1 Australian Centre for Child Protection, University of South Australia, Adelaide, South Australia, Australia.
Trauma Violence Abuse. 2019 Apr;20(2):214-228. doi: 10.1177/1524838017697268. Epub 2017 Mar 6.
Multi-Disciplinary teams (MDTs) have often been presented as the key to dealing with a number of intractable problems associated with responding to allegations of physical and sexual child abuse. While these approaches have proliferated internationally, researchers have complained of the lack of a specific evidence base identifying the processes and structures supporting multi-disciplinary work and how these contribute to high-level outcomes. This systematic search of the literature aims to synthesize the existing state of knowledge on the effectiveness of MDTs. This review found that overall there is reasonable evidence to support the idea that MDTs are effective in improving criminal justice and mental health responses compared to standard agency practices. The next step toward developing a viable evidence base to inform these types of approaches seems to be to more clearly identify the mechanisms associated with effective MDTs in order to better inform how they are planned and implemented.
多学科团队(MDTs)经常被认为是解决与应对身体和性虐待儿童指控相关的许多棘手问题的关键。虽然这些方法在国际上已经广泛应用,但研究人员抱怨缺乏具体的证据基础来确定支持多学科工作的流程和结构,以及这些工作如何促进高水平的结果。本系统文献检索旨在综合现有关于 MDT 有效性的知识状况。这一综述发现,总的来说,有合理的证据支持这样一种观点,即与标准机构做法相比,MDTs 能够有效地改善刑事司法和心理健康应对措施。朝着为这些类型的方法建立可行的证据基础迈出的下一步似乎是更清楚地确定与有效 MDT 相关的机制,以便更好地了解如何规划和实施这些机制。