Saxe Glenn, Acri Mary
Department of Child and Adolescent Psychiatry, New York University, New York, USA.
The McSilver Institute for Poverty, Policy, and Research, The Silver School of Social Work, New York, USA.
Adm Policy Ment Health. 2017 Mar;44(2):155-159. doi: 10.1007/s10488-015-0714-1.
Improvements in the quality of mental health care in the United States depend on the successful implementation of evidence-based treatments (EBT's) in typical settings of care. Unfortunately, there is little evidence that EBT's are used in ways that would approximate their established fidelity standards in such settings. This article describes an approach to more successful implementation of EBT's via a collaborative process between intervention developers and intervention users (e.g. providers, administrators, consumers) called Lead-user Innovation. Lead-user Innovation democratizes the implementation process by integrating the expertise of lead-users in the delivery, adaptation, innovation and evaluation of EBT's.
美国心理健康护理质量的提升取决于在典型护理环境中成功实施循证治疗（EBT）。不幸的是，几乎没有证据表明在这些环境中EBT的使用方式能达到既定的保真度标准。本文介绍了一种通过干预开发者与干预使用者（如提供者、管理人员、消费者）之间的协作过程，即领先用户创新，来更成功地实施EBT的方法。领先用户创新通过整合领先用户在EBT的提供、调整、创新和评估方面的专业知识，使实施过程民主化。
