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A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services

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 wa...

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Autores principales: Laukkanen, Eila, Hintikka, Jukka J, Kylmä, Jari, Kekkonen, Virve, Marttunen, Mauri
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940882/
https://www.ncbi.nlm.nih.gov/pubmed/20815933
http://dx.doi.org/10.1186/1472-6963-10-261
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author Laukkanen, Eila
Hintikka, Jukka J
Kylmä, Jari
Kekkonen, Virve
Marttunen, Mauri
author_facet Laukkanen, Eila
Hintikka, Jukka J
Kylmä, Jari
Kekkonen, Virve
Marttunen, Mauri
author_sort Laukkanen, Eila
collection PubMed
description 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 psychiatric services. The most common reasons for seeking services were depressive symptoms (31%). Self-harming behaviour had occurred in 25% of girls and 16% of boys. The intervention was sufficient for 37% of those who completed it. Psychosocial functioning improved during the intervention. Factors associated with referral for further treatment were female gender, anxiety as the main complaint, previous psychiatric treatment, self-harming behaviour, a previous need for child welfare services, poor psychosocial functioning and a high score in the priority rating scale. CONCLUSIONS: A brief intervention carried out by a team including professionals from both primary and secondary level services was sufficient for a considerable proportion of adolescents seeking help for their psychiatric problems. Referral practices and counselling in special level services can be standardized. In the future, it will be important to develop and assess psychiatric services for adolescents using randomised controlled trials.
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spelling pubmed-29408822010-09-17 A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services Laukkanen, Eila Hintikka, Jukka J Kylmä, Jari Kekkonen, Virve Marttunen, Mauri BMC Health Serv Res Research Article 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 psychiatric services. The most common reasons for seeking services were depressive symptoms (31%). Self-harming behaviour had occurred in 25% of girls and 16% of boys. The intervention was sufficient for 37% of those who completed it. Psychosocial functioning improved during the intervention. Factors associated with referral for further treatment were female gender, anxiety as the main complaint, previous psychiatric treatment, self-harming behaviour, a previous need for child welfare services, poor psychosocial functioning and a high score in the priority rating scale. CONCLUSIONS: A brief intervention carried out by a team including professionals from both primary and secondary level services was sufficient for a considerable proportion of adolescents seeking help for their psychiatric problems. Referral practices and counselling in special level services can be standardized. In the future, it will be important to develop and assess psychiatric services for adolescents using randomised controlled trials. BioMed Central 2010-09-06 /pmc/articles/PMC2940882/ /pubmed/20815933 http://dx.doi.org/10.1186/1472-6963-10-261 Text en Copyright ©2010 Laukkanen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Laukkanen, Eila
Hintikka, Jukka J
Kylmä, Jari
Kekkonen, Virve
Marttunen, Mauri
A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services
title A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services
title_full A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services
title_fullStr A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services
title_full_unstemmed A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services
title_short A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services
title_sort brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940882/
https://www.ncbi.nlm.nih.gov/pubmed/20815933
http://dx.doi.org/10.1186/1472-6963-10-261
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