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基层医疗行为健康服务提供模式劳动力的现状与未来。

The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce.

作者信息

Serrano Neftali, Cordes Colleen, Cubic Barbara, Daub Suzanne

机构信息

Primarycareshrink.com, 103 Harlow Bend, Chapel Hill, NC, 27516, USA.

Arizona State University, Tempe, AZ, USA.

出版信息

J Clin Psychol Med Settings. 2018 Jun;25(2):157-168. doi: 10.1007/s10880-017-9491-1.

DOI:10.1007/s10880-017-9491-1
PMID:28508140
Abstract

The growth of the Primary Care Behavioral Health model (PCBH) nationally has highlighted and created a workforce development challenge given that most mental health professionals are not trained for primary care specialization. This work provides a review of the current efforts to retrain mental health professionals to fulfill roles as Behavioral Health Consultants (BHCs) including certificate programs, technical assistance programs, literature and on-the-job training, as well as detail the future needs of the workforce if the model is to sustainably proliferate. Eight recommendations are offered including: (1) the development of an interprofessional certification body for PCBH training criteria, (2) integration of PCBH model specific curricula in graduate studies, (3) integration of program development skill building in curricula, (4) efforts to develop faculty for PCBH model awareness, (5) intentional efforts to draw students to graduate programs for PCBH model training, (6) a national employment clearinghouse, (7) efforts to coalesce current knowledge around the provision of technical assistance to sites, and (8) workforce specific research efforts.

摘要

初级保健行为健康模式(PCBH)在全国范围内的发展凸显并带来了劳动力发展挑战,因为大多数心理健康专业人员未接受过初级保健专业化培训。这项工作回顾了当前为使心理健康专业人员重新接受培训以履行行为健康顾问(BHC)职责所做的努力,包括证书课程、技术援助项目、文献及在职培训,还详细说明了若该模式要可持续地推广,劳动力未来的需求。文中提出了八项建议,包括:(1)为PCBH培训标准设立一个跨专业认证机构;(2)将PCBH模式特定课程纳入研究生学习;(3)在课程中融入项目开发技能培养;(4)努力培养了解PCBH模式的教员;(5)有意吸引学生参加PCBH模式培训的研究生项目;(6)设立一个全国性就业信息中心;(7)努力整合当前关于向各机构提供技术援助的知识;(8)针对劳动力的具体研究工作。

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Primary Care Behavioral Health Provider Training: Systematic Development and Implementation in a Large Medical System.初级保健行为健康提供者培训:在大型医疗系统中的系统开发与实施
J Clin Psychol Med Settings. 2016 Sep;23(3):207-24. doi: 10.1007/s10880-016-9464-9.
2
A Technical Assistance Framework to Facilitate the Delivery of Integrated Behavioral Health Services in Federally Qualified Health Centers (FQHCs).一个促进在联邦合格健康中心(FQHCs)提供综合行为健康服务的技术援助框架。
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Conceptualizing the Biopsychosocial-Spiritual Health Influences of Adverse Childhood Experiences and the Application of Primary Care Behavioral Health for Their Treatment.不良童年经历对生物心理社会-精神健康的影响概念化以及初级保健行为健康在其治疗中的应用。
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Barriers to and facilitators of using evidence-based, cognitive-behavioral anxiety interventions in integrated primary care practice.在综合初级保健实践中使用基于证据的认知行为焦虑干预措施的障碍和促进因素。
Psychol Serv. 2023 Nov;20(4):709-722. doi: 10.1037/ser0000696. Epub 2022 Aug 11.
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The Impact of Brief Interventions on Functioning Among those Demonstrating Anxiety, Depressive, and Adjustment Disorder Symptoms in Primary Care: The Effectiveness of the Primary Care Behavioral Health (PCBH) Model.简短干预对初级保健中表现出焦虑、抑郁和适应障碍症状者功能的影响:初级保健行为健康(PCBH)模式的有效性
J Clin Psychol Med Settings. 2022 Jun;29(2):318-331. doi: 10.1007/s10880-021-09826-9. Epub 2021 Oct 9.
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J Clin Psychol Med Settings. 2022 Sep;29(3):616-623. doi: 10.1007/s10880-021-09814-z. Epub 2021 Aug 21.
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Am J Med Qual. 2021;36(6):379-386. doi: 10.1097/01.JMQ.0000735472.47097.a1.
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Development of a Multicomponent Intervention to Initiate Health Behavior Change in Primary Care: The Kickstart Health Program.开发一种多成分干预措施以启动初级保健中的健康行为改变:启动健康计划
J Clin Psychol Med Settings. 2021 Dec;28(4):694-705. doi: 10.1007/s10880-020-09755-z. Epub 2021 Jan 5.
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