检查青年灵活的ACT模式在荷兰的实施
Marieke Broersen1,2, Nynke Frieswijk3, Maaike van Vugt4
1GGZ Oost Brabant, Oss, The Netherlands. m.broersen@ggzoostbrabant.nl.
Community mental health journal
|March 23, 2024
概括
荷兰的青少年灵活坚定的社区治疗 (ACT) 团队表现出高度的模式坚持. 需要在专业学科和具体干预措施中进行改进,以获得最佳的心理健康护理质量.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 儿童和青少年精神病学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 模范坚持对于高质量的心理健康护理至关重要.
- 青年灵活坚定的社区待遇 (ACT) 模式正在荷兰出现.
- 评估这些新模型的实施是至关重要的.
研究的目的:
- 在荷兰首个青年灵活ACT团队中评估模式遵守和护理内容.
- 确定成功实施的领域和改进的机会.
- 评估灵活ACT框架在临床实践中的转化.
主要方法:
- 16个青年灵活ACT团队使用青年灵活ACT模型忠实度表 (2014) 进行了评估.
- 精神卫生工作者填写了一份关于护理和干预内容的问卷.
- 数据分析的重点是模型忠实度得分和干预映射.
主要成果:
- 十二个团队展示了"最佳实施",四个团队展示了"适当实施"的青年灵活ACT模型.
- 大多数学科被整合,但特定的角色 (同行支持,就业专家) 和干预 (家庭,双重障碍) 代表性不足.
- 接触频率和常规结果监测的使用低于最佳水平.
- 近一半的客户接受了强化ACT护理,大多数客户接受了个人心理干预.
结论:
- 荷兰的青年灵活行动的实施在很大程度上是成功的,将理论模型转化为实践.
- 建议加强专业学科的整合,特别是同行支持和就业专家.
- 需要进一步开发特定的,有协议的干预措施,以优化护理提供.
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