Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada.
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
J Hand Surg Eur Vol. 2024 Jul;49(7):885-891. doi: 10.1177/17531934231214138. Epub 2023 Nov 21.
This study describes mental health and psychosocial screening processes, access to care and interventions provided to children with upper limb musculoskeletal conditions. A cross-sectional e-survey study was conducted of 107 healthcare professionals who work with children with congenital hand and upper limb differences and brachial plexus birth injuries. Of them, 41 (38%) reported that they routinely screen for mental health and psychosocial concerns. Few (12%) reported the use of standardized outcome measures. In total, 51 (48%) healthcare professionals reported that there was a waiting list for mental health services at their institution. Collectively, healthcare professionals were unsatisfied with the staffing, access to care and types of interventions available. Reported barriers to care included the growing need for mental health support, lack of resources and poor continuity of care after referrals. Future research should focus on identifying and validating a mental health screening tool and investigating the processes affecting access to mental health care. IV.
本研究描述了上肢肌肉骨骼疾病患儿的心理健康和心理社会筛查流程、获得医疗服务的途径以及提供的干预措施。本横断面电子调查研究共调查了 107 名从事先天性手部和上肢差异以及臂丛神经出生损伤患儿工作的医疗保健专业人员。其中，41 名（38%）报告称他们常规筛查心理健康和心理社会问题。很少（12%）报告使用标准化的结果测量方法。共有 51 名（48%）医疗保健专业人员报告说，他们所在机构的心理健康服务存在等待名单。总的来说，医疗保健专业人员对人员配置、获得医疗服务的途径以及提供的干预措施类型不满意。报告的护理障碍包括对心理健康支持的需求不断增加、资源匮乏以及转介后的护理连续性差。未来的研究应侧重于确定和验证心理健康筛查工具，并调查影响获得心理健康护理的流程。IV.
