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青少年从精神病院过渡到学校的支持性过渡计划:系统文献综述与实践框架

Supportive Transition Planning for Adolescents Transitioning From Psychiatric Hospitalization to School: A Systematic Literature Review and Framework of Practices.

作者信息

Midura Sara, Fodstad Jill C, White Benjamin, Turner Angela J, Menner Scott

机构信息

Northwest Education Services (current), US.

Riley Hospital for Children (former), US.

出版信息

Contin Educ. 2023 Jan 30;4(1):23-40. doi: 10.5334/cie.61. eCollection 2023.

Abstract

School-aged youth with behavioral health needs often struggle in the academic environment. When admitted to acute psychiatric hospital settings, the student's difficulties and needs increase upon discharge and return to the school setting. While the literature describes systemic issues in transitioning from an acute psychiatric hospital to the school setting, limited resources exist for practitioners to plan for and support the successful reintegration of affected students. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the purpose of the current systematic review was to collect and synthesize evidence from the literature ( = 20) in the areas of barriers, challenges, and significance of the need for a formal transition planning framework. Four major key factors emerged as important to assist in creating a transition planning framework for acute psychiatric hospitals to school-based settings: (a) Stakeholder Voice (Student, Caregiver, Hospital/Treatment Team, or School Team Voice); (b) Establishing a Point Person for Transition (Medical or School Point Person); (c) Recommendations/Accommodations (Formal or Informal Supports); and (d) Having a Transition Meeting. Other common factors are discussed, and recommendations are provided to aid practitioners in increasing the likelihood that school-age youth succeed in the school environment post-discharge from acute psychiatric settings. Finally, gaps in the literature are identified as areas for further research.

摘要

有行为健康需求的学龄青年在学术环境中常常面临困难。当他们住进急性精神病医院时,出院返回学校后,学生的困难和需求会增加。虽然文献描述了从急性精神病医院过渡到学校环境中的系统性问题,但从业者用于规划和支持受影响学生成功重新融入的资源有限。本系统评价采用系统评价和Meta分析的首选报告项目(PRISMA)指南,目的是收集和综合文献(n = 20)中有关正式过渡规划框架的障碍、挑战及必要性的证据。出现了四个主要关键因素,对于为急性精神病医院到学校环境创建过渡规划框架很重要:(a)利益相关者的声音(学生、照顾者、医院/治疗团队或学校团队的声音);(b)确定过渡协调人(医疗或学校协调人);(c)建议/便利措施(正式或非正式支持);以及(d)召开过渡会议。还讨论了其他常见因素,并提供了建议,以帮助从业者提高学龄青年在急性精神病环境出院后在学校环境中取得成功的可能性。最后,确定了文献中的空白作为进一步研究的领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd7b/11104309/75678760c31e/cie-4-1-61-g1.jpg

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