青少年及青年成人在心理健康服务中同伴支持的有效性:系统回顾。

IF 2 3区 医学 Q3 HEALTH POLICY & SERVICES
Kimberly Hoagwood, Charlotte Gendler, Nicole Davies, Kelly Davis, Prameela Boorada, Robbie Lettieri, Kelly Kelleher
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引用次数: 0

摘要

青年精神卫生方面严重的劳动力短缺扩大了需求和使用之间的差距,并加剧了健康差距。解决这一问题的一项战略是对青年和青年成人(Y/YA)同龄人进行培训和整合,以提供服务。本文综述了针对心理健康状况或健康促进的青少年服务的国际科学研究。我们采用了系统的标准,包括对照设计(rct或准实验)、由年轻人提供的积极干预、关键搜索词和2012年至2023年之间的同行评审出版物。该审查产生了32项符合标准的研究,包括六个领域:饮食失调、健康促进、抑郁/焦虑、自杀风险、严重精神疾病(SMI)和“其他”。最一致的有效性证据是饮食失调;在其他领域的研究结果好坏参半。培训手册、保真度测量、人口统计数据报告和结果测量的一致性在很大程度上是缺失的,限制了可复制性和推广性。然而,过去十年来科学界对青年/青年同伴服务的加速关注和对其有效性的新支持令人鼓舞,这对缓解劳动力短缺,更重要的是,对提高为年轻人提供的服务质量是一个好兆头。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Youth and Young Adult Peer Support in Mental Health Services: A Systematic Review.

Serious workforce shortages in youth mental health widen the gap between demand and use, and exacerbate health disparities. A strategy to address this is training and integrating youth and young adult (Y/YA) peers to deliver services. This paper reviews international scientific studies on Y/YA services targeting mental health conditions or health promotion. We applied systematic criteria including controlled designs (RCTs or quasi-experimental), active intervention delivered by a young person, key search terms, and peer-reviewed publication between 2012 and 2023. The review yielded 32 studies meeting criteria, encompassing six domains: eating disorders, health promotion, depression/anxiety, suicidal risk, serious mental illness (SMI) and "other." The most consistent evidence for effectiveness was for eating disorders; findings in the other domains were mixed. Training manuals, fidelity measurement, reporting of demographic data, and consistency in outcome measurement were largely absent, limiting both replicability and generalizability. The acceleration of scientific attention to youth/young adult peer services over the past decade and emerging support for its effectiveness is encouraging, however, and it bodes well for mitigating workforce shortages and, more importantly, for improving the quality of services for young people.

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来源期刊
CiteScore
5.20
自引率
7.70%
发文量
50
期刊介绍: The aim of Administration and Policy in Mental Health and Mental Health Services is to improve mental health services through research. This journal primarily publishes peer-reviewed, original empirical research articles.  The journal also welcomes systematic reviews. Please contact the editor if you have suggestions for special issues or sections focusing on important contemporary issues.  The journal usually does not publish articles on drug or alcohol addiction unless it focuses on persons who are dually diagnosed. Manuscripts on children and adults are equally welcome. Topics for articles may include, but need not be limited to, effectiveness of services, measure development, economics of mental health services, managed mental health care, implementation of services, staffing, leadership, organizational relations and policy, and the like.  Please review previously published articles for fit with our journal before submitting your manuscript.
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