Nancy L Young, Marnie M Anderson, Mary Jo Wabano, Trisha Trudeau, Diane Jacko, Ranjeeta Mallick, Franco Momoli, Kednapa Thavorn, Peter Szatmari, Koyo Usuba, Lorrilee McGregor, Brenda Restoule, Annie Roy-Charland, Skye Pamela Barbic, Alison Cudmore, Shanna Peltier, Oxana Mian, Christopher Mushquash, Renee Linklater, Lauren Hawthorne, Katherine Boydell, Debbie Mishibinijima, Linda Kaboni, Jessica Denommee, Natalie Neganegijig, Katarina Djeletovic, Cody Wassengeso, Sylvia Recollet, Melissa Roy
{"title":"基于社区的筛查和分流，将原住民儿童和青少年与当地支持机构联系起来：一项横断面研究。","authors":"Nancy L Young, Marnie M Anderson, Mary Jo Wabano, Trisha Trudeau, Diane Jacko, Ranjeeta Mallick, Franco Momoli, Kednapa Thavorn, Peter Szatmari, Koyo Usuba, Lorrilee McGregor, Brenda Restoule, Annie Roy-Charland, Skye Pamela Barbic, Alison Cudmore, Shanna Peltier, Oxana Mian, Christopher Mushquash, Renee Linklater, Lauren Hawthorne, Katherine Boydell, Debbie Mishibinijima, Linda Kaboni, Jessica Denommee, Natalie Neganegijig, Katarina Djeletovic, Cody Wassengeso, Sylvia Recollet, Melissa Roy","doi":"10.9778/cmajo.20220119","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>First Nations children in Canada experience health inequities. We aimed to determine whether a self-report health app identified children's needs for support earlier in their illness than would typically occur.</p><p><strong>Methods: </strong>Children (aged 8 to 18 yr) were recruited from a rural First Nation community. Children completed the Aaniish Naa Gegii: the Children's Health and Well-being Measure (ACHWM) and then met with a local mental health worker who determined their risk status. ACHWM Emotional Quadrant Scores (EQS) were compared between 3 groups of children: healthy peers (HP) who were not at risk, those with newly identified needs (NIN) who were at risk and not previously identified, and a typical treatment (TT) group who were at risk and already receiving support.</p><p><strong>Results: </strong>We included 227 children (57.1% girls), and the mean age was 12.9 (standard deviation [SD] 2.9) years. The 134 children in the HP group had a mean EQS of 80.1 (SD 11.25), the 35 children in the NIN group had a mean EQS of 67.2 (SD 13.27) and the 58 children in the TT group had a mean EQS of 66.2 (SD 16.30). The HP group had significantly better EQS than the NIN and TT groups (<i>p</i> < 0.001). The EQS did not differ between the NIN and TT groups (<i>p</i> = 0.8).</p><p><strong>Interpretation: </strong>The ACHWM screening process identified needs for support among 35 children, and the associated triage process connected them to local services; the similarity of EQS in the NIN and TT groups highlights the value of community screening to optimize access to services. Future research will examine the impact of this process over the subsequent year in these groups.</p>","PeriodicalId":93946,"journal":{"name":"CMAJ open","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721333/pdf/","citationCount":"0","resultStr":"{\"title\":\"Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study.\",\"authors\":\"Nancy L Young, Marnie M Anderson, Mary Jo Wabano, Trisha Trudeau, Diane Jacko, Ranjeeta Mallick, Franco Momoli, Kednapa Thavorn, Peter Szatmari, Koyo Usuba, Lorrilee McGregor, Brenda Restoule, Annie Roy-Charland, Skye Pamela Barbic, Alison Cudmore, Shanna Peltier, Oxana Mian, Christopher Mushquash, Renee Linklater, Lauren Hawthorne, Katherine Boydell, Debbie Mishibinijima, Linda Kaboni, Jessica Denommee, Natalie Neganegijig, Katarina Djeletovic, Cody Wassengeso, Sylvia Recollet, Melissa Roy\",\"doi\":\"10.9778/cmajo.20220119\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>First Nations children in Canada experience health inequities. We aimed to determine whether a self-report health app identified children's needs for support earlier in their illness than would typically occur.</p><p><strong>Methods: </strong>Children (aged 8 to 18 yr) were recruited from a rural First Nation community. Children completed the Aaniish Naa Gegii: the Children's Health and Well-being Measure (ACHWM) and then met with a local mental health worker who determined their risk status. ACHWM Emotional Quadrant Scores (EQS) were compared between 3 groups of children: healthy peers (HP) who were not at risk, those with newly identified needs (NIN) who were at risk and not previously identified, and a typical treatment (TT) group who were at risk and already receiving support.</p><p><strong>Results: </strong>We included 227 children (57.1% girls), and the mean age was 12.9 (standard deviation [SD] 2.9) years. The 134 children in the HP group had a mean EQS of 80.1 (SD 11.25), the 35 children in the NIN group had a mean EQS of 67.2 (SD 13.27) and the 58 children in the TT group had a mean EQS of 66.2 (SD 16.30). The HP group had significantly better EQS than the NIN and TT groups (<i>p</i> < 0.001). The EQS did not differ between the NIN and TT groups (<i>p</i> = 0.8).</p><p><strong>Interpretation: </strong>The ACHWM screening process identified needs for support among 35 children, and the associated triage process connected them to local services; the similarity of EQS in the NIN and TT groups highlights the value of community screening to optimize access to services. Future research will examine the impact of this process over the subsequent year in these groups.</p>\",\"PeriodicalId\":93946,\"journal\":{\"name\":\"CMAJ open\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721333/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"CMAJ open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.9778/cmajo.20220119\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/11/1 0:00:00\",\"PubModel\":\"Print\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"CMAJ open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.9778/cmajo.20220119","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/1 0:00:00","PubModel":"Print","JCR":"","JCRName":"","Score":null,"Total":0}
Community-based screening and triage connecting First Nations children and youth to local supports: a cross-sectional study.
Background: First Nations children in Canada experience health inequities. We aimed to determine whether a self-report health app identified children's needs for support earlier in their illness than would typically occur.
Methods: Children (aged 8 to 18 yr) were recruited from a rural First Nation community. Children completed the Aaniish Naa Gegii: the Children's Health and Well-being Measure (ACHWM) and then met with a local mental health worker who determined their risk status. ACHWM Emotional Quadrant Scores (EQS) were compared between 3 groups of children: healthy peers (HP) who were not at risk, those with newly identified needs (NIN) who were at risk and not previously identified, and a typical treatment (TT) group who were at risk and already receiving support.
Results: We included 227 children (57.1% girls), and the mean age was 12.9 (standard deviation [SD] 2.9) years. The 134 children in the HP group had a mean EQS of 80.1 (SD 11.25), the 35 children in the NIN group had a mean EQS of 67.2 (SD 13.27) and the 58 children in the TT group had a mean EQS of 66.2 (SD 16.30). The HP group had significantly better EQS than the NIN and TT groups (p < 0.001). The EQS did not differ between the NIN and TT groups (p = 0.8).
Interpretation: The ACHWM screening process identified needs for support among 35 children, and the associated triage process connected them to local services; the similarity of EQS in the NIN and TT groups highlights the value of community screening to optimize access to services. Future research will examine the impact of this process over the subsequent year in these groups.
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