在以证据为基础的物质使用干预中为同行恢复专家提供可扩展培训的开发和试点:初步实施结果
Morgan S Anvari1, Jessica F Magidson2,3, Salam Sulaiman4
1Department of Psychology, University of Maryland, College Park, MD, USA. manvari@umd.edu.
Administration and policy in mental health
|August 1, 2025
概括
同行恢复专家 (PRS) 可以接受培训,以提供行为激活 (BA),一种基于证据的干预. 这种方法提高了缺乏服务的社区获得物质使用障碍治疗的机会.
科学领域:
- 药物使用障碍治疗 药物使用障碍治疗
- 行为健康干预 行为健康干预
- 健康 公平 卫生 公平
背景情况:
- 来自少数群体和资源不足的社区的个人在获得专门的物质使用障碍服务方面面临重大障碍.
- 同行恢复专家 (PRS) 显示出改善服务获取的潜力,特别是在资源较低的环境中.
- 从历史上看,PRS没有接受过提供基于证据的干预措施 (EBI) 的培训.
研究的目的:
- 共同开发和传播行为激活 (BA) 培训计划,用于PRS.
- 评估PRS的BA培训和交付的可行性,可接受性和适当性.
- 为大规模实施提供EBI的PRS提供信息.
主要方法:
- 一个BA培训计划的共同开发,涉及PRS和治疗提供者.
- 使用五个PRS进行试点测试,并纳入定性反以进行修订.
- 将修订后的培训传播给168个PRS,然后对实施结果进行评估.
- 一项为期六个月的后续调查,以评估持续使用和对BA的看法.
主要成果:
- 定性反表明BA是可行的,并适合PRS交付,突出需要监督和体验式学习.
- 经过修订的培训被168名PRS发现是可行的,适当的和可接受的.
- 后续数据表明,继续使用BA技能,PRS认为这是一个很好的角色适合和可行的工作.
结论:
- 同行恢复专家可以在大规模上得到有效的培训,以提供行为激活,EBI.
- 这种模式具有显著的潜力,可以为缺乏服务的人群增加获得物质使用障碍治疗的机会.
- 根据PRS员工的独特需求进行的修改对于成功的大规模实施至关重要.
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