Battle Creek Veterans Affairs Medical Center, 5600 Armstrong Road, Battle Creek, MI 49037, USA.
Western Michigan University, 1903 West Michigan Avenue, Kalamazoo, MI 49008, USA.
Behav Sci (Basel). 2014 Aug 6;4(3):243-264. doi: 10.3390/bs4030243. eCollection 2014 Sep.
Creating useful treatment plans can help improve services to consumers of mental health services. As more evidence-based practices are implemented, deciding what treatment, at what time, for whom becomes an important factor in facilitating positive outcomes. Readiness for trauma-focused treatments for Posttraumatic Stress Disorder (PTSD) such as Cognitive Processing Therapy or Prolonged Exposure Therapy may influence whether an individual can successfully complete either protocol. In addition, components of adjunctive therapies such as Acceptance and Commitment Therapy or Dialectical Behavior Therapy may be useful in moving a particular patient toward readiness and successful completion of treatment. Psychological assessment adds valuable data to inform these types of treatment decisions. This paper describes the implementation of a psychological assessment clinic in a residential PTSD treatment setting. Barriers to implementation, use of the data, and Veterans' reactions to the feedback provided to them are included.
制定有用的治疗计划有助于改善心理健康服务消费者的服务。随着更多基于证据的实践的实施,决定何时、针对谁进行何种治疗成为促进积极结果的一个重要因素。创伤聚焦治疗创伤后应激障碍(PTSD)的准备情况,如认知加工疗法或延长暴露疗法,可能会影响个体是否能够成功完成任何一种方案。此外,附加疗法的组成部分,如接受和承诺疗法或辩证行为疗法,可能有助于使特定患者朝着准备和成功完成治疗的方向发展。心理评估为这些类型的治疗决策提供了有价值的数据。本文描述了在一个 PTSD 住院治疗环境中实施心理评估诊所的情况。包括实施障碍、数据的使用以及退伍军人对向他们提供的反馈的反应。