Suppr超能文献

加拿大医疗卫生应将青少年心理健康作为重中之重

Youth Mental Health Should Be a Top Priority for Health Care in Canada.

机构信息

1 Department of Psychiatry, McGill University, Montreal, QC, Canada.

2 Douglas Mental Health University Institute, Verdun, QC, Canada.

出版信息

Can J Psychiatry. 2018 Apr;63(4):216-222. doi: 10.1177/0706743718758968. Epub 2018 Mar 11.

Abstract

In this article we have provided a perspective on the importance and value of youth mental health services for society and argued that advancing youth mental health services should be the number one priority of health services in Canada. Using the age period of 12-25 years for defining youth, we have provided justification for our position based on scientific evidence derived from clinical, epidemiological and neurodevelopmental studies. We have highlighted the early onset of most mental disorders and substance abuse as well as their persistence into later adulthood, the long delays experienced by most help seekers and the consequence of such delays for young people and for society in general. We have also provided a brief review of the current gross inadequacies in access and quality of care available in Canada. We have argued for the need for a different conceptual framework of youth mental disorders as well as for a transformation of the way services are provided in order not only to reduce the unmet needs but also to allow a more meaningful exploration of the nature of such problems presenting in youth and the best way to treat them. We have offered some ideas based on previous work completed in this field as well as current initiatives in Canada and elsewhere. Any transformation of youth mental health services in Canada must take into consideration the significant geographic, cultural and political diversity across the provinces, territories and indigenous peoples across this country.

摘要

在本文中,我们提供了一个视角,强调了青年心理健康服务对社会的重要性和价值,并认为在加拿大,推进青年心理健康服务应该是卫生服务的首要任务。我们将 12-25 岁的年龄段定义为青年,并基于临床、流行病学和神经发育研究的科学证据为我们的立场提供了依据。我们强调了大多数精神障碍和物质滥用的发病早、持续到成年后期,以及大多数寻求帮助的人所经历的长时间延迟,以及这种延迟对年轻人和整个社会的后果。我们还简要回顾了加拿大目前在获得机会和护理质量方面的严重不足。我们认为,需要一种不同的青年精神障碍概念框架,以及一种服务提供方式的转变,不仅要减少未满足的需求,还要更好地探索青年中出现的此类问题的性质以及治疗这些问题的最佳方法。我们根据该领域之前完成的工作以及加拿大和其他地方的当前举措提出了一些想法。加拿大青年心理健康服务的任何转变都必须考虑到这个国家各省份、地区和原住民之间在地理、文化和政治方面的显著多样性。

相似文献

1
Youth Mental Health Should Be a Top Priority for Health Care in Canada.
Can J Psychiatry. 2018 Apr;63(4):216-222. doi: 10.1177/0706743718758968. Epub 2018 Mar 11.
2
Addressing the mental health needs of looked after children in foster care: the experiences of foster carers.
J Psychiatr Ment Health Nurs. 2017 Mar;24(2-3):143-153. doi: 10.1111/jpm.12362. Epub 2017 Jan 25.
3
Canadian response to need for transformation of youth mental health services: ACCESS Open Minds (Esprits ouverts).
Early Interv Psychiatry. 2019 Jun;13(3):697-706. doi: 10.1111/eip.12772. Epub 2018 Dec 16.
5
Child and adolescent mental health policy and plans in Canada: an analytical review.
Can J Psychiatry. 2010 Feb;55(2):100-7. doi: 10.1177/070674371005500206.
6
Service Use and Unmet Needs for Substance Use and Mental Disorders in Canada.
Can J Psychiatry. 2017 Aug;62(8):551-559. doi: 10.1177/0706743717714467. Epub 2017 Jun 15.
7
From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people.
Soc Psychiatry Psychiatr Epidemiol. 2016 Mar;51(3):319-26. doi: 10.1007/s00127-015-1165-4. Epub 2015 Dec 19.
8
Child and Youth Mental Health.
Can J Psychiatry. 2017 Apr;62(4):232-234. doi: 10.1177/0706743717698670.

引用本文的文献

2
Physical Activity in Mental Health Treatment: Clinician Perspectives and Practices.
Clin Pract. 2025 Jul 8;15(7):129. doi: 10.3390/clinpract15070129.
5
Trajectories of Psychopathology Among Youth with Physical Illness.
Child Psychiatry Hum Dev. 2025 Apr 1. doi: 10.1007/s10578-025-01835-1.
6
Mental health in resource-limited settings: amplifying youth voices and approaches.
Discov Ment Health. 2025 Mar 20;5(1):38. doi: 10.1007/s44192-025-00168-8.
7
Posttraumatic Growth Among Young Women, Comparing Risk and Protective Factors in Sexual Violence Survivors Versus Other Trauma Survivors.
J Child Adolesc Trauma. 2024 Sep 14;18(1):217-228. doi: 10.1007/s40653-024-00649-y. eCollection 2025 Mar.
9
An Approach to Providing Timely Mental Health Services to Diverse Youth Populations.
JAMA Psychiatry. 2025 Feb 26;82(5):470-80. doi: 10.1001/jamapsychiatry.2024.4880.

本文引用的文献

2
Improving outcomes of first-episode psychosis: an overview.
World Psychiatry. 2017 Oct;16(3):251-265. doi: 10.1002/wps.20446.
3
Emergency Department as a First Contact for Mental Health Problems in Children and Youth.
J Am Acad Child Adolesc Psychiatry. 2017 Jun;56(6):475-482.e4. doi: 10.1016/j.jaac.2017.03.012. Epub 2017 Apr 3.
4
Comorbid diagnoses for youth at clinical high risk of psychosis.
Schizophr Res. 2017 Dec;190:90-95. doi: 10.1016/j.schres.2017.03.043. Epub 2017 Mar 31.
5
Impaired Social and Role Function in Ultra-High Risk for Psychosis and First-Episode Schizophrenia: Its Relations with Negative Symptoms.
Psychiatry Investig. 2017 Mar;14(2):186-192. doi: 10.4306/pi.2017.14.2.186. Epub 2017 Mar 6.
6
The mental health of Indigenous peoples in Canada: A critical review of research.
Soc Sci Med. 2017 Mar;176:93-112. doi: 10.1016/j.socscimed.2017.01.021. Epub 2017 Jan 18.
7
New Government, New Opportunity, and an Old Problem with Access to Mental Health Care.
Can J Psychiatry. 2017 Jan;62(1):8-10. doi: 10.1177/0706743716669084.
8
The Case for a Federal Mental Health Transition Fund.
Can J Psychiatry. 2017 Jan;62(1):4-7. doi: 10.1177/0706743716673324.
9
Families Affected by Parental Substance Use.
Pediatrics. 2016 Aug;138(2). doi: 10.1542/peds.2016-1575. Epub 2016 Jul 18.
10
From early intervention in psychosis to youth mental health reform: a review of the evolution and transformation of mental health services for young people.
Soc Psychiatry Psychiatr Epidemiol. 2016 Mar;51(3):319-26. doi: 10.1007/s00127-015-1165-4. Epub 2015 Dec 19.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验