头部空间启发的早期干预诊所Amplify的评估试点研究。

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES
Deborah A Cohen, Vanessa V Klodnick, Laura Stevens Merola, Cory Morris, Kaleigh R Emerson, Stephen M Strakowski
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引用次数: 0

摘要

目的:美国正在经历青年和青年成人的心理健康危机。最严重的心理健康状况出现在向成年过渡期间,未得到满足的心理健康需求在年轻人中继续增加。继澳大利亚在头部空间方面的成功之后,一些国家正在实施综合青少年心理健康项目,这需要美国进行评估。本研究的目的是详细描述Amplify综合青少年心理健康诊所在第一年运营期间的服务参与度、可接受性和初步结果。方法:德克萨斯大学奥斯汀戴尔医学院在社区大学环境中实施Amplify。参与者在入组时、60天和180天后完成了在线标准化自我报告。工作人员在电子健康档案中记录服务提供情况。分析了Amplify运营第一年(2023年1月1日至12月31日)的数据。结果:在第一年,Amplify聘请了一名项目主管、有执照的临床项目经理、治疗师、支持就业和教育专家、社区导航员、兼职精神科医生和接待员。Amplify为74名青少年提供了1308项服务,其中60人同意参与这项研究。大多数人参与了两种类型的服务。每位参与者的平均±SD使用量为18±18个服务单位(即疗程)。60天和180天的服务满意度较高。从入组到60天和180天,精神痛苦显著减少。结论:需要对Amplify进行更多的研究,以进一步实施该模型,并证明其对美国公共和私人医疗保健系统和支付者的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Evaluation Pilot Study of Amplify, a headspace-Inspired Early Intervention Clinic.

Objective: The United States is experiencing a mental health crisis among youths and young adults. Most serious mental health conditions emerge during the transition to adulthood, and unmet mental health needs continue to rise among young adults. Following Australia's success with headspace, several countries are implementing integrated youth mental health programs, which warrant evaluation in the United States. The purpose of this study was to detail the service engagement, acceptability, and preliminary outcomes of the Amplify integrated youth mental health clinic during its first year of operation.

Methods: The University of Texas at Austin Dell Medical School implemented Amplify in a community college setting. Participants completed online standardized self-report measures at enrollment and 60 and 180 days later. Staff recorded service delivery in an electronic health record. Data were analyzed for Amplify's first year of operation (January 1-December 31, 2023).

Results: During year 1, Amplify employed a program director, licensed clinical program manager, therapist, supported employment and education specialist, community navigator, part-time psychiatrist, and receptionist. Amplify delivered 1,308 services to 74 youths, 60 of whom consented to participate in the study. Most participated in two types of services. Mean±SD use per participant was 18±18 service units (i.e., sessions). Service satisfaction was high at 60 and 180 days. Mental distress significantly decreased from enrollment to 60 and to 180 days.

Conclusions: More research on Amplify is needed to further operationalize the model and demonstrate its value to U.S. public and private health care systems and payers.

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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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