Zoffness Rachel, Garland Ann, Brookman-Frazee Lauren, Roesch Scott
Child Youth Care Forum. 2009 Aug;38(4):185-200. doi: 10.1007/s10566-009-9077-7. Epub 2009 May 7.
Youth with disruptive behavior problems (DBPs) represent the majority of youth served in usual care (UC) psychotherapy, and are at high risk for maladaptive outcomes. Little is known about UC psychotherapeutic strategies utilized with this population. Researchers and clinicians suggest that case management (CM) is a major activity occurring in usual care. CM includes coordinating care with service providers and individuals, including schools, psychiatrists, and community-based services. This study assesses the prevalence and predictors of clinician use of CM in usual care. Results from this study suggest that CM is frequently used in UC psychotherapy with youth with DBPs. The extent of use of CM in UC may have implications for implementation of evidence-based practices in usual care psychotherapy.
有破坏性行为问题（DBP）的青少年占常规护理（UC）心理治疗服务对象的大多数，并且出现适应不良结果的风险很高。对于针对这一人群所采用的常规护理心理治疗策略，人们了解甚少。研究人员和临床医生表明，病例管理（CM）是常规护理中的一项主要活动。病例管理包括与服务提供者和个人协调护理，这些人包括学校、精神科医生和社区服务机构。本研究评估了临床医生在常规护理中使用病例管理的普遍性及预测因素。该研究结果表明，病例管理经常用于对有破坏性行为问题的青少年进行的常规护理心理治疗中。常规护理中病例管理的使用程度可能会对常规护理心理治疗中循证实践的实施产生影响。
