Yale School of Medicine, New Haven, Connecticut, USA.
Child Study Center, Yale School of Medicine New Haven, New Haven, Connecticut, USA.
J Child Adolesc Psychiatr Nurs. 2023 Aug;36(3):211-219. doi: 10.1111/jcap.12415. Epub 2023 Apr 14.
Art- and narrative-based interventions are an integral component of pediatric inpatient psychiatric care. We describe a novel therapeutic comic book we developed for hospitalized children and young adolescents.
A Hero's Journey is a 38-page zine that can be freely downloaded and photocopied for distribution. The short booklet is intended to demystify and offer guidance throughout the experience of hospitalization, promote interaction and socialization, provide scaffolding for skill-building, and prepare patients for moving forward after discharge.
The underlying foundations of the booklet include: 1) Theoretical sources (Joseph Campbell's hero's journey; Donald Schön's reflective practice; and the principles of narrative medicine); and 2) Clinical sources (collaborative problem solving; cognitive-behavioral therapy, and trauma-informed care). We articulate how each page relates to the different components, and how individual pages can be used as worksheets for practice of specific skills. We next provide suggestions on how best to use the booklet: from arrival at the emergency room, through inpatient hospitalization, and toward discharge. We also propose ways for staff, caregivers, and any child-facing adult to make use of this clinical resource in support of a patient's recovery and reintegration into their community.
Even though not yet empirically tested, this therapeutic comic book is available for dissemination free of cost. We encourage leaders in nursing and therapeutic recreation to try using this resource in their emergency room and milieu settings.
艺术和叙事干预是儿科住院精神病学护理的一个组成部分。我们描述了一种我们为住院儿童和青少年开发的新型治疗性漫画书。
《英雄之旅》是一本 38 页的小册子，可以免费下载并复印以供分发。这本短册旨在使住院经历变得不再神秘，并提供指导，促进互动和社交，为技能培养提供支撑，并为患者出院后继续前进做好准备。
小册子的基础包括：1）理论来源（约瑟夫·坎贝尔的英雄之旅；唐纳德·舍恩的反思实践；以及叙事医学的原则）；2）临床来源（协作问题解决；认知行为疗法，以及创伤知情护理）。我们阐述了每一页如何与不同的部分相关联，以及如何将个别页面用作特定技能练习的工作表。接下来，我们提供了如何最好地使用该小册子的建议：从到达急诊室开始，经过住院治疗，直至出院。我们还提出了工作人员、护理人员和任何面向儿童的成年人如何利用这一临床资源来支持患者康复并重新融入社区的建议。
尽管尚未经过实证检验，但这本治疗性漫画书可以免费传播。我们鼓励护理和治疗性娱乐领域的领导者在急诊室和环境中尝试使用此资源。
