ABSTRACT The Practitioner Online Referral and Treatment Service (PORTS) is a new digital mental health service (DMHS) providing assessment, treatment, and consultation across Western Australia, for adults with anxiety, depression, or substance use problems, and experiencing financial hardship or geographical disadvantage. From July 2017 to December 2018, a total of 2,527 individuals were referred to PORTS. Of these, 150 (6%) did not give consent for their results to be analysed. Of the remaining 2,377 patients, 615 (26%) could not be contacted to confirm the referral, 596 (25%) received assessment or information from PORTS, 427 (18%) were referred to another service, and 739 (31%) commenced treatment at PORTS. Almost half (47%) of patients were from areas with significant socio-economic disadvantage. Those referred by another mental health service were more likely to engage in treatment than those referred by a General Practitioner (GP). Overall outcomes were excellent, with large effect sizes (Cohen’s d: 1.1–1.4), from assessment to post-treatment and 3-month follow-up, reliable deterioration was low, and GP and patient satisfaction was high. These results indicate that the PORTS DMHS model is a promising method for engaging primary care patients with anxiety and depression, including those experiencing financial and geographical disadvantage.

中文翻译：

---

从业者在线转诊和治疗服务 (PORTS) 的评估：为患有焦虑、抑郁或物质使用问题的成年人提供全州数字服务的前 18 个月

摘要 从业者在线转诊和治疗服务 (PORTS) 是一项新的数字心理健康服务 (DMHS)，它在西澳大利亚州为患有焦虑、抑郁或药物滥用问题并遇到经济困难或地理问题的成年人提供评估、治疗和咨询。坏处。从 2017 年 7 月到 2018 年 12 月，共有 2,527 人被转介到 PORTS。其中，150 人 (6%) 不同意对其结果进行分析。在其余 2,377 名患者中，615 名 (26%) 无法联系以确认转诊，596 名 (25%) 收到了来自 PORTS 的评估或信息，427 名 (18%) 被转诊至其他服务，739 名 (31%) 开始接受治疗在 PORTS 治疗。几乎一半 (47%) 的患者来自社会经济严重不利的地区。与由全科医生 (GP) 转介的患者相比，其他心理健康服务机构转诊的患者更有可能接受治疗。从评估到治疗后和 3 个月的随访，总体结果非常好，效应量大（Cohen's d：1.1-1.4），可靠恶化率低，全科医生和患者满意度高。这些结果表明，PORTS DMHS 模型是一种有前景的方法，可以让患有焦虑和抑郁症的初级保健患者参与进来，包括那些在经济和地理上处于不利地位的患者。