi-structured interview was used to examine students' concerns and attitudes toward their health care needs and services. Results revealed concern for their personal and family relationships, education and vocational goals, health maintenance, and financial independence. Most pressing resource needs related to their ability to receive health maintenance and coping skills and to adapt to complex life challenges they faced in their urban neighborhood. Participants remarked that if the clinic did not identify their needs for mental health care, they would most likely have not received services. When mental health care needs were identified, individual counseling was used to support dialogues for optimal mental and physical health.
学校内的健康诊所旨在为学生群体提供全面护理。目前很少有研究来确定校内健康诊所在满足青少年心理健康需求方面的效果如何。这项定性研究探讨了18名年龄在12至18岁之间、被诊断患有行为或心理健康问题的市中心青少年对心理健康需求的看法。通过一次面对面的半结构化访谈来考察学生对其医疗保健需求和服务的担忧及态度。结果显示，他们关心个人及家庭关系、教育和职业目标、健康维护以及经济独立。最迫切的资源需求与他们获得健康维护和应对技能以及适应在城市社区中面临的复杂生活挑战的能力有关。参与者表示，如果诊所没有识别出他们的心理健康护理需求，他们很可能无法获得相关服务。当识别出心理健康护理需求时，会采用个体咨询来支持关于实现最佳身心健康的对话。
