接受个别安置支持服务的青少年的心理健康结果:队列研究。

IF 3 Q1 PRIMARY HEALTH CARE
Nic Telford, Sabina Albrecht, Alice Wilkin, Carolyn Watts, Debra Rickwood
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引用次数: 0

摘要

目的:青少年的心理健康问题和脱离职业往往相互关联,形成自我强化的循环。综合个别安置和支持(IPS)服务不仅有助于克服教育/职业挑战,还能改善心理健康:在一项匹配队列研究中,我们比较了接受过至少两次 IPS 综合服务的 15 至 25 岁青少年与只接受过标准青少年心理健康服务的青少年在心理健康和幸福感方面的改善率。数据来自澳大利亚国家青少年心理健康基金会 headspace。样本包括 2128 名参与者:544 人接受了 IPS 综合服务;1584 人接受了标准心理健康服务:五分之四的 IPS 服务对象(81%)在三项心理健康指标中至少有一项取得了积极成果,这一比例明显高于接受标准服务的匹配对象(75%)。根据逻辑回归估计,IPS 服务对象获得显著改善的可能性要高出 22% 至 36%。生活质量和潜在的社会心理功能得到明显改善,但心理困扰没有得到改善:在临床环境中整合 IPS 计划,不仅能取得积极的职业成果,还能改善生活质量、社会心理功能和心理困扰,其改善程度大于或等于标准临床护理所取得的成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental Health Outcomes for Young People Accessing Individual Placement Support Services: A Cohort Study.

Objective: Mental health problems and vocational disengagement are often linked for young people in a self-reinforcing cycle. Integrated Individual Placement and Support (IPS) services can help to not only overcome educational/vocational challenges but also improve mental wellbeing.

Methods: In a matched cohort study, we compared improvement rates in mental health and wellbeing outcomes for young people aged 15 to 25 who had received at least two integrated IPS services with those who had received standard youth mental health services only. Data came from headspace, Australia's National Youth Mental Health Foundation. The sample comprised 2128 participants: 544 received integrated IPS services; 1584 received standard mental health services.

Results: Four out of five IPS clients (81%) achieved positive outcomes on at least one of three mental health measures, a significantly higher proportion than matched clients who received standard services (75%). Logistic regressions estimated a 22% to 36% higher likelihood of achieving significant improvement for IPS clients. Greater improvements were evident for quality of life and potentially psychosocial functioning, but not psychological distress.

Conclusions: Integrating an IPS program within a clinical setting not only achieves positive vocational outcomes, but also supports improvements in quality of life, psychosocial functioning and psychological distress that are greater or equal to the outcomes achieved through standard clinical care.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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