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新不伦瑞克省心理健康行动计划:使用加拿大社区健康调查对儿童和青少年计划效果的定量探索。

New Brunswick's mental health action plan: A quantitative exploration of program efficacy in children and youth using the Canadian Community Health Survey.

机构信息

Department of Psychology, Faculty of Science, Applied Science, and Engineering, University of New Brunswick, Saint John, New Brunswick, Canada.

Department of Psychology, Faculty of Science, St. Mary's University, Halifax, Nova Scotia, Canada.

出版信息

PLoS One. 2024 Jun 7;19(6):e0301008. doi: 10.1371/journal.pone.0301008. eCollection 2024.

Abstract

In 2011, the New Brunswick government released the New Brunswick Mental Health Action Plan 2011-2018 (Action Plan). Following the release of the Action Plan in 2011, two progress reports were released in 2013 and 2015, highlighting the implementation status of the Action Plan. While vague in their language, these reports indicated considerable progress in implementing the Action Plan, as various initiatives were undertaken to raise awareness and provide additional resources to facilitate early prevention and intervention in children and youth. However, whether these initiatives have yielded measurable improvements in population-level mental health outcomes in children and youth remains unclear. The current study explored the impact of the Action Plan by visualizing the trend in psychosocial outcomes and service utilization of vulnerable populations in New Brunswick before and after the implementation of the Action Plan using multiple datasets from the Canadian Community Health Survey. Survey-weighted ordinary least square regression analyses were performed to investigate measurable improvements in available mental health outcomes. The result revealed a declining trend in the mental wellness of vulnerable youth despite them consistently reporting higher frequencies of mental health service use. This study highlights the need for a concerted effort in providing effective mental health services to New Brunswick youth and, more broadly, Canadian youth, as well as ensuring rigorous routine outcome monitoring and evaluation plans are consistently implemented for future mental health strategies at the time of their initiation.

摘要

2011 年,新不伦瑞克省政府发布了《2011-2018 年新不伦瑞克精神健康行动计划》(行动计划)。行动计划于 2011 年发布后,2013 年和 2015 年发布了两份进展报告,重点介绍了行动计划的实施情况。尽管这些报告的措辞含糊不清,但它们表明,在实施行动计划方面取得了相当大的进展,因为采取了各种举措来提高认识并提供额外资源,以促进儿童和青年的早期预防和干预。然而,这些举措是否在儿童和青年的人群心理健康结果方面产生了可衡量的改善尚不清楚。本研究通过使用来自加拿大社区健康调查的多个数据集,可视化行动计划实施前后新不伦瑞克弱势群体的心理社会结果和服务利用趋势,探讨了行动计划的影响。对调查加权普通最小二乘回归分析进行了分析,以调查可用心理健康结果的可衡量改善。研究结果表明,尽管弱势青年报告的心理健康服务使用频率更高,但他们的心理健康状况却呈下降趋势。这项研究强调了为新不伦瑞克青年,更广泛地为加拿大青年提供有效心理健康服务的必要性,并在制定未来心理健康战略时,始终如一地实施严格的常规结果监测和评估计划。

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