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成人与儿童心理健康护理实践中的综合家庭方法。

An integrated family approach in the practice of adult and child mental health care.

作者信息

Stolper Hanna, van Doesum Karin, Steketee Majone

机构信息

Departement of Psychology Education and Child Studies, Erasmus University Rotterdam (EUR), Rotterdam, Netherlands.

Jeugd ggz Dimence Groep, Zwolle, Netherlands.

出版信息

Front Psychiatry. 2024 Apr 15;15:1298268. doi: 10.3389/fpsyt.2024.1298268. eCollection 2024.

DOI:10.3389/fpsyt.2024.1298268
PMID:38686126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11056573/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/11056573/5aa6641001dc/fpsyt-15-1298268-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/11056573/d106cc35465c/fpsyt-15-1298268-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/11056573/ee5fa1dd66c3/fpsyt-15-1298268-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/11056573/5aa6641001dc/fpsyt-15-1298268-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/11056573/d106cc35465c/fpsyt-15-1298268-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/11056573/ee5fa1dd66c3/fpsyt-15-1298268-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/11056573/5aa6641001dc/fpsyt-15-1298268-g003.jpg

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本文引用的文献

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A Balancing Act: A Systematic Review and Metasynthesis of Family-Focused Practice in Adult Mental Health Services.平衡之道:成人心理健康服务中以家庭为中心的实践的系统评价和元综合。
Clin Child Fam Psychol Rev. 2023 Mar;26(1):190-211. doi: 10.1007/s10567-022-00418-z. Epub 2022 Nov 1.
2
The Patient's Voice as a Parent in Mental Health Care: A Qualitative Study.患者作为精神卫生保健中的家长的声音:一项定性研究。
Int J Environ Res Public Health. 2022 Oct 13;19(20):13164. doi: 10.3390/ijerph192013164.
3
Integrated Family Approach in Mental Health Care by Professionals From Adult and Child Mental Health Services: A Qualitative Study.
Improvements in the quality of the parent-child relationship following treatment with an integrated family approach.
采用综合家庭治疗方法后,亲子关系质量得到改善。
Front Psychiatry. 2024 Jun 28;15:1377100. doi: 10.3389/fpsyt.2024.1377100. eCollection 2024.
4
The Integrated Family Approach in Mental Health Care Services: A Study of Risk Factors.心理健康保健服务中的综合家庭方法:风险因素研究。
Int J Environ Res Public Health. 2024 May 17;21(5):640. doi: 10.3390/ijerph21050640.
成人与儿童心理健康服务专业人员在精神卫生保健中的综合家庭治疗方法:一项定性研究。
Front Psychiatry. 2022 Apr 28;13:781556. doi: 10.3389/fpsyt.2022.781556. eCollection 2022.
4
Mandatory Check for COPMI in Adult Mental Healthcare Services in the Netherlands-A Quantitative and Qualitative Evaluation.荷兰成人心理保健服务中对儿童期受父母精神疾病影响者的强制检查——一项定量与定性评估
Front Psychiatry. 2022 Mar 18;13:807251. doi: 10.3389/fpsyt.2022.807251. eCollection 2022.
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How to Support Parents of Infants and Young Children in Mental Health Care: A Narrative Review.如何在精神卫生保健中支持婴幼儿父母:一项叙述性综述
Front Psychol. 2021 Nov 16;12:745800. doi: 10.3389/fpsyg.2021.745800. eCollection 2021.
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Improving care for families where children and parents have concurrent mental health problems.改善儿童与父母同时患有心理健康问题的家庭的护理状况。
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Health-Led Interventions in the Early Years to Enhance Infant and Maternal Mental Health: A Review of Reviews.早年以健康为导向的干预措施以促进婴幼儿及孕产妇心理健康:综述之综述
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The Family Model: A brief intervention for clinicians in adult mental health services working with parents experiencing mental health problems.家庭模式:针对成人心理健康服务机构中与有心理健康问题的父母打交道的临床医生的简短干预措施。
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Eur Child Adolesc Psychiatry. 2021 Jul;30(7):997-1012. doi: 10.1007/s00787-020-01502-x. Epub 2020 Mar 4.