Bringing back the social history.
Bringing back the social history.
复制标题
追溯社会历史。
DOI：
10.1016/j.pcl.2014.06.010
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发表时间：
2014
影响因子：
2.6
通讯作者：
Thompson,Richard
中科院分区：
文献类型：
--
作者：
Pierce,MaryClyde;Kaczor,Kim;Thompson,Richard
儿童的社会环境是儿童目前和未来健康的关键决定因素。儿童家庭环境中的因素，既有保护性的，也有有害的，对儿童的长期健康、大脑发育和死亡率有着深远的影响。不良的童年经历，特别是虐待儿童，与伤害风险增加、不良后果、成年后健康不良，甚至儿童期或成年早期死亡直接相关。因此，重要的是从第一次医疗访问中获得详细的社会历史，以确定需要加强的优势和需要解决的弱点的双重目标。筛查是至关重要的，以促进健康的育儿和帮助确定需要干预的领域。有时，发现严重问题表明儿童有遭受虐待的重大风险。通过在严重或永久性伤害发生之前公开和直接地处理这些风险，可以防止虐待儿童及其可能改变所有人生活的后果。社会历史很可能是促进儿童未来健康和福祉的最佳全面工具。这是确定儿童和家庭的社会需要的关键的第一步，以便他们可以从干预中受益。本文重点介绍已知会增加儿童受虐待风险的关键社会历史因素，并提供案例。
The social environment of the child is a key determinant of the child’s current and future health. Factors in the child’s family environment, both protective and harmful, have profound impact on the child’s long-term health, brain development, and mortality. Adverse childhood experiences, and specifically, child maltreatment, are directly linked to increased risk for harm, poor outcomes, ill-health as adults, and even death during childhood or early adulthood. Therefore, it is important to obtain a detailed social history from the first medical visit with the dual goals of identifying strengths to reinforce and weaknesses to address. Screening is paramount in order to foster healthy parenting and help identify areas needing intervention. Occasionally, serious problems are uncovered indicating the child is at significant risk for maltreatment. By addressing these risks openly and directly before serious or permanent harm occurs, child maltreatment and its potentially life-altering consequences (for all) may be prevented. The social history may very well be the best all-around tool available for promoting the child’s future health and well-being. It is a key first step in identifying social needs of the child and family so that they may benefit from intervention. This article focuses on key social history elements known to increase a child’s risk of maltreatment and provides case examples.