Adkins S L, Safier E J, Parker N N
Menninger Clinic, Topeka, KS 66601-0829, USA.
Bull Menninger Clin. 1998 Spring;62(2):243-55.
The authors focus on the development of a wraparound program at The Menninger Clinic. This program explores alternatives to long-term hospitalization and residential treatment and provides comprehensive community-based services. After describing the history and evolution of this program, the authors highlight its current components (i.e., diagnostic understanding; assessment of the client's and family's strengths; identification of helpful functions of hospital or residential placement; crisis planning; family-centered community team; flexible funding; criteria for evaluating the plan's success). Each of these components contributes to a process that provides a high level of individualized treatment outside a hospital or residential setting. This process has provided a format for collaborating with families, community providers, schools, and managed care companies. It also integrates an understanding of developmental psychopathology with solution-focused, pragmatic approaches to behavior change.
作者们聚焦于门宁格诊所一个综合性项目的发展。该项目探索长期住院治疗和寄宿治疗之外的替代方案，并提供全面的社区服务。在描述了这个项目的历史和演变之后，作者们强调了其当前的组成部分（即诊断性理解；对客户及其家庭优势的评估；确定医院或寄宿安置的有益功能；危机规划；以家庭为中心的社区团队；灵活的资金；评估该计划成功与否的标准）。这些组成部分中的每一个都有助于在医院或寄宿环境之外提供高度个性化治疗的过程。这个过程为与家庭、社区服务提供者、学校和管理式医疗公司的合作提供了一种模式。它还将发展性精神病理学的理解与以解决问题为导向的、务实的行为改变方法结合起来。
