作为顾问的精神科医生：在学校、法院和初级保健机构开展工作以促进儿童心理健康。

The psychiatrist as consultant: working within schools, the courts, and primary care to promote children's mental health.

作者信息

Milam-Miller Susan

机构信息

University of California Davis School of Medicine, Davis, CA, USA.

出版信息

Psychiatr Clin North Am. 2009 Mar;32(1):165-76. doi: 10.1016/j.psc.2008.10.002.

DOI:10.1016/j.psc.2008.10.002

PMID:19248923

Abstract

This article presents a broad description of psychiatric consultation to schools to introduce concepts relevant in all child and adolescent psychiatric consultation outside of the hospital setting. A model of the consultation process is presented, which includes: (1) the consultant's entry into the system that is requesting consultation, (2) the process of defining the question posed, (3) identification of the focus of consultation and the consultant's role, and (4) measuring outcomes. Cases from psychiatric consultation to schools, juvenile justice, and primary care illustrate the various roles that a consultant may fill in providing consultative services for children and adolescents. Current trends in psychiatric consultation are described, including a shift away from indirect consultation and toward a collaborative role.

摘要

本文对学校精神科咨询进行了广泛描述，以引入医院环境之外所有儿童和青少年精神科咨询中相关的概念。文中呈现了一个咨询过程模型，其中包括：（1）咨询师进入请求咨询的系统；（2）界定所提出问题的过程；（3）确定咨询重点和咨询师角色；（4）衡量结果。来自学校、青少年司法和初级保健精神科咨询的案例说明了咨询师在为儿童和青少年提供咨询服务时可能扮演的各种角色。文中还描述了精神科咨询的当前趋势，包括从间接咨询转向协作角色。