O'Reilly Michelle, Karim Khalid, Stafford Victoria, Hutchby Ian
School of Medicine, Biological Sciences and Psychology, University of Leicester, The Greenwood Institute, Leicester, UK.
Department of Sociology, University of Leicester, Leicester, UK.
Child Adolesc Ment Health. 2015 Nov;20(4):195-201. doi: 10.1111/camh.12077. Epub 2014 Oct 10.
A comprehensive assessment is essential to contemporary practice in child and adolescent mental health. In addition to determining diagnosis and management, it is seen as important for clinical engagement and forming a therapeutic relationship. However, there has been little research on the processes which occur during this interaction, particularly in first assessments.
Twenty-eight naturally occurring child mental health initial assessments were video recorded and subjected to the basic principles of the conversation analytic method.
Several processes were identified in a typical child and adolescent mental health assessment. These included introductions, reasons for attendance, problem presentation, decision-making and session closure.
Initial assessments provide a platform for all future engagement with services and an understanding of the processes occurring within this setting is important for the eventual outcomes, particularly in respect to new ways of working such as the Choice and Partnership Approach (CAPA).
全面评估对于当代儿童和青少年心理健康实践至关重要。除了确定诊断和管理方法外，它还被视为对临床参与和建立治疗关系很重要。然而，对于这种互动过程中发生的情况，尤其是首次评估中的情况，研究甚少。
对28次自然发生的儿童心理健康首次评估进行了视频录制，并采用了会话分析方法的基本原则。
在典型的儿童和青少年心理健康评估中确定了几个过程。这些过程包括介绍、就诊原因、问题呈现、决策和会话结束。
首次评估为未来与服务机构的所有接触提供了一个平台，了解在此过程中发生的情况对于最终结果很重要，特别是对于诸如选择与伙伴关系方法（CAPA）等新的工作方式而言。
