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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Mental health screening and follow-up care in public high schools.
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Mental health screening and follow-up care in public high schools.

机译：公立高中的心理健康筛查和后续护理。

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OBJECTIVE: Despite increased interest in screening adolescents for mental health problems and suicide risk, little is known regarding the extent to which youth are identified and connected with appropriate services. METHOD: Between 2005 and 2009, a total of 4,509 ninth-grade students were offered screening. We reviewed the records of the 2,488 students who were screened. Students identified as being at risk were provided with a referral. Data were collected on screening results, mental health referrals, and completion of recommended treatment over approximately 90 days. RESULTS: Among students screened, 19.6% were identified as being at risk, 73.6% of whom were not currently receiving any treatment. Students referred for school services tended to be less severely ill than those referred for community services, with lower rates of suicidal ideation, prior suicide attempts, and self-injury. Among at-risk students not currently in treatment, 76.3% of students referred received at least one mental health visit during the follow-up period. Overall, 74.0% of students were referred to school and 57.3% to community services. A great majority of school referrals (80.2%) successfully accessed services, although a smaller proportion of community services referrals successfully accessed treatment (41.9%). CONCLUSIONS: Systematic voluntary school-based mental health screening and referral offers a feasible means of identifying and connecting high-risk adolescents to school- and community-based mental health services, although linkages to community-based services may require considerable coordination.
机译：目的：尽管对筛查青少年的精神健康问题和自杀风险的兴趣日益浓厚，但对于年轻人的识别程度和与适当服务的联系了解甚少。方法：2005年至2009年期间，共有4,509名九年级学生接受了筛查。我们审查了筛选的2488名学生的记录。被确定为有风险的学生将获得推荐。收集有关筛查结果，心理健康转诊以及在大约90天内完成推荐治疗的数据。结果：在筛查的学生中，有19.6％的人被确定为有危险，其中73.6％的人目前未接受任何治疗。被转介到学校服务的学生患病的机会往往比被转介给社区服务的学生病情轻，自杀意念，先前的自杀未遂和自残率更低。在目前未接受治疗的高危学生中，有76.3％的转诊学生在随访期内接受了至少一次心理健康就诊。总体而言，有74.0％的学生被转介到学校，而57.3％的学生被转介到社区服务。绝大多数学校转介成功获得服务，尽管一小部分社区转介成功获得治疗（41.9％）。结论：系统的自愿性基于学校的心理健康筛查和转介提供了一种确定高风险青少年并将其与基于学校和社区的心理健康服务联系起来的可行方法，尽管与基于社区的服务的联系可能需要大量的协调。

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