Child and Adolescent Mental Health Services

出版者:Oxford Univ Pr

作者:Williams, Richard (EDT)/ Kerfoot, Michael (EDT)

页数:576

出版时间:2005-3

价格:$ 107.35

装帧:Pap

isbn号码:9780198508441

具体描述

The problems of children and adolescents are of major concern to planners and providers of services within health and social care. When assuming responsibility for these services, at whatever level (policy, strategy, commissioning, or providing) they become aware of the major challenges that face them. Few people, however, are aware of the considerable amount of evidence that has already been accumulated in the last 50 years about effectiveness and the circumstances that impact on how best to deliver services. This book is the first to bring together this substantial body of evidence, disseminating in one volume information usually found scattered throughout a vast range of publications. In 38 chapters, it provides advice on the background developments in policymaking, strategic thinking, and adult education that impact on the future roles of professionals, managers, and child and adolescent health services. It also provides advice on: identifying problem populations and devising effective methods for obtaining reliable and valid measures of need that will enable service planning to take place, and which will then promote developments of commissioning strategies that make sense to practitioners; learning lessons for and from not only the UK but also North America, Australasia, developing countries, and societies that are in recovery post-conflict; understanding the evidence base for current interventions so that informed choices can be made, particularly in relation to expensive and residential provisions; understanding service networks so that children and families are directed to services that are likely to have the optimal effect in relation to their identified needs; and how services are currently being mapped and what recent exercise tell us about the performance of state-funded services in the UK. It also provides advice on: what we know from international sources about: how the impact of mental health problems and disorders on younger people translates into burden on parents, families, carers, and primary level staff; how their experiences relate to demand for and on specialist child and adolescents mental health services; and what the literature tells us about demand management; understanding the criteria for service evaluation so that reliable benchmarks and standards of effectiveness in services can be developed and applied; and surveying the developments that have occurred in services in the last 15 years and future directions. Each chapter is written by an expert or team of experts in the field covered and is thoroughly referenced to enable readers to locate and refer to the original sources. This book will be the essential reference text for directors and managers in the NHS and Social care who have responsibility for children and adolescents with emotional or behavioural problems, as well as for clinical practitioners and those in training, or those responsible for providing training and staff development.

用户评价

我是在一个偶然的机会下接触到这本书的，当时我正焦头烂额地试图理解当前区域内针对青少年心理健康服务的供给侧改革方向。这本书的深度和广度，完全超出了我原先的预期。它不是简单地罗列症状和诊断标准，而是深入剖析了服务体系的结构性问题。比如，书中对“初级预防与早期干预”环节的分析，简直是教科书级别的案例展示。作者并没有停留在提出问题，而是详尽地阐述了不同国家或地区在资源分配、跨部门协作（教育、医疗、社区）方面所采取的策略及其产生的实际效果，其中不乏对一些失败尝试的深刻反思。这种批判性思维贯穿始终，让我意识到，建立一个有效的心理健康服务体系，远比想象中复杂，它牵扯到政策制定、文化敏感性、资金的可持续性等多个维度。读完关于“连续性照护”的那一节，我立刻回去调整了我们团队的工作流程，特别是关于从住院治疗向社区支持转化的衔接机制，书中的“桥梁角色人员”概念给了我极大的启发。这本书的价值，不在于它告诉你‘是什么’，而在于它告诉你‘如何艰难地做到’。

这本书的参考文献和索引部分，简直是一座宝库，是衡量一本专业书籍价值的另一重要维度。我经常需要在快速查阅某个特定理论的原始出处时，一本优秀的参考书能极大地提升我的研究效率。这本书的参考文献列表的广度与深度令人叹为观止，它不仅包含了心理学和精神病学领域的经典著作，还广泛引用了公共卫生、社会学、甚至是教育政策方面的顶级期刊文章。这种跨学科的引用，清晰地反映出作者对儿童和青少年心理健康服务这一复杂领域的全面理解。更让我惊喜的是，它的索引做得极为细致，几乎可以做到“一键直达”你想要查找的任何一个关键术语或模型，这对于需要反复查阅特定章节的读者来说，是极大的便利。它不是那种读完一遍就束之高阁的书籍，它更像是一部工具书，随着我职业生涯的推进，我相信我会越来越频繁地翻阅它，每一次重访，都会因为新的经验而带来不同的领悟。

这本书的封面设计给我留下了极其深刻的印象，那种淡雅的蓝色调，配上简洁有力的标题字体，立刻就营造出一种专业、沉稳的氛围。我原本以为这会是一本晦涩难懂的学术著作，毕竟“Child and Adolescent Mental Health Services”听起来就充满了官方色彩，但翻开扉页后，我发现它的排版极为考究。大量留白的使用，使得即便是面对复杂的理论模型和统计数据时，眼睛也不会感到疲劳。更值得称赞的是，它在关键概念的解释上，采用了图示和流程图的形式，这对于我这种需要快速抓住核心脉络的读者来说，简直是救星。我记得有一次我在阅读关于“多系统治疗模型”的那一章时，原本感觉有些混乱，但书中的那个三环相套的图表，瞬间将不同服务层级之间的关系梳理得井井有条。这种对视觉传达的重视，远超出了我预期的专业书籍范畴，更像是一本精心打磨的教科书，兼顾了知识的深度和学习的友好度。我对它在提升阅读体验上的用心程度表示由衷的敬佩，这让我在漫长的阅读过程中始终保持着探索的兴趣，而不是被密密麻麻的文字压垮。可以说，光是这份对阅读体验的尊重，就让它在众多同类书籍中脱颖而出。

坦白说，我最初购买这本书，是冲着其在“危机干预与自杀预防”方面的权威论述去的。我对这个领域的要求是极高的，因为任何一点含糊不清或过时的信息都可能带来灾难性的后果。这本书在这方面的表现可以说是做到了近乎完美。它不仅详细梳理了当前的风险评估工具的优缺点，更重要的是，它提供了一个基于证据的、分层级的危机响应框架。这个框架非常具有操作性，清晰地界定了不同层级专业人员在处理高危情况时的权限、责任和沟通路径。尤其让我感到震撼的是，书中对“后危机处理”和“家属支持”的重视程度。许多传统教材只关注干预的“黄金时刻”，却忽略了危机事件对家庭和整个支持网络造成的长期创伤。这本书却花了相当大的篇幅来讨论如何重建家庭信任、如何进行创伤知情护理，这种整体性的、生态学的视角，极大地拓宽了我对危机管理的理解，从单纯的“止血”提升到了“康复生态”的构建层面。

这本书的行文风格可以说是教科书界的一股清流，它在保持高度学术严谨性的同时，竟然做到了极富叙事性和感染力。我特别喜欢作者处理案例时的手法，他们似乎深知，冰冷的数据和理论无法真正打动人心，只有真实的故事才能触及我们对“人”的关怀。书中穿插的那些简短但极具代表性的临床剪影，虽然经过了匿名化处理，但那种情感张力是无法被数字掩盖的。我清晰地记得有一个关于一名患有严重焦虑症的青少年的描述，从最初的抗拒治疗到最终逐步融入集体生活的心路历程，作者的笔触细腻而充满人文关怀，既没有过度渲染戏剧性，也没有轻描淡写地带过治疗中的阵痛。这使得我作为一个专业人士，在审视理论框架时，始终能将目光聚焦在屏幕背后那个活生生的生命个体上。这种“理论与实践、数据与人性”的完美平衡，是许多专业书籍梦寐以求却难以达到的境界。它提醒着我们，技术和流程的革新，最终目的是服务于每一个独特而脆弱的灵魂。