PDF(Pubmed)
Abstract：
BACKGROUND: Brief intervention services provide rapid, mobile and flexible short-term delivery of interventions to resolve mental health crises. These interventions may provide an alternative pathway to the emergency department or in-patient psychiatric services for children and young people (CYP), presenting with an acute mental health condition.
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.
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.
摘要：
背景：简短的干预服务提供快速，移动和灵活的短期提供干预措施，以解决心理健康危机。这些干预措施可能为急诊科或为儿童和年轻人提供住院精神病服务（CYP）提供替代途径。呈现急性心理健康状况。
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。
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。
