Singh Nirbhay N, Wahler Robert G, Sabaawi Mohamed, Goza Amanda B, Singh Subhashni D, Molina Enrique J, Winton Alan S W, Strand Paul S, Hill Oliver W, Singh Judy, Barber Jack W, El-Sabaawi Mohamed, Dumas Jean
Department of Psychiatry, Virginia Commonwealth University, P.O. Box 980710, Richmond, VA 23298-0710, USA.
Res Dev Disabil. 2002 Nov-Dec;23(6):379-89. doi: 10.1016/s0891-4222(02)00140-3.
Individuals with developmental disabilities often have a concomitant psychiatric disorder severe enough to require treatment. The behavioral endpoint of psychiatric disorders may require integrated behavioral and psychopharmacological treatments to stabilize their condition and enhance their quality of life. We used a mindfulness-based mentoring model to facilitate the integration of behavioral and psychopharmacological treatments at the treatment team level. Using a multiple baseline design across treatment teams, we assessed the degree of integration of these two treatment modalities using a 23-item rating scale, and then introduced mentoring successively across the three treatment teams. Following mentoring, six follow-up assessments at monthly intervals were undertaken to assess functioning of the treatment teams in the absence of mentoring. The low levels of integration of behavioral and psychopharmacological treatments occurring during baseline improved significantly within each team commensurate with the mentoring. Further, the enhanced treatment team functioning was maintained during a 6-month follow-up period. Mentoring of treatment teams may be an effective first step in integrating behavioral and psychopharmacological treatments that are deemed essential in the care and treatment of individuals with developmental disabilities and mental illness.
发育障碍患者往往伴有严重到需要治疗的精神疾病。精神疾病的行为终点可能需要综合行为和心理药物治疗来稳定病情并提高生活质量。我们使用了一种基于正念的指导模式，以促进在治疗团队层面整合行为和心理药物治疗。通过在各治疗团队中采用多基线设计，我们使用一个包含23个条目的评定量表评估这两种治疗方式的整合程度，然后在三个治疗团队中依次引入指导。在指导之后，每月进行六次随访评估，以评估在没有指导的情况下治疗团队的运作情况。在基线期出现的行为和心理药物治疗整合水平较低的情况，在每个团队中都随着指导而显著改善。此外，在6个月的随访期内，治疗团队的功能增强得以维持。对治疗团队进行指导可能是整合行为和心理药物治疗的有效第一步，而这些治疗在发育障碍和精神疾病患者的护理和治疗中被认为是必不可少的。
