为治疗创伤相关问题的提供者调整项目ECHO模型:评估和经验教训
Kristen P Lindgren1, Emily R Dworkin1, Sophia Robinson1
1Trauma Recovery and Resilience Innovations, Department of Psychiatry and Behavioral Sciences (Lindgren, Dworkin, Robinson, Reeves, Bedard-Gilligan), and Department of Psychiatry and Behavioral Sciences (Hendrickson), University of Washington, Seattle; Harborview Abuse and Trauma Center, Seattle (Merchant, Ranna-Stewart); Veterans Integrated Service Network 20, Northwest Mental Illness, Research, Education, and Clinical Center, U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle (Hendrickson).
服务不足地区的心理健康提供者需要更好的创伤治疗支持. 一个虚拟学习社区调整了ECHO (社区医疗保健成果扩展) 项目,将提供者与专家联系起来,显示需求和满意度,但实践影响混合.
科学领域:
- 心理健康 心理健康
- 创伤恢复 创伤恢复
- 医疗保健教育 医疗保健教育
背景情况:
- 缺乏有效的,文化意识的创伤治疗,特别是在资源不足的社区.
- 这些地区的医疗保健提供者需要加强对创伤相关心理健康问题的支持和培训.
研究的目的:
- 评估提供者对创伤特定培训的需求.
- 评估虚拟学习社区对提供者实践和福祉的可行性,可接受性和初始影响.
主要方法:
- 适应项目ECHO (扩展社区医疗保健成果) 模型.
- 创建了一个虚拟学习社区,将华盛顿州精神卫生提供者与创伤恢复专家联系起来.
- 收集关于提供者需求,参与度,满意度以及实践/福祉影响的数据.
主要成果:
- 观察到供应商对虚拟学习社区的需求和参与度很高.
- 参与的提供者表示对该计划的满意度很高.
- 对提供者的实践和幸福感的初始影响是混合的,这表明需要改进的领域.
结论:
- 虚拟学习社区在支持心理健康提供者提供创伤信息化的护理方面表现有前途.
- 可能需要进一步的调整,以最大限度地提高此类计划对临床实践和提供者福祉的影响.
- 解决创伤治疗方面的差距需要创新的教育模式,以适应服务不足的社区.
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