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首页> 外文期刊>Applied neuropsychology. Child >Reasons for referral and findings of clinical neuropsychological assessment in youth with mental illness: A clinical file audit
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Reasons for referral and findings of clinical neuropsychological assessment in youth with mental illness: A clinical file audit

机译：青春患有精神疾病的临床神经心理学评估的推荐和调查结果的原因：临床档案审计

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Study aims were to 1) determine the characteristics and reasons for referral for Clinical Neuropsychological Assessment (CNA) and 2) characterize the findings and recommendations contained in the CNA reports, of clients attending a youth mental health service. File audit of all CNA reports (N = 140) of youth attending a mental health service. Cognitive performances on neuropsychological tests that were administered to 50% of clients were examined. Referral reasons, findings, and recommendations for future treatment were coded and described from neuropsychological files. Age of clients referred for CNA ranged from 13-29, the majority were male (62.5%), referred primarily from the early psychosis clinic (63.2%), and had a mean number of 3.5 presenting problems. Cognitive performances ranged from extremely low to very superior. Mean number of reasons for referral was 2, with treatment recommendation (55%) and diagnostic clarification (50.7%) being the most common. Mean number of findings from CNA was 5.8; most commonly, a diagnosis of clinically meaningful cognitive impairment (85%), followed by a recommendations for additional services/investigations (77.1%). CNA provides diagnostic clarification and treatment recommendations for youth receiving mental health treatment. Future studies should examine the cost-effectiveness, implementation, and objective impact of CNA in clinical practice.
机译：研究目标是1）确定临床神经心理学评估（CNA）和2）转诊的特征和原因及2）表征CNA报告中所载的调查结果，参加青少年精神卫生服务。来自青春的所有CNA报告（n = 140）的文件审核，参加心理健康服务。对＆gt施用的神经心理学测试的认知性能; 50％的客户被检查。参考原因，调查结果和未来治疗的建议进行编码并从神经心理文件中描述。为CNA提到的客户的年龄范围为13-29，大多数是男性（62.5％），主要来自早期精神病诊所（63.2％），并且有一个平均的3.5次出现问题。认知性能范围从极低到非常优越。转诊的平均原因是2，治疗建议（55％）和诊断澄清（50.7％）是最常见的。 CNA的平均结果数为5.8;最常见的是，对临床有意义的认知障碍（85％）的诊断，其次是提出额外服务/调查的建议（77.1％）。 CNA为青年接受心理健康治疗提供诊断澄清和治疗建议。未来的研究应该审查CNA在临床实践中的成本效益，实施和客观影响。

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