Stolper Hanna, van Doesum Karin, Steketee Majone
Departement of Psychology Education and Child Studies, Erasmus University Rotterdam (EUR), Rotterdam, Netherlands.
Jeugd ggz Dimence Groep, Zwolle, Netherlands.
Front Psychiatry. 2024 Apr 15;15:1298268. doi: 10.3389/fpsyt.2024.1298268. eCollection 2024.
This paper describes the practice of an integrated family approach to treatment in mental health care in which the focus is on the whole family and treatment is carried out by professionals of adult and child mental health services together. It is presented as an example of a best practice in finding a way to overcome barriers in implementing an integrated family approach in treatment for the benefit of families with a variety of interrelated problems. Even though there is a lot of knowledge about the importance of a family approach in mental health care with specific attention to the patients' parental role, the children, family relationships, and the social economic context, this is worldwide rarely implemented in the practice of mental health care. Barriers to keep the whole family in mind are identified on different levels: organizational policy, interagency collaboration, professionals, and patients themselves. As a solution, a model of an integrated family approach in mental health care is presented: how it is defined; which domains in the family are targeted; which key elements it contains; what the treatment consists of; and which procedures are followed in practice. A case illustrates how this approach might work in practice.
本文描述了心理健康护理中综合家庭治疗方法的实践,该方法以整个家庭为重点,由成人和儿童心理健康服务专业人员共同开展治疗。它被作为一个最佳实践案例呈现,旨在找到一种方法来克服在实施综合家庭治疗方法时遇到的障碍,以造福于有各种相关问题的家庭。尽管在心理健康护理中,人们对家庭治疗方法的重要性有很多了解,特别是关注患者的父母角色、孩子、家庭关系以及社会经济背景,但在全球范围内,这在心理健康护理实践中很少得到实施。在不同层面上确定了忽视整个家庭的障碍:组织政策、机构间合作、专业人员以及患者自身。作为解决方案,本文提出了一种心理健康护理中的综合家庭治疗方法模型:它是如何定义的;针对家庭中的哪些领域;包含哪些关键要素;治疗包括什么;以及在实践中遵循哪些程序。一个案例说明了这种方法在实际中可能如何发挥作用。