Eapen Valsamma, Gerstl Brigitte, Ahinkorah Bright Opoku, John James Rufus, Hawker Patrick, Nguyen Thomas P, Brice Febe, Winata Teresa, Bowden Michael
Academic Unit of Infant, Child, and Adolescent Psychiatry Services (AUCS), South Western Sydney Local Health District and Ingham Institute, Australia; and Discipline of Psychiatry and Mental Health, University of New South Wales, Australia.
Academic Unit of Infant, Child, and Adolescent Psychiatry Services (AUCS), South Western Sydney Local Health District and Ingham Institute, Australia; Discipline of Psychiatry and Mental Health, University of New South Wales, Australia; and School of Public Health, University of Technology Sydney, Australia.
BJPsych Open. 2024 Apr 11;10(3):e78. doi: 10.1192/bjo.2024.25.
Brief intervention services provide rapid, mobile and flexible short-term delivery of interventions to resolve mental health crises. These interventions may provide an alternative pathway to the emergency department or in-patient psychiatric services for children and young people (CYP), presenting with an acute mental health condition.
To synthesise evidence on the effectiveness of brief interventions in improving mental health outcomes for CYP (0-17 years) presenting with an acute mental health condition.
A systematic literature search was conducted, and the studies' methodological quality was assessed. Five databases were searched for peer-reviewed articles between January 2000 and September 2022.
We synthesised 30 articles on the effectiveness of brief interventions in the form of (a) crisis intervention, (b) integrated services, (c) group therapies, (d) individualised therapy, (e) parent-child dyadic therapy, (f) general services, (g) pharmacotherapy, (h) assessment services, (i) safety and risk planning and (j) in-hospital treatment, to improve outcomes for CYP with an acute mental health condition. Among included studies, one study was rated as providing a high level of evidence based on the National Health and Medical Research Council levels of evidence hierarchy scale, which was a crisis intervention showing a reduction in length of stay and return emergency department visits. Other studies, of moderate-quality evidence, described multimodal brief interventions that suggested beneficial effects.
This review provides evidence to substantiate the benefits of brief interventions, in different settings, to reduce the burden of in-patient hospital and readmission rates to the emergency department.
简短干预服务提供快速、灵活且可移动的短期干预措施，以解决心理健康危机。这些干预措施可能为患有急性心理健康问题的儿童和青少年（CYP）提供通往急诊科或住院精神科服务的替代途径。
综合关于简短干预措施对患有急性心理健康问题的0至17岁CYP改善心理健康结果有效性的证据。
进行了系统的文献检索，并评估了研究的方法学质量。检索了五个数据库，以查找2000年1月至2022年9月期间的同行评审文章。
我们综合了30篇关于简短干预措施有效性的文章，这些措施形式包括：（a）危机干预，（b）综合服务，（c）团体治疗，（d）个体化治疗，（e）亲子二元治疗，（f）一般服务，（g）药物治疗，（h）评估服务，（i）安全和风险规划，以及（j）住院治疗，以改善患有急性心理健康问题的CYP的结局。在纳入的研究中，根据国家卫生与医学研究委员会的证据等级量表，有一项研究被评为提供了高水平的证据，这是一项危机干预研究，显示住院时间和再次前往急诊科就诊次数减少。其他中等质量证据的研究描述了多模式简短干预措施，表明有有益效果。
本综述提供了证据，证实了在不同环境中简短干预措施在减轻住院负担和降低急诊科再入院率方面的益处。
