Signell K A
Community Ment Health J. 1983 Summer;19(2):144-63. doi: 10.1007/BF00877607.
This article provides basic, practical guidelines for starting prevention work; it draws upon ten years' experience of professional staff members at a community mental health center. Difficulties that stand in the way of prevention are first discussed. The difficulties include professional habits, defenses, and taboos, as well as lack of theory, training, and institutional support. The main body of the article provides examples of effective and ineffective ways of starting prevention, that is, promoting mental health in the community. Recommendations are made for using a normal developmental life-crisis framework, and starting small action models that can later be generalized to diverse settings and have potential for long-lasting effects in the community.
本文提供了开展预防工作的基本实用指南；它借鉴了社区心理健康中心专业工作人员十年的经验。首先讨论了阻碍预防工作的困难。这些困难包括专业习惯、防御机制和禁忌，以及缺乏理论、培训和机构支持。文章主体部分提供了开展预防工作（即在社区中促进心理健康）的有效和无效方法的示例。建议采用正常发展的生活危机框架，并启动小型行动模式，这些模式日后可推广至不同环境，并有可能在社区中产生持久影响。
