公共心理健康环境中循证心理社会治疗的培训与咨询：ACCESS模式。
Training and Consultation in Evidence-Based Psychosocial Treatments in Public Mental Health Settings: The ACCESS Model.
作者信息
Stirman Shannon Wiltsey, Spokas Megan, Creed Torrey A, Farabaugh Danielle T, Bhar Sunil S, Brown Gregory K, Perivoliotis Dimitri, Grant Paul M, Beck Aaron T
机构信息
The National Center for PTSD, Boston University Medical Center and Boston University.
出版信息
Prof Psychol Res Pr. 2010 Feb;41(1):48-56. doi: 10.1037/a0018099.
Abstract
We present a model of training in evidence-based psychosocial treatments (EBTs). The ACCESS (assess and adapt, convey basics, consult, evaluate, study outcomes, sustain) model integrates principles and findings from adult education and training literatures, research, and practical suggestions based on a community-based clinician training program. Descriptions of the steps are provided as a means of guiding implementation efforts and facilitating training partnerships between public mental health agencies and practitioners of EBTs.
摘要
我们提出了一种基于证据的心理社会治疗（EBTs）培训模式。ACCESS（评估与调整、传达基础、咨询、评估、研究结果、维持）模式整合了成人教育与培训文献、研究中的原则和发现，以及基于社区的临床医生培训项目的实用建议。文中提供了各步骤的描述，以指导实施工作，并促进公共心理健康机构与EBTs从业者之间的培训合作。
相似文献
1
Training and Consultation in Evidence-Based Psychosocial Treatments in Public Mental Health Settings: The ACCESS Model.公共心理健康环境中循证心理社会治疗的培训与咨询：ACCESS模式。
Prof Psychol Res Pr. 2010 Feb;41(1):48-56. doi: 10.1037/a0018099.
2
How often do community-based mental health providers educate and initiate PTSD treatment following training? Answering the question of reach.社区心理健康服务提供者在接受培训后，多久会开展创伤后应激障碍（PTSD）的教育及治疗工作？解答覆盖面的问题。
Implement Res Pract. 2021 May 31;2:26334895211011771. doi: 10.1177/26334895211011771. eCollection 2021 Jan-Dec.
3
Coordination of sustainable financing for evidence-based youth mental health treatments: protocol for development and evaluation of the fiscal mapping process.基于证据的青少年心理健康治疗可持续融资的协调：财政映射过程的开发与评估方案
Implement Sci Commun. 2022 Jan 4;3(1):1. doi: 10.1186/s43058-021-00234-6.
4
Perspectives on Cognitive Therapy Training within Community Mental Health Settings: Implications for Clinician Satisfaction and Skill Development.社区心理健康环境下认知疗法培训的视角：对临床医生满意度和技能发展的影响
Depress Res Treat. 2012;2012:391084. doi: 10.1155/2012/391084. Epub 2012 Sep 29.
5
The impact of implementation climate on community mental health clinicians' attitudes toward exposure: An evaluation of the effects of training and consultation.实施氛围对社区心理健康临床医生暴露态度的影响：培训与咨询效果评估
Implement Res Pract. 2021 Jan-Dec;2. doi: 10.1177/26334895211057883. Epub 2021 Dec 16.
6
Evidence-based psychosocial treatment in the community: considerations for dissemination and implementation.社区中基于证据的心理社会治疗：传播与实施的考量
Psychooncology. 2016 May;25(5):482-90. doi: 10.1002/pon.3864. Epub 2015 Jun 17.
7
Pilot evaluation of the Fiscal Mapping Process for sustainable financing of evidence-based youth mental health treatments: A comparative case study analysis.基于证据的青少年心理健康治疗可持续融资的财政映射过程试点评估：一项比较案例研究分析。
Implement Res Pract. 2024 May 9;5:26334895241249394. doi: 10.1177/26334895241249394. eCollection 2024 Jan-Dec.
8
Testing a community developed training protocol for an evidence-based treatment.测试一个基于社区开发的证据的治疗培训方案。
Eval Program Plann. 2022 Jun;92:102055. doi: 10.1016/j.evalprogplan.2022.102055. Epub 2022 Feb 13.
9
Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress: Lessons Learned From Prolonged Exposure Therapy for PTSD.创伤后应激障碍的基于证据的治疗方法传播的挑战与成功：从创伤后应激障碍延长暴露疗法中吸取的教训。
Psychol Sci Public Interest. 2013 May;14(2):65-111. doi: 10.1177/1529100612468841.
10
The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations.治疗师培训在心理社会治疗实施中的作用：综述与批评及建议。
Clin Psychol Rev. 2010 Jun;30(4):448-66. doi: 10.1016/j.cpr.2010.02.005. Epub 2010 Mar 1.
引用本文的文献
1
Prioritizing partnerships in school-based implementation research and practice: Applying the ACCESS model.在基于学校的实施研究与实践中确定伙伴关系的优先次序：应用ACCESS模型。
Evid Based Pract Child Adolesc Ment Health. 2025 Apr 13. doi: 10.1080/23794925.2025.2485085.
2
Preliminary investigation of an artificial intelligence-based cognitive behavioral therapy training tool.基于人工智能的认知行为疗法训练工具的初步调查
Psychotherapy (Chic). 2025 Mar;62(1):12-21. doi: 10.1037/pst0000550. Epub 2025 Jan 27.
