Tavistock and Portman NHS Foundation Trust, London, United Kingdom.
Tavistock and Portman NHS Foundation Trust, London, United Kingdom.
Child Abuse Negl. 2021 Sep;119(Pt 1):104648. doi: 10.1016/j.chiabu.2020.104648. Epub 2020 Sep 11.
This discussion article describes a Child and Adolescent Mental Health Service (CAMHS) in the United Kingdom developed to meet the mental health needs of children and young people particularly those vulnerable children and young people at risk of actual or potential harm through child abuse and neglect, but may not be therapy ready. The aim was to improve the level of access to CAMHS for vulnerable groups and the quality and effectiveness of services for children, young people and their families.The model of service delivery is underpinned by the THRIVE Framework for System Change (THRIVE) which builds on the resilience of families and the skills of the workers who have the closest relationships with them. The article describes how a redesign was accomplished in the London Borough of Camden between 2016- 2018 to do this. Qualitative evidence of the positive impact of the changes for service users and key workers and quantitative evidence of the increased service capacity are presented. Challenges and opportunities provided by the new service model are discussed.
这篇讨论文章描述了英国的儿童和青少年心理健康服务（CAMHS），旨在满足儿童和青少年的心理健康需求，特别是那些容易受到虐待和忽视的儿童和青少年，他们可能面临实际或潜在的伤害，但可能还没有准备好接受治疗。其目的是提高弱势群体获得 CAMHS 的机会，提高儿童、年轻人及其家庭的服务质量和效果。该服务提供模式的基础是 THRIVE 系统变革框架（THRIVE），该框架建立在家庭的复原力和与他们关系最密切的工作人员的技能基础上。本文描述了 2016 年至 2018 年期间，伦敦卡姆登区如何进行重新设计以实现这一目标。本文提供了服务使用者和主要工作人员对变革积极影响的定性证据，以及服务能力增强的定量证据。还讨论了新服务模式带来的挑战和机遇。
