Barker P
Can J Psychiatry. 1982 Dec;27(8):634-9. doi: 10.1177/070674378202700806.
The value and place of residential treatment for disturbed children and adolescents have been increasingly questioned in recent years. Possible reasons for this are examined. The place of residential treatment, and its value as a specialized form of therapy, are discussed. The treatment of disturbed young people in residential settings should only be undertaken as part of a wider therapeutic plan. The need for placement away from home, for the protection of the community or for other reasons not directly concerned with the child's treatment, must be distinguished from the need for residential treatment. The rationale and goals of treatment must always be defined in advance, and the needs of the system to which the child belongs must be considered along with those of the presenting patient.
近年来,针对行为失常儿童和青少年的住院治疗的价值和地位受到了越来越多的质疑。本文探讨了可能导致这种情况的原因。讨论了住院治疗的地位及其作为一种特殊治疗形式的价值。在住院环境中对行为失常的年轻人进行治疗,应仅作为更广泛治疗计划的一部分。必须将因保护社区或其他与儿童治疗无直接关系的原因而需要离家安置,与住院治疗的需要区分开来。治疗的基本原理和目标必须始终预先确定,并且必须将儿童所属系统的需求与前来就诊的患者的需求一并考虑。