Ishay Gili Hoter, Zisman-Ilani Yaara, Roe David
Department of Community Mental Health, University of Haifa, Haifa, Israel.
Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, Pennsylvania, USA.
Early Interv Psychiatry. 2023 Apr;17(4):404-411. doi: 10.1111/eip.13347. Epub 2022 Aug 18.
This study examined satisfaction with accessibility, staff attitudes, personal outcomes service components of youth-oriented mental health service, Headspace, and those components' associations with psychological distress and functional status at intake, service utilization patterns and demographic characteristics at middle and end of treatment.
Data were collected between March 2016 and June 2018 from 112 participants (12-25 years) who consented and completed at least seven sessions at the Headspace youth integrated-care centre in Israel using the centre's registries and the Youth Service Satisfaction Scale.
Headspace participants attended an average of 12 sessions (SD = 3.12), they waited up to 2 weeks for their first intake (n = 57; 73%), after which most were offered a psychotherapy session (n = 80, 71%) within 2 months. Participants' satisfaction with Headspace was above the mid-point for all service aspects. The overall effect for time was not significant, F(1) = 1.14, p > .05. However, a significant increase in satisfaction with personal outcomes was found between the middle and the end of treatment, F(2,4) = 3.11, p < .05 compared to all other aspects. The length of waiting time, level of distress, number of sessions attended by parents and age were correlated with satisfaction. Correlations were found with waiting time, distress level, number of sessions attended by parents and age.
High levels of satisfaction with Headspace service aspects strengthens the evidence for areas of importance in designing youth mental health services: youth-friendly staff, general environment, accessibility and outcomes achievement.
本研究调查了针对青少年的心理健康服务机构“心灵空间”(Headspace)在可及性、工作人员态度、个人成果服务要素方面的满意度,以及这些要素与入组时的心理困扰和功能状态、治疗中期和末期的服务利用模式及人口统计学特征之间的关联。
2016年3月至2018年6月期间,从112名年龄在12至25岁之间、同意并在以色列的“心灵空间”青少年综合护理中心完成至少七次治疗的参与者中收集数据,使用该中心的登记记录和青少年服务满意度量表。
“心灵空间”的参与者平均参加了12次治疗(标准差=3.12),他们首次入组等待时间最长为2周(n=57;73%),之后大多数人在2个月内接受了心理治疗(n=80,71%)。参与者对“心灵空间”所有服务方面的满意度均高于中点。时间的总体效应不显著,F(1)=1.14,p>.05。然而,与所有其他方面相比,治疗中期和末期之间个人成果满意度有显著提高,F(2,4)=3.11,p<.05。等待时间长度、困扰程度、父母参加的治疗次数和年龄与满意度相关。发现与等待时间、困扰程度、父母参加的治疗次数和年龄存在相关性。
对“心灵空间”服务方面的高度满意度为设计青少年心理健康服务的重要领域提供了有力证据:对青少年友好的工作人员、总体环境、可及性和成果达成。