Stathis Stephen, Martin Graham
Child and Youth Mental Health Service, Royal Children's Hospital, Brisbane, Queensland, Australia.
Aust N Z J Psychiatry. 2004 Sep;38(9):746-52. doi: 10.1080/j.1440-1614.2004.01447.x.
To examine new strategies which may be implemented to address the significant mental health and substance abuse problems of young people within the juvenile justice system.
Wide-ranging literature review of mental health problems within the juvenile justice population is given, illustrating the high prevalence of mental health problems within this cohort of young people. Reference is made to the differing demographics and agendas of the American justice system compared to that found in Australia.
It is suggested that new initiatives stemming from quality Australian studies are required in order to facilitate reform within adolescent forensic mental health. Psychiatrists need to be at the forefront of innovative policy delivery within the juvenile justice system.
A transdisciplinary approach is required to meet the changing needs of young people within the juvenile justice system. Such a system of care recognizes that these young people and their families have multiple needs that cross traditional boundaries and a collaborative approach across agencies is essential at both the policy and practical level. Psychiatrists have an important role to play in the development of these services. A systemic process to address such needs is offered.
探讨可实施的新策略,以解决少年司法系统内年轻人严重的心理健康和药物滥用问题。
对少年司法人群中的心理健康问题进行广泛的文献综述,说明该年轻人群体中心理健康问题的高患病率。同时提及了与澳大利亚相比,美国司法系统不同的人口统计学特征和议程。
建议借鉴澳大利亚高质量研究产生的新举措,以推动青少年法医心理健康领域的改革。精神科医生需要在少年司法系统内创新政策实施方面发挥前沿作用。
需要采用跨学科方法来满足少年司法系统内年轻人不断变化的需求。这样的护理系统认识到这些年轻人及其家庭有多种跨越传统界限的需求,跨机构的协作方法在政策和实践层面都至关重要。精神科医生在这些服务的发展中可发挥重要作用。本文提供了一个满足此类需求的系统流程。