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首页> 外文期刊>Indian Journal of Psychological Medicine >Barriers and Challenges in Seeking Psychiatric Intervention in a General Hospital, by the Collaborative Child Response Unit, (A Multidisciplinary Team Approach to Handling Child Abuse) A Qualitative Analysis
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Barriers and Challenges in Seeking Psychiatric Intervention in a General Hospital, by the Collaborative Child Response Unit, (A Multidisciplinary Team Approach to Handling Child Abuse) A Qualitative Analysis

机译：协作儿童应对小组在综合医院寻求精神科干预的障碍和挑战（处理虐待儿童的多学科团队方法）定性分析

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Child abuse is a serious criminal act against children in our country and punishable according to protection of children from sexual offenses act 2012. No one agency has the ability to respond completely to the abuse. Hence a multidisciplinary team approach was developed in India. Aim is to narrate the collaborative effort among the multiple disciplines in a general hospital to deliver child protection services and explore the barriers to integrate psychiatric services. Methodology: Members of the team were recruited from different disciplines and trained by experts. A mission statement, protocol to assess the victims and provide treatment was formulated as an algorithm. The barriers to psychiatric treatment among the stakeholders were analyzed using framework method of qualitative analysis. Results (After 20 months) the unit received 27 referrals in 20 months, 24 females, and 3 males. Age of the victims was between 8 months and 17 years. Two cases found to be physically abused. Penetrative sexual abuse was found in 23 cases, pregnant victims were 4. Most referrals were by police, trafficking found in 6 cases. Discussion: It was possible to provide multidisciplinary care to the victims and families. Recurrent themes of barriers to psychiatric treatment were stigma, victim blaming; focus on termination of pregnancy, minimization of abuse in males by stakeholders. Conclusion is collaboration needs more effort to integrate psychiatric services but can minimize the reduplication of services.
机译：虐待儿童是我们国家针对儿童的一项严重犯罪行为，应根据2012年《保护儿童免受性犯罪法》惩处。没有任何一个机构有能力完全应对虐待行为。因此，印度开发了一种多学科团队方法。目的是叙述一家综合医院中多个学科之间的合作努力，以提供儿童保护服务并探索整合精神病服务的障碍。方法：团队成员是从不同学科招募并经过专家培训的。任务陈述，评估受害者并提供治疗的协议被制定为一种算法。使用定性分析的框架方法分析了利益相关者之间的精神病治疗障碍。结果（20个月后），该病房在20个月内收到27例转诊，其中女性24例，男性3例。受害者的年龄在8个月至17岁之间。发现两人受到身体虐待。在23例中发现了穿透性性虐待，怀孕的受害者是4例。大多数被警方转介，有6例被贩运。讨论：可以为受害者和家庭提供多学科的照顾。精神病治疗障碍的反复出现的主题是污名化，受害人指责。专注于终止妊娠，最大程度地减少利益相关者对男性的虐待。结论是，协作需要更多的精力来集成精神病学服务，但可以最大程度地减少服务的重复。

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