Children's Hospital Los Angeles, Los Angeles, CA, USA; Stanford University School of Medicine, Palo Alto, CA, USA.
Stanford University School of Medicine, Palo Alto, CA, USA; PlayfulLeigh Psyched, LLC, Hyattsville, MD, USA.
Early Hum Dev. 2021 Mar;154:105279. doi: 10.1016/j.earlhumdev.2020.105279. Epub 2020 Nov 16.
The aim of this paper is to describe the development of a standardized screening program for parents of infants in the Neonatal Intensive Care Unit (NICU) and to assess its implementation. The standardized screening protocol assessed parental mental health symptoms including depression, anxiety and trauma. Screening began at 14 days post NICU admission and was implemented as part of routine medical care for all caregivers with infants admitted to the NICU at two weeks of age. Screenings were facilitated by pediatric social workers and psychology postdoctoral fellows and included review of critical self-harm items. A total of 158 parents ages 18-42 years (mean = 31.04) were eligible for screening, with 150 completed screenings. Positive screens on any of the three measures resulted in a mental health referral. Approximately 27% of parents had a positive screen that resulted in a mental health referral. The standardized screening protocol was found to be feasible, widely accepted, and effective in establishing referrals for in house mental health services. This model can be used as an example to help other NICUs implement their own universal screening protocols.
本文旨在描述新生儿重症监护病房（NICU）婴儿父母标准化筛查计划的制定，并评估其实施情况。标准化筛查方案评估了父母的心理健康症状，包括抑郁、焦虑和创伤。筛查于 NICU 入院后 14 天开始，作为对所有在两周大时被收治于 NICU 的婴儿照顾者的常规医疗护理的一部分实施。儿科社会工作者和心理学博士后研究员协助进行筛查，包括审查关键的自残项目。共有 158 名年龄在 18-42 岁（平均 31.04 岁）的父母符合筛查条件，其中 150 名完成了筛查。任何三种措施的阳性筛查结果都会导致心理健康转介。大约 27%的父母有阳性筛查结果，需要心理健康转介。标准化筛查方案被证明是可行的、广泛接受的，并有效地为内部心理健康服务建立了转介。这种模式可以作为一个例子，帮助其他新生儿重症监护病房实施自己的通用筛查方案。
