Jones Emily, Manassis Katharina, Arnold Paul, Ickowicz Abel, Mendlowitz Sandra, Nowrouzi Behdin, Wilansky-Traynor Pamela, Bennett Kathryn, Schmidt Fred
Hospital for Sick Children, Toronto, ON, Canada.
Department of Psychiatry, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Community Ment Health J. 2015 Oct;51(7):852-6. doi: 10.1007/s10597-015-9882-4. Epub 2015 May 16.
This study aimed to determine the feasibility of translating cognitive behavioral therapy for anxious youth to rural-community settings via tele-psychiatry training. A 20-week group-supervision training program was delivered to ten different groups from different agencies within Northern Ontario. Each group consisted of four to nine clinicians with child therapy background not specific to CBT (n = 78, 51% social workers, 49% other mental health disciplines). Clinicians were each required to treat an anxious youth under supervision. Changes in clinician knowledge and youth internalizing symptoms were measured. Northern Ontario clinicians showed significant gains on a child CBT-related knowledge test (t (1, 52) = -4.6, p < .001). Although youth treated by these clinicians showed a significant decrease in anxiety symptoms, possible response bias and the lack of a comparison group mandate further studies before generalizing our findings. Nevertheless, training local therapists in anxiety-focused CBT for children via a group supervision based tele-psychiatry model appears to be a feasible and well-received approach to knowledge translation to rural settings.
本研究旨在确定通过远程精神病学培训将针对焦虑青少年的认知行为疗法推广至农村社区环境的可行性。为安大略省北部不同机构的十个不同小组提供了为期20周的小组督导培训项目。每个小组由四至九名具有儿童治疗背景但并非特定于认知行为疗法的临床医生组成（n = 78，51%为社会工作者，49%为其他心理健康学科）。要求每位临床医生在督导下治疗一名焦虑青少年。对临床医生的知识变化和青少年内化症状进行了测量。安大略省北部的临床医生在儿童认知行为疗法相关知识测试中取得了显著进步（t (1, 52) = -4.6，p < .001）。尽管接受这些临床医生治疗的青少年焦虑症状显著减轻，但在推广我们的研究结果之前，可能存在的反应偏差以及缺乏对照组需要进一步研究。尽管如此，通过基于小组督导的远程精神病学模式为当地治疗师提供针对儿童的聚焦焦虑认知行为疗法培训，似乎是一种可行且广受认可的向农村环境进行知识转化的方法。
