Abstract

The vast majority of youth experiencing symptoms of a mental health (MH) disorder never access services. Barriers to access include unawareness of symptoms or where to get help, stigma, or lack of transportation or finances. Many school, family, and community collaboration models have begun to enhance access to MH supports. The present study reports the impact of one such program called the Family Access Center of Excellence (FACE). FACE employs the Family Check-Up to conduct a child-focused, family systems assessment of family strengths and problem areas and create a treatment plan and linkages to services, with intensive case management to directly address access barriers. In this study, 417 youth were referred from schools to FACE in one academic year. We compared the 224 youth who engaged in FACE to 193 youth who were referred but chose not to access FACE services. Fixed effects regression models indicated that youth who engaged with FACE demonstrated improved social–emotional, behavioral, and academic outcomes compared to youth who did not engage. Implications are discussed along with next steps for developing responsive school–community linked models of care.

摘要

绝大多数患有精神疾病（MH）症状的青年从未获得服务。进入障碍包括对症状的不了解或在哪里寻求帮助，污名或缺乏运输或财务状况。许多学校，家庭和社区协作模式已开始增加获得MH支持的机会。本研究报告了一项名为“卓越家庭访问中心”（FACE）的计划的影响。FACE利用家庭检查对家庭优势和问题领域进行以儿童为中心的家庭系统评估，并制定治疗计划和与服务的联系，并通过强化病例管理来直接解决访问障碍。在这项研究中，一学年中有417名青年从学校转入FACE。我们将224名从事FACE的青年与193名被推荐但选择不使用FACE服务的青年进行了比较。固定效应回归模型表明，与未参与FACE的年轻人相比，参与FACE的年轻人表现出更好的社交，情感，行为和学术成果。讨论了含义，以及开发响应性的学校与社区相关的护理模型的后续步骤。