Garry Hurvitz Centre for Community Mental Health at Sickkidis, Toronto, Ontario, Canada.
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Fam Process. 2023 Jun;62(2):469-482. doi: 10.1111/famp.12875. Epub 2023 Mar 23.
Drawing on decades of research in family systems, coparenting, and developmental science, we present a clinical approach to address unmet service needs in children's mental health. Specifically, we describe Lausanne Family Play - Brief Intervention (LFP-B) - a manualized family systems approach providing a caregiver-caregiver-child therapy (and sibling/s, when applicable). The LFP-B is ultra-brief, typically delivered in as few as three sessions (two assessment sessions followed by a video feedback session), with the aim of reducing children's mental health symptomatology by enhancing the coparenting relationship. We review literature on systemic family therapies and provide a rationale for including coparents and children in child mental health care. We then provide a rationale for using behavioral observations and video feedback in treatment, drawing on research in related family-based treatments (e.g., parent-child therapies). Finally, we provide an overview of the LFP-B manual and a case illustration.
借鉴数十年来在家庭系统、共同养育和发展科学领域的研究成果,我们提出了一种临床方法来解决儿童心理健康服务需求未得到满足的问题。具体来说,我们描述了洛桑家庭游戏-简短干预(LFP-B)-一种基于家庭系统的方法,为照顾者-照顾者-儿童提供治疗(以及兄弟姐妹,如有需要)。LFP-B 是超短期的,通常在三到六次治疗中完成(两次评估治疗后进行一次视频反馈治疗),旨在通过增强共同养育关系来减轻儿童的心理健康症状。我们回顾了系统家庭疗法的文献,并为将共同养育者和儿童纳入儿童心理健康护理提供了理论依据。然后,我们根据相关基于家庭的治疗(例如,亲子治疗)中的研究,为在治疗中使用行为观察和视频反馈提供了理论依据。最后,我们提供了 LFP-B 手册概述和案例说明。