Department of Psychology, University of Pennsylvania, Philadelphia, PA 19104-6196, USA.
Community Ment Health J. 2009 Dec;45(6):463-7. doi: 10.1007/s10597-009-9230-7.
Rural community mental health centers (CMHCs) face numerous problems that might be alleviated by the dissemination of empirically supported treatments (ESTs). The current study lays the groundwork for EST dissemination by examining current treatment practices in rural clinics as well as the attitudes of decision makers toward ESTs and perceived barriers to their adoption. Twenty-five rural and 38 non-rural clinical directors responded to a mailed survey. Rural respondents were as likely as non-rural respondents to report EST use in their clinic for most anxiety disorders, and more likely to report use of an EST for major depressive disorder and obsessive-compulsive disorder. However, ESTs represent a relatively small proportion of the treatments reported for depression and anxiety disorders. Attitudes toward manualized ESTs did not differ between groups. Further, rural and nonrural clinics did not see the barriers to the adoption of ESTs as insurmountable. These preliminary results suggest that rural CMHCs are open to the use of ESTs and should be included in widespread dissemination initiatives.
农村社区心理健康中心（CMHC）面临着许多问题，而实证支持的治疗方法（EST）的传播可能会缓解这些问题。本研究通过考察农村诊所的当前治疗实践以及决策者对 EST 的态度和对其采用的感知障碍，为 EST 的传播奠定了基础。25 名农村和 38 名非农村临床主任对邮寄调查做出了回应。农村受访者报告在其诊所中使用 EST 治疗大多数焦虑症的可能性与非农村受访者一样大，而报告使用 EST 治疗重度抑郁症和强迫症的可能性则更大。然而，EST 仅占报告的抑郁症和焦虑症治疗方法的一小部分。两组对规范化 EST 的态度没有差异。此外，农村和非农村诊所并不认为采用 EST 的障碍是不可逾越的。这些初步结果表明，农村 CMHC 愿意使用 EST，应该将其纳入广泛的传播计划中。
