加拿大儿科急诊科心理健康服务的现状。
The current state of mental health services in Canada's paediatric emergency departments.
作者信息
Leon Stephanie L, Cappelli Mario, Ali Samina, Craig William, Curran Janet, Gokiert Rebecca, Klassen Terry, Osmond Martin, Scott Shannon D, Newton Amanda S
机构信息
Department of Psychology, University of Ottawa & Research Institute, Children's Hospital of Eastern Ontario, Ottawa, Ontario;
Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta;
出版信息
Paediatr Child Health. 2013 Feb;18(2):81-5.
OBJECTIVE
To describe emergency mental health services in major paediatric centres across Canada.
METHODS
A cross-sectional study of mental health services in emergency departments (EDs) from all 15 Canadian tertiary care paediatric centres was conducted.
RESULTS
Fifteen individuals participated and were either a paediatric emergency physician with administrative responsibilities (60%) or an emergency mental health care provider (40%). Four participants reported that their ED used an evidence-based guideline, tool or policy, and one participant reported their ED based its services on published research evidence. Reported ED-based mental health resources included a crisis intervention team (five EDs), a mental health nurse (six EDs) and a social worker (five EDs). Thirteen participants reported on-site consultation with child psychiatry and six reported urgent follow-up as an adjunct service to ED care.
CONCLUSIONS
There is a wide variety of mental health care practices in Canadian paediatric EDs. Consideration of which resources are required to ensure evidence-based, effective services are provided to children and youth is necessary.
目的
描述加拿大各大儿科中心的应急心理健康服务。
方法
对加拿大所有15家三级护理儿科中心急诊科的心理健康服务进行横断面研究。
结果
15人参与，其中有行政职责的儿科急诊医生占60%，应急心理健康护理提供者占40%。4名参与者报告称其急诊科使用了循证指南、工具或政策，1名参与者报告其急诊科的服务基于已发表的研究证据。报告的基于急诊科的心理健康资源包括危机干预团队（5个急诊科）、心理健康护士（6个急诊科）和社会工作者（5个急诊科）。13名参与者报告了与儿童精神病学的现场咨询，6名参与者报告了作为急诊科护理辅助服务的紧急随访。
结论
加拿大儿科急诊科的心理健康护理实践多种多样。有必要考虑需要哪些资源来确保为儿童和青少年提供循证、有效的服务。
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