在一个大型州立系统中，为青少年抑郁症患者获取门诊精神科服务时家长所承担的负担
Parent Burden in Accessing Outpatient Psychiatric Services for Adolescent Depression in a Large State System.
作者信息
Gallo Kaitlin P, Olin S Serene, Storfer-Isser Amy, O'Connor Briannon C, Whitmyre Emma D, Hoagwood Kimberly E, Horwitz Sarah McCue
机构信息
Dr. Gallo is with McLean Hospital, Belmont, Massachusetts, and with the Department of Psychiatry, Harvard Medical School, Boston (e-mail:
出版信息
Psychiatr Serv. 2017 Apr 1;68(4):411-414. doi: 10.1176/appi.ps.201600111. Epub 2016 Dec 1.
OBJECTIVE
This study examined barriers facing parents who seek outpatient psychiatric care in a large state system for adolescents with depression.
METHODS
A total of 264 outpatient facilities licensed to treat youths in New York were contacted by using a mystery shopper methodology. Callers tracked the number of call attempts, in-person appointments, and other steps required prior to seeing a psychiatrist.
RESULTS
Fewer than two-thirds of parents made a psychiatry, therapy, or intake appointment. Of those who did not make an appointment, 19% received no referrals. Most callers made at least two calls and spoke with at least two people before initiating scheduling. Virtually all clinics required at least one intake or therapy appointment before receipt of a psychiatry appointment. Parental burden did not differ by region, urbanicity, clinic type, seasonality (spring or summer), or insurance status.
CONCLUSIONS
Families of youths with mental health needs face considerable burden in accessing timely treatment.
目的
本研究调查了在一个大型州立青少年抑郁症系统中寻求门诊精神科护理的父母所面临的障碍。
方法
采用神秘顾客法联系了纽约州264家有执照治疗青少年的门诊机构。打电话的人追踪了打电话的次数、面对面预约以及看精神科医生之前所需的其他步骤。
结果
不到三分之二的父母进行了精神科、治疗或初诊预约。在未预约的父母中，19%未得到转诊。大多数打电话的人在开始安排预约之前至少打了两个电话并与至少两个人交谈过。几乎所有诊所都要求在获得精神科预约之前至少进行一次初诊或治疗预约。父母的负担在地区、城市化程度、诊所类型、季节（春季或夏季）或保险状况方面没有差异。
结论
有心理健康需求的青少年家庭在获得及时治疗方面面临相当大的负担。
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