Scivoletto Sandra, de Medeiros Filho Mauro Vitor, Stefanovics Elina, Rosenheck Robert A
Psychiatr Serv. 2014 Feb 1;65(2):138-40. doi: 10.1176/appi.ps.201300439.
This column describes the planning and development of The Equilibrium Program (TEP) for multiply traumatized and neglected children and adolescents with mental and general medical problems in São Paulo, Brazil. The program is a partnership between university faculty, various service providers, the courts, and the city government. In the first step, child psychiatry faculty from the University of São Paulo visited central-city areas and group shelters to talk to street youths to better understand their needs. A nearby community sports center building was chosen to be a center where youths could access services and engage in recreational activities and where the work of family integration could be facilitated. A multidisciplinary team conducts an in-depth assessment and creates an intervention plan, overseen by a case manager. Challenges to implementing such programs are discussed.
本专栏介绍了巴西圣保罗为遭受多重创伤且被忽视的患有精神和普通医疗问题的儿童及青少年开展的平衡项目（TEP）的规划与发展情况。该项目是大学教师、各类服务提供者、法院和市政府之间的合作项目。第一步，圣保罗大学儿童精神病学教师走访市中心区域和集体收容所，与街头青少年交谈，以更好地了解他们的需求。附近的一个社区体育中心建筑被选定为一个中心，青少年可以在那里获得服务、参与娱乐活动，还能促进家庭融合工作。一个多学科团队进行深入评估并制定干预计划，由一名个案经理监督。文中还讨论了实施此类项目所面临的挑战。
