Lieberman Robert E
Southern Oregon Adolescent Study and Treatment Center, 715 Ramsey Avenue, Grants Pass, OR 97527, USA.
Child Adolesc Psychiatr Clin N Am. 2004 Apr;13(2):279-94. doi: 10.1016/S1056-4993(03)00118-4.
Residential treatment has assumed a role in the service system of being the placement of last resort. This has been driven by various policy initiatives and trends to which the field has tended to respond with defensiveness. Experiences over the past few decades have demonstrated that the issue for residential programs is not simply the survival of an important service for seriously troubled children and their families, but rather the development of a new paradigm for residential treatment's role in community service systems. This paradigm involves residential treatment programs and the a more proactive stance with local, statewide, and national partners, helping to create integrated systems of care, implement outcome measurement, and create family- and community-centered programming.
住院治疗在服务体系中已成为最后的安置手段。这是由各种政策举措和趋势推动的，该领域对此往往采取防御性回应。过去几十年的经验表明，住院治疗项目面临的问题不仅仅是为严重困扰的儿童及其家庭提供一项重要服务的生存问题，而是为住院治疗在社区服务体系中的作用建立一种新范式。这种范式要求住院治疗项目与地方、州和国家层面的合作伙伴采取更积极主动的立场，帮助建立综合护理体系、实施结果评估，并制定以家庭和社区为中心的项目规划。
