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儿科精神健康状况的初级和二级保健方法:一种新型的保健模式。

Primary and secondary care approach to paediatric mental health conditions: a novel model of care.

机构信息

University Hospital Limerick, Dooradoyle, Limerick, Ireland

Department of Paediatrics, UCD School of Medicine, Dublin, Ireland.

出版信息

BMJ Paediatr Open. 2022 Mar;6(1). doi: 10.1136/bmjpo-2021-001285.

DOI:10.1136/bmjpo-2021-001285
PMID:36053655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8905931/
Abstract

The enforced isolation caused by the COVID-19 pandemic has led to an increase in mental health issues and severity of presentations to emergency departments in Ireland. Long waiting lists for both Psychology and Psychiatry are further impacting on children's mental well-being. We proposed the creation of a 'Happiness Toolkit' that can be given to children on presentation to their primary or secondary care provider with a mental health issue. The toolkit is comprised of six evidence-based techniques that are proven to boost self-esteem, develop resilience and promote positive mental health. A leaflet detailing the practices along with a physical 'box' that the children must make were created. This resource may therefore provide immediate support to those children that may endure long waiting periods, sometimes greater than a year and a half, for referral to tertiary services. Our toolkit allows children and their families to engage in positive mental health practices that may prevent regression during this waiting period and lead to improved mental health or cessation of symptoms.

摘要

由于 COVID-19 大流行而实施的强制隔离措施,导致爱尔兰的心理健康问题和急诊部门的就诊严重程度有所增加。同时,心理和精神病学的预约等待时间也在延长,这进一步影响了儿童的心理健康。我们提出创建一个“快乐工具包”,可以在儿童向初级或二级保健提供者提出心理健康问题时提供给他们。该工具包由六项经过验证的技术组成,这些技术被证明可以提高自尊心、培养适应力并促进积极的心理健康。我们还创建了一份详细介绍这些实践的小册子,以及一个孩子们必须制作的实体“盒子”。因此,对于那些可能需要等待长达一年半以上才能转介到三级服务的儿童来说,该资源可以为他们提供即时支持。我们的工具包可以让儿童及其家人参与积极的心理健康实践,这可能有助于防止他们在等待期间病情恶化,并改善他们的心理健康状况或消除症状。

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本文引用的文献

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Int J Environ Res Public Health. 2020 Sep 15;17(18):6719. doi: 10.3390/ijerph17186719.
2
The cost of mental disorders: a systematic review.精神障碍的成本:系统综述。
Epidemiol Psychiatr Sci. 2020 Aug 18;29:e161. doi: 10.1017/S204579602000075X.
3
Mental health impacts of COVID-19 in Ireland and the need for a secondary care mental health service response.爱尔兰 COVID-19 对精神健康的影响,以及对二级精神卫生保健服务应对的需求。
Ir J Psychol Med. 2021 Jun;38(2):99-107. doi: 10.1017/ipm.2020.64. Epub 2020 May 27.
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Trends in Mental Health Presentations to a Paediatric Emergency Department.儿科急诊就诊的心理健康状况趋势。
Ir Med J. 2020 Feb 13;113(2):20.
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Smartphones, social media use and youth mental health.智能手机、社交媒体使用与青少年心理健康。
CMAJ. 2020 Feb 10;192(6):E136-E141. doi: 10.1503/cmaj.190434.
6
Mental Health Competencies for Pediatric Practice.儿科实践中的精神卫生能力。
Pediatrics. 2019 Nov;144(5). doi: 10.1542/peds.2019-2757. Epub 2019 Oct 21.
7
Spending at least 120 minutes a week in nature is associated with good health and wellbeing.每周至少花 120 分钟在大自然中与健康和幸福有关。
Sci Rep. 2019 Jun 13;9(1):7730. doi: 10.1038/s41598-019-44097-3.
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Relation between cognitive and behavioral strategies and future change in common mental health problems across 18 years.认知和行为策略与常见心理健康问题在 18 年内的未来变化之间的关系。
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