Vostanis Panos
University of Leicester, UK.
Clin Child Psychol Psychiatry. 2010 Oct;15(4):555-71. doi: 10.1177/1359104510377715.
Children in public care and other vulnerable young groups (homeless, adopted, refugees) are increasingly becoming the focus of policy and service planning. There is strong evidence that all these client populations have high rates of mental health problems which are closely associated with other needs. We also have good knowledge on the factors that predispose individuals to and maintain mental health problems, as well as on the reasons for their not easily accessing and engaging with services. There is less evidence on the effectiveness of interventions or service models, although some interesting patterns are beginning to emerge. These include the need for inter-agency commissioning, clear care pathways, designated provision, applied therapeutic interventions, training for carers and frontline practitioners, and multi modal programmes. This paper discusses these issues, as well as ways forward, both for systems with relatively well developed child mental health services and for low-income countries. Service quality can be greatly strengthened by international collaboration on policy, practice and research networks, training and research.
接受公共照料的儿童以及其他弱势青年群体（无家可归者、被收养者、难民）日益成为政策和服务规划的重点。有充分证据表明，所有这些服务对象群体都有很高的心理健康问题发生率，且这些问题与其他需求密切相关。我们也非常了解那些使个体易患并维持心理健康问题的因素，以及他们难以获得服务并参与其中的原因。尽管一些有趣的模式开始显现，但关于干预措施或服务模式有效性的证据较少。这些模式包括跨机构委托、清晰的护理路径、指定服务、应用治疗干预、对照顾者和一线从业者的培训以及多模式项目。本文讨论了这些问题以及前进的方向，既适用于儿童心理健康服务相对发达的系统，也适用于低收入国家。通过在政策、实践和研究网络、培训及研究方面开展国际合作，服务质量能够得到极大提升。
