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家校社协同视域下表达性艺术疗法嵌入青少年心理危机全流程服务:困境与路径

Embedding Expressive Arts Therapy in Full-Process Services for Adolescent Psychological Crisis under Family-School-Community Collaboration: Dilemmas and Pathways

作者:邵良超,鞠晓蕾
单位:德阳城市轨道交通职业学院,内江师范学院
基金项目:西南医科大学:社会心理服务与危机干预中心项目:家校社协同视域下表达性艺术疗法在青少年心理危机早期识别与陪伴支持中的应用与机制研究(XL202613)
卷期:2026年9-10月-2卷5期
页码:54-61
发布时间:2026-09-26
总浏览量:184

摘要

青少年心理危机具有隐蔽性、情境性与发展性,仅依靠量表筛查和外显行为观察,难以充分理解部分青少年尚未语言化的情绪体验及其关系困境。在“健康第一”和家校社协同育人的政策要求下,表达性艺术疗法及相关艺术表达活动为青少年提供了非言语、象征性和关系性的表达通道,但其在心理危机服务中的应用仍存在识别环节与专业评估衔接不足、应用场景碎片化、重转介轻陪伴、多主体协同不畅以及专业与伦理边界不清等问题。结合相关研究与政策要求,文章从发展现状、现实困境和实践路径三个层面展开分析,提出以青少年为中心,形成政府统筹、学校枢纽、家庭基础、社区支持、专业保障的五方协同结构,并将表达性艺术支持嵌入普惠促进、重点支持、专业干预和复归追踪的全流程服务,形成贯通表达、评估、转介、陪伴与复归的条件触发、动态循环的八环节服务链。表达性艺术方法在全流程服务中应定位为促进表达、启动对话、稳定情绪、联结关系和激活资源的补充性媒介,不能替代规范化风险评估、临床诊断和紧急处置。

关键词

家校社协同;表达性艺术疗法;青少年心理危机;全流程服务;陪伴支持

Abstract

Adolescent psychological crises are concealed, contextual, and developmental, and screening scales and overt behavioural observation alone may not fully capture experiences that have not yet been verbalised. Under China's policy emphasis on health first and family-school-community collaboration, expressive arts therapy and related arts-based support can provide non-verbal, symbolic, and relational channels for expression. However, current practice remains fragmented, with insufficient linkage between artistic cues and professional assessment, discontinuity between referral and follow-up support, unclear inter-agency responsibilities, and unresolved professional and ethical boundaries. Drawing on relevant research and policy requirements, this paper analyses the current situation, practical challenges, and service pathways. It proposes an adolescent-centred collaborative structure involving government coordination, school-based organisation, family support, community resources, and professional mental-health services, and suggests embedding arts-based support within universal promotion, targeted support, professional intervention, and reintegration follow-up. It further outlines a condition-triggered, dynamically looping eight-step service chain that links expression, assessment, referral, companionship, and reintegration. Expressive arts should be positioned as a supplementary medium for facilitating expression, initiating dialogue, emotional stabilisation, relational connection, and resource activation, rather than as a substitute for standardised risk assessment, clinical diagnosis, or emergency intervention.

Keywords

family-school-community collaboration; expressive arts therapy; adolescent psychological crisis; full-process services; supportive companionship

引用本文

邵良超,鞠晓蕾. 家校社协同视域下表达性艺术疗法嵌入青少年心理危机全流程服务:困境与路径[J]. 中国现代教育学报. 2026, 2 (5): 54-61. DOI: 10.70693/202609057464.

APA引用

邵良超, 鞠晓蕾. (2026). 家校社协同视域下表达性艺术疗法嵌入青少年心理危机全流程服务:困境与路径. 中国现代教育学报, 2 (5), 54-61. https://doi.org/10.70693/202609057464

