探索客户的观点:关于家庭如何体验 (混合) 法医门诊系统治疗青少年反社会行为的定性研究
S Marjolein van Cappellen1, Hanneke E Creemers2, Larissa Hoogsteder2,3
1Department of Clinical Child & Family Studies, Utrecht University, P.O. Box 80140, Utrecht, 3584 CS, the Netherlands. s.m.vancappellen@uu.nl.
Child and adolescent psychiatry and mental health
|July 3, 2025
概括
法医门诊系统治疗 (FAST) 显示出减少青少年反社会行为的承诺,参与者重视治疗师连接和特定程序组件. 提高青少年的参与度和治疗师的反应能力是改善这一法医青少年护理干预的关键领域.
科学领域:
- 法医心理学和精神病学法医心理学和精神病学
- 儿童和青少年心理健康
- 家庭系统治疗是家庭系统治疗.
背景情况:
- 针对反社会行为的青少年干预通常与动机,学和持久影响作斗争.
- 了解家庭经历对于改善法医青少年护理干预至关重要.
- 法医门诊系统治疗 (FAST) 是一种旨在减少青少年反社会行为的强化干预.
研究的目的:
- 调查青少年和护理人员对法医门诊系统治疗 (FAST) 的经验.
- 评估FAST及其混合版 (FASTb) 在目标设定,有用组件和治疗师互动方面的有效性.
- 确定对法医青年护理系统治疗的改进领域.
主要方法:
- 在治疗后对来自16个家庭的24名参与者 (9名青少年,15名护理人员) 进行了半结构化采访.
- 参与者来自随机对照试验或关于FAST有效性的准实验研究.
- 在定性数据上采用三阶段的主题分析来识别模式和主题.
主要成果:
- 治疗目标通常是以协作方式制定的,尽管青少年参与度有所不同.
- 参与者报告了FAST的积极评价,治疗师对话和程序组件是最有帮助的.
- 虽然FASTb改善了一些护理人员的可访问性,但大多数人更喜欢面对面的治疗;治疗师的响应能力是一个需要改进的领域.
结论:
- 强大的治疗联盟至关重要,青少年从基于活动的方法中受益,照顾者重视治疗师的同情心.
- 持续与未成年人接触,可能通过活动,对于有效治疗至关重要.
- 混合护理 (FASTb) 可以提高可访问性,但其实施需要与家庭进行仔细讨论.
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