Spencer Sandra A, Blau Gary M, Mallery Coretta J
National Federation of Families for Children's Mental Health, Rockville, Maryland, USA.
J Can Acad Child Adolesc Psychiatry. 2010 Aug;19(3):176-81.
This paper will provide a history of how family-driven care has evolved in the United States.
Several examples of family-driven care including the National Policy Academy led by the Federation of Families for Children's Mental Health, the Jefferson County Kentucky's Parent Advocacy Program, and the Family Ties Resource Centers in Westchester, New York, and the 2009 American Academy of Child and Adolescent Psychiatry's Policy Statement are used to illustrate the development of family-driven care.
In the past twenty-five years the mental health field has shifted from viewing parents as the cause of their child's issues to active participants in treatment and active participants in policy development and system reform efforts. Research shows that better outcomes are achieved when family members and youth have meaningful roles in their treatment.
Family-driven care has advanced in the child and youth mental health system in America and next steps are needed to further develop the ability of families to become true partners in treatment planning, service and system development, enhance research as to the effectiveness of these activities and reform policies and practices to reflect needs of families.
本文将讲述家庭驱动式照护在美国的发展历程。
列举了几个家庭驱动式照护的例子，包括由儿童心理健康家庭联盟领导的国家政策学院、肯塔基州杰斐逊县的家长倡导项目、纽约州韦斯特切斯特的家庭纽带资源中心，以及2009年美国儿童与青少年精神病学会的政策声明，以阐释家庭驱动式照护的发展。
在过去二十五年里，心理健康领域已从将父母视为孩子问题的根源，转变为治疗中的积极参与者以及政策制定和系统改革努力中的积极参与者。研究表明，当家庭成员和青少年在治疗中发挥有意义的作用时，会取得更好的治疗效果。
家庭驱动式照护在美国儿童和青少年心理健康系统中取得了进展，接下来需要采取进一步措施，以进一步提升家庭在治疗规划、服务和系统发展中成为真正伙伴的能力，加强对这些活动有效性的研究，并改革政策和做法以反映家庭的需求。
