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扩大青少年心理社会服务的覆盖范围:导师提供的单次干预措施的未开发潜力。

Expanding the reach of psychosocial services for youth: Untapped potential of mentor-delivered single session interventions.

作者信息

Hart Mackenzie J, Sung Jenna Y, McQuillin Samuel D, Schleider Jessica L

机构信息

Department of Psychology, University of South Carolina, Columbia, South Carolina, USA.

Department of Psychology, Stony Brook University, Stony Brook, New York, USA.

出版信息

J Community Psychol. 2023 Apr;51(3):1255-1272. doi: 10.1002/jcop.22927. Epub 2022 Aug 26.

Abstract

At present, the mental healthcare system cannot meet the demand for services, and the need-to-access gap is widest among children and adolescents. Single session interventions (SSIs) are brief, intentional, and mechanism-targeted programs that have shown promise in increasing the reach of effective, evidence-based services; yet, a wide gap still remains due to structural barriers (e.g., lack of awareness, workforce shortages). The present paper posits the integration of SSIs and mentor-delivered programs as a promising future step to further overcome the inaccessibility of youth mental health services. Capitalizing on the advantages of mentoring relationships (e.g., the associated interpersonal benefits and mentors' pre-existence in most community settings) has the potential to complement and enhance the value of SSIs, and to expand the acceptability and reach of evidence-based mental health services. In this paper, we discuss the anticipated benefits of mentor-delivered SSIs, as well as cautionary considerations related to the proposed model. To conclude, we highlight the necessary implementation and research implications.

摘要

目前,精神卫生保健系统无法满足服务需求,儿童和青少年中获得服务的差距最为显著。单次干预(SSIs)是简短、有针对性且以机制为导向的项目,在扩大有效循证服务的覆盖范围方面已展现出前景;然而,由于结构障碍(如缺乏认知、劳动力短缺),仍存在很大差距。本文提出将单次干预与导师指导项目相结合,作为未来进一步克服青少年心理健康服务难以获得这一问题的有前景的举措。利用指导关系的优势(如相关的人际益处以及导师在大多数社区环境中的既有存在)有可能补充和提升单次干预的价值,并扩大循证心理健康服务的可接受性和覆盖范围。在本文中,我们讨论了导师指导的单次干预的预期益处,以及与所提议模式相关的警示性考量。最后,我们强调了必要的实施和研究意义。

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