参考文献

[1] ANDERSON J K, FORD T, SONESON E, et al. A systematic review of effectiveness and cost-effectiveness of school-based identification of children and young people at risk of, or currently experiencing mental health difficulties[J]. Psychological Medicine, 2019, 49(1):9-19. DOI:10.1017/S0033291718002490.
[2] FAZEL M, HOAGWOOD K, STEPHAN S, et al. Mental health interventions in schools in high-income countries[J]. The Lancet Psychiatry, 2014, 1(5):377-387. DOI:10.1016/S2215-0366(14)70312-8.
[3] 教育部. 教育部关于全面推进健康学校建设的指导意见[EB/OL]. (2026-02-27)[2026-08-03]. https://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202602/t20260227_1429365.html.
[4] 教育部等十七部门. 教育部等十七部门关于印发《全面加强和改进新时代学生心理健康工作专项行动计划(2023—2025年)》的通知[EB/OL]. (2023-05-11)[2026-08-03]. https://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202305/t20230511_1059219.html.
[5] 教育部办公厅. 关于加强学生心理健康管理工作的通知[EB/OL]. (2021-07-20)[2026-08-03]. https://www.moe.gov.cn/srcsite/A12/moe_1407/s3020/202107/t20210720_545789.html.
[6] 教育部办公厅. 教育部办公厅关于印发《进一步加强中小学生心理健康工作十条措施》的通知[EB/OL].(2025-10-24)[2026-08-03].https://www.moe.gov.cn/srcsite/A06/s3325/202510/t20251020_1417420.html.
[7] 教育部等十三部门. 关于健全学校家庭社会协同育人机制的意见[EB/OL]. (2023-01-19)[2026-08-03]. https://www.moe.gov.cn/srcsite/A06/s3325/202301/t20230119_1039746.html.
[8] 教育部. 教育部等十七部门联合印发《家校社协同育人“教联体”工作方案》[EB/OL]. (2024-11-01)[2026-08-03]. https://www.moe.gov.cn/jyb_xwfb/gzdt_gzdt/s5987/202411/t20241101_1160204.html.
[9] 孙小然. 表达性艺术治疗应用于中小学心理健康教育的研究[J]. 中小学心理健康教育, 2023(15):9-13.
[10] 丁芳盛, 张家红, 任绯. 新课标视域下表达性艺术治疗技术在中小学心理健康教育中的应用[J].浙江海洋大学学报(人文科学版), 2023, 40(5):69-75.
[11] 卢莎, 代夏彤, 祝金丽, 等. 绘画艺术疗法在青少年心理健康中的应用进展[J]. 职业与健康, 2025, 41(3):429-432.
[12] MOULA Z. A systematic review of the effectiveness of art therapy delivered in school-basedsettings to children aged 5-12 years[J]. International Journal of Art Therapy, 2020, 25(2):88-99. DOI:10.1080/17454832.2020.1751219.
[13] BOSGRAAF L, SPREEN M, PATTISELANNO K, et al. Art therapy for psychosocial problems in children and adolescents: a systematic narrative review on art therapeutic means and forms of expression, therapist behavior, and supposed mechanisms of change[J]. Frontiers in Psychology, 2020, 11:584685. DOI:10.3389/fpsyg.2020.584685.
[14] BRAITO I, RUDD T, BUYUKTASKIN D, et al. Review: systematic review of effectiveness of art psychotherapy in children with mental health disorders[J]. Irish Journal of Medical Science, 2022, 191(3):1369-1383. DOI:10.1007/s11845-021-02688-y.
[15] HARPAZI S, REGEV D, SNIR S, et al. Perceptions of art therapy in adolescent clients treated within the school system[J]. Frontiers in Psychology, 2020, 11:518304. DOI:10.3389/fpsyg.2020.518304.
[16]
[17] 金亚萍, 邓德祥, 邓敏. 英美艺术治疗的发展及其对中国的启示[J]. 医学与哲学, 2025, 46(13).
[18] 王宁, 刘烟, 陈冉, 等. 团体绘画治疗对青少年抑郁症患者自尊水平及认知功能的影响[J]. 河北医科大学学报, 2018, 39(10):1220-1224. DOI:10.3969/j.issn.1007-3205.2018.10.025.
[19] 王宁, 刘烟, 陈冉, 等. 团体绘画治疗对青少年抑郁症患者情绪及执行功能的影响[J]. 河北医科大学学报, 2019, 40(2):212-215. DOI:10.3969/j.issn.1007-3205.2019.02.022.
[20]冉曼利,王敏建,蒋国庆.舍曲林联合绘画治疗青少年抑郁症疗效观察[J].中国药业, 2021, 30(11):3.DOI:10.3969/j.issn.1006-4931.2021.11.022.
[21] 岑凯媚, 王玉正, 罗非. 曼陀罗绘画疗法对负性情绪的调节效应[J]. 医学与哲学, 2022, 43(2):65-68. DOI:10.12014/j.issn.1002-0772.2022.02.14.
[22] 陈娟, 徐莲英, 黄闻, 等. 家庭参与式绘画治疗对心境障碍青少年的影响研究[J]. 护理学杂志, 2023, 38(18):93-97. DOI:10.3870/j.issn.1001-4152.2023.18.093.
