Abramovitz Robert, Bloom Sandra L
Center for Trauma Program Innovation, Jewish Board of Family and Children's Services, New York, NY 10019, USA.
Psychiatr Q. 2003 Summer;74(2):119-35. doi: 10.1023/a:1021303710275.
This paper addresses the need for a coherent conceptual therapeutic approach to guide work with disturbed children and adolescents in residential treatment centers. The paper identifies changes in the population currently in care; examines the two dominant approaches that historically have shaped the standard treatment models used by most residential centers; and discusses four longstanding debates that have complicated the development of a consistent therapeutic approach for residential programs. It concludes with a description of The Sanctuary Model. Integrating a variety of treatment approaches, this trauma-based systems approach to care was first used with adult inpatients traumatized as children. It is now being introduced by a major social agency into three of its residential centers to provide a systematic treatment model for use in their schools, living units, and treatment sessions.
本文探讨了在寄宿治疗中心为行为失常的儿童和青少年提供连贯的概念性治疗方法的必要性。本文确定了目前接受照料人群的变化；审视了历史上形成多数寄宿中心所采用标准治疗模式的两种主要方法；并讨论了四项长期存在的争议，这些争议使为寄宿项目制定一致的治疗方法变得复杂。文章最后描述了“庇护所模式”。这种基于创伤的系统性护理方法整合了多种治疗方法，最初用于治疗儿时受过创伤的成年住院患者。现在，一家主要的社会机构正在将其引入旗下的三个寄宿中心，以便在这些中心的学校、居住单元和治疗环节提供一种系统的治疗模式。
