Identification and theoretical response to the demand for home-school social medical collaboration in the digital age —— Empirical research based on adolescent mental health services

Abstract

At present, the mental health services for young people in China are facing a prominent dilemma of the failure of the "family school social medicine" collaboration. However, the theoretical response of the academic community to the specific manifestations, deep causes, and solutions of the collaboration failure is still insufficient. This study uses the Browning Brenner ecosystem theory as the analytical framework, focusing on the collaborative mechanisms at the "mid-system" level. A comprehensive survey was conducted on parents' collaborative experiences, core pain points, and functional needs using questionnaire methods and semi-structured interview methods (N=6). Empirical research has found that over 70% of parents believe that the effectiveness of four-way linkage is poor, and information silos and process disruptions constitute the two core manifestations of collaborative failure; Parents' demands are highly concentrated in three directions: information synchronization communication, crisis emergency referral, and professional assessment tools, all of which essentially point to the reconstruction of the central system; 63.93% of parents prioritize privacy and security, which constitutes a rigid constraint in collaborative mechanism design - information sharing must be based on security as a prerequisite. Based on this, this study constructed a theoretical model of system collaboration in "home school social medicine" with digital technology as the link, clarifying the rights and responsibilities boundaries and interaction mechanisms of the four parties in the entire chain of "prevention screening intervention referral", providing a systematic theoretical explanation and framework reference for solving the collaborative dilemma, and pointing out the direction for system scheme design.