测试一套实施方案,以试点为严重精神疾病的无家可归者提供住房技能培训
Sonya Gabrielian1,2,3, Alison B Hamilton1,2,3, Lillian Gelberg1,2,4
1Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Implementation research and practice
|March 7, 2024
概括
对于患有严重精神疾病 (PEH-SMI) 的无家可归者来说,实施基于证据的实践是具有挑战性的. 培训和技术援助,以及可访问的格式,可以改善PEH-SMI的住房成果.
科学领域:
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
- 无家可归的研究 无家可归的研究
背景情况:
- 基于证据的实践 (EBP) 提高了严重精神疾病 (PEH-SMI) 无家可归的人的住房和健康.
- 对PEH-SMI实施EBP往往具有挑战性.
- 一个住房技能培训干预措施是根据PEH-SMI的社会技能培训进行的.
研究的目的:
- 测试一项战略,支持对PEH-SMI进行住房技能培训干预的试点实施.
- 在进行更大的试验之前,优化实施策略和干预措施.
- 确定影响实施的因素,并评估干预的看法.
主要方法:
- 为六个PEH-SMI组 (n=35) 的九个提供者提供培训和技术援助.
- 数据通过天平和半结构面试收集,与14名PEH-SMI和干预人员进行了采访.
- 追踪出勤率;随机抽样组观察治疗忠实度.
主要成果:
- 干预者对该战略和干预措施持乐观看法,但面临着资源限制 (空间,人员,计算机).
- PEH-SMI对内容感兴趣,对小组形式敏感;参与者平均参加了4/12次会议.
- 由于服务之间的过渡,干预保留是具有挑战性的;忠诚度是可以接受的.
结论:
- 培训,技术援助和程序级购买对于实施PEH-SMI的EBP至关重要.
- 适应措施,如在可访问的社区环境中加入,开放的群体等,可能会改善收养.
- 进一步的研究可以为提高PEH-SMI的住房成果的策略提供信息.
相关概念视频
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
Modeling in Therapy
72
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
72
Treatment Strategies for Psychological Disorders
123
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
123
Documentation in Long-Term and Home Healthcare Setting
890
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
890
Specialized Care Centers and Settings-I
941
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
941
Interpersonal Psychotherapy
26
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
26