[23] LOCK J, FITZPATRICK K K, AGRAS W S, et al. Feasibility study combining art therapy or cognitive remediation therapy with family-based treatment for adolescent anorexia nervosa[J]. European Eating Disorders Review, 2018, 26(1):62-68. DOI:10.1002/erv.2571.
[24] VERSITANO S, SHVETCOV A, PATON J, et al. Art therapy is associated with a reductionin restrictive practices on an inpatient child and adolescent mental health unit[J]. Journal of MentalHealth, 2024, 33(4):481-489. DOI:10.1080/09638237.2024.2332813.
[25] WILLIAMS E, GLEW S, NEWMAN H, et al. Practitioner Review: effectiveness and mechanisms of change in participatory arts-based programmes for promoting youth mental health and well-being—a systematic review[J]. Journal of Child Psychology and Psychiatry, 2023, 64(12):1735-1764.DOI:10.1111/jcpp.13900.
[26] 良警宇, 罗秋宇. 互动仪式:青少年戏剧治疗小组的服务机制探析[J]. 社会建设, 2024, 11(1):117-134.
[27] HOOVER S, BOSTIC J. Schools as a vital component of the child and adolescent mental health system[J]. Psychiatric Services, 2021, 72(1):37-48. DOI:10.1176/appi.ps.201900575.
[28] SETTIPANI C A, HAWKE L D, CLEVERLEY K, et al. Key attributes of integrated community-based youth service hubs for mental health: a scoping review[J]. International Journal of Mental Health Systems, 2019, 13(1):52. DOI:10.1186/s13033-019-0306-7.
[29] WAID J, KELLY M. Supporting family engagement with child and adolescent mental health services: a scoping review[J]. Health & Social Care in the Community, 2020, 28(5):1333-1342. DOI:10.1111/hsc.12947.
[30] SALE E, SANDHU A S, VONDRAS S. Effectiveness of a continuity-of-care model to reduceyouth suicidality[J]. Crisis, 2022, 43(6):486-492. DOI:10.1027/0227-5910/a000818.
[31] ARNON S, SHAHAR G, BRUNSTEIN KLOMEK A. Continuity of care in suicide prevention: current status and future directions[J]. Frontiers in Public Health, 2024, 11:1266717. DOI:10.3389/fpubh.2023.1266717.
[32] MORISON L, SIMONDS L, STEWART S J F. Effectiveness of creative arts-based interventions for treating children and adolescents exposed to traumatic events: a systematic review of the quantitative evidence and meta-analysis[J]. Arts & Health, 2022, 14(3):237-262. DOI:10.1080/17533015.2021.2009529.
[33] ZHANG B, WANG J, ABDULLAH A B. The effects of art therapy interventions on anxietyin children and adolescents: a meta-analysis[J]. Clinics, 2024, 79:100404. DOI:10.1016/j.clinsp.2024.100404.
[34] VERSITANO S, TESSON S, LEE C W, et al. Art therapy with children and adolescents experiencing acute or severe mental health conditions: a systematic review[J]. Australian & New Zealand Journal of Psychiatry, 2025, 59(10):863-887. DOI:10.1177/00048674251361731.
[35] WEIST M D, MELLIN E A, CHAMBERS K L, et al. Challenges to collaboration in school mental health and strategies for overcoming them[J]. Journal of School Health, 2012, 82(2):97-105.DOI:10.1111/j.1746-1561.2011.00672.x.
[36] BRONFENBRENNER U. The Ecology of Human Development: Experiments by Nature and Design[M]. Cambridge, MA: Harvard University Press, 1979.
[37] MOULA Z, AITHAL S, KARKOU V, et al. A systematic review of child-focused outcomes and assessments of arts therapies delivered in primary mainstream schools[J]. Children and Youth Services Review, 2020, 112:104928. DOI:10.1016/j.childyouth.2020.104928.
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