了解治疗师如何以及何时犯错误:应对青少年心理健康服务中的参与挑战
Hyun Seon Park1, Kimberly D Becker2, Bruce F Chorpita3
1Department of Psychology, University of California Los Angeles, Franz Hall, Los Angeles, CA, 90095, USA.
Research on child and adolescent psychopathology
|March 11, 2025
概括
心理健康服务中治疗师的失误可能会阻碍青少年和家庭的参与. 在监督期间的准备和及时的支持可以减少这些错误,特别是在家庭会议中.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
- 家庭治疗 家庭治疗
背景情况:
- 治疗师的失误,定义为低于最佳或非协作行为,可能会对青年和家庭参与社区心理健康产生负面影响.
- 了解影响这些失误的因素对于改善服务提供至关重要.
研究的目的:
- 探索社区心理健康服务中治疗师失误的发生情况.
- 检查与治疗计划,准备和临床背景相关的远端和近端因素如何影响失误频率.
主要方法:
- 分析了391次治疗会话的音频录音,这些录音来自多个地点的集群随机对照试验.
- 92名治疗师的会议转录和编码,以识别错误的发生.
- 根据监督实践,会议参与者和与监督相关的时间来检查错误的变化.
主要成果:
- 错误的步骤很少发生,但在大多数会议中都存在,经常出现在建议中.
- 当监督包括客户参与计划,会议只有一名参与者或会议紧密跟随监督时,错误的发生率较低.
- 家庭会议带来了独特的挑战,可能会增加错误的可能性.
结论:
- 监督中的准备活动和及时的,会议前的监督似乎比简单地选择干预更能保护治疗师的错误.
- 进行家庭治疗会话的专业培训对于减轻独特的挑战和减少失误很重要.
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