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Young Australians with moderate to severe mental health problems: client data and outcomes at children and young people's mental health

机译:患有中度到重度心理健康问题的澳大利亚年轻人:儿童和年轻人心理健康方面的客户数据和结果

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摘要

Aim: Almost a quarter of young Australians experience a mental health issue that may become chronic if left untreated. Children and Young People's Mental Health (CYPMH) is a specialist tertiary service for young people with moderate to severe mental health problems on the Central Coast in Australia. This paper presents an overview of client data and service use collected over a 1 year period specific to the Youth Mental Health (YMH) component of the service. Method: Client data, including demographic characteristics, service usage, presenting issues and standardized outcome measures, were analysed using SPSS. Clinicians routinely collect MH-OAT (Mental Health Outcomes and Assessment Tools) measures at different points in a client's episode of care, and each of these measures was analysed separately. Wilcoxon Z and a series of McNemar's tests were used to report on the difference between admission and discharge scores. Results: During a designated 1 year period, 830 referrals to YMH were received. The most prevalent presenting issue was suicidal ideation followed by deliberate self-harm and depression. A comparison of admission and discharge outcome scores shows significant improvement by discharge on a range of measures. Specifically, analysis identified significant differences between admission and discharge HoNOSCA (Health of the Nation Outcomes Scales for Children and Adolescents) and CGAS (Children's Global Assessment Scale) scores for young people aged 12-17 and HONOS (Health of the Nation Outcomes Scale) scores for young people aged 18-24. Conclusion: The clinical outcomes for young people are positive with improvements seen on a range of measures.
机译:目的:将近四分之一的澳大利亚年轻人患有精神健康问题,如果不及时治疗,可能会成为慢性病。儿童和青年人的心理健康(CYPMH)是针对澳大利亚中部海岸地区中度至重度心理健康问题的年轻人的专业三级服务。本文概述了针对该服务的青年心理健康(YMH)组件在一年时间内收集的客户数据和服务使用情况。方法:使用SPSS分析了客户数据,包括人口统计特征,服务使用情况,提出的问题和标准化的结果度量。临床医生通常会在客户护理阶段的不同时间点收集MH-OAT(心理健康结果和评估工具)措施,并对每种措施分别进行分析。 Wilcoxon Z和一系列McNemar的测试用于报告入学分数和出院分数之间的差异。结果:在指定的1年期间,收到830份YMH的推荐信。目前最普遍的问题是自杀意念,然后是故意的自我伤害和沮丧。入院和出院结果评分的比较显示出院后一系列措施的出院显着改善。具体而言,分析确定了12-17岁年轻人的入院和出院HoNOSCA(儿童和青少年国家健康状况量表)和CGAS(儿童全球评估量表)评分以及HONOS(国家健康结果量表)评分之间的显着差异。适用于18-24岁的年轻人。结论:年轻人的临床结果是积极的,并且在一系列措施上也有所改善。

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