一个以团队为基础的合作伙伴驱动的模型,用于为儿科焦虑和强迫症障碍提供门诊暴露治疗
Jennifer Freeman1, Joshua Kemp1, Erin O'Connor1
1Pediatric Anxiety Research Center, Bradley Hospital and Alpert Medical School of Brown University, Providence, Rhode Island.
JAACAP open
|December 10, 2025
概括
这项研究引入了一种以团队为基础的,由社区提供的小儿焦虑治疗方法,旨在改善儿童和青少年获得基于证据的护理的机会. 该设计侧重于社区融合和质量监测,以解决心理健康差异.
科学领域:
- 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
背景情况:
- 儿科焦虑症很普遍,但基于证据的治疗方法 (EBT) 在社区环境中未得到充分利用.
- 目前的EBT交付通常以提供者为中心,以办公室为基础,限制了患者的访问.
- 迫切需要解决儿童心理健康服务的劳动力和质量问题.
研究的目的:
- 介绍基于团队,社区提供的小儿焦虑治疗方法的理由,设计和方法.
- 将这种新的方法与传统的办公室认知行为治疗 (CBT) 进行比较.
- 详细说明合作伙伴参与,培训,监督和质量监测的战略.
主要方法:
- 一项比较性研究设计,涉及333名儿童和青少年 (5-18岁) 患有焦虑障碍或强迫症 (OCD).
- 专注于研究设计,方法和程序,而不是结果报告.
- 重点是促进社区合作伙伴的参与,强有力的培训,监督和质量/忠诚度监测.
主要成果:
- 这篇论文强调了该研究的设计和方法论,以团队为基础,由社区提供干预.
- 介绍了合作伙伴参与,培训,监督和质量保证的详细程序.
- 这项研究的设计旨在解决儿童心理健康护理的进入障碍.
结论:
- 一个以团队为基础,由社区提供的模型有可能显著增加患者获得儿科焦虑治疗的机会.
- 描述的路线图促进了社区合作伙伴的整合和严格的质量监督.
- 未来的方向是解决缺乏服务的年轻人,包括有色人种的年轻人和来自低收入社区的年轻人获得护理的差异.
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