Rosenfeld A A, Pilowsky D J, Fine P, Thorpe M, Fein E, Simms M D, Halfon N, Irwin M, Alfaro J, Saletsky R, Nickman S
Johns Hopkins University Medical School, Baltimore, USA.
J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):448-57. doi: 10.1097/00004583-199704000-00006.
To inform child and adolescent psychiatrists about the almost 500,000 children now residing in the American foster care system. This overview surveys the pediatric, developmental, and psychiatric needs of these children.
Child and adolescent psychiatrists, pediatricians, a child welfare researcher, a social worker, and a psychologist developed a consensus paper from their experience with child welfare and a review of the literature in their respective fields.
Being in foster care is a defining experience in these children's lives. They are at risk in myriad ways: for instance, being poor, having chronic health deficits, experiencing the trauma of abuse and neglect, and suffering from a gamut of emotional challenges. Evolutionary developments in foster care such as therapeutic foster homes, kinship care, and changes in Medicaid funding will continue to alter the system.
Foster children are a huge reservoir of unmet pediatric and psychiatric needs; research on them is spotty at best. It is hoped that child and adolescent psychiatrists will meet the challenges these youngsters present and will advocate for them.
让儿童和青少年精神科医生了解目前居住在美国寄养系统中的近50万名儿童。本综述调查了这些儿童的儿科、发育和精神需求。
儿童和青少年精神科医生、儿科医生、一名儿童福利研究人员、一名社会工作者和一名心理学家根据他们在儿童福利方面的经验以及对各自领域文献的回顾，撰写了一篇共识文件。
进入寄养系统是这些儿童生活中的一段决定性经历。他们在诸多方面面临风险：例如，贫困、有慢性健康缺陷、经历虐待和忽视的创伤以及遭受一系列情感挑战。寄养系统的发展，如治疗性寄养家庭、亲属照料以及医疗补助资金的变化，将继续改变该系统。
寄养儿童存在大量未得到满足的儿科和精神需求；对他们的研究充其量也只是零星的。希望儿童和青少年精神科医生能够应对这些青少年带来的挑战，并为他们发声。
