在费城实施以创伤为重点的认知行为疗法:十年的评估
Briana S Last1,2, Christina Johnson3,4, Natalie Dallard5
1Department of Psychology, Stony Brook University, Stony Brook, NY, USA.
Implementation research and practice
|October 4, 2023
概括
费城 费城 费城 费城 是一个
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 创伤治疗 创伤治疗
背景情况:
- 费城的行为健康和智力障碍服务部门 (DBHIDS) 在2012年启动了一项全市实施的以创伤为重点的认知行为疗法 (TF-CBT).
- 该倡议旨在将基于证据的PTSD治疗纳入公共行为健康系统.
- 该报告详细介绍了这项TF-CBT倡议的十年实施和有效性.
研究的目的:
- 评估费城行为健康系统TF-CBT10年实施成果.
- 评估TF-CBT在减少青少年中PTSD症状方面的有效性.
- 检查公共卫生网络中TF-CBT的采用,覆盖和维持情况.
主要方法:
- 探索,准备,实施和维持 (EPIS) 框架指导了实施评估.
- 从参与机构收集了实施结果 (采用,覆盖,维持).
- 从使用线性混合效应模型的TF-CBT接受TF-CBT的年轻人子组中分析了有效性结果 (PTSD症状变化).
主要成果:
- DBHIDS培训了478名临床医生,对23,401名年轻人进行了查,其中7,550人在2012年至2021年期间接受了TF-CBT.
- TF-CBT提供商的网络从3个机构扩大到20个机构,在十年内维持了16个机构.
- 对202名年轻人的分析显示,在TF-CBT后,PTSD症状显著减少.
结论:
- 在10年的时间里,DBHIDS成功地在全市实施并维持了TF-CBT.
- 对于TF-CBT,实现了高水平的采用,覆盖和维持.
- 在费城的行为健康系统中,TF-CBT被证明有效地减少了青少年的PTSD症状.
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