Wright Blanche, Nelson Katherine L, Hoagwood Kimberly E, Purtle Jonathan
Department of Health Policy and Management, University of California, Los Angeles, Los Angeles, and RAND, Santa Monica, California (Wright); Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia (Nelson); Department of Child and Adolescent Psychiatry, Grossman School of Medicine (Hoagwood), and Department of Public Health Policy and Management, School of Global Public Health (Purtle), New York University, New York City.
Psychiatr Serv. 2025 Jan 1;76(1):82-85. doi: 10.1176/appi.ps.20230430. Epub 2024 Aug 2.
This study aimed to characterize the perceived priorities of state and county policy makers for youth mental health services and the factors that influence those priorities.
Mental health agency officials (N=338; N=221 state officials, N=117 county officials) representing 49 states completed a Web-based survey in 2019-2020. On 5-point scales, respondents rated the extent to which 15 issues were priorities for their agency in providing youth mental health services and the extent to which nine factors influenced those priorities.
Suicide was identified as the highest priority (mean±SD rating=4.38±0.94), followed by adverse childhood experiences and childhood trauma and then increasing access to evidence-based treatments. Budget issues (mean=4.27±0.92) and state legislative priorities (mean=4.01±0.99) were perceived as having the greatest influence on setting priorities.
These findings provide insights into youth mental health policy priorities and can be used to guide implementation and dissemination strategies for research and program development within state and county systems.
本研究旨在描述州和县政策制定者对青少年心理健康服务的认知优先事项以及影响这些优先事项的因素。
代表49个州的心理健康机构官员（N = 338；N = 221名州官员，N = 117名县官员）在2019 - 2020年完成了一项基于网络的调查。在5分制量表上，受访者对15个问题作为其机构提供青少年心理健康服务的优先事项的程度以及9个因素对这些优先事项的影响程度进行了评分。
自杀被确定为最高优先事项（平均±标准差评分 = 4.38±0.94），其次是童年不良经历和童年创伤，然后是增加获得循证治疗的机会。预算问题（平均 = 4.27±0.92）和州立法优先事项（平均 = 4.01±0.99）被认为对确定优先事项影响最大。
这些发现为青少年心理健康政策优先事项提供了见解，可用于指导州和县系统内研究及项目开发的实施和传播策略。
