在辩证行为疗法中实施电话辅导的挑战和潜在解决方案
Sara J Landes1,2, Monica M Matthieu1,3, Brandy N Smith4
1Central Arkansas Veterans Healthcare System.
Cognitive and behavioral practice
|November 7, 2024
概括
实施辩证行为疗法 (DBT) 电话辅导面临诸如缺乏工具和临床医生的意愿等挑战. 解决这些障碍可以改善边缘性人格障碍 (BPD) 治疗.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 医疗保健 实施 科学 科学
- 临床心理学 临床心理学
背景情况:
- 辩证行为疗法 (DBT) 是对边缘性人格障碍 (BPD) 的经过验证的治疗方法.
- 一个关键的组成部分,电话指导,在医疗保健环境中提出了实施挑战.
- 需要有效的战略来克服这些障碍.
研究的目的:
- 确定在实施DBT电话辅导期间遇到的障碍.
- 记录报告的解决方案和克服这些障碍的战略.
- 为希望实施DBT电话辅导的医疗保健组织提供建议.
主要方法:
- 采用了一种连续混合方法的国家计划评估.
- 通过59个退伍军人事务部 (VA) 设施的自我报告调查收集的定量数据.
- 通过与16个DBT提供商和管理员进行半结构化访谈收集了定性数据.
主要成果:
- 四个主要主题出现了:缺乏工具/政策,补偿问题,临床医生的意愿和计划/领导力支持.
- 这些主题突出了在实施DBT电话指导方面进行干预的关键领域.
- 一个案例研究说明了这些已识别的主题.
结论:
- 缺乏资源,补偿和一致的支持是DBT电话辅导的重大障碍.
- 通过有针对性的策略解决这些障碍,可以提高DBT电话辅导的成功实施.
- 该研究为医疗机构提供了实际建议,旨在将电话指导纳入其BPD治疗计划.
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