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年轻人往往不会超过一次寻求帮助:儿童和青少年精神科医生对新西兰年轻人患病心理健康服务的看法。

Young people don't tend to ask for help more than once: Child and adolescent psychiatrists' views on ailing mental health services for young New Zealanders.

机构信息

Department of Psychological Medicine, 8494University of Otago, Wellington, New Zealand.

Tu Te Akaaka Roa, New Zealand National Committee, 170472Royal Australian and New Zealand College of Psychiatrists, Melbourne, VIC, Australia.

出版信息

Australas Psychiatry. 2022 Dec;30(6):684-688. doi: 10.1177/10398562221115624. Epub 2022 Aug 2.

DOI:10.1177/10398562221115624
PMID:35918633
Abstract

OBJECTIVES

To explore the views of New Zealand doctors working in child and adolescent psychiatry regarding the state of public mental health services.

METHODS

All practicing child and adolescent psychiatrists/advanced trainees were electronically surveyed in August 2021. Quantitative and qualitative analysis of feedback was undertaken.

RESULTS

Almost 100 specialists responded, an 80% response rate. High levels of dissatisfaction with current services and future service plans were identified. Content analysis identified an overarching theme that child and adolescent services were under great pressure, with subthemes of increased demand, a stretched workforce and social issues driving complex presentations. Recommendations were made for addressing workforce, service design and wider issues.

CONCLUSIONS

Multiple measures are needed to improve currently ailing child mental health services, including urgently expanding the number of psychiatrists and other clinical staff.

摘要

目的

探讨在儿童和青少年精神病学领域工作的新西兰医生对公共心理健康服务状况的看法。

方法

2021 年 8 月,对所有从事儿童和青少年精神病学/高级培训的医生进行了电子调查。对反馈信息进行了定量和定性分析。

结果

近 100 名专家做出了回应,回应率为 80%。调查结果表明,目前的服务和未来的服务计划存在高度不满。内容分析确定了一个首要主题,即儿童和青少年服务面临巨大压力,其下的子主题包括需求增加、劳动力紧张以及社会问题导致的复杂表现。针对解决劳动力、服务设计和更广泛问题提出了建议。

结论

需要采取多种措施来改善目前不佳的儿童心理健康服务,包括紧急增加精神科医生和其他临床工作人员的数量。

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