Opperman Kiel J, Hanson Devin M, Toro Paul A
Department of Psychology, Wayne State University, Detroit, MI 48202, United States.
Department of Psychology, Wayne State University, Detroit, MI 48202, United States.
Arch Psychiatr Nurs. 2017 Aug;31(4):365-367. doi: 10.1016/j.apnu.2017.04.007. Epub 2017 Apr 12.
Health fairs are a cost-efficient platform for dissemination of preventive services to vulnerable populations. Effectiveness of depression screenings and associated treatment linkage via community health fairs warrants investigation.
This study offers the first examination of a depression screening at a community health fair in 261 adult men (18-87years). The PHQ-9 was administered via interview by graduate students and on-site psychiatric nurses were available for a brief consultation for those interested.
Over a quarter of participants screened positive for at least moderate depressive symptomatology. Of those who screened positive, 35.8% met with an on-site psychiatric nurse for a consultation. At six-month follow-up, none of the participants given a referral made an appointment at the community mental health agency.
This suggests the importance of providing on-site clinician consultations at health fairs and the need for a more coordinated system to schedule future appointments while at the event.
Community health fairs reach vulnerable populations, such as those who are uninsured and who have not spoken with a professional about mental health concerns. By conducting depression screening and providing onsite access to a mental health consultation at community health fairs, participants are better able to identify their depressive symptoms and are introduced to ways to treat depression.
健康博览会是向弱势群体传播预防服务的一个具有成本效益的平台。通过社区健康博览会进行抑郁症筛查及相关治疗联系的有效性值得研究。
本研究首次对261名成年男性（18 - 87岁）在社区健康博览会上进行抑郁症筛查进行了调查。PHQ - 9由研究生通过访谈进行施测，现场有精神科护士为感兴趣的人提供简短咨询。
超过四分之一的参与者筛查出至少有中度抑郁症状。在那些筛查呈阳性的人中，35.8%的人与现场精神科护士进行了咨询。在六个月的随访中，所有被转诊的参与者都没有在社区心理健康机构预约就诊。
这表明在健康博览会上提供现场临床医生咨询的重要性，以及在活动期间需要一个更协调的系统来安排未来的预约。
社区健康博览会覆盖弱势群体，如那些未参保以及未与专业人士谈论过心理健康问题的人群。通过在社区健康博览会上进行抑郁症筛查并提供现场心理健康咨询，参与者能够更好地识别自己的抑郁症状，并了解治疗抑郁症的方法。
