School-based mental health services in the United States: History, current models and needs

School-based mental health services in the United States: History, current models and needs
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DOI:
10.1007/bf02249452
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发表时间:
1996-08-01
影响因子:
2.7
通讯作者:
Warner, BS
Warner, BS
中科院分区:
医学4区
文献类型:
--
作者:
Flaherty, LT;Weist, MD;Warner, BS

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儿童的心理健康需求基本上仍然得不到满足,即使提供了社区服务。学校的现场心理健康服务通过改善服务的获得和相关性来解决未满足的需求。随着学校越来越多地被授权满足所有儿童(包括那些情绪不正常的儿童)的需要,一般健康和心理健康服务也越来越多地被置于学校之中。虽然在学校提供基本保健服务始于世纪初,但提供全面服务的概念,即将心理健康服务纳入初级医疗保健,直到最近才得到实施。我们回顾了以学校为基础的精神卫生服务的背景,比较各种模式的服务提供,并强调这些服务的未来发展和进步的重要问题。
Children's mental health needs continue to be largely unmet, even when community services are provided. On-site mental health services in schools address unmet needs by improving access to, and relevance of services. As schools have increasingly been mandated to serve the needs of all children (including those who are emotionally disturbed) general health and mental health services have been increasingly placed in them. Although the provision of basic health care in schools began in the early part of the century, the concept of providing comprehensive services, in which mental health services are integrated into primary medical care, has only been implemented recently. We review the background of school-based mental health services, compare various models of service delivery, and highlight issues important to the future development and advancement of these services.