Evans S W
Western Psychiatric Institute and Clinic/University of Pittsburgh Medical Center, PA 15213, USA.
Clin Psychol Rev. 1999 Mar;19(2):165-78. doi: 10.1016/s0272-7358(98)00069-5.
The integration of education and behavioral health services in schools continues to evolve at a rapid pace. Proponents argue that school-based behavioral health programs have many benefits, including greater access to care and improved effectiveness as compared to clinic- or hospital-based services. While preliminary research is encouraging, in general the claims of school behavioral health are not supported by data. Some critics focus on negative aspects of school behavioral health. They claim that behavioral health is being forced upon students and can cite many examples of counseling and treatment administered to children without parental consent. Utilization, effectiveness, and consent are three topics that deserve a great deal of attention in this emerging field, and are the focus of this review.
学校中教育与行为健康服务的整合正持续快速发展。支持者认为，与基于诊所或医院的服务相比，以学校为基础的行为健康项目有诸多益处，包括获得医疗服务的机会更多以及效果更佳。尽管初步研究令人鼓舞，但总体而言，学校行为健康的相关说法并未得到数据支持。一些批评者关注学校行为健康的负面方面。他们声称行为健康正强加于学生身上，并且能列举出许多未经家长同意就对儿童进行咨询和治疗的例子。利用率、效果和同意是这个新兴领域中值得高度关注的三个话题，也是本综述的重点。
