Fegert J M
Abteilung für Psychiatrie und Neurologie des Kindes- und Jugendalters des Virchow-Klinikums, Medizinische Fakultät der Humboldt-Universität zu Berlin.
Prax Kinderpsychol Kinderpsychiatr. 1995 Nov;44(9):350-9.
Since January 1995 the new German Social Aid and Child Care and Protection Legislation (KJHG, Kinder-und Jugendhilfegesetz) is applied in all parts of Germany (Federal Legislation), for children and adolescents with psychiatric disturbances and special support system is created. These children have the right to get different sorts of help for their integration in school, in the peer-group, and in the society. The fact, that a child and adolescent psychiatric diagnosis is necessary to get these different kinds of help, has been criticized. Especially social-workers fear the negative effects of a so-called psychiatric "labeling". More information and cooperation between child psychiatrists and social-workers is necessary with regard to the new legislation. We analysed different measures (N = 1329) supported by this new legislation in our recourse population in 1992 and 1993. Effects of age, sex and socioeconomic status on the indication of psychotherapy within the health care-system or within the new (KJHG) legislation system are described. The follow-up part of the study reports results of these new forms of help for children in 140 of pour patients. We found more symptom reductions in the former diagnosed psychiatric disturbances than an improvement in the psychosocial and family life conditions of the children.
自1995年1月起，新的德国社会救助及儿童照料与保护立法（《儿童与青少年救助法》，KJHG，Kinder-und Jugendhilfegesetz）在德国全境（联邦立法）实施，为患有精神障碍的儿童和青少年建立了特殊支持体系。这些儿童有权获得各类帮助，以便融入学校、同龄人群体及社会。然而，获取这些不同帮助需进行儿童及青少年精神科诊断这一事实受到了批评。尤其是社会工作者担心所谓精神科“贴标签”的负面影响。关于新立法，儿童精神科医生与社会工作者之间需要更多信息交流与合作。我们分析了1992年和1993年我们所服务人群中由这项新立法支持的不同措施（N = 1329）。描述了年龄、性别和社会经济地位对医疗保健系统或新的（《儿童与青少年救助法》）立法系统内心理治疗指征的影响。该研究的随访部分报告了对我们140名患者中的儿童采用这些新帮助形式的结果。我们发现，相较于儿童心理社会及家庭生活状况的改善，之前诊断的精神障碍症状减轻得更多。
