Leplatte Dayna, Rosenblum Katherine Lisa, Stanton Emily, Miller Nicole, Muzik Maria
Research Track Resident, Department of Psychiatry, University of Michigan, Ann Arbor, USA.
Ment Health Fam Med. 2012 Jan;9(1):39-45.
Mental health care is important for everyone, especially teenagers. However, seeking mental health services may be challenging for teenagers, particularly when they are also parents. Offering mental health care in a safe, attractive and easily accessible manner, such as primary care, increases the chances that teenage parents will receive help. Comprehensive care models need to be established to address the many needs that at-risk young mothers and their children face. There are a number of programmes available to teenage mothers that either address healthcare and psychosocial needs or focus primarily on improvements in parenting skills; yet an integrated model that delivers medical, psychiatric and psychosocial care and facilitates positive parenting skills seems to be missing. Through a university-community partnership we have recently developed a model curriculum - the Mom Power (MP) group programme - at the University of Michigan which aims to close this gap in service delivery. We elaborate on core elements and key features of this 10-week group intervention programme for high-risk teenage mothers and their children, and present preliminary outcomes data. Analyses on the first 24 MP group graduates suggest that despite ongoing life trauma during the intervention period, teenage mothers show improvements in depression and post-traumatic stress disorder symptoms post intervention, and also self-rate as less guilty and shameful regarding their parenting skills after programme completion. Although preliminary, due to design and statistical limitations, these results show promise regarding feasibility and effectiveness of this integrated approach for teenage mothers with young children delivered through primary care.
心理健康护理对每个人都很重要，尤其是青少年。然而，青少年寻求心理健康服务可能具有挑战性，尤其是当他们还是父母的时候。以安全、有吸引力且易于获得的方式提供心理健康护理，比如初级保健，会增加青少年父母获得帮助的机会。需要建立综合护理模式来满足高危年轻母亲及其子女面临的诸多需求。有许多针对青少年母亲的项目，要么解决医疗保健和心理社会需求，要么主要侧重于提高育儿技能；然而，一个能提供医疗、精神和心理社会护理并促进积极育儿技能的综合模式似乎缺失。通过大学与社区的合作，我们最近在密歇根大学开发了一个示范课程——“妈妈力量”（MP）小组项目，旨在填补服务提供方面的这一空白。我们详细阐述了这个针对高危青少年母亲及其子女的为期10周的小组干预项目的核心要素和关键特征，并呈现了初步结果数据。对首批24名MP小组毕业生的分析表明，尽管在干预期间生活创伤不断，但青少年母亲在干预后抑郁和创伤后应激障碍症状有所改善，并且在项目结束后对自己的育儿技能的内疚感和羞耻感也有所降低。尽管由于设计和统计限制这些结果只是初步的，但它们显示出通过初级保健为有幼儿的青少年母亲提供这种综合方法的可行性和有效性方面的前景。
