应急管理的现实世界实施和受控环境的好处"头部开始"
Himmat Singh Dhillon1, Stephanie Rochon2, Basant Kaur Dhillon3
1Family Medicine Residency, Creighton University, Phoenix, Arizona, USA.
Brain and behavior
|September 9, 2025
概括
应急管理 (CM) 在门诊环境中有效治疗兴奋剂使用障碍. 质量改进方法增强了CM,显示出显著的戒断,特别是在从受控环境过渡的患者中.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 应急管理 (CM) 是一种基于证据的行为干预,用于物质使用障碍.
- 在现实世界的临床环境中实施CM带来了独特的挑战.
- 质量改进 (QI) 提供了一个优化治疗交付的框架.
研究的目的:
- 将质量改进 (QI) 原则应用于应急管理 (CM) 的实际实施.
- 评估在门诊成诊所中基于奖励的CM的效率和有效性.
- 评估患者从受控环境过渡对CM结果的影响.
主要方法:
- 基于奖励的CM是使用既定的协议来实施兴奋剂使用障碍的.
- 整合了QI流程,以提高CM计划的效率和有效性.
- 收集和分析了连续戒断 (CA) 的数据.
主要成果:
- 在一个社区门诊所成功实施了CM,利用现有的临床资金.
- 最近从受控环境中出院的参与者实现了明显更长的连续禁欲 (8.3周).
- 在17名参与者的初始实施中,CA的平均持续时间为2.2周.
结论:
- 在门诊环境中实用性地实施CM,产生了与受控试验相美的结果.
- QI流程对于优化CM交付和改善患者结果是有价值的.
- 从受控环境过渡与CM治疗中持续的戒断有关.
相关概念视频
Behavior Modification
560
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
560
Operant Conditioning Intervention
462
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
462
Community Based Intervention
281
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
281
Timing and Consequences on Behavior
360
In operant conditioning, the timing of reinforcement is crucial. For animals like rats and cats, immediate reinforcement (within a few seconds) is much more effective than delayed reinforcement. For example, a food reward for a rat needs to follow within 30 seconds of pressing a bar to be effective.
Humans, however, can respond to delayed reinforcers. We often make decisions between immediate small rewards and delayed larger rewards. This ability to delay gratification is a significant...
Humans, however, can respond to delayed reinforcers. We often make decisions between immediate small rewards and delayed larger rewards. This ability to delay gratification is a significant...
360
Operant Conditioning
2.7K
Operant conditioning, a key concept in behavioral psychology, involves using reinforcement and punishment to alter the likelihood of a behavior being repeated. B.F. introduced this type of conditioning. Skinner focused on voluntary behaviors and the consequences that follow them, influencing whether these behaviors will be strengthened or diminished.
Reinforcement in operant conditioning can be positive or negative, both of which serve to increase the likelihood of a behavior. Positive...
Reinforcement in operant conditioning can be positive or negative, both of which serve to increase the likelihood of a behavior. Positive...
2.7K
Blind Procedures
13.0K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
13.0K


