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Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility

Adolescence and young adulthood are often turbulent periods in a person’s life. There are high rates of accidental deaths, suicide, mental health concerns, substance use, and sexual experimentation. Health care professionals need to conduct holistic assessments of clients in these developmental life...

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Detalles Bibliográficos
Autores principales: Bradford, Sally, Rickwood, Debra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915791/
https://www.ncbi.nlm.nih.gov/pubmed/24600292
http://dx.doi.org/10.2147/AHMT.S38442
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author Bradford, Sally
Rickwood, Debra
author_facet Bradford, Sally
Rickwood, Debra
author_sort Bradford, Sally
collection PubMed
description Adolescence and young adulthood are often turbulent periods in a person’s life. There are high rates of accidental deaths, suicide, mental health concerns, substance use, and sexual experimentation. Health care professionals need to conduct holistic assessments of clients in these developmental life stages to identify psychosocial risks and provide targeted early intervention and implement prevention strategies. The most useful psychosocial assessments for most health care professionals are those that can provide a complete picture of the young person’s life and circumstances. This article identifies psychosocial assessment instruments that can be used as an initial assessment and engagement tool with the general population of young people presenting for health care. We review the psychometric properties of each of the instruments, determining what type of instrument is most acceptable to young people, whether any can increase disclosure and improve engagement between young people and health professionals, and whether they have predictive utility. The search strategy complied with the relevant sections of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A total of 89 published articles were identified, covering 31 different assessment instruments. Results indicated that those that were self-administered were most acceptable to young people, although it is unclear whether pen-and-paper or computer formats were preferred. Most psychosocial assessments can improve rates of disclosure and enhance engagement between young people and health professionals; however, worryingly, we found evidence that clinicians did not always respond to some of the most serious identified risks. Only for one instrument was there any mention of predictive utility. Future research should employ longitudinal approaches to determine the predictive utility of psychosocial assessments and focus on whether the use of new technologies can improve rates of disclosure.
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spelling pubmed-39157912014-03-05 Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility Bradford, Sally Rickwood, Debra Adolesc Health Med Ther Review Adolescence and young adulthood are often turbulent periods in a person’s life. There are high rates of accidental deaths, suicide, mental health concerns, substance use, and sexual experimentation. Health care professionals need to conduct holistic assessments of clients in these developmental life stages to identify psychosocial risks and provide targeted early intervention and implement prevention strategies. The most useful psychosocial assessments for most health care professionals are those that can provide a complete picture of the young person’s life and circumstances. This article identifies psychosocial assessment instruments that can be used as an initial assessment and engagement tool with the general population of young people presenting for health care. We review the psychometric properties of each of the instruments, determining what type of instrument is most acceptable to young people, whether any can increase disclosure and improve engagement between young people and health professionals, and whether they have predictive utility. The search strategy complied with the relevant sections of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A total of 89 published articles were identified, covering 31 different assessment instruments. Results indicated that those that were self-administered were most acceptable to young people, although it is unclear whether pen-and-paper or computer formats were preferred. Most psychosocial assessments can improve rates of disclosure and enhance engagement between young people and health professionals; however, worryingly, we found evidence that clinicians did not always respond to some of the most serious identified risks. Only for one instrument was there any mention of predictive utility. Future research should employ longitudinal approaches to determine the predictive utility of psychosocial assessments and focus on whether the use of new technologies can improve rates of disclosure. Dove Medical Press 2012-12-21 /pmc/articles/PMC3915791/ /pubmed/24600292 http://dx.doi.org/10.2147/AHMT.S38442 Text en © 2012 Bradford and Rickwood, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Review
Bradford, Sally
Rickwood, Debra
Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility
title Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility
title_full Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility
title_fullStr Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility
title_full_unstemmed Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility
title_short Psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility
title_sort psychosocial assessments for young people: a systematic review examining acceptability, disclosure and engagement, and predictive utility
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915791/
https://www.ncbi.nlm.nih.gov/pubmed/24600292
http://dx.doi.org/10.2147/AHMT.S38442
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