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社区青少年心理健康服务中支持性教育扩展实施的混合方法评估

Mixed-Methods Evaluation of the Expanded Implementation of Supported Education Within Community Youth Mental Health Services.

作者信息

Ardill-Young Oliver, Teasdale Scott, Ottavio Antonia, Galley Hannah, Singh Rose, King Ruby, Levy Philippa, Scully Alana, Chinnery Gina, Nicholas Jennifer, Killackey Eóin, Curtis Jackie

机构信息

Discipline of Psychiatry and Mental Health, Faculty of Medicine, University of New South Wales, Kensington, New South Wales, Australia.

Mindgardens Neuroscience Network, Randwick, New South Wales, Australia.

出版信息

Early Interv Psychiatry. 2025 Apr;19(4):e70043. doi: 10.1111/eip.70043.

Abstract

AIMS

Education is a key goal of young people experiencing mental ill-health and is crucial for many aspects of enjoyable, meaningful lives. However, the completion of education can be a challenge. This paper evaluated the expanded implementation of a targeted education support programme for young people with mental ill-health.

METHODS

A retrospective chart audit of the 125 young people accessing a range of mental health services in a metropolitan region referred to the intervention between January 2022 and June 2023 was conducted. Education, demographic and administrative data were collected. The primary outcome was engagement in education (both secondary and higher), measured as both maintaining education and engaging in new educational opportunities. Fifteen clinicians were also surveyed on their perspectives on the intervention.

RESULTS

One-hundred and twenty-two referrals were accepted, 93 young people engaged and 70 were supported to engage with education. Half of the young people who were not engaged in education prior to participating were successfully supported to re-engage. However, the intervention was less integrated between referring services than during a previous pilot phase. Clinicians viewed the intervention as contributing to the development of generalisable skills and enhancing efficacy of care, but viewed a lack of co-location at every site as a substantial barrier to integration.

CONCLUSIONS

In a large sample embedded in a real-world setting, the current paper demonstrates positive outcomes of supported education within youth mental healthcare. Further studies are needed to demonstrate efficacy with control groups and to explore the perspectives of young people and carers.

摘要

目的

教育是心理健康状况不佳的年轻人的关键目标,对充实而有意义生活的许多方面都至关重要。然而,完成教育可能是一项挑战。本文评估了针对心理健康状况不佳的年轻人的有针对性的教育支持计划的扩大实施情况。

方法

对2022年1月至2023年6月期间转介至该干预措施的大都市地区125名接受一系列心理健康服务的年轻人进行了回顾性病历审核。收集了教育、人口统计学和管理数据。主要结果是参与教育(包括中学和高等教育),以维持教育和参与新的教育机会来衡量。还对15名临床医生就他们对该干预措施的看法进行了调查。

结果

接受了122例转介,93名年轻人参与其中,70人得到支持参与教育。在参与之前未接受教育的年轻人中,有一半成功得到支持重新参与。然而,与之前的试点阶段相比,该干预措施在转介服务之间的整合度较低。临床医生认为该干预措施有助于培养通用技能并提高护理效果,但认为每个地点缺乏同址办公是整合的一个重大障碍。

结论

在一个实际环境中的大样本中,本文证明了在青少年心理健康护理中支持教育的积极成果。需要进一步研究以证明在对照组中的有效性,并探索年轻人和照顾者的观点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4467/12012596/3417f9218dcc/EIP-19-0-g001.jpg

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