Department of Child and Adolescent Psychiatry and Psychotherapy, Philipps-University, Hans-Sachs-Strasse 6, D-35033 Marburg, Germany.
World Psychiatry. 2005 Oct;4(3):147-53.
The magnitude of mental health problems in children and adolescents has not been recognized sufficiently by many governments and decision-makers. This paper reviews the epidemiology of these problems as a basis for planning of services; the situation of mental health services for children and adolescents in the various regions of the world; the principles and strategies of intervention for mental health disorders in children and adolescents; and the role of international organizations and advocacy groups. It is concluded that old myths, treatments and policies are no longer to be tolerated and that there is now the opportunity to develop and implement evidence-based interventions, modern training programs and effective policies.
许多政府和决策者都没有充分认识到儿童和青少年心理健康问题的严重性。本文回顾了这些问题的流行病学,以此作为服务规划的基础;介绍了世界各地儿童和青少年心理健康服务的状况;阐述了儿童和青少年精神障碍干预的原则和策略;以及国际组织和宣传团体的作用。结论是,陈旧的观念、治疗方法和政策已不再被容忍,现在有机会制定和实施基于证据的干预措施、现代培训方案和有效的政策。