Department of School, Family, and Mental Health Professions, School of Leadership and Education Sciences, University of San Diego, 5998 Alcalá Park, San Diego, CA 92110, USA,
Adm Policy Ment Health. 2013 Jan;40(1):6-22. doi: 10.1007/s10488-012-0450-8.
There is urgent need for improvement in community-based mental health care for children and families. Multiple studies have documented serious limitations in the effectiveness of "usual care." Fortunately, many empirically-supported strategies to improve care have been developed, and thus there is now a great deal of knowledge available to address this significant public health problem. The goal of this selective review is to highlight and synthesize that empirically-supported knowledge to stimulate and facilitate the needed translation of knowledge into action. The review provides a sound foundation for constructing improved services by consolidating descriptive data on the status quo in children's mental health care, as well as evidence for an array of promising strategies to improve (a) Service access and engagement; (b) Delivery of evidence-based practices; and (c) Outcome accountability. A multi-level framework is used to highlight recommended care improvement targets.
非常有必要改进面向儿童和家庭的社区心理健康服务。多项研究记录了“常规护理”在效果上的严重局限性。幸运的是，已经开发出许多经过实证支持的改善护理的策略，因此，现在有大量的知识可以用来解决这一重大的公共卫生问题。本选择性综述的目的是突出和综合这些经过实证支持的知识，以激发和促进将知识转化为行动。该综述通过整合儿童心理健康护理现状的描述性数据以及一系列改善服务的有希望的策略的证据，为构建改进的服务提供了坚实的基础，这些策略可改善(a)服务的可及性和参与度；(b)实施循证实践；以及(c)结果问责制。采用多层次框架突出推荐的护理改进目标。
