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征求利益相关者对儿童和青少年心理健康服务组织的意见:陷入困境的系统。

Soliciting stakeholders' views on the organization of child and adolescent mental health services: a system in trouble.

机构信息

Belgian Health Care Knowledge Centre (KCE), 55 Boulevard du Jardin Botanique, Brussels 1000, Belgium.

出版信息

Child Adolesc Psychiatry Ment Health. 2013 Dec 23;7(1):42. doi: 10.1186/1753-2000-7-42.

Abstract

BACKGROUND

Despite a high prevalence of mental health problems among children and adolescents Belgium, like many other Western countries, does not have a clear strategy for the organization of child and adolescent mental healthcare services (CAMHS).

METHODS

This paper describes stakeholders' views on the organization of CAMHS based on a qualitative study. Ten in-depth interviews with high profile stakeholders were complemented by roundtable discussions (n = 30).

RESULTS

This diagnostic analysis illustrated that the system is in serious trouble characterized by fragmentation and compartmentalization.

CONCLUSION

The findings create a sense of urgency that should be used to initiate a system reform of the Belgian CAMHS system.

摘要

背景

尽管儿童和青少年心理健康问题在比利时很普遍,但与许多其他西方国家一样,比利时没有明确的儿童和青少年精神保健服务(CAMHS)组织战略。

方法

本文基于定性研究描述了利益相关者对 CAMHS 组织的看法。对 10 名知名利益相关者进行了深入访谈,并辅以圆桌讨论(n = 30)。

结果

该诊断分析表明,该系统存在严重问题,表现为碎片化和部门化。

结论

这些发现产生了一种紧迫感,应该利用这种紧迫感启动比利时 CAMHS 系统的系统改革。

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本文引用的文献

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Recommendations for the organization of mental health services for children and adolescents in Belgium: use of the soft systems methodology.
Health Policy. 2014 Feb;114(2-3):263-8. doi: 10.1016/j.healthpol.2013.07.009. Epub 2013 Aug 7.
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Can J Psychiatry. 2010 Feb;55(2):100-7. doi: 10.1177/070674371005500206.
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