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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Why screening and treating 3-year-olds for mental health problems is not such a good idea.
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Why screening and treating 3-year-olds for mental health problems is not such a good idea.

机译：为什么筛选和治疗3岁的心理健康问题并不是一个好主意。

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摘要

The Australian Federal Government is embarking upon a campaign to screen 3-year-old children for early signs of mental illness, using a GP-administered 'Healthy Kids Check', followed by referral to psychologists or paediatricians for intervention where this is deemed to be needed. What does the research on screening and early intervention with young children say about the effectiveness of such actions in reducing mental illness in later life? How accurate can we be in identifying children who need and would benefit from intervention? What proportion of false-positives and false-negatives coming from the screening process are likely? What are the dangers of prematurely labelling children as having a disorder on the basis of unreliable and/or insufficient evidence? Alternatively, how likely are we to miss those who have real and serious adjustment difficulties but do not meet criteria for problem status on the day, and are not sent on for assessment and treatment? Prediction of later mental health problems from childhood is a doubtful undertaking, and resources are at risk of being wasted and outcomes are uncertain on both an individual and a population basis.
机译：澳大利亚联邦政府正在开始筛选3岁儿童的竞选活动，以获得精神疾病的早期迹象，使用GP管理的“健康的孩子检查”，随后推荐给心理学家或儿科医生进行干预，在那里这被认为是需要。幼儿筛选和早期干预的研究如何了解这些行动在后期减少精神疾病的效果？我们如何在识别需要并从干预中受益的儿童进行准确？可能有哪些比例的误报和来自筛选过程的假否定？过早地标记儿童的危险是什么，因为不可靠和/或证据不足的疾病？或者，我们对那些具有真实和严重调整困难的人有多可能是有可能达到当天的问题状态标准，并且不会被派遣进行评估和治疗？从童年时代的后期心理健康问题预测是一个可疑的事业，资源有浪费的风险，而且个人和人口的结果是不确定的。

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