Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital; Department of Pediatrics, The Ohio State University.
Department of Child and Adolescent Psychiatry, Nationwide Children's Hospital; Department of Psychiatry, The Ohio State University.
Child Adolesc Psychiatr Clin N Am. 2020 Oct;29(4):733-741. doi: 10.1016/j.chc.2020.06.010. Epub 2020 Jul 22.
Although screening can significantly improve the identification of youth with mental health needs in primary care, there is no evidence that screening improves outcomes. Measurement-based care using clinical mental health registries has been shown to improve screening outcomes in adult primary care populations and pediatric physical health needs; however, there is limited attention to pediatric mental health registries in primary care. This article describes clinical mental health registries, discusses the barriers to implementation with youth, and describes next steps in expanding the use of pediatric mental health registries in primary care.
虽然筛查可以显著提高初级保健中识别有心理健康需求的年轻人的能力，但没有证据表明筛查可以改善结果。基于测量的护理，使用临床心理健康登记册，已被证明可以改善成年初级保健人群和儿科身体保健需求的筛查结果；然而，初级保健中对儿科心理健康登记册的关注有限。本文描述了临床心理健康登记册，讨论了在实施过程中面临的障碍，并介绍了在初级保健中扩大使用儿科心理健康登记册的下一步措施。
