Department of Child and Adolescent Psychiatry, University of New Mexico, 1001 Yale Boulevard Northeast, Albuquerque, NM 87131, USA.
Youth and Family Services, Ventura County Behavioral Health, 1911 Williams, Oxnard, CA 93036, USA.
Child Adolesc Psychiatr Clin N Am. 2018 Jul;27(3):479-490. doi: 10.1016/j.chc.2018.03.002.
Each year, increasing numbers of children and families seek care for psychiatric crises; unfortunately, most communities offer limited services to meet these needs. Youth in crisis often present to emergency departments, but may not need or benefit from that level of care. Instead, data reflect improved clinical and financial outcomes when communities offer a continuum of crisis services. In this article, the authors present care models from two communities - Ventura County, California, and the state of Connecticut - and review program development, implementation, and monitoring. The authors also highlight principles for leaders to consider in developing these services.
每年，越来越多的儿童和家庭寻求精神科急症护理；但遗憾的是，大多数社区提供的服务有限，无法满足这些需求。处于危机中的年轻人经常到急诊部门就诊，但他们可能不需要或从这种程度的护理中受益。相反，当社区提供连续的危机服务时，数据反映出改善了临床和财务结果。在本文中，作者介绍了加利福尼亚州文图拉县和康涅狄格州的两个社区的护理模式，并审查了项目的开发、实施和监测。作者还强调了领导者在开发这些服务时需要考虑的原则。
