评估和治疗收容所诊所中无家可归青年的复杂心理健康需求。
Assessing and treating complex mental health needs among homeless youth in a shelter-based clinic.
机构信息
Department of Psychiatry and Behavioral Sciences, Section of Population Behavioral Health, Rush University Medical Center, 1645 W. Jackson Blvd., Suite 302, Chicago, IL, 60612, USA.
College of Nursing, Department of Community, Systems, & Mental Health Nursing, Rush University Medical Center, Chicago, IL, USA.
出版信息
BMC Health Serv Res. 2020 Feb 11;20(1):109. doi: 10.1186/s12913-020-4953-9.
BACKGROUND
Rates of homelessness have been increasing in recent years, thereby necessitating a more direct approach to treating this complex social problem. Homeless youth have disproportionately high rates of untreated mental health problems and are therefore particularly vulnerable to the effects of homelessness during the transition period from adolescence to adulthood.
METHODS
The study team developed a shelter-based clinic and collected clinical measures on youth who attended this clinic from October 2016 through June 2018.
RESULTS
Youth attended an average number of three sessions, but there was a significant drop in follow-up after the first (intake) appointment. Depression, anger, and adjustment disorder emerged as the most common presenting mental health concerns identified by clinicians in the intake appointment, and trauma was identified as a significant complaint for those youth who returned for a second session.
CONCLUSION
Mental health care is needed in this population, but future studies should explore alternative approaches to retaining homeless youth in treatment and in designing targeted trauma-informed interventions.
背景
近年来，无家可归者的人数不断增加，因此需要采取更直接的方法来解决这一复杂的社会问题。无家可归的青年中未经治疗的心理健康问题比例过高，因此在从青春期到成年的过渡期间，他们特别容易受到无家可归的影响。
方法
研究小组设立了一个避难所诊所，并在 2016 年 10 月至 2018 年 6 月期间收集了参加该诊所的青年的临床数据。
结果
青年平均参加了三次就诊，但在第一次（入组）就诊后的随访中显著下降。在入组就诊时，临床医生发现抑郁、愤怒和适应障碍是最常见的心理健康问题，对于那些回来参加第二次就诊的青年来说，创伤被确定为一个重要的问题。
结论
该人群需要心理健康护理，但未来的研究应探讨替代方法，以留住无家可归的青年接受治疗，并设计针对创伤的干预措施。
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