UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK.
Int J Environ Res Public Health. 2021 May 18;18(10):5369. doi: 10.3390/ijerph18105369.
This study was part of a broader project to examine the acceptability, feasibility and impact of a transdiagnostic mental health drop-in centre offering brief psychological assessment and treatment for children and young people and/or their families with mental health needs in the context of long-term physical health conditions (LTCs). The aims of this investigation were to characterise: (i) the use of such a centre, (ii) the demographics and symptoms of those presenting to the centre, and (iii) the types of support that are requested and/or indicated.
A mental health "booth" was located in reception of a national paediatric hospital over one year. Characteristics of young people with LTCs and their siblings/parents attending the booth were defined. Emotional/behavioural symptoms were measured using standardised questionnaires including the Strengths and Difficulties Questionnaire (SDQ). Participants subsequently received one of four categories of intervention: brief transdiagnostic cognitive behaviour therapy (CBT), referral to other services, neurodevelopmental assessment or signposting to resources.
One hundred and twenty-eight participants were recruited. The mean age of young people was 9.14 years (standard deviation: 4.28); 61% identified as white and 45% were male. Over half of young people recruited scored in the clinical range with respect to the SDQ. Presenting problems included: anxiety (49%), challenging behaviour (35%), low mood (22%) and other (15%).
A considerable proportion of young people with LTC in a paediatric hospital scored in the clinical range for common mental health problems, indicating a potential for psychological interventions.
本研究是更广泛项目的一部分，旨在考察一个跨诊断心理健康随到随诊中心的可接受性、可行性和影响，该中心为患有长期躯体疾病（LTC）的儿童和青少年及其有心理健康需求的家庭提供简短的心理评估和治疗。本研究的目的是：（i）描述该中心的使用情况；（ii）来中心就诊者的人口统计学特征和症状；（iii）请求和/或表明的支持类型。
在一家国家儿科医院的接待处设立了一个心理健康“展位”，为期一年。确定了患有 LTC 的年轻人及其兄弟姐妹/父母参加展位的特征。使用标准化问卷（包括长处和困难问卷（SDQ））测量情绪/行为症状。参与者随后接受以下四种干预措施之一：简短的跨诊断认知行为疗法（CBT）、转介给其他服务、神经发育评估或指向资源。
共招募了 128 名参与者。年轻人的平均年龄为 9.14 岁（标准差：4.28）；61%为白人，45%为男性。超过一半的年轻人在 SDQ 上的得分处于临床范围内。就诊问题包括：焦虑（49%）、行为挑战（35%）、情绪低落（22%）和其他问题（15%）。
在一家儿科医院的大量患有 LTC 的年轻人在常见心理健康问题上的得分处于临床范围内，表明有进行心理干预的可能性。
