Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 325 9th Avenue, Box 359911, 98104, Seattle, WA, USA.
Best Practices in Schizophrenia Treatment (BeST) Center, Northeast Ohio Medical University, Rootstown, OH, USA.
Community Ment Health J. 2019 Jul;55(5):755-767. doi: 10.1007/s10597-018-00365-6. Epub 2019 Jan 8.
Cognitive behavioral therapy for schizophrenia spectrum disorders is an evidence-based treatment that is recommended by United States schizophrenia treatment guidelines. Based on recent estimates, only 0.3% of individuals with a primary psychotic disorder are able to access this treatment in the United States. Stepped care interventions have shown promise as an applied treatment delivery model in other settings and for other psychotherapeutic interventions. The current paper describes how the stepped care model can be applied to CBT for psychosis in the US to increase access to the intervention in community mental health settings by leveraging the multidisciplinary team.
精神分裂症谱系障碍的认知行为疗法是一种循证治疗方法，被美国精神分裂症治疗指南推荐。根据最近的估计，在美国，只有 0.3%的首发精神病患者能够获得这种治疗。阶梯式护理干预已显示出在其他环境和其他心理治疗干预中作为一种应用治疗提供模式的潜力。本文描述了如何在美国将阶梯式护理模式应用于精神病的认知行为疗法，通过利用多学科团队，增加社区心理健康环境中干预措施的可及性。
