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协作护理模式:改善儿童心理健康护理的可及性。

The collaborative care model: Improving access to children's mental health care.

作者信息

LaVille Thoren Kennedy, Vista-Wayne Joyce

机构信息

Eyerly Ball Outpatient Community Mental Health Center-UnityPoint Des Moines, Des Moines, Iowa, USA.

MercyOne Des Moines-Mercy College of Health Sciences, Des Moines, Iowa, USA.

出版信息

J Child Adolesc Psychiatr Nurs. 2021 May;34(2):83-87. doi: 10.1111/jcap.12309. Epub 2021 Feb 24.

DOI:10.1111/jcap.12309
PMID:33625764
Abstract

INTRODUCTION

Current accessibility to child and adolescent mental health services is negatively affected by the shortage of mental health providers. The primary care provider or pediatrician is in a key position to identify behavioral health concerns, coordinate services, and provide treatment to the patient.

AIM

This project aimed to improve access to children's mental health care by creating and implementing an educational course on the collaborative care model (CoCM), a model of integrated care that embeds mental health professionals into the primary care setting.

METHODS

Pre- and post-surveys were embedded in the online CoCM course to track course completion, identify clinical staff knowledge, and identify clinical staff interest in implementing the CoCM in practice.

RESULTS

Following project implementation, clinical staffs' responses from the pre- and post-surveys represented an increase in knowledge and interest in implementing the CoCM in practice after taking the online course.

CONCLUSION

This project suggests further exploration of funding and planning to implement a pilot of the CoCM in a primary care practice setting.

摘要

引言

心理健康服务提供者的短缺对当前儿童和青少年心理健康服务的可及性产生了负面影响。初级保健提供者或儿科医生在识别行为健康问题、协调服务以及为患者提供治疗方面处于关键地位。

目的

本项目旨在通过创建并实施一门关于协作护理模式(CoCM)的教育课程来改善儿童心理健康护理的可及性,协作护理模式是一种将心理健康专业人员融入初级保健环境的综合护理模式。

方法

在在线CoCM课程中嵌入了课前和课后调查,以跟踪课程完成情况、确定临床工作人员的知识水平,并确定临床工作人员在实践中实施CoCM的兴趣。

结果

项目实施后,课前和课后调查中临床工作人员的反馈表明,参加在线课程后,他们在实践中实施CoCM的知识和兴趣有所增加。

结论

本项目建议进一步探索资金和规划,以便在初级保健实践环境中实施CoCM试点。

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