[在惩戒和法医精神病学环境中的综合心理治疗:十多年的实施和适应]
Mathieu Dumont1, René Bélanger2, Catherine Briand1
1Département d'ergothérapie, Université du Québec à Trois-Rivières, Québec, Canada.
Sante mentale au Quebec
|March 11, 2026
概括
在安全的心理健康环境中实施综合心理治疗 (IPT) 需要对内容,交付和培训进行调整. 这些修改确保基于证据的方法在惩戒和法医环境中保持可行性.
科学领域:
- 心理健康护理 心理健康护理
- 法医精神病学 法医精神病学
- 校正心理学 校正心理学
背景情况:
- 在心理健康护理中实施基于证据的心理社会干预是具有挑战性的.
- 监狱和法医精神病学设置存在独特的实施障碍.
- 调整干预措施往往是为了组织的调整和可持续性而必要的.
研究的目的:
- 在安全的环境中记录综合心理治疗 (IPT) 的适应和修改过程.
- 探索自2010年代以来,IPT如何在加拿大惩戒和法医精神病医疗机构被修改.
主要方法:
- 采用了多个案例研究设计.
- 包括三个加拿大提供IPT的惩戒和法医精神病医疗机构.
- 对促进IPT的医疗保健专业人员进行了采访并进行了分析.
主要成果:
- 在所有病例中都观察到对IPT的调整,影响了内容,交付和临床医师培训.
- 内容修改包括添加认知练习,整合虚拟现实和删除特定模块.
- 交付变化涉及减少会议长度,增加会议频率和半开放组格式.
结论:
- 在惩戒和法医环境中实施IPT是可持续的,需要进行必要的调整.
- 适应对于调整干预要求与安全环境的现实至关重要.
- 对于实施或使用IPT的设施,建议考虑这些适应.
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