灵活性与结构性可能会促进以家庭为中心的治疗在社区心理健康环境中的实施。
Flexibility and structure may enhance implementation of family-focused therapy in community mental health settings.
作者信息
Chung Bowen, Mikesell Lisa, Miklowitz David
机构信息
Center for Health Services and Society, Semel Institute for Neuroscience, David Geffen School of Medicine at UCLA, University of California at Los Angeles, 10920 Wilshire Boulevard, Suite 300, Los Angeles, CA, 90024, USA,
出版信息
Community Ment Health J. 2014 Oct;50(7):787-91. doi: 10.1007/s10597-014-9733-8. Epub 2014 May 9.
Abstract
This study elicited provider and administrator preferences in implementing an evidence-based practice (EBP) for bipolar disorder or psychosis, family-focused therapy (FFT). Providers (n = 35) and administrators (n = 5) from three community mental health centers took part in FFT training and participated in pre- and post-training focus groups. Transcripts were examined using conventional content analysis. Providers and administrators discussed barriers to implementing EBPs. Successful EBPs were described as incorporating flexibility and close supervision to maximize provider adherence. Providers expressed preferences for structured EBPs like FFT that have both explicit implementation steps and built-in flexibility.
摘要
本研究引出了医疗服务提供者和管理人员在实施针对双相情感障碍或精神病的循证实践（EBP）即家庭聚焦疗法（FFT）方面的偏好。来自三个社区心理健康中心的35名医疗服务提供者和5名管理人员参加了FFT培训，并参与了培训前和培训后的焦点小组。使用传统内容分析法对文字记录进行了审查。医疗服务提供者和管理人员讨论了实施循证实践的障碍。成功的循证实践被描述为兼具灵活性和密切监督，以最大限度地提高医疗服务提供者的依从性。医疗服务提供者表示更喜欢像FFT这样具有明确实施步骤和内在灵活性的结构化循证实践。
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