Review: Improving access to mental health interventions for children from birth to five years: A Scoping Review

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2023-05-03 DOI:10.1111/camh.12652

Lyndal Hickey, Louise Harms, Jackson Evans, Tahnee Noakes, Henrietta Lee, Amity McSwan, Helena Bean, Judith Hope, Lynne Allison, Sophie Price, Nicole Harris

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引用次数: 0

Abstract

Background

In spite of infants and children aged 0–5 years experiencing mental health difficulties being estimated to be in the range of 6%–18% globally, the mental health care needs for this age group are often overlooked in the design of specialist mental health services. Although there is increasing recognition of the importance of infant mental health services and treatments for younger children, access remains a barrier. Mental health services specifically designed for children 0–5 years are vital; however, little is known about how these services ensure access for infants at risk of mental health difficulties and their families. This scoping review seeks to address this knowledge gap.

Methods

A scoping review methodology framework was used to search for relevant articles published between January 2000 and July 2021, identified using five databases: MEDLINE, CINAHL, PsycINFO, SocIndex and Web of Science. The selection of studies was based on empirical research about access to infant mental health services and models of care. A total of 28 relevant articles met the eligibility criteria for inclusion in this review.

Results

Findings can be summarised under five broad themes: (1) accessibility for at-risk populations (2) the importance of early detection of infants in need of mental health services and interventions; (3) the promotion of culturally responsive services and interventions; (4) ensuring the sustainability of IMH services and programs and (5) the integration of innovative interventions to improve existing practice models.

Conclusions

The findings from this scoping review highlight barriers to access and provision of infant mental health services. Future infant mental health service design, informed by research, is needed to improve access for infants and young children with mental health difficulties and their families.

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回顾：改善出生至五岁儿童获得心理健康干预的机会：范围审查。

背景：据估计，全球有 6%-18%的 0-5 岁婴幼儿存在心理健康问题，但在设计专科心理健康服务时，这个年龄段的婴幼儿的心理健康需求往往被忽视。尽管人们越来越认识到婴幼儿心理健康服务和治疗对低龄儿童的重要性，但获取服务仍然是一个障碍。专为 0-5 岁儿童设计的心理健康服务至关重要；然而，人们对这些服务如何确保有心理健康问题风险的婴儿及其家庭能够获得这些服务却知之甚少。本范围界定综述旨在填补这一知识空白：方法：采用范围界定综述方法框架，搜索 2000 年 1 月至 2021 年 7 月间发表的相关文章，并使用五个数据库进行识别：MEDLINE、CINAHL、PsycINFO、SocIndex 和 Web of Science。选择研究的依据是有关婴儿心理健康服务获取途径和护理模式的实证研究。共有 28 篇相关文章符合纳入本综述的资格标准：研究结果可归纳为五大主题：(1) 高危人群的可及性；(2) 早期发现需要心理健康服务和干预的婴儿的重要性；(3) 促进文化适应性服务和干预；(4) 确保 IMH 服务和项目的可持续性；(5) 整合创新干预措施以改善现有实践模式：本次范围界定审查的结果凸显了在获取和提供婴儿心理健康服务方面存在的障碍。未来的婴儿心理健康服务设计需要以研究为基础，以改善有心理健康问题的婴幼儿及其家庭获得服务的机会。

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

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.