Stroul B A, Goldman S K
J Ment Health Adm. 1990 Spring;17(1):61-77. doi: 10.1007/BF02518581.
This article presents the results of a descriptive study of community-based services for children and adolescents who are severely emotionally disturbed. The study was funded by the National Institute of Mental Health Child and Adolescent Service System Program (CASSP) and was designed to obtain state-of-the-art information about several promising and innovative treatment approaches emerging in the field--home-based services, crisis services, and therapeutic foster care. The methodology involved literature reviews, a survey to identify programs, detailed questionnaires to learn about identified programs, and site visits to a sample of programs in each category. Two of the service components explored in the study are described in this article. Home-based services include intensive counseling, support, and case management services provided on an outreach basis to troubled children and their families in their own home. Both crisis-oriented and longer-term home-based models are discussed. The crisis services described include a variety of innovative residential crisis services which have been highly successful as alternatives to more restrictive placements in crisis situations. The authors emphasize that these services should not be seen as panaceas but as essential components of a comprehensive, community-based system of care for emotionally disturbed youngsters and their families.
本文介绍了一项针对严重情绪障碍儿童和青少年的社区服务描述性研究的结果。该研究由美国国立精神卫生研究所儿童与青少年服务系统项目（CASSP）资助，旨在获取该领域出现的几种有前景且创新的治疗方法的最新信息——家庭服务、危机服务和治疗性寄养。研究方法包括文献综述、识别项目的调查、了解已识别项目的详细问卷以及对每个类别中部分项目的实地考察。本文描述了该研究中探讨的两种服务组成部分。家庭服务包括在问题儿童及其家庭家中提供的强化咨询、支持和个案管理服务，涵盖了以危机为导向和长期的家庭服务模式。所描述的危机服务包括各种创新的住宿危机服务，这些服务在危机情况下作为更具限制性安置的替代方案非常成功。作者强调，这些服务不应被视为万灵药，而应被视为全面的社区情绪障碍青少年及其家庭护理系统的重要组成部分。
