Department of Research & Development, HealthNet TPO, Amsterdam, The Netherlands.
Int J Ment Health Syst. 2010 Jun 16;4:15. doi: 10.1186/1752-4458-4-15.
Few psychosocial and mental health care systems have been reported for children affected by political violence in low- and middle income settings and there is a paucity of research-supported recommendations. This paper describes a field tested multi-layered psychosocial care system for children (focus age between 8-14 years), aiming to translate common principles and guidelines into a comprehensive support package. This community-based approach includes different overlapping levels of interventions to address varying needs for support. These levels provide assessment and management of problems that range from the social-pedagogic domain to the psychosocial, the psychological and the psychiatric domains. Specific intervention methodologies and their rationale are described within the context of a four-country program (Burundi, Sri Lanka, Indonesia and Sudan). The paper aims to contribute to bridge the divide in the literature between guidelines, consensus & research and clinical practice in the field of psychosocial and mental health care in low- and middle-income countries.
在中低收入国家，针对受政治暴力影响的儿童的心理社会和精神卫生保健系统鲜少报道，而且缺乏研究支持的建议。本文描述了一种经现场测试的多层面儿童心理社会保健系统（重点关注年龄在 8-14 岁之间），旨在将常见的原则和准则转化为全面的支持方案。这种基于社区的方法包括不同层次的干预措施，以满足不同的支持需求。这些层次提供了从社会教育学领域到心理社会、心理和精神病学领域的问题评估和管理。在一个由四个国家（布隆迪、斯里兰卡、印度尼西亚和苏丹）组成的项目背景下，描述了特定的干预方法及其基本原理。本文旨在为缩小中低收入国家心理社会和精神卫生保健领域的文献中在准则、共识与研究及临床实践之间的差距做出贡献。
