Richardson Laura P, McCarty Carolyn A, Radovic Ana, Suleiman Ahna Ballonoff
Department of Pediatrics, University of Washington, Seattle, Washington; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington.
Department of Pediatrics, University of Washington, Seattle, Washington; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington.
J Adolesc Health. 2017 Mar;60(3):261-269. doi: 10.1016/j.jadohealth.2016.11.013. Epub 2017 Jan 10.
Despite the recognition that behavioral and medical health conditions are frequently intertwined, the existing health care system divides management for these issues into separate settings. This separation results in increased barriers to receipt of care and contributes to problems of underdetection, inappropriate diagnosis, and lack of treatment engagement. Adolescents and young adults with mental health conditions have some of the lowest rates of treatment for their conditions of all age groups. Integration of behavioral health into primary care settings has the potential to address these barriers and improve outcomes for adolescents and young adults. In this paper, we review the current research literature for behavioral health integration in the adolescent and young adult population and make recommendations for needed research to move the field forward.
尽管人们认识到行为健康状况和医学健康状况常常相互交织，但现有的医疗保健系统将这些问题的管理划分到不同的机构。这种分离导致接受治疗的障碍增加，并造成检测不足、诊断不当和缺乏治疗参与度等问题。患有心理健康问题的青少年和青年在所有年龄组中接受治疗的比例是最低的。将行为健康纳入初级保健机构有可能消除这些障碍，并改善青少年和青年的治疗效果。在本文中，我们回顾了目前关于青少年和青年人群行为健康整合的研究文献，并对推动该领域发展所需的研究提出建议。
