ABSTRACT

Background: Canadian hospitals are not currently prepared to meet the psychosocial needs of children with disabilities as services are rooted in a biomedical care model.

Objective: To describe a practical and holistic framework for pediatric rehabilitation hospitals to meet the health care needs of children and their families.

Method: An environmental scan was conducted of best practice guidelines, policy documents, and models of integrated mental health care. Recommendations from clinical guidelines and national strategy documents were incorporated to develop a service integration approach.

Results: An agency-based approach was used to develop a two-phase biopsychosocial framework. In framework Phase I, reactive care is provided to mental health concerns. In Phase II, there is a shift to proactive care and mental health wellbeing.

Conclusions: Emphasis is placed on capacity building of clinical staff into best practices for mental health care. Implementation needs and consideration for uptake of the framework are also discussed.

摘要

背景：加拿大的医院目前不准备满足残疾儿童的社会心理需求，因为其服务植根于生物医学护理模式。

目的：为儿科康复医院描述一个切实可行的整体框架，以满足儿童及其家庭的医疗保健需求。

方法：对最佳实践指南，政策文件和综合精神卫生保健模型进行了环境扫描。来自临床指南和国家策略文件的建议已被纳入以开发服务集成方法。

结果：基于代理的方法被用来开发一个两阶段的生物心理社会框架。在框架第一阶段，为精神健康问题提供了反应式护理。在第二阶段，向主动护理和心理健康过渡。

结论：重点是将临床人员的能力建设纳入精神卫生保健的最佳实践。还讨论了实施需求和采用该框架的考虑因素。