儿童入住精神病院后重返校园:定性研究

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL School Mental Health Pub Date : 2024-07-29 DOI:10.1007/s12310-024-09692-4
Madeline DiGiovanni, Amber Acquaye, Erika Chang-Sing, Mary Gunsalus, Laelia Benoit, Andrés Martin
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引用次数: 0

摘要

鉴于出院后对学业和社会情感的负面影响,住院精神病患者重返学校需要多个团队成员之间的精心协调,以确保过渡时期的稳定性。由于没有文章同时研究多种类型参与者的观点,现有的调查受到了限制。我们对多名从精神病院转出的儿童及其成人重返社会团队成员进行了定性研究,并在此基础上运用基础理论进行了主题分析。通过 16 次半结构式访谈,我们分析了 17 位参与者的观点:4 位儿童、4 位家长、5 位学校工作人员和 4 位医院工作人员。我们确定了四个关键主题,并据此提出了一个总体理论:1)以学校的社会情感角色为中心;2)明确什么是良好的沟通;3)协调多种权力来源;以及 4)以创造力驾驭各种限制。这些主题汇聚成两个新的理论概念。首先,立体视觉代表了多条 "视线 "的综合,它们交叉在一起,形成了一个密集的互动系统。其次,"修补"(patchworking)指的是在面临多种限制或障碍时,将个案解决方案拼凑在一起,以制定适当的支持计划。总之,通过将上述四个专题研究结果纳入一个新颖的理论框架,我们认为,在精神病院治疗后重返学校的过程中,儿童和成人必须利用立体视角和修补工作来创建一个强大而灵活的支持结构。这些思考增加了儿童和成人团队成员在文献中的发言权,并为未来学校-医院-家庭在精神病患者住院后重返学校方面的合作提供了参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Children’s Reentry to School After Psychiatric Hospitalization: A Qualitative Study

School reentry after inpatient psychiatric hospitalization requires careful coordination between multiple team members to ensure stability across transitions, given documented negative academic and socioemotional impacts in the post-discharge period. Existing investigations are limited by the fact that no articles examine the perspectives of multiple participant types simultaneously. We conducted a qualitative study of multiple children transitioning out of psychiatric hospitalization and their adult reentry team members, utilizing thematic analysis informed by grounded theory. Across 16 semi-structured interviews, we analyzed perspectives from 17 participants: four children, four parents, five school staff, and four hospital staff. We identified four key themes informing an overarching theory: 1) Centering the socioemotional role of school; 2) Clarifying what constitutes good communication; 3) Reconciling multiple sources of authority; and 4) Navigating limitations with creativity. Together, these themes converge into two new theoretical concepts. First, stereovision represents the synthesis of multiple “lines of sight,” which cross to create a densely interactional system. Second, patchworking represents the cobbling together of case-by-case solutions to develop an adequate support plan in the face of multiple limitations or barriers. In conclusion, by incorporating the above four thematic findings into a novel theoretical framework, we argue that when navigating school reentry after psychiatric hospitalization, children and adults must use stereovision and patchworking to create a strong, flexible support fabric. These reflections increase representation of child and adult team member voices in the literature and inform future school–hospital–family partnerships for school reentry after psychiatric hospitalization.

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来源期刊
CiteScore
4.30
自引率
7.70%
发文量
67
期刊介绍: School Mental Health: A Multidisciplinary Research and Practice Journal is a forum for the latest research related to prevention, treatment, and assessment practices that are associated with the pre-K to 12th-grade education system and focuses on children and adolescents with emotional and behavioral disorders. The journal publishes empirical studies, quantitative and qualitative research, and systematic and scoping review articles from authors representing the many disciplines that are involved in school mental health, including child and school psychology, education, pediatrics, child and adolescent psychiatry, developmental psychology, school counseling, social work and nursing.  Sample topics include: ·         Innovative school-based treatment practices·         Consultation and professional development procedures·         Dissemination and implementation science targeting schools·         Educational techniques for children with emotional and behavioral disorders·         Schoolwide prevention programs·         Medication effects on school behavior and achievement·         Assessment practices·         Special education services·         Developmental implications affecting learning and behavior·         Racial, ethnic, and cultural issues·         School policy·         Role of families in school mental health·         Prediction of impairment and resilience·         Moderators and mediators of response to treatment
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