精神病患陪护小组工作的本土化探索

随着中国社会的急剧变迁,精神疾病已经在全国疾病总负担中占据第一位。在精神疾病治疗和服务供求关系严重失衡的情况下,中国政府倡导了以家庭为依托、以社区和医院为支持系统的精神康复模式,精神病患家属在其中起着至关重要的作用。因此,研究和探索本土化的精神病患陪护小组工作成为迫切的任务。本文通过小组成员问题描述,分析他们的需要,以情感表达理论为分析框架,设计了小组的介入策略与工作内容,透过小组评估,检验了小组效率。最后,通过小组过程反思探索了精神病患陪护小组的本土化。     

Multifamily Group Intervention for Chinese Parents and Their Children with Attention Deficit Hyperactivity Disorder in a Chinese Context

Despite the empirical evidence of multifamily group (MFG) in helping children with mental health needs in Western contexts, there is a dearth of clinical studies in Chinese societies such as Hong Kong to explore such adaption to help Chinese families of children diagnosed with attention deficit hyperactivity disorder. In this article, the authors describe the MFG model adapted to the Chinese context and assess the perceived helpfulness of the intervention, using a client-driven approach in evaluation. The parents’ evaluation toward the MFG program is positive whereas the children’s feedback is less favorable. Modifications have been made including a 30-minute pregroup meeting for the parents and more challenging games and outdoor activities for the children.     

Adult Children and Their Parents

Although the strong preference among older people is for independent living, a variety of problems can lead parents to move in with adult children. This living arrangement entails distinct social-psychological characteristics. By drawing on theoretical constructs from sociology and social psychology this paper explores these characteristics. By drawing on theoretical constructs from sociology and social psychology this paper explores these characteristics in terms of feelings related to the loss of freedome, the children's sense of irredeemable obligation and the parents' sense of irredeemable obligation and the parents' sense of irreplaceable loss. Based on this analysis, recommendations are made regarding attitudinal changes which can increase both parents' and children's degree of satisfaction with this living arrangement.     

Children of Divorced Parents in Demographic Perspective

The rise in the number of children with divorced parents has been associated with many other demographic changes. Among the changes discussed are the increasing proportion of children under 18 who are of school age; who live with a stepparent; who spend some time in a one-parent family; whose divorced parent has a college education; and who live with an unmarried couple. A projected one-third of the children 18 years of age in 1990 will have lived with a divorced parent. It is assumed that the rate of divorce will increase more slowly in the next decade than in the last decade.     

Support for Parents of Children with Cancer

Self-help and mutual support groups play an important role in the spectrum of resources useful to parents of children with cancer. These groups can provide parents with opportunities to share their experiences with other parents in similar situations, to learn from and teach others, and to create a new social network. While much has been written about such groups, very little attention has focused on factors related to parents evaluation of their group experience. This paper examines factors related to parents' perceptions of the value of self-help groups.     

Measuring Family Caregiver Perceptions of Support in Caring for Children and Youth With Mental Health Concerns

ABSTRACT

This correlational study assessed how families of children with mental illness perceived the levels of support they received from informal and formal resource providers and the associations between perceived support and child outcomes. Adult caregivers (N = 904) of youth receiving public mental health care services were administered the Family Caregiver Perceptions of Support Scale developed by the authors to assess family caregiver perceptions of support prior to and at termination of services. Factor analysis identified three types of caregiver anticipated supports: informal support resources, support for treatment plan influence, and health care resources. The domains were significantly and positively associated with one another but did not uniformly correlate with youth mental health outcomes. The study provides preliminary evidence that treatment gains in youth mental health outcomes are observed when caregivers perceive support in treatment processes. Suggestions for future research are made, stressing the importance of caregivers and providers working together and describing needs related to future scale improvements.     

Psychological Distress Experienced by Parents of Young Children With Congenital Heart Defects: A Comprehensive Review of Literature

ABSTRACT

The purpose of this study was to examine the existing research on the psychological distress experienced by parents whose young children (between the ages of 0 and 5 years old) have a congenital heart defect (CHD). A more detailed understanding of the distress experienced by these parents, including stress associated with the child's age, the severity of the child's diagnosis, and parent characteristics, is vital as it would allow for more targeted and individualized support for this population to enhance parental coping strategies and increase the likelihood of more positive parent–child interactions. This review of 25 studies contributes to the parenting stress literature by focusing on parents of young children and categorizing studies by publication characteristics, research methodology, and findings. The research clearly demonstrates that parents report a great deal of stress throughout the continuum of their child's health care experience. Recommendations for future research and practice implications, such as developing a stress vulnerability model specific to parenting children with CHD, clarifying the role between interdisciplinary team members regarding provision of psychosocial support to parents, and referring parents to specific community-based ongoing social support services, are presented.     

Policing Mental Disorder: Controversies, Myths and Realities

In this article the premises on which Section 136 of the Mental Health Act 1983 have been evaluated traditionally will be outlined and assessed using data from a recent empirical study. In examining the nature of police action in implementing this provision it is shown that police discretion and ability to act autonomously is constrained by the social context within which officers become involved in incidents and the external influences impinging on police decision making. It is suggested that legalism is inadequate both in accounting for the social realities of policing and relevant social policy implications. Instead, a social constructivist approach capable of accounting for wider influences on police action and mental health policy more generally is advocated as the basis on which to evaluate the future use of the provision.     

独生子女心理健康研究综述

中国的独生子女心理健康研究经历了三十年,表现在心理异常、智力发展、人格发展、人际关系、情绪控制等方面取得一些成果,争议并存。目前的研究在角度和方法都有一些成就,但是在关注除了大学生群体之外的青少年独生子女群体、父母对独生子女心理健康的关注度和独生子女父母心理对孩子的影响方面仍然可以有所突破。     

智障儿童家长服务需求调查

家长在残疾儿童的康复过程中扮演着重要角色。为了解智障儿童家长在家属资源方面的需求,以便社工在工作中更好地为他们提供相关服务。本文以问卷调查的方式对广东省残疾人康复中心智障部32位在训智障儿童的家长进行了研究。结果发现多数家长对于家属资源服务表示感兴趣。他们对家属支援服务的服务内容、形式以及时间安排也表现出不同的需求。该研究将启发社工对现阶段所提供的家属资源服务内容进行反思和调整,并在未来的工作中进一步提供满足服务对象需求的相关服务。     

Expectations and Reactions of Parents of Children on Investigational Chemotherapy

No abstract available for this article.     

社会工作与自闭症儿童家长消极心态干预研究

自闭症儿童的康复是一个世界性难题。从社会工作视角来看则更加注重自闭症儿童与家庭环境和社会环境的互动。自闭症儿童的家庭照顾者是自闭症儿童社会支持系统的“桥梁”,本文正是从自闭症儿童的家庭照顾者入手来研究其对自闭症儿童康复和积极融入社会的重要意义、面临的困境和相应对策。研究发现,自闭症儿童的家庭照顾者不仅存在经济压力和专业护理知识匮乏,更重要的是其内在巨大的心理压力和社会支持系统不足。本文从社会工作实践的优势视角出发,提出了构建家庭照顾者的互助系统以克服无助悲观的心态,加快恢复家庭的社会功能,促进自闭症儿童和家庭融人日常社会。