名单召集:为什么儿童和青少年心理健康部门必须在严重的学校拒绝的情况下出席
Lux Ratnamohan1,2, Peter McInnis1,2, Beth Kotze1,2,3
1Rivendell Child, Adolescent and Family Mental Health Service, Thomas Walker Hospital, Sydney Local Health District, Sydney, NSW, Australia.
The Australian and New Zealand journal of psychiatry
|April 12, 2025
概括
严重的学校拒绝影响年轻人的发展. 解决这个问题需要更清晰的区分,缩小治疗差距,并通过加强心理健康和教育部门之间的合作来建立干预措施的证据.
科学领域:
- 儿童和青少年心理健康
- 教育心理学教育心理学
- 临床心理学 临床心理学
背景情况:
- 学校拒绝是一个复杂的综合征,影响心理社会发展和过渡到成年.
- 在全球范围内,拒绝上学的比例急剧上升,特别是在COVID-19流行后,迫切需要采取行动.
- 严重的学校拒绝形式对心理健康和教育系统构成重大挑战.
研究的目的:
- 为儿童和青少年心理健康部门提出议程,以支持教育部门解决严重的学校拒绝问题.
- 确定管理严重的学校拒绝的核心挑战,并提出可行的解决方案.
- 倡导加强临床实践,教育系统和研究人员之间的合作.
主要方法:
- 确定三个核心挑战:分类清晰度,治疗差距和非响应者的证据基础.
- 建议解决方案,包括临床分期框架,外展护理模型和强有力的强化干预评估方法.
- 概念分析和现有知识的综合,为行动议程提供信息.
主要成果:
- 确定了三个关键挑战:需要更清楚地区分轻度和严重的拒绝上学,显著的治疗差距,以及缺乏治疗不响应者的干预证据.
- 建议的解决方案包括开发临床分期框架,探索护理的外展模式,并设计评估密集干预的方法.
- 为儿童和青少年心理健康部门提出了一项议程,以解决严重的学校拒绝问题.
结论:
- 解决严重的学校拒绝问题需要采取多方面的方法,重点是概念清晰,改善对护理的准入和基于证据的干预措施.
- 心理健康专业人员,教育工作者和研究人员之间的加强合作对于开发有效,综合和可扩展的解决方案至关重要.
- 儿童和青少年心理健康部门必须积极参与教育系统,以满足严重拒绝上学的学生及其家庭的需求.
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