Underwood Lee A, Barretti Louis, Storms Tera L, Safonte-Strumolo Nicole
T.R.A.I.T. Consulting, Nestelbrook Trail, Virginia Beach, VA 23456, USA.
Trauma Violence Abuse. 2004 Jul;5(3):199-242. doi: 10.1177/1524838004264344.
As treatment systems throughout the country have deinstitutionalized, under-use of community-based residential treatment systems has escalated. Reliance on juvenile justice systems for the care of the mentally ill adolescent has increased. There is considerable overlap between the mentally ill adolescent population within the community-based mental health systems and the offender population within the juvenile justice systems. With the inconsistent epidemiological prevalence and longitudinal treatment data, mental health treatment providers have also begun addressing this problem. This is currently being done by designing and implementing community-based residential mental health programs for delinquent adolescents of the juvenile justice system as well as nondelinquent adolescents within the mental health treatment systems. Providers have relied on both systems' literature in establishing theoretical treatment programs. The authors review critical treatment components currently used by both the treatment and juvenile justice systems. A promising integrative program is described.
随着全国范围内的治疗系统非机构化,基于社区的寄宿治疗系统利用不足的情况有所增加。对少年司法系统照顾患有精神疾病青少年的依赖也在增加。基于社区的心理健康系统中的患有精神疾病的青少年群体与少年司法系统中的犯罪人群体之间存在相当大的重叠。由于流行病学患病率和纵向治疗数据不一致,心理健康治疗提供者也开始着手解决这个问题。目前,这是通过为少年司法系统中的违法青少年以及心理健康治疗系统中的非违法青少年设计和实施基于社区的寄宿心理健康项目来实现的。提供者在建立理论治疗项目时依赖于两个系统的文献。作者回顾了治疗系统和少年司法系统目前使用的关键治疗组成部分。描述了一个有前景的综合项目。