Berard R M, Sennett J P, Ahmed N
Department of Psychiatry, University of Cape Town Medical School/Groote Schuur Hospital, South Africa.
Adolescence. 1998 Summer;33(130):405-13.
Assessment forms of 670 adolescents referred over four years to an adolescent psychiatric unit were analyzed to establish how they entered mental health care. The first part of the study examined referral sources; the second established the appropriateness of referral. Adolescents were referred via a number of pathways, of which school sources, psychiatric services, and social agencies were prominent. Interestingly, 60.7% of the referrals were from persons not trained in mental health care. No significant difference in appropriateness of referral was found between trained and nontrained sources. Thus, the unique referral base of adolescents in need of mental health care must be recognized. Although the majority in this study were not mental health care workers, the findings show that their referrals were clinically appropriate. This suggests that by improving the mental health skills of this sector, the provision of psychiatric care to adolescents could be enhanced.
对四年来转诊至青少年精神科的670名青少年的评估表进行了分析，以确定他们是如何进入心理健康护理体系的。研究的第一部分考察了转诊来源；第二部分确定了转诊的适宜性。青少年通过多种途径被转诊，其中学校、精神科服务机构和社会机构是主要来源。有趣的是，60.7%的转诊来自未接受过心理健康护理培训的人员。在经过培训和未经过培训的转诊来源之间，未发现转诊适宜性存在显著差异。因此，必须认识到需要心理健康护理的青少年独特的转诊基础。尽管本研究中的大多数转诊者不是心理健康护理工作者，但研究结果表明他们的转诊在临床上是适宜的。这表明，通过提高这一群体的心理健康技能，可以加强对青少年的精神科护理。
