Barac Raluca, Kimber Melissa, Johnson Sabine, Barwick Melanie
a Child Health Evaluative Sciences, Research Institute , Hospital for Sick Children , Toronto , Canada.
b Department of Psychology , Memorial University of Newfoundland , St. John's , Canada.
J Evid Inf Soc Work. 2018 Sep-Oct;15(5):510-533. doi: 10.1080/23761407.2018.1480988. Epub 2018 Jun 8.
Despite the emerging literature documenting gains in clinician competence following consultation, little empirical work has examined consultation as an implementation strategy. To this end, the present study examined consultation in the context of implementing motivational interviewing in four community child and youth mental health organizations. We used qualitative methods with a dual goal: to describe the consultation process and to explore trainees' perspectives on consultation. Participants included 22 clinicians and 9 supervisors who received monthly, group, phone-based consultation for seven months following training in motivational interviewing. Analyses showed that consultation was perceived as effective because it helped to "keep motivational interviewing alive," fulfilled a profound learning function through collaboration and connection with others, and served as protected time for reflection on practice change. Our findings contribute to a body of knowledge about consultation elements that appear to be effective when implementing research-supported interventions in child and youth mental health.
尽管有新出现的文献记载了咨询后临床医生能力的提升，但很少有实证研究将咨询作为一种实施策略进行考察。为此，本研究在四个社区儿童和青少年心理健康组织实施动机性访谈的背景下考察了咨询。我们采用定性方法，有两个目标：描述咨询过程，并探索受训者对咨询的看法。参与者包括22名临床医生和9名督导，他们在接受动机性访谈培训后的七个月里每月接受一次基于电话的小组咨询。分析表明，咨询被认为是有效的，因为它有助于“使动机性访谈保持活力”，通过与他人合作和联系实现了深刻的学习功能，并为反思实践变革提供了受保护的时间。我们的研究结果有助于丰富有关咨询要素的知识体系，这些要素在儿童和青少年心理健康领域实施有研究支持的干预措施时似乎是有效的。
