Orygen, The National Centre of Excellence in Youth Mental Health, headspace Sunshine Visy Cares Hub, Sunshine, Victoria, Australia.
Jesuit Social Services, Richmond, Victoria, Australia.
Early Interv Psychiatry. 2019 Oct;13(5):1073-1082. doi: 10.1111/eip.12729. Epub 2018 Aug 30.
Timely access to treatment in the early stages of mental illness is pivotal to recovery and prevention of longer-term disablement. Yet, this can be challenging at times of growing service demands. The headspace Brief Interventions Clinic (BIC) is an innovative treatment model aiming to promote quick access to evidence-based interventions for young people presenting with early signs of mental disorders.
The BIC treatment package comprises eight skill-building and behavioural intervention modules that young people can choose from. Treatment occurs over a maximum of six sessions with graduate students under supervision. Treatment outcomes are compared at baseline and final sessions, with client satisfaction measured at the final session.
Allocation to the BIC occurred within 2 to 3 weeks of initial referral. Most young people (73%) completed their treatment, attending on average four sessions. Significant reductions in overall psychological distress, depressive symptomatology and anxiety severity ratings were observed at completion of treatment, as well as significant improvements in social and occupational functioning. About 91% of young people stated that their outcome expectations had been entirely met and 95% were entirely satisfied with their treatment experience. A strong therapeutic relationship, specific strategies for managing emotions, coping and problem-solving and a choice of engaging in flexible and modularised content were identified as the most valued experiences by young people.
The BIC might be ideally suited for health care settings aiming to promote timely access to treatments for young people with early signs of mental disorders.
在精神疾病的早期阶段及时获得治疗对于康复和预防长期残疾至关重要。然而，在服务需求不断增长的情况下，这可能具有挑战性。headspace 简短干预诊所（BIC）是一种创新的治疗模式，旨在为出现早期精神障碍迹象的年轻人提供快速获得循证干预的机会。
BIC 的治疗方案包括年轻人可以选择的八个技能培养和行为干预模块。治疗最多在六个疗程内进行，由研究生在监督下进行。在基线和最后一次疗程中比较治疗结果，并在最后一次疗程中测量客户满意度。
在最初转介后的 2 到 3 周内进行了 BIC 的分配。大多数年轻人（73%）完成了治疗，平均参加了四节课。在治疗结束时，总体心理困扰、抑郁症状和焦虑严重程度评分显著降低，社会和职业功能显著改善。大约 91%的年轻人表示他们的预期结果完全得到满足，95%的人对他们的治疗体验完全满意。年轻人认为最有价值的体验是建立了强烈的治疗关系、管理情绪、应对和解决问题的具体策略以及选择参与灵活和模块化的内容。
BIC 可能非常适合旨在促进有早期精神障碍迹象的年轻人及时获得治疗的医疗保健环境。
