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这仅仅是创伤吗?在受照料儿童的精神卫生保健中运用创伤知情方法和多机构咨询。

Is it 'just' trauma? Use of trauma-informed approaches and multi-agency consultation in mental healthcare of looked after children.

作者信息

Miller Nic, Nair Sreekumar, Majumder Pallab

机构信息

University of Nottingham, Nottingham, UK.

Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.

出版信息

BJPsych Bull. 2023 Dec;47(6):337-341. doi: 10.1192/bjb.2023.3.

Abstract

This article presents three case studies of patients that a child and adolescent mental health service (CAMHS) have supported and its purpose is to encourage discussion of two key learning points. The first of these is the utility of developmental trauma as an approach for children with mental health presentations. The second centres on the importance of multi-agency working when working with young people, principally those within the UK's local authority care system ('looked after children'), who have had traumatic experiences in order to enhance positive outcomes. We also want to encourage consideration of the implications of developmental trauma for current core CAMHS therapeutic models in an attempt to reach beyond the often held narrative that the trauma formulation implies there is 'just trauma, no mental illness'.

摘要

本文介绍了儿童与青少年心理健康服务机构(CAMHS)所支持的三名患者的案例研究,其目的是鼓励对两个关键学习要点进行讨论。第一个要点是发展性创伤作为一种针对有心理健康问题表现儿童的方法的实用性。第二个要点聚焦于在与年轻人合作时,多机构协作的重要性,主要是那些在英国地方当局照料系统(“受照料儿童”)中的年轻人,他们有过创伤经历,以提高积极结果。我们还希望鼓励思考发展性创伤对当前CAMHS核心治疗模式的影响,试图突破那种常见的说法,即创伤表述意味着“只有创伤,没有精神疾病”。

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