在 COVID-19 大流行期间，向两个儿科心理健康保健获取项目报告的心理健康问题趋势。
Trends in Mental Health Concerns Reported to Two Pediatric Mental Health Care Access Programs During the COVID-19 Pandemic.
机构信息
Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore (Bettencourt); Department of Psychiatry & Human Behavior (Allen, Hibbert, Sarver) and Center for the Advancement of Youth (Allen, Hibbert, Sarver), University of Mississippi Medical Center, Jackson; Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Coble).
出版信息
Psychiatr Serv. 2022 Jun;73(6):670-673. doi: 10.1176/appi.ps.202100479. Epub 2021 Nov 29.
OBJECTIVE
Pediatric Mental Health Care Access (PMHCA) programs increase access to mental health care by providing training, consultation, and resource-referral support to primary care providers (PCPs). The authors compared trends in services provided by two PMHCA programs during the COVID-19 pandemic.
METHODS
Maryland and Mississippi PMHCA programs had 2,840 contacts with PCPs from January 2019 to March 2021. Descriptive trends on PMHCA program utilization, service type, clinical severity, diagnostic complexity, and PCP contact reasons were reported.
RESULTS
Both programs observed significant increases in call volume during the COVID-19 pandemic compared with before COVID-19. Increases were observed in calls regarding patients with multiple diagnoses (Maryland, 20% to 37%; Mississippi, 0% to 11%) as well as patients with mood and anxiety symptoms.
CONCLUSIONS
Changes in PMHCA program usage suggest that PCPs identified more complex mental health concerns, particularly regarding mood and anxiety, during the pandemic than before COVID-19. Trends underscore the importance of PMHCA programs in supporting PCPs with managing pediatric mental health concerns.
目的
儿科心理健康护理获取 (PMHCA) 计划通过向初级保健提供者 (PCP) 提供培训、咨询和资源转介支持，增加获得心理健康护理的机会。作者比较了 COVID-19 大流行期间两个 PMHCA 计划提供的服务趋势。
方法
马里兰州和密西西比州 PMHCA 计划在 2019 年 1 月至 2021 年 3 月期间与 PCP 进行了 2,840 次接触。报告了 PMHCA 计划利用率、服务类型、临床严重程度、诊断复杂性和 PCP 联系原因的描述性趋势。
结果
与 COVID-19 之前相比，两个计划在 COVID-19 大流行期间的电话量都显著增加。关于具有多种诊断的患者（马里兰州，20% 至 37%；密西西比州，0% 至 11%）以及患有情绪和焦虑症状的患者的电话数量有所增加。
结论
PMHCA 计划使用情况的变化表明，与 COVID-19 之前相比，PCP 在大流行期间发现了更多复杂的心理健康问题，特别是情绪和焦虑问题。这些趋势强调了 PMHCA 计划在支持 PCP 管理儿童心理健康问题方面的重要性。
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