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首页> 美国卫生研究院文献>Frontiers in Psychiatry >A Digital Platform Designed for Youth Mental Health Services to Deliver Personalized and Measurement-Based Care
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A Digital Platform Designed for Youth Mental Health Services to Deliver Personalized and Measurement-Based Care

机译：专为青年心理健康服务设计的数字平台可提供个性化和基于测量的护理

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Mental disorders that commonly emerge during adolescence and young adulthood are associated with substantial immediate burden and risks, as well as potentially imparting lifetime morbidity and premature mortality. While the development of health services that are youth focused and prioritize early intervention has been a critical step forward, an ongoing challenge is the heterogeneous nature of symptom profiles and illness trajectories. Consequently, it is often difficult to provide quality mental health care, at scale, that addresses the broad range of health, social, and functional needs of young people. Here, we describe a new digital platform designed to deliver personalized and measurement-based care. It provides health services and clinicians with the tools to directly address the multidimensional needs of young people. The term “personalized” describes the notion that the assessment of, and the sequence of interventions for, mental disorders are tailored to the young person—and their changing needs over time, while “measurement-based” describes the use of systematic and continuing assessment of a young person’s outcomes over the entire course of clinical care. Together, these concepts support a framework for care that transcends a narrow focus on symptom reduction or risk reduction. Instead, it prioritizes a broader focus on enhancing social, health, and physical outcomes for young people and a commitment to tracking these outcomes throughout this key developmental period. Now, with twenty-first century technologies, it is possible to provide health services with the tools needed to deliver quality mental health care.
机译：通常在青春期和成年期出现的精神障碍与大量的直接负担和风险相关，并可能导致终身发病和过早死亡。虽然发展以青年为中心并优先重视早期干预的卫生服务是向前迈出的关键一步，但持续的挑战是症状特征和疾病轨迹的异质性。因此，通常很难提供大规模的优质心理保健，以解决年轻人广泛的健康，社会和功能需求。在这里，我们描述了一个新的数字平台，旨在提供个性化和基于测量的护理。它为卫生服务和临床医生提供了直接解决年轻人的多维需求的工具。 “个性化”一词描述的概念是，针对精神障碍的评估以及干预的顺序是针对年轻人量身定制的，以及其随时间变化的需求，而“基于测量的”则描述了系统和持续评估的使用在整个临床护理过程中年轻人的结局。这些概念共同构成了一个护理框架，该框架超越了对减少症状或降低风险的关注。取而代之的是，它优先考虑更广泛地关注增强年轻人的社会，健康和身体状况，并承诺在这个关键的发展时期跟踪这些成果。现在，借助二十一世纪的技术，可以为卫生服务提供提供优质精神卫生保健所需的工具。

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