关于在退伍军人卫生管理局实施辩证行为治疗技能小组的员工观点
Suzanne E Decker1, Kristin M Mattocks2, Aimee Kroll-Desrosiers2
1Psychology Section, VA Connecticut Healthcare System.
Psychological services
|June 16, 2025
概括
辩证行为疗法技能小组 (DBT-SG) 在减少退伍军人自杀方面表现有前途. 实施需要解决人员短缺,倦怠和适应各种退伍军人的需求,特别是使用虚拟选项.
科学领域:
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
- 自杀预防 自杀预防
背景情况:
- 减少退伍军人自杀是退伍军人卫生管理局 (VHA) 的关键优先事项.
- 辩证行为治疗技能小组 (DBT-SG) 是预防自杀的潜在创新.
- 了解在VHA中实施DBT-SG的障碍和促进因素至关重要.
研究的目的:
- 探索在退伍军人卫生管理局 (VHA) 内实施辩证行为治疗技能组 (DBT-SG) 的障碍和促进者.
- 为了为混合型1型有效性实施试验的设计提供信息.
主要方法:
- 与VHA工作人员进行了35个个别的半结构性定性访谈.
- 包括治疗师,预防自杀协调员,以及地方和国家层面的领导者.
- 利用快速的定性分析来确定关键主题.
主要成果:
- 领导层表达了对创新的自杀预防方法的愿望.
- 员工对DBT的知识在员工之间差异很大.
- 实施的挑战包括人员短缺和倦怠,COVID-19加剧了这一问题.
- DBT-SG可能需要适应各种老兵群体 (例如土著,无家可归,城市).
- 虚拟DBT-SG交付显示了增加覆盖范围和访问的潜力,需要风险管理.
结论:
- 在VHA内部,对DBT-SG的热情很高.
- 在一个紧张的医疗保健系统中,实施面临着挑战.
- DBT-SG,特别是虚拟格式,对VHA自杀预防有希望.
- 成功实施需要注意人员配置,提供者福利和退伍军人多样性.
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