Objective To develop and validate a screening pathway for children's mental development suitable for primary care, in order to establish a monitoring platform for children's mental health care at the county, city, and province levels. Methods From January 2019 to March 2020, a stratified cluster sampling study was conducted in nine cities of Fujian province. Relevant items were selected to construct the screening model of children's mental development, and the validity and reliability were verified. Since April 2020, a monitoring platform has been built for routine management of the screening pathway. Results A total of 3 526, 3 568 and 3 553 samples of 0- to 6-year-old children were collected to construct the screening model of intelligence, motor cooperation, social interaction and life ability. The screening models for intelligence, motor coordination, social interaction, and life ability showed AUCs of 0.872 - 0.993, 0.902, and 0.914-0.990, respectively (P<0.05). The Cronbach's α coefficient of three dimensions was 0.731 - 0.938, 0.767 and 0.784 - 0.837, respectively (P<0.05). The construct validity was 0.692 - 0.829, 0.672 - 0.793 and 0.736 - 0.864, respectively (P<0.05). The statistical test showed that the model had good reliability and validity. The sensitivity and specificity were 84.73% and 89.26% for intelligence, 82.77% and 92.16% for motor coordination, and 91.84% and 96.93% for social interaction, respectively. A regional information platform was created to digitize the screening reports. A total of 29 355 children were screened, and 8 513 children tested positive for the initial screening. Among them, 8 183 children were referred to specialists for further treatment, resulting in a high-risk management rate of 96.12%. Conclusion The effective integration of monitoring platform and children's psychological screening technology can improve work efficiency, increase the coverage of children's mental health care, enhance the management rate of high-risk children, promote case closed-loop management and hierarchical diagnosis and treatment, and achieve secondary prevention.
Key words
mental healthcare /
screening /
regional /
monitoring platform
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