Hoyle John D, White Lynn J
Michigan State University College of Human Medicine, MERC/Spectrum Emergency Medicine Residency, Department of Emergency Medicine, Butterworth Hospital, Grand Rapids, Michigan, USA.
Prehosp Emerg Care. 2003 Jan-Mar;7(1):66-73. doi: 10.1080/10903120390937120.
Mental illness significantly impairs the lives of 10% of all children and adolescents in the United States (National Institute of Mental Health. Brief Notes on the Mental Health of Children and Adolescents. Bethesda, MD: National Institute of Mental Health, 1999). Of the myriad mental health problems afflicting children, an alarming number are known to have grim outcomes. Some illnesses continue into adulthood, while others may culminate in death during adolescence. Despite the serious consequences of children's mental health problems, early treatment can improve or control these conditions. Even with this knowledge, seemingly little effort is geared toward removing barriers to treatment for these diseases that plague our children. As a part of its five-year plan, Emergency Medical Services for Children (EMSC) has collaborated with the National Association of EMS Physicians (NAEMSP) to examine childhood and adolescent mental health emergencies--particularly their presentation and management within the emergency medical services system. This document presents a critical review of current practices and models for treatment of children and adolescents that includes identification of barriers to mental health treatment and recommendations for their resolution.
精神疾病严重影响着美国10%的儿童和青少年的生活（美国国立精神卫生研究所。《儿童和青少年心理健康简报》。马里兰州贝塞斯达：美国国立精神卫生研究所，1999年）。在困扰儿童的众多心理健康问题中，已知有相当数量的问题会产生严峻后果。一些疾病会持续到成年期，而另一些疾病可能在青春期导致死亡。尽管儿童心理健康问题会带来严重后果，但早期治疗可以改善或控制这些状况。即便了解这一点，针对消除这些困扰我们孩子的疾病的治疗障碍，似乎仍未付出多少努力。作为其五年计划的一部分，儿童紧急医疗服务（EMSC）与美国紧急医疗服务医师协会（NAEMSP）合作，对儿童和青少年心理健康紧急情况进行研究——特别是它们在紧急医疗服务系统中的表现及处理方式。本文对当前治疗儿童和青少年的实践与模式进行了批判性综述，包括确定心理健康治疗的障碍并提出解决建议。
