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Yıl:2015; Cilt: 1; Sayı: 2>> Özet
Türkiye Klinikleri Psikiyatri Hemşireliği Özel Dergisi; 2015;1(2):92-99
Çocuk-Ergen Ruh Sağlığı ve Psikiyatri Hemşireliğinde Aile Temelli Yaklaşım
ZÇ Duman
Dokuz Eylül Üniversitesi, İzmir
Aileler ruh sağlığı sorunu yaşayan çocuğuna bakım verirken, aynı zamanda işin gerektirdiği sorunlarla yüzleşmektedir. Aile merkezli bakım, çocuk ve ailelerin gereksinimlerini karşılanmasına sistem olarak cevap vermede ve sağlığı geliştirmede anahtar bir faktördür, fakat çocuk ruh sağlığında alışık olmadığımız bir hizmet modelidir. Ailelere yaklaşımda, ailelerin çözülmesi gereken problem değil, çözümün birer parçası olarak görülmesi yönünde bir değişim paradigması gerekmektedir. Aile katılımı ruh sağlığında daha iyi sonuçlara yol açan terapötik değişim mekanizması olarak görülmektedir Ailelerle işbirlikçi bakım veya ortaklığın beklenen yararı, gelişmiş bakım kalitesidir. Çocuk ergen ruh sağlığında aile merkezli yaklaşımla ilgili kanıtlara rağmen, aileler, hastalar ve uzmanlar arasında işbirliğini önleyen engeller vardır. Literatür açıkça göstermektedir ki, kaliteli ve güvenli çocuk ruh sağlığı bakımı istiyorsak, aile merkezli yaklaşım, politika ve uygulamalara entegre edilmelidir.
Family-Based Approach to Child and Adolescent Mental Health and Psychiatric Nursing
Families face the challenges of requirements of work while also caring for a child or youth experiencing mental health concerns. Family centered care is a key factor in increasing health and related system responsiveness to the needs of children and families; unfortunately it is an uynfamiliar service model in children?s mental health. A paradigm shift required in which families are viewed as a key part of the solution rather than as part of the problem in this aproach. Family inclusion is seen as a mechanism of therapeutic change, which leads to better outcomes in mental health. The most commonly anticipated benefit of collaborative care or partnerships with families is improved quality of care. Althohough evidence for family- centered care in child-adolesscent mental health barriers appear to exist that prevent collaboration between the professionals, clients and families. The literatüre clearly shows that a family-centered approach must be integrated in to policiy and practice if we are to move forward with developing a high-quality safe children?s mental health system.

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