儿童和青少年的精神障碍评定
Psychiatric impairment ratings in children and adolescents.
作者信息
Kasinathan John, Flower Teresa, Singh Yolisha, Harden Scott
机构信息
Forensic, Child and Adolescent Psychiatrist; Clinical Director Adolescent Mental Health, Justice Health, NSW Health, Matraville, NSW, and; Conjoint Senior Lecturer, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
Forensic, Child and Adolescent Psychiatrist; and Senior Lecturer, Monash University, Melbourne, VIC, Australia.
出版信息
Australas Psychiatry. 2017 Dec;25(6):603-608. doi: 10.1177/1039856217732482. Epub 2017 Oct 16.
OBJECTIVES
It is accepted practice in Australia and New Zealand for psychiatric impairment rating scales to be applied for persons claiming psychiatric injury. These scales were derived for adults, not children. There is less clarity as to whether and how these scales may be applied for children claiming psychiatric injury.
METHODS
We review Australian and New Zealand guidelines and methods for assessing permanent psychiatric impairment, as they apply to children and adolescents.
RESULTS
With significant caution, psychiatric impairment rating scales can be administered for children. Guidance and recommendations in this regard are provided. For some, the effects of psychiatric injury may not be stable, and permanent impairment assessment should be delayed until sufficient maturity occurs.
CONCLUSIONS
Psychiatric impairment rating scales are widely applied for adults claiming psychiatric injury, however caution must be exercised when these scales are used in children.
目的
在澳大利亚和新西兰，对声称患有精神损伤的人应用精神损伤评定量表是公认的做法。这些量表是针对成年人制定的，而非儿童。对于声称患有精神损伤的儿童是否以及如何应用这些量表，目前尚不清楚。
方法
我们回顾了澳大利亚和新西兰评估永久性精神损伤的指南和方法，这些指南和方法适用于儿童和青少年。
结果
极其谨慎地说，精神损伤评定量表可用于儿童。对此提供了指导意见和建议。对于一些儿童，精神损伤的影响可能不稳定，永久性损伤评估应推迟到足够成熟时进行。
结论
精神损伤评定量表广泛应用于声称患有精神损伤的成年人，但在儿童中使用这些量表时必须谨慎。
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