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[改善遭受虐待和忽视的儿童及青少年精神障碍患者获得循证干预措施的机会]

[Improving Access to Evidence Based Interventions for Children and Adolescents with Mental Disorders After Child Abuse and Neglect].

作者信息

Ganser Helene G, Münzer Annika, Seitz Diana C M, Witt Andreas, Goldbeck Lutz

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2015;64(3):172-87. doi: 10.13109/prkk.2015.64.3.172.

DOI:10.13109/prkk.2015.64.3.172
PMID:25832576
Abstract

Victims of child abuse and neglect are more likely to develop emotional and behavioral problems than their non-abused peers. In many cases they do not receive evidence based treatments. Based on pilot studies and clinical experience, a structured and manualized case-management protocol was developed to provide child welfare professionals guidance, direction and support in helping these families find and engage in appropriate treatment. The protocol is described. A survey among child welfare workers indicates a lack of knowledge about mental disorders in victims of child abuse as well as an insufficient cooperation between the child welfare and the mental healthcare system. Child welfare workers who have applied the manual evaluate it positively. This study shows that the structured case-management can be implemented in a child welfare setting.

摘要

遭受虐待和忽视的儿童比未受虐待的同龄人更有可能出现情绪和行为问题。在许多情况下,他们没有接受循证治疗。基于试点研究和临床经验,制定了一项结构化的、手册化的病例管理方案,为儿童福利专业人员提供指导、方向和支持,以帮助这些家庭找到并接受适当的治疗。本文描述了该方案。一项针对儿童福利工作者的调查表明,他们对受虐待儿童的精神障碍缺乏了解,而且儿童福利系统与精神卫生保健系统之间的合作不足。应用该手册的儿童福利工作者对其评价积极。这项研究表明,结构化的病例管理可以在儿童福利环境中实施。

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