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在新冠疫情期间于不列颠哥伦比亚省虚拟实施青少年综合服务。

Implementing integrated-youth services virtually in British Columbia during the COVID-19 pandemic.

作者信息

Zenone Marco, Raimundo Al, Nanji Suhail, Uday Neha, Tee Karen, Ewert Alayna, Helfrich Warren, Chan Godwin, Mathias Steve, Barbic Skye

机构信息

Foundry, Providence Health Care, Vancouver, British Columbia, Canada.

Faculty of Medicine, Department of Occupational Science and Occupational Therapy, The University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Integr Healthc J. 2022 Aug 19;4(1):e000089. doi: 10.1136/ihj-2021-000089. eCollection 2022.

Abstract

OBJECTIVE

During the COVID-19 pandemic, Foundry responded to support youth across the province of British Columbia (BC), Canada, by creating a virtual platform to deliver integrated services to youth. In this paper, we report on the development of Foundry Virtual services, initial evaluation results and lessons learnt for others implementing virtual services.

METHODS AND ANALYSIS

In April 2020, Foundry launched its virtual services, providing young people and their caregivers from across BC with drop-in counselling services via chat, voice or video calls. Foundry consulted with youth and caregivers to implement, improve and add services. Using Foundry's quality improvement data tool, we document service utilisation, the demographic profile of young people accessing virtual services, and how young people rate the quality of services accessed.

FINDINGS

Since launching, 3846 unique youth accessed Foundry Virtual services over 8899 visits, totalling 11 943 services accessed. The predominant services accessed were walk in counselling (32.5%), mental health and substance use services (31.4%), youth peer support (17.2%) and group services (7.3%). Over 95% of youth reported that they would recommend virtual services to a friend.

CONCLUSION

In response to our early findings, we provide three recommendations for other implementers. First, engage the audience in which you intend to serve at every phase of the project. Second, invest in the needs of staff to ensure they are prepared and supported to deliver services. Last, imbed a learning health system to allow for the resources culture of continuous learning improvement that allows for rapid course adjustments and shared learning opportunities.

摘要

目的

在新冠疫情期间,铸币厂通过创建一个虚拟平台,为加拿大不列颠哥伦比亚省(BC)的青少年提供综合服务,以响应号召并提供支持。在本文中,我们报告了铸币厂虚拟服务的发展情况、初步评估结果以及其他实施虚拟服务者可吸取的经验教训。

方法与分析

2020年4月,铸币厂推出其虚拟服务,通过聊天、语音或视频通话为来自BC省各地的年轻人及其照顾者提供即到即咨询服务。铸币厂与年轻人及其照顾者进行了磋商,以实施、改进和增加服务。我们使用铸币厂的质量改进数据工具,记录服务利用率、使用虚拟服务的年轻人的人口统计学特征,以及年轻人对所使用服务质量的评价。

结果

自推出以来,3846名不同的年轻人进行了8899次访问,使用了铸币厂虚拟服务,总共使用了11943项服务。使用最多的服务是即到即咨询(32.5%)、心理健康和物质使用服务(31.4%)、青少年同伴支持(17.2%)和团体服务(7.3%)。超过95%的年轻人表示,他们会向朋友推荐虚拟服务。

结论

根据我们的早期发现,我们为其他实施者提供三条建议。第一,在项目的每个阶段都要让你打算服务的受众参与进来。第二,满足员工的需求,以确保他们做好准备并得到支持来提供服务。最后,建立一个学习型健康系统,以形成持续学习改进的资源文化,从而能够迅速调整课程并提供共享学习机会。

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Youth mental health in the time of COVID-19.新冠疫情下的青少年心理健康
Ir J Psychol Med. 2020 Dec;37(4):301-305. doi: 10.1017/ipm.2020.84. Epub 2020 Jul 2.
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Vulnerable Youth and the COVID-19 Pandemic.弱势青年与新冠疫情
Pediatrics. 2020 Jul;146(1). doi: 10.1542/peds.2020-1306. Epub 2020 Apr 28.

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