使用Project ECHO模型提高小儿初级保健提供者对独立治疗青少年抑郁症的信心
Courtney Cinko1,2, Andrea Thrasher3, Ciscily Sawyer3
1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. courtney.cinko@cchmc.org.
概括
项目ECHO培训提高了儿科初级保健提供者 (PCP) 在治疗青少年抑郁症方面的知识和信心,导致急诊室转诊精神健康评估的次数减少.
科学领域:
- 医学教育 医学教育
- 儿童和青少年精神病学 儿童和青少年精神病学
- 主要护理 儿科医生 小儿科
背景情况:
- 青少年抑郁症需要专门的护理,而这种护理往往无法在初级环境中获得.
- 社区医疗保健成果扩展 (ECHO®项目) 模型可以通过扩展专业知识来弥合这一差距.
- 儿科医院可以加强,以有效地管理青少年抑郁症.
研究的目的:
- 评估基于ECHO项目的培训计划对儿科初级保健提供者 (PCP) 的影响.
- 评估PCP知识,自我效能和治疗青少年抑郁症的实践模式的改进.
- 为了测量急诊室 (ED) 心理健康转诊培训后的变化.
主要方法:
- 儿童和青少年精神科医生为PCP开发了一门关于查,干预和管理抑郁症的专业课程.
- 参与者完成了临床知识和自我有效性的前后评估.
- 在课程之前和之后的12个月内,紧急部门的心理健康转诊被跟踪.
主要成果:
- 训练后观察到临床知识和自我有效性的显著改善.
- 紧急部门的精神健康转诊在第一队列下降了34%,在第二队列下降了17%.
- 培训促进了实践的变化,使PCP能够更独立地管理抑郁症.
结论:
- 项目ECHO有效地提高了PCP治疗青少年抑郁症的能力,提高了信心和技能.
- 这种专业培训转化为实践变化,增加治疗机会和减少ED心理健康转诊.
- 进一步的研究应该集中在可靠的结果测量上,并将ECHO模型扩展到其他心理健康状况,如焦虑障碍.
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