ABSTRACT

Symptoms of depression are common in adolescents and have negative impacts on academic engagement and achievement, as well as on future mental health and functioning. A number of psychological therapies are effective for the treatment of adolescent depression but there are barriers to young people accessing treatment promptly. Providing treatment in school may help improve access to mental health care; school-based mental health care is routinely provided in some parts of the world and is currently a policy priority in the UK. However, introducing mental health services into schools will require services to adapt. This paper illustrates how a short-term psychological therapy can be delivered successfully in schools. It describes the treatment and outcomes for two young people with symptoms of depression. Both received Brief Behavioural Activation (Brief BA) which has been adapted specifically for adolescents. Brief BA focuses on helping young people engage with valued activities in different areas of their life, thus increasing rewards and reducing symptoms of depression. The two cases highlight a range of educational and clinical benefits of Brief BA for young people with depression symptoms and illustrate how the treatment and service delivery were adapted for schools.

摘要

抑郁症的症状在青少年中很常见，并且对学习投入和成就以及未来的心理健康和功能产生负面影响。许多心理疗法可有效治疗青少年抑郁症，但年轻人迅速获得治疗存在障碍。在学校提供治疗可能有助于改善获得心理保健的机会；在世界某些地区，例行提供基于学校的精神卫生保健，目前在英国已将其作为政策重点。但是，将精神卫生服务引入学校将需要适应这些服务。本文说明了如何在学校成功实施短期心理治疗。它描述了两名患有抑郁症症状的年轻人的治疗方法和结果。两人都接受了专门针对青少年的简短行为激活（简称BA）。简介BA致力于帮助年轻人参与生活中不同领域的重要活动，从而增加奖励并减轻抑郁症的症状。这两个案例凸显了Brief BA对患有抑郁症症状的年轻人的一系列教育和临床益处，并说明了如何对学校进行治疗和提供服务。