Aggett Percy, Boyd Elizabeth, Fletcher John
Newham Child & Family Consultation Service, London, UK.
Clin Child Psychol Psychiatry. 2006 Jul;11(3):319-33. doi: 10.1177/1359104506064981.
Despite a growing recognition of the strategic importance of the UK's Tier 1 in supporting children and young people with mental health needs, detailed descriptions of the developmental hurdles and content of such courses remain obscure. There are a number of initiatives being undertaken nationally to remedy this and the aim of this article is to contribute the authors' experience to what is becoming a burgeoning national endeavour. Particular attention is drawn to the problems of developing volume multiagency trainings in areas of significant social deprivation and mental health morbidity but innovation is needed to balance the competing needs for quality, penetration into Tier 1, pressures on staff time and managers' release constraints. A core syllabus is tentatively suggested, with additional skills components, and a teaching session is explored in detail to illustrate the authors' methodology and approach.
尽管人们越来越认识到英国一级服务在支持有心理健康需求的儿童和年轻人方面的战略重要性，但此类课程的发展障碍和内容的详细描述仍不明确。全国正在开展多项举措来弥补这一不足，本文旨在将作者的经验贡献给这一正在蓬勃发展的全国性努力。特别关注在社会严重贫困和心理健康问题高发地区开展大规模多机构培训所面临的问题，但需要创新来平衡对质量、一级服务的覆盖、员工时间压力和管理人员的时间限制等相互竞争的需求。本文初步提出了一个核心教学大纲，并附带了额外的技能内容，还详细探讨了一次教学课程，以说明作者的方法和途径。
