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在澳大利亚中学提供数字心理健康服务:了解学校辅导员和家长的经历。

Delivering A Digital Mental Health Service in Australian Secondary Schools: Understanding School Counsellors' and Parents' Experiences.

作者信息

O'Dea Bridianne, King Catherine, Achilles Melinda R, Calear Alison L, Subotic-Kerry Mirjana

机构信息

Black Dog Institute, University of New South Wales Sydney, Randwick, NSW, Australia.

Faculty of Medicine, University of New South Wales, Kensington, NSW, Australia.

出版信息

Health Serv Insights. 2021 May 18;14:11786329211017689. doi: 10.1177/11786329211017689. eCollection 2021.

Abstract

UNLABELLED

This study examined school counsellors' and parents' experiences of a school-based digital mental health service (Smooth Sailing) that screened students' mental health and provided automated psychological care. The Smooth Sailing service was offered to 4 secondary schools in New South Wales, Australia, for a 6-week trial period with 59 students taking part. The participating school counsellors (n = 4) completed a semi-structured interview to explore their experiences. Parents of students who had consented to being contacted (n = 37/59) were invited to complete an anonymous online survey about their child's participation. Six parents completed the survey. The school counsellors expressed overall support for the service and cited the ease of service use, its ability to identify students at-risk, and the provision of psychoeducation to students as clear benefits. They identified some barriers to the service, such as parental consent and suggested strategies to improve uptake and engagement, such as incentives, more frequent screening and use with older students. Parents also reported positive experiences with the service, expressing appreciation for mental health screening in schools and a new system to connect them and their child to school counselling services. Taken together, these findings provide initial support for delivering the Smooth Sailing service in secondary schools.

TRIAL REGISTRATION

This trial was registered with the Australian and New Zealand Clinical Trial Registry (ACTRN12617000977370).

摘要

未标注

本研究调查了学校辅导员和家长对一项基于学校的数字心理健康服务(“一帆风顺”)的体验,该服务对学生的心理健康进行筛查并提供自动化心理护理。“一帆风顺”服务在澳大利亚新南威尔士州的4所中学提供,为期6周的试验期,有59名学生参与。参与的学校辅导员(n = 4)完成了一次半结构化访谈,以探讨他们的体验。同意被联系的学生家长(n = 37/59)被邀请完成一项关于其孩子参与情况的匿名在线调查。6名家长完成了调查。学校辅导员对该服务总体表示支持,并指出服务使用方便、能够识别有风险的学生以及为学生提供心理教育是明显的好处。他们确定了该服务的一些障碍,如家长同意问题,并提出了提高使用率和参与度的策略,如激励措施、更频繁的筛查以及针对高年级学生使用。家长也报告了对该服务的积极体验,对学校进行心理健康筛查以及将他们及其孩子与学校咨询服务联系起来的新系统表示赞赏。综合来看,这些发现为在中学提供“一帆风顺”服务提供了初步支持。

试验注册

本试验在澳大利亚和新西兰临床试验注册中心(ACTRN12617000977370)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf0/8135196/5f630e1fc8a5/10.1177_11786329211017689-fig1.jpg

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