[Integrated youth mental health services - Low-threshold, integrated programs for young people in mental health crises : International experiences and the current situation in Germany].

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Andreas Bechdolf, Christoph U Correll, Tobias Hellenschmidt, Laura Holzner, Laura von Hardenberg, Dorothea Jäckel, Joseph Kambeitz, Nikolaus Koutsouleris, Norma Kusserow, Karolina Leopold, Eva Meisenzahl, Andrea Pfennig, Andreas Reif, Ullrich Reininghaus, Mario Schellong, Olga Shmuilovich, Peter J Uhlhaas, Olga Maria Domanska
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引用次数: 0

Abstract

Background: Young people in mental health crises have severely limited access to clinical care and show the lowest adherence to conventional clinical services. Low-threshold and integrated services (integrated youth mental health services, IYMHS) are recommended to overcome these barriers and provide early detection, early intervention and psychosocial care appropriate for young people.

Objective: The aim is to provide an overview of low-threshold IYMHS globally and in Germany and to report on international experiences with these services and evidence of their effectiveness.

Methods: The narrative review is based on research conducted in PubMed, including the use of published reviews.

Results: International developments show that IYMHS have become established as innovative models of care for young people in mental health crises. Australia is seen as a pioneer with its nationwide network of headspace centers. In Germany, soulspace is the first model project and another, ancora, is in the pipeline. Evaluations to date show that many young people who would not otherwise have sought help use these integrated services and predominantly experience symptomatic and functional improvements.

Conclusion: International experiences to date and pilot projects in Germany have demonstrated the potential of IYMHS to provide low-threshold support at an early disease stage to young people with first symptoms of mental health. For Germany, expanding an integrated, cross-sectoral care structure is recommended through pooling resources from statutory health insurances and public funding.

[综合青年心理健康服务——针对处于心理健康危机中的年轻人的低门槛综合方案:国际经验和德国的现状]。
背景:处于精神健康危机中的年轻人获得临床护理的机会严重有限,对传统临床服务的依从性最低。建议提供低门槛综合服务(综合青年精神卫生服务,IYMHS),以克服这些障碍,并为年轻人提供早期发现、早期干预和适当的社会心理护理。目的:目的是提供全球和德国低阈值IYMHS的概述,并报告这些服务的国际经验及其有效性的证据。方法:叙述性综述基于PubMed中进行的研究,包括使用已发表的综述。结果:国际发展表明,国际青年健康服务已成为照顾处于精神健康危机中的年轻人的创新模式。澳大利亚被视为这方面的先驱,在全国范围内建立了空中中心网络。在德国,soulspace是第一个示范项目,另一个名为ancora的项目正在筹备中。迄今为止的评估表明,许多本来不会寻求帮助的年轻人使用了这些综合服务,并主要经历了症状和功能的改善。结论:迄今为止的国际经验和德国的试点项目表明,青年心理健康服务有潜力在疾病早期阶段为有精神健康首发症状的年轻人提供低门槛支持。就德国而言,建议通过汇集法定健康保险和公共资金的资源,扩大综合的跨部门护理结构。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nervenarzt
Nervenarzt 医学-精神病学
CiteScore
2.50
自引率
18.20%
发文量
169
审稿时长
4-8 weeks
期刊介绍: Der Nervenarzt is an internationally recognized journal addressing neurologists and psychiatrists working in clinical or practical environments. Essential findings and current information from neurology, psychiatry as well as neuropathology, neurosurgery up to psychotherapy are presented. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of neurology and psychiatry. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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