由K-12公立学校临床医生实施基于测量的护理:一种混合方法的概念验证研究
Elizabeth H Connors1, Sophia Selino1, Daniel Almirall2
1Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Implementation research and practice
|August 14, 2025
概括
这项研究表明,针对临床有用的学生服务的反和结果 (FOCUSS) 是在学校实施基于测量的护理 (MBC) 的可行策略. 学校心理健康临床医生发现MBC在为学生服务提供结构和一致性方面非常有价值.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
- 学校心理学 学校心理学
背景情况:
- 基于测量的护理 (MBC) 对于有效的心理健康服务至关重要.
- 在K-12学校环境中实施MBC带来了独特的挑战.
- 专注战略是为了应对这些挑战而制定的.
研究的目的:
- 评估MBC的FOCUSS实施战略的可行性和可接受性.
- 通过学校雇佣的临床医生来证明MBC采用概念的证明.
- 为了将来的改进,收集有关实施结果的数据.
主要方法:
- 一个混合方法,单臂试点研究与10所学校的心理健康临床医生超过一个学年.
- 每月对MBC测量条目进行忠实性监测.
- 关于临床医生的态度和实践的预培训和后续调查 (3,6,9个月).
- 在学年结束时进行定性面试,以探索实施经验.
主要成果:
- 60%的临床医生达到或超过了与五名学生实施MBC的目标.
- 在65名学生中采用了MBC,证明了可行性.
- 定性数据表明,MBC具有临床价值,提供一致性和结构,并受到学生和家长的好评.
- 发现FOCUSS支持,特别是业绩反电子邮件,有帮助.
结论:
- 这项研究提供了MBC在美国与学校雇佣的心理健康专业人员实施的首次演示.
- 结果支持MBC在K-12学校使用FOCUSS战略的可行性.
- 这些发现支持了FOCUSS在地区范围采用的潜力,以实施MBC.
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