National Center for PTSD, VA Boston Healthcare System, and Boston University School of Medicine, Boston, MA
National Center for PTSD, VA Boston Healthcare System, and Boston University School of Medicine, Boston, MA.
Perspect Psychol Sci. 2011 Sep;6(5):503-6. doi: 10.1177/1745691611416995.
Clinical psychology as a profession owes much to the recognition of the psychosocial needs of servicemen and women returning from World War II and the Korean conflict. The current conflicts in Iraq and Afghanistan represent another opportunity for substantial advancements in assessment and treatment practices. Stimulated by the prescient article by Kazdin and Blase (2011), we briefly describe innovations in evidence-based practices currently being implemented in the Veterans Health Administration to best serve the more than 2 million returning servicemen and women. The largest healthcare system in the nation, the U.S. Department of Veterans Affairs began a wide range of innovations early this century to include dissemination of evidence-based mental health treatments, the use of anonymous Internet-based interventions to reach large numbers of military personnel who may not otherwise present for mental health service, the use of videoconferencing to deliver assessment and treatment to individuals residing in remote locations, and the use of laypersons (e.g., peers) for treatment delivery. In addition to describing the strengths of these efforts to reduce mental health burden, we also discuss persisting barriers and limitations of these innovative efforts within this system of healthcare.
临床心理学作为一门专业,很大程度上得益于人们对二战和朝鲜冲突归来的军人的社会心理需求的认识。目前在伊拉克和阿富汗的冲突为评估和治疗实践的重大进展提供了另一个机会。受到 Kazdin 和 Blase(2011)的有先见之明的文章的启发,我们简要描述了目前在退伍军人健康管理局实施的循证实践创新,以最好地为超过 200 万退伍军人服务。作为全国最大的医疗保健系统,美国退伍军人事务部在本世纪初开始了广泛的创新,包括传播循证心理健康治疗方法,使用匿名互联网干预措施来接触可能不会寻求心理健康服务的大量军人,使用视频会议为居住在偏远地区的个人提供评估和治疗,以及使用非专业人员(例如同伴)进行治疗。除了描述这些努力的优势,以减轻心理健康负担,我们还讨论了这些创新努力在这个医疗保健系统中持续存在的障碍和限制。