Allison Virginia L, Nativio Donna G, Mitchell Ann M, Ren Dianxu, Yuhasz Janet
1Pittsburgh Board of Education, Pittsburgh, PA, USA.
J Sch Nurs. 2014 Jun;30(3):165-72. doi: 10.1177/1059840513500076. Epub 2013 Aug 7.
Early detection of mental health problems in school-age children offers the opportunity for prompt referral to treatment which is critical to their success in school. School nurses are in a key position to screen for mental health issues in the school setting. This article discusses how school nurses began a new initiative to use two validated screening tools, the Patient Health Questionnaire-9 item for detecting depression and the 5-item Screen for Child Anxiety Related Emotional Disorders for detecting anxiety in middle school/high school-aged children in selected urban schools. Students having positive screens were referred to the multidisciplinary school-based Student Assistance Program team for further evaluation and referral. These screens improved the identification and referral for treatment of children suffering from anxiety and/or depression by expediting the connection to services.
在学龄儿童中早期发现心理健康问题，为及时转介治疗提供了机会，这对他们在学校取得成功至关重要。学校护士在学校环境中筛查心理健康问题方面处于关键地位。本文讨论了学校护士如何发起一项新举措，使用两种经过验证的筛查工具，即用于检测抑郁症的患者健康问卷9项版本，以及用于检测初中/高中年龄段儿童焦虑症的5项儿童焦虑相关情绪障碍筛查量表，在选定的城市学校中进行筛查。筛查结果呈阳性的学生被转介至多学科的校内学生援助计划团队进行进一步评估和转介。这些筛查通过加快与服务的对接，改善了对患有焦虑症和/或抑郁症儿童的识别和治疗转介情况。
