患有复杂心理健康问题的儿童：一年中的需求、成本及预测因素
Children with Complex Mental Health Problems: Needs, Costs and Predictors over One Year.
作者信息
Clark Andrew F, O'Malley Art, Woodham Adrine, Barrett Barbara, Byford Sarah
机构信息
Department of Child and Adolescent Psychiatry, University of Manchester, Regional Adolescent Unit, Bolton Salford Trafford Mental Health NHS Trust, Bury New Road, Prestwich, Manchester M25 3BL, UK. E-mail:
Centre for the Economics of Mental Health, Institute of Psychiatry, London, UK.
出版信息
Child Adolesc Ment Health. 2005 Nov;10(4):170-178. doi: 10.1111/j.1475-3588.2005.00349.x.
BACKGROUND
Little is known regarding children of greatest concern with complex mental health problems.
METHOD
A one-year prospective study of psychiatric diagnosis, psychosocial functioning, need status and service receipt in 60 children identified as most concerning.
RESULTS
Thirty-two (53%) had two or more disorders. The mean number of needs per child was five. One year later mean needs were unchanged but with considerable individual variation. Mean weekly costs were £1017 (€1627) (SD = £957 (€1531)). Higher costs related to social factors rather than diagnosis or need.
CONCLUSIONS
The mean annual cost of services to children with complex mental health problems is ten times that in other studies of children with mental health problems.
背景
对于患有复杂心理健康问题的最受关注儿童，我们知之甚少。
方法
对60名被确定为最受关注的儿童进行为期一年的前瞻性研究，内容包括精神科诊断、心理社会功能、需求状况和服务接受情况。
结果
32名（53%）儿童患有两种或更多疾病。每个儿童的平均需求数为5个。一年后，平均需求数未变，但个体差异较大。平均每周费用为1017英镑（1627欧元）（标准差=957英镑（1531欧元））。较高的费用与社会因素有关，而非诊断或需求。
结论
为患有复杂心理健康问题的儿童提供服务的年均费用是其他心理健康问题儿童研究的10倍。
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