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A cross-sectional exploration of the clinical characteristics of disengaged (NEET) young people in primary mental healthcare

机译:初级精神卫生保健中离婚(NEET)年轻人临床特征的横断面研究

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摘要

Objective: Youth with mental health problems often have difficulties engaging in education and employment. In Australia, youth mental health services have been widely established with a key aim of improving role functioning; however, there is little knowledge of those who are not engaged in employment, education or training (NEET) and the factors which may influence this. This study aimed to examine NEET status and its correlates in a sample of such youth. Design: Cross-sectional data from a longitudinal cohort study. Setting: Between January 2011 and August 2012, young people presenting to one of the four primary mental health centres in Sydney or Melbourne were invited to participate. Participants: Young adults (N=696) aged between 15 and 25 years (M=19.0, SD=2.8), 68% female, 58% (n=404) attended headspace in Sydney. Measures: Individuals 'Not in any type of Education, Employment or Training' in the past month were categorised as NEET. Demographic, psychological and clinical factors alongside disability and functioning were assessed using clinical interview and self-report. Results: A total of 19% (n=130/696) were NEET. NEETs were more likely to be male, older, have a history of criminal charges, risky cannabis use, higher level of depression, poorer social functioning, greater disability and economic hardship, and a more advanced stage of mental illness than those engaged in education, training or work. Demographics such as postsecondary education, immigrant background and indigenous background, were not significantly associated with NEET status in this sample. Conclusions: One in five young people seeking help for mental health problems were not in any form of education, employment and training. The commonly observed risk factors did not appear to influence this association, instead, behavioural factors such as criminal offending and cannabis use appeared to require targeted intervention. © 2014, BMJ Publishing Group. All rights reserved.
机译:目的:患有精神健康问题的青年人经常在从事教育和就业方面遇到困难。在澳大利亚,已广泛建立了青年精神卫生服务,其主要目的是改善角色运作;然而,对于那些没有从事就业,教育或培训(NEET)的人以及可能影响这一因素的知识知之甚少。这项研究旨在检查此类青少年样本中的NEET状况及其相关性。设计:来自纵向队列研究的横断面数据。地点:2011年1月至2012年8月,邀请到悉尼或墨尔本四个主要精神卫生中心之一的年轻人参加。参与者:15至25岁(M = 19.0,SD = 2.8)的年轻人(N = 696),女性68%,58%(n = 404)参加了悉尼的顶空活动。措施:上个月“未接受任何类型的教育,就业或培训”的个人被分类为NEET。使用临床访谈和自我报告评估了人口统计,心理和临床因素以及残疾和功能。结果:共有19%(n = 130/696)是NEET。与接受教育的人相比,NEETs更有可能是男性,年龄较大,有刑事指控,使用大麻的风险较高,抑郁程度较高,社会功能较差,残疾和经济困难以及精神疾病的晚期更严重,培训或工作。在本样本中,诸如大专学历,移民背景和土著背景等人口统计学与NEET状况没有显着相关。结论:五分之一寻求心理健康问题帮助的年轻人没有接受任何形式的教育,就业和培训。通常观察到的危险因素似乎并未影响这种关联,相反,诸如犯罪行为和大麻使用等行为因素似乎需要有针对性的干预。 ©2014,BMJ出版集团。版权所有。

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