Child Adolesc Psychiatr Clin N Am. 2010 Jan;19(1):21-30; table of contents. doi: 10.1016/j.chc.2009.08.001.
Many different programs define themselves or are defined as residential treatment centers (RTCs). These range from small, freestanding, private, nonprofit programs to subacute units within large, for-profit health care systems. This article focuses on the role of the physician leader in community-based, nonmedical institutions. First, the physician's role in an RTC is to optimize clinical outcomes through direct service, teaching, training, coaching, and consulting with the child and family and the child care, multidisciplinary, educational, and administrative staff. Physician leaders are needed to integrate and translate the various assessments of the child's needs and strengths into a coherent narrative that can be used for treatment planning within the RTC and in the child's home and community. Second, physician leadership can help ensure that programs remain family-centered and that they use the best available evidence-based practices. Third, physician leaders must help the RTC to develop and sustain its unifying theory of treatment and to use this theory to guide its practice, mission, and vision. Physician leaders in RTC must be "trilingual and tricultural" and adept in the mental health, special education, and child welfare systems to be effective advocates for youth and their families.
许多不同的项目将自己定义为或被定义为住院治疗中心（RTC）。这些项目的范围从小型、独立、私人、非营利性项目到大型营利性医疗保健系统中的亚急性单位。本文重点介绍了在基于社区的非医疗机构中，医生领导者的角色。首先，医生在 RTC 中的角色是通过直接服务、教学、培训、指导以及与儿童及其家庭、儿童护理、多学科、教育和行政人员的咨询，来优化临床结果。需要医生领导者将儿童需求和优势的各种评估整合并转化为一个连贯的叙述，以便在 RTC 内以及儿童的家庭和社区中进行治疗计划。其次，医生领导能力可以帮助确保项目保持以家庭为中心，并使用最佳的循证实践。第三，医生领导者必须帮助 RTC 制定和维持其统一的治疗理论，并利用该理论指导其实践、使命和愿景。RTC 中的医生领导者必须是“三语三文化”的，并擅长心理健康、特殊教育和儿童福利系统，以便有效地为青年及其家庭提供支持。
