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一个为青少年心理健康服务设计的数字平台,用于提供个性化和基于测量的护理。

A Digital Platform Designed for Youth Mental Health Services to Deliver Personalized and Measurement-Based Care.

作者信息

Iorfino Frank, Cross Shane P, Davenport Tracey, Carpenter Joanne S, Scott Elizabeth, Shiran Sagit, Hickie Ian B

机构信息

Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia.

Research and development, Innowell, Pty Ltd., Sydney, NSW, Australia.

出版信息

Front Psychiatry. 2019 Aug 23;10:595. doi: 10.3389/fpsyt.2019.00595. eCollection 2019.

Abstract

Mental disorders that commonly emerge during adolescence and young adulthood are associated with substantial immediate burden and risks, as well as potentially imparting lifetime morbidity and premature mortality. While the development of health services that are youth focused and prioritize early intervention has been a critical step forward, an ongoing challenge is the heterogeneous nature of symptom profiles and illness trajectories. Consequently, it is often difficult to provide quality mental health care, at scale, that addresses the broad range of health, social, and functional needs of young people. Here, we describe a new digital platform designed to deliver personalized and measurement-based care. It provides health services and clinicians with the tools to directly address the multidimensional needs of young people. The term "personalized" describes the notion that the assessment of, and the sequence of interventions for, mental disorders are tailored to the young person-and their changing needs over time, while "measurement-based" describes the use of systematic and continuing assessment of a young person's outcomes over the entire course of clinical care. Together, these concepts support a framework for care that transcends a narrow focus on symptom reduction or risk reduction. Instead, it prioritizes a broader focus on enhancing social, health, and physical outcomes for young people and a commitment to tracking these outcomes throughout this key developmental period. Now, with twenty-first century technologies, it is possible to provide health services with the tools needed to deliver quality mental health care.

摘要

在青少年期和青年期常见的精神障碍会带来巨大的即时负担和风险,还可能导致终生发病和过早死亡。虽然以青少年为重点并优先考虑早期干预的卫生服务发展是向前迈出的关键一步,但持续存在的挑战是症状表现和疾病轨迹的异质性。因此,往往难以大规模提供高质量的心理健康护理,以满足年轻人广泛的健康、社会和功能需求。在此,我们描述了一个旨在提供个性化和基于测量的护理的新数字平台。它为卫生服务机构和临床医生提供工具,以直接满足年轻人的多维度需求。“个性化”一词描述了这样一种理念,即对精神障碍的评估和干预顺序是根据年轻人及其随时间变化的需求量身定制的,而“基于测量”则描述了在整个临床护理过程中对年轻人的治疗效果进行系统和持续评估的使用。这些概念共同支持了一个护理框架,该框架超越了对症状减轻或风险降低的狭隘关注。相反,它更广泛地关注改善年轻人的社会、健康和身体状况,并致力于在这个关键的发育阶段跟踪这些状况。现在借助21世纪的技术,有可能为卫生服务提供提供高质量心理健康护理所需的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a98/6716201/c77e24a4c230/fpsyt-10-00595-g001.jpg

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