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从青少年心理健康服务向成人心理健康服务的过渡以及对青少年及其家庭的经济影响。

The transition from youth to adult mental health services and the economic impact on youth and their families.

作者信息

Barr Neil G, Longo Christopher J, Embrett Mark G, Mulvale Gillian M, Nguyen Tram, Randall Glen E

机构信息

1 Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.

2 DeGroote School of Business, Health Policy and Management Area, McMaster University, Hamilton, Ontario, Canada.

出版信息

Healthc Manage Forum. 2017 Nov;30(6):283-288. doi: 10.1177/0840470417709579. Epub 2017 Oct 23.

Abstract

The transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) can be challenging for youth, their families, and healthcare providers. The purpose of this study was to identify, summarize, and assess evidence found in scholarly literature regarding the economic impact on youth and their families during the transition from CAMHS to AMHS. Relevant studies were identified through a search of 7 electronic platforms. The search identified 829 articles; 5 of which met all inclusion criteria. Evidence from the included studies suggests that, when continuity of care is lacking, transitions from CAMHS to AMHS have substantial impacts on the financial demands of youth and their families. These demands are due to increases in the cost of care, loss of employment income and productivity, and changes in insurance coverage. However, there remains limited information in this area, which highlights the need for further research.

摘要

从儿童和青少年心理健康服务(CAMHS)过渡到成人心理健康服务(AMHS),对青少年及其家庭以及医疗服务提供者来说可能具有挑战性。本研究的目的是识别、总结和评估学术文献中有关从CAMHS过渡到AMHS期间对青少年及其家庭经济影响的证据。通过搜索7个电子平台确定了相关研究。搜索共识别出829篇文章;其中5篇符合所有纳入标准。纳入研究的证据表明,当缺乏连续护理时,从CAMHS过渡到AMHS会对青少年及其家庭的经济需求产生重大影响。这些需求是由于护理成本增加、就业收入和生产力损失以及保险覆盖范围变化所致。然而,这一领域的信息仍然有限,这凸显了进一步研究的必要性。

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