Sharpe Helen, Ford Tamsin, Lereya Suzet Tanya, Owen Chris, Viner Russell M, Wolpert Miranda
Evidence Based Practice Unit (EBPU), University College London and the Anna Freud Centre, 4-8 Rodney Street, London, N1 9JH, UK.
Department of Clinical Psychology, The University of Edinburgh, Edinburgh, UK.
Child Adolesc Ment Health. 2016 Sep;21(3):148-153. doi: 10.1111/camh.12166. Epub 2016 May 8.
With evidence of rising need around mental health in young people, cuts in specialist health provision and increasing recognition of the central role of schools in supporting young people with mental health problems, it is important to understand the provision of mental health support currently available in schools, the nature of the relationship with health and other providers of child and adolescent mental health (CAMH) services, and what are the key barriers to accessing support.
The study was a convenience sample survey of 577 school staff from 341 schools in England. Participants completed an online survey about the provision of specialist mental health support in their school, including what support is available, who provides it, and perceived barriers to supporting the mental health of young people. Data were linked to publicly available data on school characteristics.
Over two thirds of schools reported having some specialist support available, with specialist provision more common in secondary schools. Staff training and whole-school approaches were the most frequently employed specific approaches. Support was most often provided by educational psychologists, followed by counsellors. School staff particularly valued support and feedback within the schools context. The most frequently cited barrier to mental health support was the limited capacity of specialist CAMH services.
The results suggest a need to enhance the availability of specialist support for mental health both within schools and in CAMH services.
有证据表明年轻人对心理健康的需求不断增加，专科医疗服务供应减少，且人们越来越认识到学校在支持有心理健康问题的年轻人方面的核心作用，因此了解学校目前提供的心理健康支持、与健康及其他儿童和青少年心理健康（CAMH）服务提供者关系的性质以及获得支持的主要障碍非常重要。
该研究对来自英格兰341所学校的577名学校工作人员进行了便利抽样调查。参与者完成了一项关于其学校提供专科心理健康支持的在线调查，包括有哪些支持、由谁提供以及在支持年轻人心理健康方面所感知到的障碍。数据与关于学校特征的公开可用数据相关联。
超过三分之二的学校报告称有一些专科支持，专科服务在中学更为常见。员工培训和全校性方法是最常采用的具体方法。支持最常由教育心理学家提供，其次是顾问。学校工作人员特别重视学校环境中的支持和反馈。心理健康支持最常被提及的障碍是专科CAMH服务的能力有限。
结果表明需要加强学校内部和CAMH服务中专科心理健康支持的可及性。
