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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Child maltreatment and the transition to adult-based medical and mental health care.
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Child maltreatment and the transition to adult-based medical and mental health care.

机译：儿童虐待和向成人医疗和精神卫生服务的过渡。

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BACKGROUND: Child maltreatment is a public health problem with lifelong health consequences for survivors. Each year, >29 000 adolescents leave foster care via emancipation without achieving family permanency. The previous 30 years of research has revealed the significant physical and mental health consequences of child maltreatment, yet health and well-being have not been a priority for the child welfare system. OBJECTIVES: To describe the health outcomes of maltreated children and those in foster care and barriers to transitioning these adolescents to adult systems of care. METHODS: We reviewed the literature about pediatric and adult health outcomes for maltreated children, barriers to transition, and recent efforts to improve health and well-being for this population. RESULTS: The health of child and adult survivors of child maltreatment is poor. Both physical and mental health problems are significant, and many maltreated children have special health care needs. Barriers to care include medical, child welfare, and social issues. Although children often have complex medical problems, they infrequently have a medical home, their complex health care needs are poorly understood by the child welfare system that is responsible for them, and they lack the family supports that most young adults require for success. Recent federal legislation requires states and local child welfare agencies to assess and improve health and well-being for foster children. CONCLUSIONS: Few successful transition data are available for maltreated children and those in foster care, but opportunities for improvement have been highlighted by recent federal legislation.
机译：背景：虐待儿童是一个公共健康问题，对幸存者有终生健康影响。每年，有超过29 000名青少年通过解放离开寄养，而没有实现家庭永久性。过去30年的研究表明，虐待儿童会严重影响身心健康，但健康和福祉并不是儿童福利系统的优先考虑事项。目的：描述虐待的儿童和寄养儿童的健康状况，以及这些青少年过渡到成人护理系统的障碍。方法：我们回顾了有关虐待儿童的儿科和成人健康结局，过渡障碍以及最近为改善该人群的健康状况而进行的努力的文献。结果：虐待儿童的儿童和成年幸存者的健康状况较差。身心健康问题都很严重，许多虐待儿童有特殊的医疗保健需求。护理障碍包括医疗，儿童福利和社会问题。尽管儿童经常有复杂的医疗问题，但他们很少有医疗之家，对他们负责的儿童福利系统对他们的复杂医疗保健需求知之甚少，而且他们缺乏大多数年轻人获得成功所需的家庭支持。最近的联邦立法要求各州和当地的儿童福利机构评估并改善寄养儿童的健康状况。结论：很少有虐待儿童和寄养儿童获得成功的过渡数据，但是最近的联邦立法强调了改善的机会。

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