探索影响行为健康环境的基于证据的做法和治疗的县级资源
Faye S Taxman1, Neelam Shukla1, Niloofar Ramezani2
1Schar School of Policy and Government, George Mason University - Mason Square, Arlington, Virginia, USA.
概括
在刑事司法系统中实施基于证据的做法至关重要. 县的资源,如熟练的工作人员和资助, 显著地预测了这些重要治疗的可用性.
科学领域:
- 公共卫生
- 医疗服务研究
- 刑事司法
背景情况:
- 基于证据的实践和治疗 (EBPT) 对于改善行为健康结果至关重要.
- 高成本是EBPT实施和可持续性的重要障碍.
研究的目的:
- 检查县资源与个人在刑事司法系统的EBPTs的可用性之间的关系.
- 在刑事司法环境中确定基于证据的程序 (EBP) 和基于证据的治疗方法 (EBT) 的预测因素.
主要方法:
- 用Poisson数回归模型分析了来自美国519个县的数据.
- 模型预测了EBPT的不同类型和成本,包括刑事司法EBP (CJ-EBP) 和EBT.
主要成果:
- 较大的县,较少的人接受行为健康服务,增加资金,补助金,熟练的员工,医疗补助扩张和加强倡议的参与预测了更多的EBP.
- 加强参与和医疗补助扩张是中低成本CJ-EBP的关键预测因素.
结论:
- 现有的员工资源和以前的资助历史对CJ-EBP和EBT的可用性有很大影响.
- 增加县级人员,特别是同行支持,可能会增加EBP和EBT的可用性.
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