Professional team athletes experience a range of mental health problems, both sports and non-sports related. However, there is limited information available for those charged with responsibility for managing these mental health conditions, particularly within the context of professional sporting clubs. This paper reports on consensus findings from a study of club doctors, who are primary care providers for professional team athletes within a specific code, the Australian Football League (AFL). Drawing on findings from a systematic literature search, a two-round Delphi procedure was used to develop a consensus on best practice for managing mental health conditions for club doctors as primary care providers for professional team athletes. Participants in this study were current and former club doctors employed in professional AFL clubs across Australia, with 28 doctors participating across two survey rounds. Overall, 77 statements were presented, with 50 endorsed as essential or important by ≥ 80% of the participants across the two rounds. Primary themes across nine domains include: (1) Prevention and Mental Health Promotion Activities; (2) Screening; (3) Engaging External Specialists; (4) Duty of Care; (5) Treatment: Assessment, Treatment and Case Coordination; (6) Communication; (7) Confidentiality; (8) Sleep Management and (9) Substance Use Management. This study is the first to offer club doctors working in professional team settings consensus guidelines for the management of mental health conditions, and the opportunity for greater clarification and consistency in role delivery.

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俱乐部医生在澳式足球运动员心理健康管理中的作用：德尔菲研究

专业团队运动员会遇到一系列与运动和非运动相关的心理健康问题。然而，对于那些负责管理这些心理健康状况的人来说，可用的信息有限，特别是在职业体育俱乐部的背景下。本文报告了俱乐部医生研究的共识结果，俱乐部医生是澳大利亚足球联盟 (AFL) 特定规范内专业团队运动员的初级保健提供者。根据系统文献检索的结果，使用两轮德尔菲程序就俱乐部医生作为专业团队运动员的初级保健提供者管理心理健康状况的最佳实践达成共识。这项研究的参与者是澳大利亚职业 AFL 俱乐部的现任和前任俱乐部医生，共有 28 名医生参加了两轮调查。总体而言，提出了 77 项陈述，其中 50 项陈述在两轮中被 ≥ 80% 的参与者认可为必不可少或重要的。九个领域的主要主题包括：(1) 预防和心理健康促进活动；(2) 筛选；(3) 聘请外部专家；(4) 注意义务；(5) 治疗：评估、治疗和个案协调；(6) 通讯；(7) 保密；(8) 睡眠管理和 (9) 物质使用管理。这项研究是第一个为在专业团队中工作的俱乐部医生提供心理健康状况管理共识指南的研究，