Liverpool Business School, Faculty of Business and Law, Liverpool John Moores University, Liverpool L1 2TZ, UK.
School of Nursing and Allied Health, Faculty of Health, Liverpool John Moores University, Liverpool L2 2ER, UK.
Int J Environ Res Public Health. 2024 Oct 3;21(10):1318. doi: 10.3390/ijerph21101318.
(1) Background: In the UK, mental health needs for children and young people (CYP) are rising, whilst access to care is declining, particularly in the North of England and post-COVID-19. However, Health Information Technologies (HITs) can simplify access to Child and Adolescent Mental Health Services (CAMHS), reduce waiting times, and provide anonymous support and reliable information. (2) Methods: A single-centre prospective observational study examined the impact of "CYP as One"-a digital referral point to CAMHS-on waiting times and referral rejection rates. (3) Results: Waiting times during the first 12 months of "CYP as One" implementation were compared to the 12 months prior using non-parametric tests. "CYP as One" demonstrated an increase of 1314 referrals, with self-referrals rising by 71%. Initial implementation showed an increase in waiting times by 16.13 days (53.89 days) compared to pre-implementation (37.76 days) ( < 0.001). However, months 10 (M = 16.18, < 0.001), 11 (M = 17.45, < 0.001), and 12 (M = 31.45, < 0.001) implementation showed reduced waiting times. Rejection rates rose due to a 108% increase in referral volume. "CYP as One" improved access and reduced waiting times after the initial phase. (4) Conclusions: Further research is needed to assess its long-term impact and cost-effectiveness, particularly regarding specific mental health conditions and staff time.
（1）背景：在英国，儿童和青少年（CYP）的心理健康需求不断上升，而获得护理的机会却在减少，尤其是在英格兰北部和新冠疫情之后。然而，健康信息技术（HIT）可以简化儿童和青少年心理健康服务（CAMHS）的获取途径，减少等待时间，并提供匿名支持和可靠的信息。（2）方法：一项单中心前瞻性观察性研究考察了“CYP 一体化”——一个数字 CAMHS 转诊点——对等待时间和转诊拒绝率的影响。（3）结果：使用非参数检验比较了“CYP 一体化”实施的前 12 个月与前 12 个月的等待时间。“CYP 一体化”显示转诊量增加了 1314 例，其中自我转诊增加了 71%。与实施前相比（37.76 天），初始实施期间等待时间增加了 16.13 天（53.89 天）（<0.001）。然而，实施的第 10 个月（M=16.18，<0.001）、第 11 个月（M=17.45，<0.001）和第 12 个月（M=31.45，<0.001）的等待时间有所减少。由于转诊量增加了 108%，拒绝率上升。“CYP 一体化”在初始阶段后改善了获得服务的机会并减少了等待时间。（4）结论：需要进一步研究以评估其长期影响和成本效益，特别是针对特定的心理健康状况和员工时间。
