The management of young people who self-harm by New Zealand Infant, Child and Adolescent Mental Health Services: cutting-edge or cutting corners?
| Autor: | Nikki Coleman, Emily Cooney, Ernest Gandeza, Jemaima Tiatia-Seath, Chris Bampton, Hiran Thabrew, David Bettany, Giselle Bahr |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Mental Health Services 050103 clinical psychology medicine.medical_specialty Adolescent Poison control Suicide prevention Acceptance and commitment therapy Occupational safety and health medicine Humans 0501 psychology and cognitive sciences Psychiatry Borderline personality disorder 05 social sciences Human factors and ergonomics medicine.disease Mental health Psychotherapy Psychiatry and Mental health Adolescent Health Services Anxiety Female medicine.symptom Psychology Self-Injurious Behavior New Zealand 050104 developmental & child psychology |
| Zdroj: | Australasian Psychiatry. 26:152-159 |
| ISSN: | 1440-1665 1039-8562 |
| Popis: | Objectives: Self-harm is common in New Zealand (NZ) young people and can have short-term and long-term consequences, including suicide. This study was undertaken to examine the extent to which evidence-based approaches for addressing self-harm are offered by Infant, Child and Adolescent Mental Health Services (ICAMHS). Methods: A national survey of ICAMHS practitioners working with young people who self-harm was undertaken between May and July 2016. Results: Responses from 23 out of 30 ICAMHS confirmed self-harm was a familiar presentation and most commonly associated with diagnoses of depression, anxiety and borderline personality disorder. Cognitive behavioural therapy (47.1%, n = 8), dialectical behaviour therapy (47.1%, n = 8) and acceptance and commitment therapy (5.9%, n = 1) were the treatments of choice, but variably delivered. There were significant training gaps for all types of therapy. Conclusions: Although it is reassuring that many ICAMHS are using evidence-based approaches to address self-harm in young people, there is concerning variability in the way these therapies are delivered. Improvement in training in key modalities, further research into therapist performance and continuous evaluation of workforce development are needed to maximise the effectiveness of proven interventions and provide NZ young people with the state-of-the-art service they deserve. |
| Databáze: | OpenAIRE |
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