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住院治疗项目中辩证行为疗法的实施:基于社区机构的过程评估模型

Implementation of Dialectical Behavior Therapy in Residential Treatment Programs: A Process Evaluation Model for a Community-Based Agency.

作者信息

Holbrook Amber M, Hunt Susan R, See Mary Renata

机构信息

West Chester University, Reynolds Hall, Room 205, West Chester, PA, 19383, USA.

Resources for Human Development, Inc., 4700 Wissahickon Avenue, Philadelphia, PA, 19144, USA.

出版信息

Community Ment Health J. 2018 Oct;54(7):921-929. doi: 10.1007/s10597-017-0224-6. Epub 2018 Jan 12.

DOI:10.1007/s10597-017-0224-6
PMID:29330697
Abstract

Dialectical behavior therapy (DBT) can be challenging to implement in community-based settings. Little guidance is available on models to evaluate the effectiveness or sustainability of training and implementation efforts. Residential programs have much to gain from introduction of evidence-based practices, but present their own challenges in implementation. This paper presents a low-cost process evaluation model to assess DBT training piloted in residential programs. The model targets staff and organizational factors associated with successful implementation of evidence-based practices and matches data collection to the four stages of the DBT training model. The strengths and limitations of the evaluation model are discussed.

摘要

辩证行为疗法(DBT)在社区环境中实施可能具有挑战性。关于评估培训及实施工作的有效性或可持续性的模型,可获得的指导很少。住院治疗项目从引入循证实践中可获益良多,但在实施过程中也存在自身的挑战。本文提出了一种低成本的过程评估模型,以评估在住院治疗项目中试点的DBT培训。该模型针对与循证实践成功实施相关的工作人员和组织因素,并使数据收集与DBT培训模型的四个阶段相匹配。文中讨论了评估模型的优点和局限性。

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本文引用的文献

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Toward Treatment Integrity: Developing an Approach to Measure the Treatment Integrity of a Dialectical Behavior Therapy Intervention With Homeless Youth in the Community.迈向治疗完整性:开发一种方法来衡量针对社区中无家可归青少年的辩证行为疗法干预的治疗完整性。
Arch Psychiatr Nurs. 2016 Oct;30(5):568-74. doi: 10.1016/j.apnu.2016.04.001. Epub 2016 Apr 6.
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The Course and Evolution of Dialectical Behavior Therapy.辩证行为疗法的历程与发展
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3
The use of dialectical behavior therapy skills training as stand-alone treatment: a systematic review of the treatment outcome literature.
辩证行为疗法对住院青少年的疗效及可持续性:一项随访研究
Gen Psychiatr. 2021 Jul 30;34(4):e100452. doi: 10.1136/gpsych-2020-100452. eCollection 2021.
将辩证行为疗法技能训练作为独立治疗方法的应用:治疗结果文献的系统综述
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5
Barriers and solutions to implementing dialectical behavior therapy in a public behavioral health system.在公共行为健康系统中实施辩证行为疗法的障碍与解决方案。
Adm Policy Ment Health. 2014 Sep;41(5):608-14. doi: 10.1007/s10488-013-0504-6.
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Effectiveness and Implementation of Evidence-Based Practices in Residential Care Settings.寄宿护理环境中循证实践的有效性与实施情况
Child Youth Serv Rev. 2013 Apr 1;35(4):642-656. doi: 10.1016/j.childyouth.2013.01.007.
7
Implementing Dialectical Behaviour Therapy: programme survival in routine healthcare settings.实施辩证行为疗法:在常规医疗保健环境中维持项目的运行。
J Ment Health. 2012 Dec;21(6):548-55. doi: 10.3109/09638237.2012.689435. Epub 2012 Sep 7.
8
Utilization of evidenced based dialectical behavioral therapy in assertive community treatment: examining feasibility and challenges.在主张社区治疗中利用循证辩证行为疗法:考察可行性和挑战。
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