首页|期刊导航|中国农村卫生事业管理|基层医疗卫生机构有关儿童青少年常见心理健康问题防治策略专家共识

基层医疗卫生机构有关儿童青少年常见心理健康问题防治策略专家共识OA

Expert Consensus on Prevention and Treatment Strategies for Common Mental Health Issues Among Children and Adolescents in Primary Healthcare Institutions

中文摘要英文摘要

儿童青少年心理健康问题已成为重要公共卫生议题,基层医疗卫生机构在早期识别、初步干预、转诊衔接和连续管理中承担基础作用,但仍存在专业能力不足、服务流程不统一、家校医协作不畅等问题.该共识围绕儿童青少年常见心理健康问题,包括情绪问题、焦虑障碍、神经发育问题、行为与品行问题、自伤与自杀风险及学习困难等,建议综合运用PHQ-9、SDQ及家庭、学校、基层医务人员等多来源信息开展筛查评估,并依据低、中、高风险实施分级管理.共识提出"筛查建档-评估分级-干预随访-规范转诊"的基层服务路径,以期为儿童青少年心理健康问题的早期识别、初步干预、转诊随访和连续管理提供参考.

Common mental health issues among children and adolescents have become an important public health concern.Primary healthcare institutions play a basic role in early identification,initial intervention,referral coordination and continuous management,but still face limitations in professional capacity,standardized proce-dures and collaboration with families and schools.This consensus focuses on common mental health issues among children and adolescents,including emotional problems,anxiety disorders,neurodevelopmental problems,behav-ioural and conduct problems,self-harm and suicide risk,and learning difficulties.It recommends the combined use of the PHQ-9,SDQ and multi-source information from families,schools and primary healthcare workers for screening and assessment.A graded management pathway based on low,moderate and high risk is proposed,fol-lowing the process of screening and filing,assessment and classification,intervention and follow-up,and standard-ized referral.This consensus aims to provide practical guidance for primary healthcare institutions in the prevention and management of common mental health issues among children and adolescents.

蒲川;钟吉元

医药卫生

基层医疗卫生机构儿童青少年心理健康专家共识筛查评估分级管理转诊随访协同干预

Primary healthcare institutionsChildren and adolescentsMental healthExpert consensusScreening and assessmentGraded managementReferral and follow-upCollaborative intervention

《中国农村卫生事业管理》 2026 (6)

397-402,6

重庆市医学科研项目政策研究类(2024ZCYJ001)重庆市精神卫生中心委托项目(2025070025)

10.19955/j.cnki.1005-5916.2026.06.004

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