开发和实施过程改进干预措施,以扩大国防部的基于证据的心理治疗
Jeffrey Cook1, Melissa Mistretta1, Carmen P McLean2
1Center for Deployment Psychology, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences.
Psychological services
|April 21, 2025
概括
该项目通过根据当地需求定制策略,改善了军事卫生诊所的长期暴露治疗使用. 它解决了改善创伤后应激障碍治疗的基于证据的实践的障碍.
科学领域:
- 实施科学 实施科学
- 行为健康 行为健康
- 军事医学 军事医学
背景情况:
- 由于军事卫生系统 (MHS) 的分散性,它在采用基于证据的实践方面面临挑战.
- 在行为健康诊所中,加强对创伤后应激障碍 (PTSD) 的长期暴露 (PE) 的使用至关重要.
研究的目的:
- 介绍一项新的流程改进项目,以提高MHS行为健康诊所的PE利用率.
- 详细介绍目标评估和适合环境的变革战略实施 (TACTICS) 项目.
主要方法:
- 在八个MHS诊所进行了需求评估,包括采访和数据审查.
- 开发定制的实施计划,实施标题和优化工具包.
- 提供每周从实施科学专家的辅导电话.
主要成果:
- 确定了基于证据的实践利用的临床特定障碍.
- 与诊所领导层合作制定定制的实施计划.
- 通过持续的指导和资源,成功支持了实施过程.
结论:
- 适合环境的实施策略在改善各种医疗保健环境中基于证据的实践利用方面是有效的.
- 该TACTICS项目为增强MHS中PTSD治疗提供了一个模型.
- 该研究强调了在COVID-19流行病等事件期间实施努力的适应性.
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