A public health approach to children's mental health services: possible solutions to current service inadequacies.
A public health approach to children's mental health services: possible solutions to current service inadequacies.
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DOI：
10.1007/s10488-009-0259-2
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发表时间：
2010-03
影响因子：
2.6
通讯作者：
Atkins, Marc
中科院分区：
文献类型：
--
作者：
Stiffman, Arlene Rubin;Stelk, Wayne;Horwitz, Sarah McCue;Evans, Mary E.;Outlaw, Freida Hopkins;Atkins, Marc
儿童-青少年心理健康服务系统(CAMHS)面对的是临床复杂的青少年，他们的行为问题发生率高，精神健康障碍多种多样，滥用药物、犯罪行为和其他“危险”行为(如逃学、家庭冲突等)。由于青年的复杂性，该系统在帮助他们成功克服他们面临的无数问题方面存在严重困难。该小组提出，公共卫生方法将有助于解决当前系统的许多不足之处。公共卫生有不同的定义；然而，所有的定义都承认它是通过有组织的社区努力保护和改善社区健康的艺术和科学。因此，它包括预防、筛查和治疗，以及环境和社会干预。我们建议，应该采取公共卫生的方法来保护儿童的心理健康。虽然公共卫生通常被概念化为关注身体健康，但我们采取的整体立场是，没有精神健康就没有健康。公共卫生方法是合适的，因为儿童和青少年的优势和问题是基于他们内在的遗传/生物倾向以及他们的家庭、社区、学校和社会环境之间的相互作用。通过研究，我们发现越来越多的证据表明，环境的各个方面(人内、家庭、同伴、社区甚至社会)都很重要：
The Child-Adolescent Mental Health Services (CAMHS) system confronts clinically complex youth with high rates of behavior problems, diverse mental health disorders, substance abuse, criminal behavior, and other ‘‘at risk’’behaviors (eg school truancy, family conflict, etc.). Because of the complexity of the youth, the system has serious difficulties helping them to successfully overcome the myriad of problems they confront. This group proposes that a public health approach would help solve many of the inadequacies of the current system. Public health has been variously defined; however, all definitions recognize it as the art and science of dealing with the protection and improvement of community health by organized community efforts. As such, it includes prevention, screening, and treatment, as well as environmental and social interventions. We propose that a public health approach should be taken on behalf of child mental health. Although public health is often conceptualized as focusing on physical health, we take the holistic position that ‘‘there is no health without mental health.’’A public health approach is appropriate because the strengths and problems of children and adolescents are based upon interactions between their internal genetic/biological predispositions, as well as their family, community, school, and societal environments. Through research, we are uncovering more and more evidence that all aspects of environment (intra-person, family, peer, community, and even society) are important:
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影响因子：
3.3
作者：
McKay, MM;Lynn, CJ;Bannon, WM
通讯作者：
Bannon, WM
影响因子：
120.7
作者：
Costello, EJ;Compton, SN;Angold, A
通讯作者：
Angold, A
DOI：
10.1196/annals.1376.050
发表时间：
2006-01-01
期刊：
RESILIENCE IN CHILDREN
影响因子：
--
作者：
Vanderbilt-Adriance, Ella;Shaw, Daniel S.
通讯作者：
Shaw, Daniel S.
影响因子：
--
作者：
McDonald, C;Murray, RM
通讯作者：
Murray, RM
影响因子：
120.7
作者：
Olds, D;Henderson, CR;Powers, J
通讯作者：
Powers, J