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临床医生在儿童和青少年心理健康服务中使用和对待技术提供和支持干预措施的情况。

Clinicians' use of and attitudes towards technology to provide and support interventions in child and adolescent mental health services.

机构信息

Department for Health, University of Bath, Bath, UK.

Child and Family Service, Temple House Practice, Keynsham, UK.

出版信息

Child Adolesc Ment Health. 2020 May;25(2):95-101. doi: 10.1111/camh.12362. Epub 2019 Dec 11.

DOI:10.1111/camh.12362
PMID:32307835
Abstract

BACKGROUND

Technology can increase child and adolescent mental health service (CAMHS) capacity by supporting and delivering interventions, yet it has not been widely adopted by CAMHS child mental health professionals. Uptake can either be facilitated or obstructed by child mental health professionals' attitudes, which remain largely unknown.

METHOD

One hundred fifty-four CAMHS child mental health professionals completed a questionnaire about their use of, and attitudes towards, using technology with children and adolescents.

RESULTS

Child mental health professionals perceived themselves as generally competent at using technology, especially younger child mental health professionals, and perceived it to be helpful in their clinical work. A number of benefits of its use were identified such as accessibility, convenience and appeal, and it was primarily perceived as a preventative/psychoeducational tool rather than a replacement for face-to-face therapy. Older technologies (helplines and websites) were most frequently used, whereas newer technologies (computer games) were rarely used. Child mental health professionals were unsure what resources were available and whether technology is safe, private or reliable.

CONCLUSIONS

Despite positive attitudes towards technology, newer technologies were rarely used by child mental health professionals. An overall lack of knowledge about resources along with concerns about safety and reliability may account for the slow uptake of technology within CAMHS. These issues need addressing to maximise implementation, perhaps through training or workshops.

摘要

背景

技术可以通过支持和提供干预措施来增加儿童和青少年心理健康服务 (CAMHS) 的能力,但它尚未被 CAMHS 儿童心理健康专业人员广泛采用。儿童心理健康专业人员的态度可以促进或阻碍技术的采用,而这些态度在很大程度上是未知的。

方法

154 名 CAMHS 儿童心理健康专业人员完成了一份关于他们使用和对使用技术与儿童和青少年的态度的问卷。

结果

儿童心理健康专业人员认为自己在使用技术方面普遍有能力,尤其是年轻的儿童心理健康专业人员,并且认为它对他们的临床工作有帮助。确定了使用技术的一些好处,例如可及性、便利性和吸引力,并且主要将其视为预防/心理教育工具,而不是面对面治疗的替代品。较旧的技术(热线和网站)使用最频繁,而较新的技术(电脑游戏)很少使用。儿童心理健康专业人员不确定有哪些资源可用,以及技术是否安全、私密或可靠。

结论

尽管对技术持积极态度,但儿童心理健康专业人员很少使用较新的技术。对资源缺乏总体了解以及对安全性和可靠性的担忧可能是 CAMHS 中技术采用缓慢的原因。需要解决这些问题以最大限度地实施技术,也许可以通过培训或研讨会来实现。

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