A Multisystemic Approach to the Prevention and Treatment of Child Abuse and Neglect.
A Multisystemic Approach to the Prevention and Treatment of Child Abuse and Neglect.
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预防和治疗虐待和忽视儿童的多系统方法。
DOI：
10.1007/s42448-018-0002-2
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Schaeffer,CindyM
中科院分区：
文献类型：
--
作者：
Swenson,CynthiaCupit;Schaeffer,CindyM
遭受身体虐待和/或忽视的家庭面临持续困难的风险，这可能涉及儿童保护服务机构的长期监测，甚至可能将儿童带走。为帮助家庭安全地保持完整并减少他们正在经历的临床挑战和进一步虐待的风险所需的干预措施将需要满足所有家庭成员的多重需求，并涉及与CPS的积极、协作的工作关系。如果使用通常在门诊提供的服务，CPS病例工作者可能会负责将家庭与许多提供者联系起来。当家庭无法进行所有预约时，他们将面临进一步失去孩子的风险。在这篇文章中，我们介绍了儿童虐待和忽视的多系统治疗(MST-CAN)，这是一种基于生态的治疗方法，适用于遭受身体虐待和/或忽视的家庭，其中一个临床团队在家中为有严重临床需求的家庭提供研究支持的心理健康服务。到目前为止，MST-CAN已在经历最严重风险水平的家庭中实施，但适用于风险水平较低的家庭是可行的。在高危家庭中，MST-CAN已被证明在减少家庭外安置、虐待或疏忽的父母行为以及父母和儿童的心理健康困难以及增加自然社会支持方面有效。文中还介绍了两种基于MST-CAN的专业种群方案。这些是MST-建立更强大的家庭，这是一个专门针对同时遭受药物滥用或忽视的父母的计划，以及针对遭受虐待或忽视和亲密伴侣暴力的家庭的MST。所有型号均基于核心标准MST型号。我们将模型开发的历史追溯到传播。
Families experiencing physical abuse and/or neglect are at risk of continued difficulties that may involve long-term monitoring by Child Protective Services (CPS) and perhaps even removal of the child. Interventions needed to help the family remain intact safely and reduce both the clinical challenges they are experiencing and risk of further maltreatment will need to meet the multiple needs of all family members and involve a positive, collaborative working relationship with CPS. If services that are typically provided at outpatient clinics are used, the CPS case worker may be tasked with linking the family to many providers. When the family cannot make all the appointments, they are at further risk of removal of their child. In this article we present Multisystemic Therapy for Child Abuse and Neglect (MST-CAN), an ecologically based treatment for families experiencing physical abuse and/or neglect in which research-supported mental health services are delivered in the home by one clinical team to families who have serious clinical needs. To date, MST-CAN has been implemented with families experiencing the most serious levels of risk, but application is feasible for families with lower risk levels. Among high-risk families, MST-CAN has been shown effective for reducing out-of-home placement, abusive or neglectful parent behavior, and parent and child mental health difficulties and for increasing natural social supports. Two specialty population programs based on MST-CAN are also presented. These are MST – Building Stronger Families, a specialty program for parents who are experiencing abuse or neglect co-occurring with substance abuse, and MST for Intimate Partner Violence for families experiencing abuse or neglect and intimate partner violence. All models are based on the core Standard MST model. We trace the history of model development to dissemination.
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