学校心理咨询:儿童青少年心理障碍的预防与早期干预

T. Mignone, K. Klostermann, Melissa Mahadeo
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引用次数: 0

摘要

随着学校需求的增加,再加上暴力、家庭和学校的增加,越来越多的学生表现出焦虑和抑郁的症状,而且年龄越来越小。为了应对这些挑战,咨询和临床心理学家主张从传统的教育/学校心理学模式转变为提供更全面的服务,重点是以学校为基础的家庭治疗,并测试学生的能力和心理功能[1],21世纪学生的社会需求。这种转变不仅仅是一种学术活动,也是学生支持服务的关键一步。尽管典型的策略是将这些学生及其家人转介到社区寻求帮助,但他的方法是有限的,因为许多家庭没有跟进转介,提供的服务可能无法满足个人/家庭的需求,而且机构临床医生可能没有足够的技能来最好地帮助处于危机中的家庭。因此,需要增加以学校为基础的综合服务,以满足正在挣扎的学生(及其家人)的全面需求[2]。更具体地说,需要在循证实践方面受过高级培训的有经验、经验丰富的学校临床医生。担任这一职务的心理学家将有足够的技能与个别学生及其家人合作,通过测试收集信息,以确定关注或病理学领域,从而进一步为治疗和个人教育计划提供信息,即使在危机情况下也是如此。通过提供这类服务,学校可能会在许多重要领域取得改善,包括但不限于学生个人适应、家庭功能、学习成绩、纪律转介、校外安置以及更及时地发现问题。我们还相信,一位经验丰富、技术高超的临床医生,作为教员,将有助于改进治疗建议的后续实施,并将对保留率和学术成果产生后续影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Counseling Psychology in Schools: Prevention and Early Intervention for Child and Adolescent Mental Disorders
Given increasing demands at school, coupled with increasing violence and home and school, more and more students are displaying symptoms of anxiety and depression, and at increasingly earlier ages. In response to these challenges, counseling and clinical psychologists have argued for a paradigm shift away from the traditional educational/school psychology model to providing more comprehensive services focused on school-based family treatments as well as testing students’ ability and psychological functioning [1] the goal of this shift is to better meet the academic, emotional, social needs of 21 st century students. This shift is not merely an academic exercise but a critical step in student support services. Although the typical strategy is to refer these students and their families into the community for help, his approach is limited due to because many families do not follow-up on the referral, services provided may not meet individual/family need, and agency clinicians may not be skilled enough to best help families in crisis. As such, there is a need for increased school-based wraparound services that can meet the comprehensive needs of students (and their families) who are struggling [2]. More specifically, there is a need for school-based experienced, seasoned clinicians with advanced level training in evidence-based practices. Psychologists in this role will be skilled enough to work with individual students and their families, gathering information via testing to identify areas of concern or pathology to further inform treatment and individual education plans, even in crisis situations. By providing this type of service, schools are likely to yield improvements across a number of important domains including, but not limited to, individual student adjustment, family functioning, academic performance, disciplinary referrals, out of school placements, and more timely identification of issues. We also believe that a seasoned and highly skilled clinician who is a member of the faculty will help improve follow-through with treatment recommendations, and that it will have subsequent implications for retention, and by extension, academic outcomes.
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