Whittaker James K
School of Social Work, University of Washington, Seattle 98105-6299, USA.
Child Adolesc Psychiatr Clin N Am. 2004 Apr;13(2):267-78. doi: 10.1016/S1056-4993(03)00117-2.
I am not particularly optimistic about achieving even a few of these mod-est changes absent a more focused and thoughtful discussion on substitute care asa whole. My strong sense is that we must bring the worlds of policy, research, and practice in residential and foster care into much closer proximity so that we can assess what the challenges and strengths are in each domain and chart a course of action for renewal. To do this, we need fresh conceptual thinking on milieu treatment and empirical research. International perspectives on the issue of the proper place of residential care and treatment in an overall service continuum would be helpful in broadening and stimulating limited and typically parochial discussions in the United States. It is hoped that this article and the considerable clinical, administrative, and research expertise reflected by the other contributors in this issue will serve as a catalyst for addressing some of the issues concerning residential treatment. It is an exercise long overdue.
如果没有对替代照料进行更具针对性和深入的整体讨论，我对哪怕实现其中一些适度的改变都不太乐观。我强烈地感觉到，我们必须使寄宿照料和寄养照料领域的政策、研究及实践更紧密地结合起来，以便我们能够评估每个领域的挑战和优势，并规划出复兴的行动方针。为此，我们需要关于环境治疗的全新概念性思维和实证研究。关于寄宿照料和治疗在整体服务连续体中的恰当位置这一问题的国际视角，将有助于拓宽并激发美国有限且通常狭隘的讨论。希望本文以及本期其他撰稿人所体现的丰富临床、行政和研究专业知识，能够成为解决一些寄宿治疗相关问题的催化剂。这是一项早就该进行的工作。
