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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Access to health professionals by children and adolescents with mental disorders: Are we meeting their needs?
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Access to health professionals by children and adolescents with mental disorders: Are we meeting their needs?

机译：通过儿童和青少年与精神障碍的卫生专业人员访问：我们是否满足他们的需求？

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Objective: To identify the percentage of 4–17?year olds with mental disorders in Australia who attended health professionals for single or repeat visits to get help for emotional and behavioural problems during a 12-month period. To identify factors associated with single and repeat visits, and the average length of time between visits. To compare the number of parent-reported visits with visits recorded in the Medicare Benefits Schedule. Method: The study used data from the national survey of the mental health and wellbeing of 4–17?year olds conducted in 2013–2014 ( n ?=?6310). Participants were randomly selected from all 4 to 17?year olds in Australia. Information about visits was available from face-to-face interviews with parents, the Medicare Benefits Schedule and self-reports from 13 to 17?year olds. Mental disorders were assessed using the Diagnostic Interview Schedule for Children Version IV completed by parents. Results: Parents reported that 51.1% of 4–17?year olds with mental disorders had attended a health professional during the previous 12?months. However, 13.6% of these children had attended on only a single occasion, most commonly with a general practitioner. With the exception of occupational therapists, 2–4 visits was the most common number of repeat visits. Children with comorbid disorders and severe functional impairment and those aged 12–17?years were more likely to have repeat visits. Among those with linked Medicare Benefits Schedule data, more children were reported by parents to have attended Medicare Benefits Schedule-funded health professionals (47.9%) than were recorded in Medicare Benefits Schedule data (38.0%). Conclusion: The typical number of visits to health professionals by children with mental disorders during a 12-month period is relatively small. Furthermore, parent-reports may overestimate the number of visits during this time. It seems unlikely that current patterns of attendance are of sufficient duration and frequency to allow full implementation of evidence-based treatment programmes for child and adolescent mental disorders.
机译：目的：鉴定4-17岁的百分比，澳大利亚的精神障碍，他们参加了卫生专业人士，以便在12个月期间获得了对情绪和行为问题的帮助。识别与单一和重复访问相关的因素，以及访问之间的平均时间长度。比较父母报告的访问数量，并在Medicare福利日程中记录的访问。方法：该研究使用来自国家核心健康和福祉的国家调查的数据4-17？岁月（N？= 6310）。与会者随机选中来自所有4到17个？澳大利亚的岁月。有关访问的信息是从父母的面对面访谈中获得的，医疗保险福利日程安排和自我报告从13到17岁？岁月。使用父母完成的儿童版IV的诊断访谈计划评估精神障碍。结果：父母报告称，51.1％的4-17岁？历年患有精神障碍的年龄在前12个月内出席了健康专业人士。然而，这些儿童的13.6％仅参加了一个单一的场合，最常见于一般从业者。除了职业治疗师外，2-4次访问是最常见的重复访问数量。具有可融合的儿童和严重的功能性损伤以及12-17岁的人？年龄更有可能重复访问。在有联系Medicare福利的人中，父母报告了更多儿童才能参加医疗保险福利，计划资助的卫生专业人士（47.9％），而不是在Medicare福利进度数据（38.0％）中录制。结论：在12个月期间，患有精神障碍儿童的卫生专业人士的典型访问量相对较小。此外，父报告可能会高估在此期间的访问次数。目前的出勤模式似乎不太可能是足够的持续时间和频率，以便充分实施儿童和青少年精神障碍的循证治疗方案。

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