Center for Evaluation and Program Improvement, Peabody College, Vanderbilt University, Nashville, TN 37203, USA.
Adm Policy Ment Health. 2012 Mar;39(1-2):133-45. doi: 10.1007/s10488-012-0415-y.
This study explores the relationship between clinician-reported content addressed in sessions, measured with the Session Report Form (SRF), and multi-informant problem alerts stemming from a larger battery of treatment process and progress measures. Multilevel Multinomial Logit Models were conducted with 133 clinicians and 299 youths receiving home-based treatment (N = 3,143 sessions). Results indicate a strong relationship between session content and problems related to youth symptoms and functioning as reported by clinicians in the same session. Session content was related to emotional, family, and friend/peer problems reported by youth and youth behavioral problems reported by caregivers. High-risk problems (alcohol/substance use, harm to self or others) were strongly related to session content regardless of informant. Session content was not related to problem alerts associated with the treatment process, caregiver strain, or client/caregiver strengths. The SRF appears to be a useful measure for assessing common themes addressed in routine mental health settings.
本研究探讨了临床医生报告的治疗过程中所涉及的内容与多来源治疗进展和过程评估中的问题预警之间的关系。本研究采用多级多项逻辑回归模型，对 133 名临床医生和 299 名接受家庭治疗的青少年（共 3143 次治疗）进行了研究。结果表明，在同一治疗阶段，临床医生报告的治疗内容与青少年症状和功能相关的问题之间存在很强的关系。治疗内容与青少年和其照顾者报告的情绪、家庭和朋友/同伴问题以及青少年的行为问题有关。无论信息来源如何，高风险问题（酒精/药物使用、自残或伤害他人）都与治疗内容密切相关。治疗内容与治疗过程、照顾者压力或患者/照顾者优势相关的问题预警无关。SRF 似乎是评估常规心理健康治疗中常见主题的有用工具。
