Fazel Mina, Hoagwood Kimberly, Stephan Sharon, Ford Tamsin
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.
Department of Child Psychiatry, New York University Langone Medical Center and School of Medicine, New York, NY, USA.
Lancet Psychiatry. 2014 Oct;1(5):377-387. doi: 10.1016/S2215-0366(14)70312-8.
Mental health services embedded within school systems can create a continuum of integrative care that improves both mental health and educational attainment for children. To strengthen this continuum, and for optimum child development, a reconfiguration of education and mental health systems to aid implementation of evidence-based practice might be needed. Integrative strategies that combine classroom-level and student-level interventions have much potential. A robust research agenda is needed that focuses on system-level implementation and maintenance of interventions over time. Both ethical and scientific justifications exist for integration of mental health and education: integration democratises access to services and, if coupled with use of evidence-based practices, can promote the healthy development of children.
嵌入学校系统的心理健康服务可以创建一个综合护理连续体,改善儿童的心理健康和学业成绩。为了加强这一连续体,并促进儿童的最佳发展,可能需要重新配置教育和心理健康系统,以帮助实施循证实践。结合课堂层面和学生层面干预措施的综合策略具有很大潜力。需要一个强有力的研究议程,关注干预措施在系统层面的长期实施和维持。心理健康与教育整合存在伦理和科学依据:整合使服务获取更加公平,如果与循证实践的应用相结合,可以促进儿童的健康发展。