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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Family and Youth Mental Health Needs and Outcomes in a Navigation Service: A Retrospective Chart Review
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Family and Youth Mental Health Needs and Outcomes in a Navigation Service: A Retrospective Chart Review

机译:导航服务中的家庭和青年心理健康需求和结果:回顾性图表审查

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Objective The process of patient navigation involves system resource experts matching patients to the most appropriate services. Patient navigation within the mental health and/or addictions (MHA) system is only a recent development and has not undergone extensive research. This study examines trends regarding clients of a family navigation service in Toronto, Canada, which supports families of youth ages 13–26 with MHA concerns. Method A retrospective chart review was conducted using a sample of 200 cases from the first 989 clients of the navigation service. Descriptive statistics were performed to examine the general characteristics and demographics of navigation clients, the MHA profiles of navigation clients, and the characteristics of navigation. To predict the service needs and goals of navigation clients, four forward likelihood ratio multinomial logistic regression analyses were performed. Results Female caregivers were the most frequent point of contact, and families most commonly requested psychiatric assessments, counselling services, and parent support programs. Families who were seeking help for a female youth were less likely to request psychiatric treatment compared to families seeking help for a male youth ( p = .04) and families with a youth who already had a formal psychiatric diagnosis were more likely to request a counselling or therapy referral ( p = .04) compared to families with a youth who had not received a formal psychiatric diagnosis. Conclusion The findings contribute to an understanding of family navigation within the MHA field, and may support the development of targeted navigation programs that meet youth and families’ needs.
机译:目的患者导航过程涉及系统资源专家将患者与最合适的服务匹配。心理健康和/或成瘾(MHA)系统内的患者导航只是最近的发展,并没有经历广泛的研究。本研究审查了加拿大多伦多家庭航行服务客户的趋势,该客户支持与MHA担忧的青少年年龄13-26岁的家庭。方法使用导航服务的前989个客户的200个案例的样本进行了回顾性图表审查。进行描述性统计,以检查导航客户端的一般特征和人口统计数据,导航客户的MHA配置文件以及导航特征。为了预测导航客户端的服务需求和目标,执行了四个前向似然比多项逻辑回归分析。结果女护理人员是最常见的联系点,家庭最常见的精神病评估,咨询服务和父母支持计划。对于女性青少年寻求帮助的家庭不太可能要求精神治疗,与寻求男性青年(P = .04)的家庭相比,伴有男性青年(P = .04)和具有正式精神病诊断的青年家庭更有可能要求咨询或治疗转诊(P = .04)与未接受正式精神病诊断的青年家庭相比。结论调查结果有助于了解MHA领域内的家庭导航,并可能支持符合青年和家庭需求的有针对性导航计划的发展。

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