Valentine Sarah E, Ahles Emily M, Dixon De Silva Louise E, Patrick Kaylie A, Baldwin Molly, Chablani-Medley Anisha, Shtasel Derri L, Marques Luana
J Health Care Poor Underserved. 2019;30(2):841-865. doi: 10.1353/hpu.2019.0059.
Psychosocial interventions for common emotional and behavioral difficulties have been developed for use in correctional facilities, yet these programs are largely unavailable upon community re-entry due to a shortage of trained mental health specialists. In this study, we developed and piloted a youth worker-delivered cognitive behavioral therapy (CBT) program for young men at high risk for incarceration receiving services at a youth development organization. We formed a community-academic partnership to support the conduct of research across all phases of this project (2014-2016). We analyzed data gathered through focus groups and individual interviews with program staff, administrators, and young men. This study reports on implementation process and outcomes across phases. Main findings indicate the preliminary feasibility and acceptability of the youth worker-delivered CBT curriculum. We discuss strengths and limitations of our approach and provide suggestions for future studies that aim to implement paraprofessional-delivered CBT programs within community-based organizations.
针对常见情绪和行为问题的心理社会干预措施已被开发出来用于惩教机构，但由于缺乏训练有素的心理健康专家，这些项目在社区重新融入时大多无法提供。在本研究中，我们为一家青年发展组织中面临监禁高风险且正在接受服务的年轻男性开发并试点了一项由青年工作者提供的认知行为疗法（CBT）项目。我们建立了社区 - 学术伙伴关系，以支持该项目所有阶段（2014 - 2016年）的研究开展。我们分析了通过焦点小组以及与项目工作人员、管理人员和年轻男性进行的个人访谈收集到的数据。本研究报告了各阶段的实施过程和结果。主要研究结果表明了由青年工作者提供的CBT课程的初步可行性和可接受性。我们讨论了我们方法的优势和局限性，并为未来旨在在社区组织内实施由准专业人员提供的CBT项目的研究提供了建议。
