García-Panal Leticia, García-Panal Javier, Delgado-Mata Eulalia
Equipo de Tratamiento Familiar, Diputación Provincial de Granada, Granada, España.
Distrito Sanitario Jerez Sierra Norte, Servicio Andaluz de Salud , Jerez de la Frontera, Cádiz, España.
Enferm Clin. 2016 Jan-Feb;26(1):45-8. doi: 10.1016/j.enfcli.2015.09.007. Epub 2015 Nov 6.
The intervention in families with children at risk of abuse stays as a clear example of the need for intersectional coordination mechanisms within the socio-health care framework. Different health services (such as primary care, paediatrics, mental health, community and social services, family support teams and schools) create a network in order to link their main goals in the interest of ensuring children's welfare and improving familieś situation. This essay aims at describing a performance based on the mentioned guidelines, even though there is no accepted and widespread protocol in this regard. We start our research with a one parent family with two children. The mother suffers from a mental health disorder and she fails to adhere to treatment. Both the father of the two children and his family took advantage of this situation to discredit the mother's capability of taking care of her children. This perception had a great impact in her self-esteem and therefore in her willingness and strength to recover. Meetings were held to share relevant information about both the family's general situation, the children's quality of life and the mother's health. Based on this information, the main goals were set in each professional field in order to develop the intervention project. This example of intersectional coordination shows the importance of its standardization for the sake of ensuring a comprehensive attention towards situations that involve initially individuals but that ends up affecting the whole family.
对有虐待风险儿童的家庭进行干预，是社会医疗保健框架内跨部门协调机制必要性的一个明显例证。不同的卫生服务机构（如初级保健、儿科、心理健康、社区和社会服务、家庭支持团队以及学校）建立起一个网络，以便为确保儿童福祉和改善家庭状况，将各自的主要目标联系起来。尽管在这方面没有被广泛接受的通行方案，但本文旨在描述基于上述指导方针的一项工作。我们从一个有两个孩子的单亲家庭开始研究。母亲患有精神健康障碍且不坚持治疗。两个孩子的父亲及其家人利用这种情况诋毁母亲照顾孩子的能力。这种看法对她的自尊产生了很大影响，进而影响了她康复的意愿和力量。各方召开会议，分享有关家庭总体情况、孩子生活质量以及母亲健康状况的相关信息。基于这些信息，在每个专业领域设定了主要目标，以制定干预项目。这个跨部门协调的例子表明，为了确保对最初涉及个人但最终影响整个家庭的情况给予全面关注，对其进行标准化非常重要。
