OBJECTIVE: To synthesise evidence on the effectiveness of brief interventions in improving mental health outcomes for CYP (0-17 years) presenting with an acute mental health condition.
METHODS: A systematic literature search was conducted, and the studies\' methodological quality was assessed. Five databases were searched for peer-reviewed articles between January 2000 and September 2022.
RESULTS: We synthesised 30 articles on the effectiveness of brief interventions in the form of (a) crisis intervention, (b) integrated services, (c) group therapies, (d) individualised therapy, (e) parent-child dyadic therapy, (f) general services, (g) pharmacotherapy, (h) assessment services, (i) safety and risk planning and (j) in-hospital treatment, to improve outcomes for CYP with an acute mental health condition. Among included studies, one study was rated as providing a high level of evidence based on the National Health and Medical Research Council levels of evidence hierarchy scale, which was a crisis intervention showing a reduction in length of stay and return emergency department visits. Other studies, of moderate-quality evidence, described multimodal brief interventions that suggested beneficial effects.
CONCLUSIONS: This review provides evidence to substantiate the benefits of brief interventions, in different settings, to reduce the burden of in-patient hospital and readmission rates to the emergency department.
目的:综合证据证明,对于表现为急性心理健康状况的CYP(0-17岁),采取简短干预措施改善心理健康结果的有效性。
方法:进行了系统的文献检索,并对研究的方法学质量进行了评估。在2000年1月至2022年9月之间,搜索了五个数据库中同行评审的文章。
结果:我们以(a)危机干预的形式综合了30篇有关简短干预措施有效性的文章,(b)综合服务,(c)团体疗法,(d)个体化治疗,(e)亲子二联疗法,(f)一般事务,(g)药物治疗,(h)评估服务,(i)安全和风险计划以及(j)住院治疗,改善患有急性心理健康状况的CYP的预后。在纳入的研究中,根据国家卫生和医学研究委员会的证据等级量表,一项研究被评为提供高水平的证据,这是一种危机干预措施,显示住院时间减少,并返回急诊部门。其他研究,中等质量的证据,描述了提出有益效果的多模式简短干预措施。
结论:本综述提供了证据来证实简短干预措施的益处,在不同的设置中,减轻住院负担和急诊科的再入院率。