UCLA Department of Psychiatry and Biobehavioral Sciences, 760 Westwood Plaza, A8-159, Los Angeles, CA 90024, USA.
UCLA Department of Psychiatry and Biobehavioral Sciences, 760 Westwood Plaza, A8-159, Los Angeles, CA 90024, USA.
Child Adolesc Psychiatr Clin N Am. 2021 Oct;30(4):737-750. doi: 10.1016/j.chc.2021.07.002.
Early life adversity and trauma can jeopardize child and family well-being. Mitigating the effects of early adversity and trauma requires a tiered, public health approach that includes trauma-informed mental health promotion, prevention, screening, early intervention, and effective and equitable treatment across community ecosystems and service systems. This article describes the development of a partnership between a public academic (University of California at Los Angeles) and community mental health system (Los Angeles County Department of Mental Health) and provides a roadmap for core principles and actionable steps to implement coherent, comprehensive, and adaptive trauma-informed community systems of support for children.
早期生活中的逆境和创伤会危及儿童和家庭的幸福。减轻早期逆境和创伤的影响需要采取分层的公共卫生方法,包括以创伤知情为基础的心理健康促进、预防、筛查、早期干预,以及在社区生态系统和服务系统中提供有效和公平的治疗。本文描述了一个公共学术机构(加州大学洛杉矶分校)与社区心理健康系统(洛杉矶县心理健康部)之间建立伙伴关系的过程,并提供了实施连贯、全面和适应创伤知情的社区支持系统的核心原则和可操作步骤的路线图,以支持儿童。