3
What Really Matters in the Implementation of Evidence-based Practices in Community Mental Health? Insight and Recommendations from Experts, Providers, and Clients.在社区心理健康中实施基于证据的实践中真正重要的是什么？专家、提供者和客户的见解和建议。
Community Ment Health J. 2024 Nov;60(8):1557-1570. doi: 10.1007/s10597-024-01307-1. Epub 2024 Jun 22.
4
The : sustaining innovations in tertiary settings.在高等教育环境中的持续创新。 （注：原英文表述不太完整规范，推测完整意思大概如此）
Front Health Serv. 2023 Jun 8;3:1102428. doi: 10.3389/frhs.2023.1102428. eCollection 2023.
5
A thematic analysis of broker consultation in a TF-CBT community based learning collaborative.基于TF-CBT社区学习协作中经纪人咨询的主题分析
J Child Adolesc Trauma. 2022 Aug 3;16(2):197-208. doi: 10.1007/s40653-022-00472-3. eCollection 2023 Jun.
6
Developing the Workforce of the Digital Future: Leveraging Technology to Train Community-Based Mobile Mental Health Specialists.培养数字未来的劳动力：利用技术培训社区移动心理健康专家。
J Technol Behav Sci. 2022 Aug 3:1-7. doi: 10.1007/s41347-022-00270-6.
7
Expanding the reach of psychological science through implementation science: Introduction to the special issue.通过实施科学拓展心理科学的应用范围：特刊介绍。
Am Psychol. 2020 Nov;75(8):1033-1037. doi: 10.1037/amp0000774.
8
Training During a Pandemic: Successes, Challenges, and Practical Guidance From a Virtual Facilitated Learning Collaborative Training Program for Written Exposure Therapy.疫情期间的培训：虚拟促进学习协作培训计划在书面暴露疗法中的成功、挑战和实用指南。
J Trauma Stress. 2020 Oct;33(5):634-642. doi: 10.1002/jts.22589. Epub 2020 Oct 2.
9
Measurement Training and Feedback System for Implementation of family-based services for adolescent substance use: protocol for a cluster randomized trial of two implementation strategies.基于家庭的青少年物质使用服务实施的测量培训和反馈系统：两种实施策略的群组随机试验方案。
Implement Sci. 2019 Mar 11;14(1):25. doi: 10.1186/s13012-019-0874-6.
10
Stepped Care as an Implementation and Service Delivery Model for Cognitive Behavioral Therapy for Psychosis.阶梯式护理作为精神病认知行为疗法的实施和服务提供模式。
Community Ment Health J. 2019 Jul;55(5):755-767. doi: 10.1007/s10597-018-00365-6. Epub 2019 Jan 8.
本文引用的文献
1
Development of an Audio-Tape Review System for Supporting Adherence to an Evidence-Based Treatment.开发一种用于支持遵循循证治疗的录音带复习系统。
Prof Psychol Res Pr. 2008 Oct 1;39(5):553-560. doi: 10.1037/0735-7028.39.5.553.
2
Public-academic partnerships: the Beck Initiative: a partnership to implement cognitive therapy in a community behavioral health system.公立-学术合作组织：贝克倡议——一个将认知疗法应用于社区行为健康系统的合作项目。
Psychiatr Serv. 2009 Oct;60(10):1302-4. doi: 10.1176/ps.2009.60.10.1302.
3
The impact of evidence-based practice implementation and fidelity monitoring on staff turnover: evidence for a protective effect.循证实践的实施及保真度监测对员工流动率的影响：保护作用的证据
J Consult Clin Psychol. 2009 Apr;77(2):270-80. doi: 10.1037/a0013223.
4
Barriers to implementing treatment integrity procedures: survey of treatment outcome researchers.实施治疗完整性程序的障碍：治疗结果研究人员的调查
J Consult Clin Psychol. 2009 Apr;77(2):212-8. doi: 10.1037/a0015232.
5
Statewide adoption and initial implementation of contingency management for substance-abusing adolescents.全州范围内针对滥用药物青少年的应急管理的采用与初步实施。
J Consult Clin Psychol. 2008 Aug;76(4):556-67. doi: 10.1037/0022-006X.76.4.556.
6
An ethnographic study of implementation of evidence-based treatments in child mental health: first steps.一项关于儿童心理健康循证治疗实施情况的人种志研究：初步探索
Psychiatr Serv. 2008 Jul;59(7):738-46. doi: 10.1176/ps.2008.59.7.738.
7
The role of staff turnover in the implementation of evidence-based practices in mental health care.员工流动率在精神卫生保健中实施循证实践方面的作用。
Psychiatr Serv. 2008 Jul;59(7):732-7. doi: 10.1176/ps.2008.59.7.732.
8
Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy.多系统疗法一年后治疗师的依从性及组织因素对青少年行为问题改变的影响
Adm Policy Ment Health. 2008 Sep;35(5):379-94. doi: 10.1007/s10488-008-0181-z. Epub 2008 Jun 17.
9
Evidence-based treatment and practice: new opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care.循证治疗与实践：弥合临床研究与实践、增强知识基础并改善患者护理的新机遇。
Am Psychol. 2008 Apr;63(3):146-59. doi: 10.1037/0003-066X.63.3.146.
10
What is usual about "treatment-as-usual"? Data from two multisite effectiveness trials.“常规治疗”的常规之处是什么？来自两项多中心疗效试验的数据。
J Subst Abuse Treat. 2008 Dec;35(4):369-79. doi: 10.1016/j.jsat.2008.01.003. Epub 2008 Mar 12.
Zotero 插件