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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Establishing ongoing, early identification programs for mental health problems in our schools: a feasibility study.
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Establishing ongoing, early identification programs for mental health problems in our schools: a feasibility study.

机译：建立我们学校中针对精神健康问题的正在进行的早期识别计划：一项可行性研究。

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OBJECTIVE: To investigate the feasibility of establishing ongoing, early identification services for mental health problems in school settings. METHOD: School counselors and other mental health professionals (N = 41) in middle, junior, and high schools (N= 23) were given training and supervision in the administration of an evidence-based mental health assessment tool, the Voice Diagnostic Interview Schedule for Children IV (DISC-IV), over the course of 1 1/2 school years. RESULTS: During the study, 530 students were selected to be assessed with the DISC, and 72% were confirmed to be at risk for a mental health problem (DISC+). Among DISC+ cases, 71% had never been in treatment before. The most common problems identified by the DISC were symptoms related to suicide (28%), social phobia (20%), attention-deficit/ hyperactivity disorder (19%), and oppositional defiant disorder (19%). Based on schools' recommendations, 82% of parents with DISC+ children agreed to make an appointment for a follow-up evaluation. Of DISC+ children whose parents agreed to seek further evaluation, 65% of them were evaluated by a health or mental health professional within 2 weeks. CONCLUSIONS: Use of a computerized, evidence-based mental health assessment tool is a feasible strategy for providing early mental health identification services in schools and can help to bridge the gap between mental health providers and the unmet needs of children who are at risk for mental health problems within the community.
机译：目的：调查在学校环境中建立持续的早期识别服务以解决心理健康问题的可行性。方法：对中学，初中和高中（N = 23）的学校辅导员和其他心理健康专业人员（N = 23）进行了培训和监督，以管理基于证据的心理健康评估工具（语音诊断面试时间表）在1 1/2个学年中为IV级儿童（DISC-IV）提供服务。结果：在研究过程中，选择了530名学生接受DISC评估，其中72％的人有精神健康问题（DISC +）的风险。在DISC +病例中，有71％从未接受过治疗。 DISC识别出的最常见问题是与自杀有关的症状（28％），社交恐惧症（20％），注意力缺陷/多动障碍（19％）和对立反抗障碍（19％）。根据学校的建议，有DISC +孩子的家长中有82％同意预约进行后续评估。在其父母同意寻求进一步评估的DISC +儿童中，有65％的儿童在2周内接受了健康或心理健康专业人员的评估。结论：使用基于计算机的循证精神卫生评估工具是在学校提供早期精神卫生鉴定服务的可行策略，并且可以帮助弥合精神卫生提供者与有精神风险的儿童的未满足需求之间的差距。社区内的健康问题。

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