Orygen, The National Centre of Excellence in Youth Mental Health and The Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC
Orygen, The National Centre of Excellence in Youth Mental Health and The Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC.
Med J Aust. 2017 Nov 20;207(10):S5-S18. doi: 10.5694/mja17.00694.
Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.
尽管心理健康问题是年轻人最大的疾病负担，但他们获得精神卫生保健的机会却很差。综合性青年保健服务被认为是一种创新的解决方案。综合性保健将身体健康、心理健康和社会保健服务结合起来，理想情况下在一个地点进行，以便年轻人能够以协调的方式获得全面的保健。它可以通过多种方式实施。对现有文献的审查确定了一系列报告有关综合性保健服务评价研究结果的研究。现有最佳数据表明，许多原本可能不会寻求帮助的年轻人正在获得这些精神卫生服务，而且对于大多数人来说，在症状和功能恢复方面都有很有希望的结果。在经过评估的地方，年轻人报告从这些服务中受益，并对其非常满意。一些年轻人，如那些表现出更严重症状的人和接受较少治疗疗程的人，未能受益，这表明需要进一步与更多专业保健服务相结合。目前正在努力阐明综合性保健服务应遵循的标准和核心特征，并进一步评估结果。这将指导最佳实践服务提供模式的持续发展。
