Hundert J
Can Ment Health. 1985 Mar;33(1):2-6.
Children's mental health services are facing a number of issues that prompt reexamination of some key assumptions underlying traditional ways of delivering services. On close examination, there is little support for assumptions that the worst cases are referred for help; untreated "sick" children become "sick" adults; and treatment effects generalize. A shift in paradigm to a "community mental health" model is explored. The factors determining the acceptance of this model are discussed.
儿童心理健康服务面临着一系列问题,这些问题促使人们重新审视传统服务提供方式背后的一些关键假设。仔细研究后发现,对于以下假设几乎没有支持:最严重的病例会寻求帮助;未经治疗的“患病”儿童会成长为“患病”成人;以及治疗效果具有普遍性。本文探讨了向“社区心理健康”模式的范式转变。并讨论了决定该模式被接受的因素。