在青年社区精神卫生机构实施基于测量的护理的咨询内容和技术
Elizabeth Casline1, Grace S Woodard2, Elizabeth Lane2
1Institute for Public Health and Medicine, Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N. St Clair, Chicago, IL, 60611, USA. elizabeth.casline@northwestern.edu.
研究了治疗师采用基于测量的护理 (MBC) 的低水平. 商重点关注技术方面和被动技术,建议需要在MBC物流方面进行早期培训,以改善实施.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于测量的护理 (MBC) 是一种基于证据的实践 (EBP),可以改善青少年治疗结果,但治疗师采用率较低.
- 临床咨询可以加强MBC的实施,但其具体内容和技术需要进一步了解.
研究的目的:
- 探索在临床咨询电话中使用的内容和技术,旨在改善MBC实施.
- 确定影响治疗师在青少年心理健康治疗中采用MBC的因素.
主要方法:
- 治疗患有焦虑/抑郁症的青少年的治疗师 (N=55) 通过使用青年结果问卷 (YOQ) 和测量反系统 (MFS) 接受了MBC培训.
- 每周的咨询电话 (N=294) 被编码为内容和顾问技术.
- 一本开发的代码书确定了12个内容领域和10个顾问技术.
主要成果:
- 咨询内容主要集中在解释客户数据 (症状,联盟),规划YOQ管理和与客户讨论数据.
- 常见的顾问技术包括建模,引起报告解释,临床建议和教学.
- 角色扮演/行为排练明显缺席;被动技术 (建议,教学) 普遍存在.
- MBC的技术方面 (措施管理,MFS使用) 是一个重要的咨询重点.
结论:
- 目前,对MBC实施的咨询强调了教学和技术物流,而不是积极的临床应用.
- MBC和MFS的新性可能有助于将重点放在技术挑战上.
- 在培训早期解决技术方面可能会提高治疗师采用MBC.
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