医教协同：构建中小学生心理健康服务体系
这本书解决什么问题？
上海首创“医教协同”模式，打造自学校到精神卫生中心的心理健康服务体系，通过送医入校、转介绿色通道、综合干预等举措，解决心理障碍高风险学生就医难、药物偏见等问题。本书内含大量研究案例，对心理健康工作者开展工作有很强的指导性。
读这本书：
? 心理辅导老师可以知道怎么做个案、怎么设计团体辅导方案，还可以可以获得诸如学生常见心理问题的识别、常用量表、心理危机处置流程、转介流程，送诊、休学、复学流程等一系列实操指导。
? 学校心理健康分管领导可以借鉴这本书组建学校危机干预工作小组。
? 市、区心理中心的研究人员、心理教研员可以从这本书里看到大量研究报告、综合干预方案设计，对做课题很有帮助。
? *门上层决策者可以从这本书里面了解怎样架构心理健康服务体系，怎么和医疗部门建立常态化协同机制。
上海市教育委员会、上海学生心理健康教育发展中心、上海精神卫生中心儿童青少年精神科、上海儿童医学中心儿童保健科等在上海4个区（浦东新区、杨浦区、黄浦区和静安区）35所中小学开展了为期4年的学生心理健康服务“医教协同”模式研究，本书主要阐述该研究的过程和成果，重点关注学生心理健康促进、高风险学生的筛查与干预、心理障碍学生转介、危机预防与干预四个方面的内容，并总结了医教协同的体系建设方面的经验，分享各试点学校的案例。
我国学生心理健康教育与服务主要依托的是教育系统本身的专业资源，然而学校现有的心理健康教育专业力量难以满足不同层次学生的心理服务需求。引进医学界心理服务专业力量，进行学生心理服务医教协同模式的实践探索，在理论上和实践上都具有重要意义和价值。
章 中小学生心理健康服务医教协同项目概述
节 项目研究背景 ……………………………………………………………………… 1
第二节 项目研究设计 …………………………………………………………………… 10
第三节 项目研究过程 …………………………………………………………………… 18
第二章 高风险中小学生筛查与干预实验研究
节 小学生注意缺陷多动障碍筛查与干预 ………………………………………… 21
第二节 中学生焦虑障碍筛查与干预 …………………………………………………… 31
2016年12月，国家22个部门联合发文《关于加强心理健康服务的指导意见》；2018年11月，国家10个部门联合发文《关于印发全国社会心理服务体系建设试点工作方案的通知》。这表明关注人的心理健康成为全社会共识。中小学生心理健康服务体系作为社会心理服务体系的一个部分，具有基础性和发展性。所谓基础性，即中小学生的心理健康是其一生幸福的基础；所谓发展性，即中小学生的人格、认知与人生观、价值观正处于形成时期，尚未定型，具有很强的可塑性和发展空间。中小学生心理健康服务应该基于中小学生成长发展的需求，一般来说可以用学生心理健康三级预防的概念来表述：一级预防是面向全体学生，提高每个学生的积极心理品质，促进其健康成长；二级预防是针对少数心理与行为高风险学生的重点辅导；三级预防是对极少数心理障碍和危机学生的转介服务。其 中，二级预防和三级预防工作需要医学界专业力量的参与，这项工作的落实就需要“医教协同”。
2011年9月至10月，笔者有幸受哈佛大学儿童发展中心和波士顿儿童医院（哈佛大学医学院附属医院）的邀请访学一个多月，考察了波士顿中小学校的心理健康服务体系，当时印象深的就是医教协同。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom, Germany and Japan to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
这本书解决什么问题？
上海首创“医教协同”模式，打造自学校到精神卫生中心的心理健康服务体系，通过送医入校、转介绿色通道、综合干预等举措，解决心理障碍高风险学生就医难、药物偏见等问题。本书内含大量研究案例，对心理健康工作者开展工作有很强的指导性。
读这本书：
? 心理辅导老师可以知道怎么做个案、怎么设计团体辅导方案，还可以可以获得诸如学生常见心理问题的识别、常用量表、心理危机处置流程、转介流程，送诊、休学、复学流程等一系列实操指导。
? 学校心理健康分管领导可以借鉴这本书组建学校危机干预工作小组。
? 市、区心理中心的研究人员、心理教研员可以从这本书里看到大量研究报告、综合干预方案设计，对做课题很有帮助。
? *门上层决策者可以从这本书里面了解怎样架构心理健康服务体系，怎么和医疗部门建立常态化协同机制。
上海市教育委员会、上海学生心理健康教育发展中心、上海精神卫生中心儿童青少年精神科、上海儿童医学中心儿童保健科等在上海4个区（浦东新区、杨浦区、黄浦区和静安区）35所中小学开展了为期4年的学生心理健康服务“医教协同”模式研究，本书主要阐述该研究的过程和成果，重点关注学生心理健康促进、高风险学生的筛查与干预、心理障碍学生转介、危机预防与干预四个方面的内容，并总结了医教协同的体系建设方面的经验，分享各试点学校的案例。
我国学生心理健康教育与服务主要依托的是教育系统本身的专业资源，然而学校现有的心理健康教育专业力量难以满足不同层次学生的心理服务需求。引进医学界心理服务专业力量，进行学生心理服务医教协同模式的实践探索，在理论上和实践上都具有重要意义和价值。
章 中小学生心理健康服务医教协同项目概述
节 项目研究背景 ……………………………………………………………………… 1
第二节 项目研究设计 …………………………………………………………………… 10
第三节 项目研究过程 …………………………………………………………………… 18
第二章 高风险中小学生筛查与干预实验研究
节 小学生注意缺陷多动障碍筛查与干预 ………………………………………… 21
第二节 中学生焦虑障碍筛查与干预 …………………………………………………… 31
2016年12月，国家22个部门联合发文《关于加强心理健康服务的指导意见》；2018年11月，国家10个部门联合发文《关于印发全国社会心理服务体系建设试点工作方案的通知》。这表明关注人的心理健康成为全社会共识。中小学生心理健康服务体系作为社会心理服务体系的一个部分，具有基础性和发展性。所谓基础性，即中小学生的心理健康是其一生幸福的基础；所谓发展性，即中小学生的人格、认知与人生观、价值观正处于形成时期，尚未定型，具有很强的可塑性和发展空间。中小学生心理健康服务应该基于中小学生成长发展的需求，一般来说可以用学生心理健康三级预防的概念来表述：一级预防是面向全体学生，提高每个学生的积极心理品质，促进其健康成长；二级预防是针对少数心理与行为高风险学生的重点辅导；三级预防是对极少数心理障碍和危机学生的转介服务。其 中，二级预防和三级预防工作需要医学界专业力量的参与，这项工作的落实就需要“医教协同”。
2011年9月至10月，笔者有幸受哈佛大学儿童发展中心和波士顿儿童医院（哈佛大学医学院附属医院）的邀请访学一个多月，考察了波士顿中小学校的心理健康服务体系，当时印象深的就是医教协同。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom, Germany and Japan to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
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