Practice parameter on child and adolescent mental health care in community systems of care
Practice parameter on child and adolescent mental health care in community systems of care
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DOI：
10.1097/01.chi.0000246061.70330.b8
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发表时间：
2007-02-01
影响因子：
13.3
通讯作者：
中科院分区：
文献类型：
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作者：
这一参数提出了总体原则和做法的儿童和青少年精神卫生保健在社区系统的照顾。社区照料系统被广泛定义为包括各种各样的儿童服务机构、方案和从业人员（公共和私人），以及自然的社区支持，如宗教和消费者组织。所建议的原则和做法是从提供服务的护理系统办法中产生的。根据《儿童和青少年服务系统方案》的原则，这一办法通过联邦资助的广泛项目和倡议，对社区照料系统产生了重大影响。照料系统模式强调，照料应适合儿童和家庭的个人需要和力量，并在最符合其需要的社区和限制最少的环境中提供。家庭作为合作伙伴参与临床过程，也参与项目开发和评估。各项服务得到协调，并被纳入一项全面的护理计划。即使在没有正式的护理系统或协议的情况下，也可以实践这种模式，由个别临床医生促进机构间协调以及儿童和家庭的合作。这一参数是为广大的心理健康专业人员编写的，特别强调儿童和青少年精神病医生在社区护理系统中的作用。J. Am. Acad.儿童青少年精神病学，2007;46（2）：284-299.
This parameter presents overarching principles and practices for child and adolescent mental health care in community systems of care. Community systems of care are defined broadly as comprising the wide array of child-serving agencies, programs, and practitioners (both public and private), in addition to natural community supports such as religious and consumer organizations. Recommended principles and practices are derived from the system-of-care approach to service delivery. Based on the principles of the Child and Adolescent Service System Program, this approach has had a major influence on community systems of care through extensive federally funded projects and initiatives. The system-of-care model emphasizes that care should be tailored to the individual needs and strengths of the child and family and provided in the most community-based and least restrictive setting that meets their needs. Families are included as partners in the clinical process and are also involved in program development and evaluation. Services are coordinated and integrated into a comprehensive care plan. This model can be practiced even in the absence of formal systems of care or protocols, with the individual clinician promoting interagency coordination and child and family collaboration. This parameter is written for a broad audience of mental health professionals, with special emphasis on the roles of child and adolescent psychiatrists in community systems of care. J. Am. Acad. Child Adolesc. Psychiatry, 2007;46(2):284-299.