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使用MAYSI-2对新西兰安全护理机构中的青少年心理健康需求进行筛查。

Screening for mental health needs of New Zealand youth in secure care facilities using the MAYSI-2.

作者信息

McArdle Sean, Lambie Ian

机构信息

School of Psychology, The University of Auckland, Auckland, New Zealand.

出版信息

Crim Behav Ment Health. 2018 Jun;28(3):239-254. doi: 10.1002/cbm.2067. Epub 2017 Dec 27.

DOI:10.1002/cbm.2067
PMID:29280509
Abstract

BACKGROUND

Young people admitted to secure facilities generally have particularly high rates of mental, emotional and behavioural problems, but little is known about the mental health needs of this group in New Zealand.

AIMS

To describe prevalence of probable mental health disorder and related needs among young people in secure facilities in New Zealand.

METHODS

Massachusetts youth screening instrument - second version (MAYSI-2) data were obtained from the records of young people admitted to one secure care facility (n = 204) within a 12 month period. We used descriptive statistics to determine prevalence of problems overall and multivariate analysis of variance to compare MAYSI-2 scores between gender and ethnic groups.

RESULTS

Nearly 80% of these young people scored above the 'caution' or 'warning' cut-off on the MAYSI-2, a substantially higher proportion than reported in studies in other countries. There was a tendency for girls and for Maori and Pacific Islander subgroups to have a higher rate of probable psychopathology.

CONCLUSIONS

Young people in secure facilities in New Zealand have substantial service needs. Early intervention that engages them in services upon first contact with the youth justice system might help reduce this burden. Further validation of the MAYSI-2 in New Zealand may be warranted because of the unique ethnic make-up of these young offenders. Copyright © 2017 John Wiley & Sons, Ltd.

摘要

背景

被收治于安全机构的年轻人通常存在尤其严重的心理、情绪和行为问题,但对于新西兰这一群体的心理健康需求却知之甚少。

目的

描述新西兰安全机构中年轻人可能存在的心理健康障碍患病率及相关需求。

方法

从一家安全护理机构在12个月内收治的年轻人(n = 204)记录中获取马萨诸塞州青少年筛查工具第二版(MAYSI - 2)的数据。我们使用描述性统计来确定总体问题的患病率,并使用多变量方差分析来比较不同性别和种族群体之间的MAYSI - 2得分。

结果

近80%的这些年轻人在MAYSI - 2上的得分高于“谨慎”或“警告”临界值,这一比例显著高于其他国家研究报告的比例。女孩以及毛利人和太平洋岛民亚组存在可能的精神病理学问题的比例往往更高。

结论

新西兰安全机构中的年轻人有大量的服务需求。在他们首次接触青少年司法系统时就让其参与服务的早期干预可能有助于减轻这一负担。鉴于这些年轻罪犯独特的种族构成,可能有必要在新西兰对MAYSI - 2进行进一步验证。版权所有© 2017约翰·威利父子有限公司。

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