Winters Nancy C, Metz W Peter
Department of Psychiatry, Oregon Health & Science University, Portland, OR 97239-3098, USA.
Psychiatr Clin North Am. 2009 Mar;32(1):135-51. doi: 10.1016/j.psc.2008.11.007.
Child and adolescent psychiatrists and general psychiatrists who serve children and adolescents with complex mental health needs, generally find themselves interfacing with multiple child-serving systems, including mental health, child welfare, juvenile justice, developmental disabilities, addictions services, and primary health care. In these systems of care, psychiatrists will likely encounter the term "wraparound," which describes a key intervention ushered in with the system-of-care model of service delivery. This article describes the wraparound approach, which has been at the forefront of mental health service delivery for children and youth with serious emotional disturbance since the mid-1980s. Wraparound is an empirically supported, family-driven, strengths-based planning approach that provides individualized care using an array of formal services and natural supports.
为有复杂心理健康需求的儿童和青少年提供服务的儿童及青少年精神科医生以及普通精神科医生,通常会发现自己要与多个儿童服务系统打交道,这些系统包括心理健康、儿童福利、少年司法、发育障碍、成瘾服务和初级医疗保健。在这些照护系统中,精神科医生很可能会遇到“全方位服务”这个术语,它描述的是一种随着照护系统服务模式引入的关键干预措施。本文介绍了全方位服务方法,自20世纪80年代中期以来,该方法一直处于为有严重情绪障碍的儿童和青少年提供心理健康服务的前沿。全方位服务是一种基于实证、以家庭为驱动、基于优势的规划方法,它使用一系列正式服务和自然支持来提供个性化照护。