Background Children and young people with long-term physical conditions have significantly elevated mental health needs. Transdiagnostic, brief psychological interventions have the potential to increase access to evidence-based psychological treatments for patients who attend health services primarily for physical health needs. Objective A non-randomised study was conducted to assess the impact of brief, transdiagnostic psychological interventions in children and young people presenting at a drop-in mental health centre in the reception area of a paediatric hospital. Methods 186 participants attending a transdiagnostic mental health drop-in centre were allocated to assessment and psychological intervention based on a clinical decision-making algorithm. Interventions included signposting, guided self-help based on a modular psychological treatment and referral to the hospital’s paediatric psychology service. The primary transdiagnostic mental health outcome measure was the parent-reported Strengths and Difficulties Questionnaire (SDQ), which was given at baseline and 6 months post-baseline. Findings There was a significant positive impact of attending the drop-in mental health centre on the SDQ (Cohen’s d=0.22) and on the secondary outcome measure of Paediatric Quality of life (Cohen’s d=0.55). Conclusions A mental health drop-in centre offering brief, transdiagnostic assessment and treatment may reduce emotional and behavioural symptoms and improve quality of life in children and young people with mental health needs in the context of long-term physical conditions. A randomised controlled trial to investigate the specificity of any effects is warranted. Clinical implications Drop-in centres for mental health needs may increase access and have beneficial effects for children and young people with physical conditions.

中文翻译：

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对心理健康临时中心的评估，该中心为患有长期身体状况的儿童和青少年及其家人提供简短的跨诊断心理评估和治疗：一项单臂、开放、非随机试验

背景 长期身体状况不佳的儿童和青少年的心理健康需求显着升高。跨诊断、简短的心理干预有可能增加主要出于身体健康需求而接受医疗服务的患者获得循证心理治疗的机会。目的 进行一项非随机研究，以评估短期跨诊断心理干预对儿科医院接待区临时心理健康中心就诊的儿童和青少年的影响。方法 186 名参加跨诊断心理健康临时中心的参与者根据临床决策算法被分配进行评估和心理干预。干预措施包括路标、基于模块化心理治疗的引导自助以及转介到医院的儿科心理服务。主要的跨诊断心理健康结果测量是家长报告的优势和困难问卷 (SDQ)，该问卷在基线时和基线后 6 个月进行。结果 参加临时心理健康中心对 SDQ（Cohen's d=0.22）和儿科生活质量次要结果指标（Cohen's d=0.55）有显着的积极影响。结论 心理健康临时中心提供简短的跨诊断评估和治疗，可以减少长期身体状况下有心理健康需求的儿童和青少年的情绪和行为症状，提高生活质量。有必要进行随机对照试验来调查任何影响的特异性。临床意义 满足心理健康需求的临时中心可能会增加获得服务的机会，并对有身体状况的儿童和青少年产生有益的影响。