a brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services一个简短干预足以使许多青少年寻求帮助从低阈值青少年精神病学服务.pdfVIP
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a brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services一个简短干预足以使许多青少年寻求帮助从低阈值青少年精神病学服务
Laukkanen et al. BMC Health Services Research 2010, 10:261
/1472-6963/10/261
RESEARCH ARTICLE Open Access
A brief intervention is sufficient for many
adolescents seeking help from low threshold
adolescent psychiatric services
1* 2 3 4 5,6
Eila Laukkanen , Jukka J Hintikka , Jari Kylmä , Virve Kekkonen , Mauri Marttunen
Abstract
Background: There has been a considerable increase in the need for psychiatric services for adolescents. Primary
health care practitioners have a major role in detecting, screening and helping these adolescents. An intervention
entitled SCREEN is described in this article. The SCREEN intervention was developed to help practitioners to detect
and screen adolescent needs, to care for adolescents at the primary health care level and to facilitate the referral of
adolescents to secondary care services in collaboration between primary and secondary health care. Secondly, the
article presents the background and clinical characteristics of youths seeking help from the SCREEN services, and
compares the background factors and clinical characteristics of those patients referred and not referred to
secondary care services.
Methods: The SCREEN intervention consisted of 1 to 5 sessions, including assessment by a semi-structured
anamnesis interview, the structured Global Assessment Scale, and by a structured priority rating scale, as well as a
brief intervention for each adolescent’s chosen problem. Parents took part in the assessment in 39% of cases
involving girls and 50% involving boys. During 34 months, 2071 adolescents (69% females) entered the
intervention and 70% completed it. The mean age was 17.1 years for boys and 17.3 years for girls.
Results: For 69% of adolescents, this was the first contact with
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