Department of Human and Organizational Development, Peabody College of Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA.
Adm Policy Ment Health. 2010 Mar;37(1-2):61-70. doi: 10.1007/s10488-010-0294-z.
To understand the low utilization rates of child and adolescent mental health services, it is necessary to recognize the kinds of professional and institutional stigma that may produce barriers to care. We address the large literature on the stigmatization of mental illness, linkages between such literature and children's mental health services use, and the kinds of professional and institutional attitudes and practices that communicate shame and low expectations to youth and their families. It will take recognition of such stigmatizing practices-including overcoming resistance to the messages presented herein-to make real progress in the effort to increase utilization of evidence-based practices. Multi-faceted, multi-level, and multi-disciplinary approaches to both research and intervention are recommended.
为了理解儿童和青少年心理健康服务利用率低的问题，有必要认识到可能导致服务障碍的各种专业和机构污名化现象。我们探讨了大量关于精神疾病污名化的文献，以及这些文献与儿童心理健康服务使用之间的联系，以及那些向青少年及其家庭传递羞耻感和低期望的专业和机构态度和做法。只有认识到这些污名化的做法，包括克服对本文所提出信息的抵制，才能在增加基于证据的实践的利用方面取得真正的进展。建议采取多方面、多层次和多学科的方法来进行研究和干预。
