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Self-referral psychological treatment centre for young adults: a 2-year observational evaluation of routine practice before and after treatment
Young Adults Ctr, Linkoping, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Health and Developmental Care, Center for Public Health.ORCID iD: 0000-0001-6049-5402
Young Adults Ctr, Linkoping, Sweden.
Young Adults Ctr, Linkoping, Sweden.
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2015 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 5, no 8, e008030- p.Article in journal (Refereed) Published
Abstract [en]

Objectives: To examine a self-referral psychological service provided to young adults with regard to effects on anxiety, depression and psychological distress and to explore client factors predicting non-adherence and non-response. Design: Observational study over a 2-year period. Setting: Young Adults Centre providing psychological services by self-referral (preprimary care) to Linkoping, Atvidaberg, and Kinda municipalities (combined population 145 000) in Ostergotland county, Sweden. Participants: 607 young adults (16-25 years of age); 71% females (n= 429). Intervention: Individually scheduled cognitive behavioural therapy delivered in up to six 45 min sessions structured according to an assessment of the clients mental health problems: anxiety, depression, anxiety and depression combined, or decreased distress without specific anxiety or depression. Primary outcome measures: Pre-post intervention changes in psychological distress (General Health Questionnaire-12, GHQ-12), Hospital Anxiety and Depression Scale Anxiety/Depression (HADS-A/D). Results: 192 clients (32.5%) discontinued the intervention on their own initiative and 39 clients (6.6%) were referred to a psychiatric clinic during the course of the intervention. Intention-to-treat analyses including all clients showed a medium treatment effect size (d= 0.64) with regard to psychological distress, and small effect sizes were observed with regard to anxiety (d= 0.58) and depression (d= 0.57). Restricting the analyses to clients who adhered to the agreed programme, a large effect size (d= 1.26) was observed with regard to psychological distress, and medium effect sizes were observed with regard to anxiety (d= 1.18) and depression (d= 1.19). Lower age and a high initial HADS-A score were the strongest risk factors for non-adherence, and inability to concentrate and thinking of oneself as a worthless person increased the risk for discontinuation. Conclusions: We conclude that provision of psychological services to young people through a self-referral centre has potential to improve long-term mental health in communities, but management of non-adherence remains a central challenge.

Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP , 2015. Vol. 5, no 8, e008030- p.
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Basic Medicine Mathematics
URN: urn:nbn:se:liu:diva-122792DOI: 10.1136/bmjopen-2015-008030ISI: 000363479100033PubMedID: 26283666OAI: diva2:882346

Funding Agencies|Region Ostergotland [L10-446971]

Available from: 2015-12-14 Created: 2015-11-23 Last updated: 2016-01-14

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Timpka, ToomasSchyman, Tommy
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