严重心理障碍儿童的服务需求。
Service needs of severely disturbed children.
作者信息
Trupin E W, Forsyth-Stephens A, Low B P
机构信息
University of Washington School of Medicine, Department of Psychiatry & Behavioral Sciences, Seattle 98195.
出版信息
Am J Public Health. 1991 Aug;81(8):975-80. doi: 10.2105/ajph.81.8.975.
BACKGROUND
As one piece of a statewide Children's Mental Health System Analysis conducted in Washington State, the specific service needs of severely emotionally disturbed children were investigated.
METHODS
The primary case-workers of 3398 children under the care of the state responded to a survey of the child's treatment history, social and clinical condition, and service needs. Service need data on the 2455 children in the sample who were classifiable as severely emotionally disturbed were examined using log linear analysis.
RESULTS
School- and home-based services were frequently reported needs of school-aged children. Adolescent children were reported to be in need of services which prepare them for adulthood. Services endorsed for female children tended to focus on assistance to family members, therapy, and protection, whereas services endorsed for male children focused on home removal, substance abuse treatment, and preparation for employment.
CONCLUSIONS
Severely emotionally disturbed children are in need of a variety of nontraditional mental health services. Significant differences in the needs of male versus female children, and of differently aged children, are present that have serious implications for service system development.
背景
作为华盛顿州开展的全州儿童心理健康系统分析的一部分，对严重情绪障碍儿童的具体服务需求进行了调查。
方法
该州所照料的3398名儿童的主要个案工作者对有关儿童治疗史、社会和临床状况以及服务需求的调查做出了回应。使用对数线性分析对样本中可归类为严重情绪障碍的2455名儿童的服务需求数据进行了检查。
结果
学龄儿童经常报告需要基于学校和家庭的服务。据报告，青少年儿童需要为其成年做准备的服务。女童认可的服务往往侧重于协助家庭成员、治疗和保护，而男童认可的服务则侧重于家庭安置、药物滥用治疗和就业准备。
结论
严重情绪障碍儿童需要各种非传统心理健康服务。男童与女童以及不同年龄段儿童的需求存在显著差异，这对服务系统的发展具有严重影响。
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