Centre for Addiction and Mental Health, Forensic Dual Diagnosis Specialty Service, Toronto, Canada.
George Brown College, Behavioural Science Program, Toronto, Canada.
J Interprof Care. 2020 Mar-Apr;34(2):233-240. doi: 10.1080/13561820.2019.1633292. Epub 2019 Aug 8.
Interprofessional collaboration has become a sought-after component of quality mental health care. Higher education institutions and mental health organizations seek to equip clinicians with the ability to provide cohesive clinical services while working collaboratively with a diverse group of professionals. Although research suggests that there may be benefits of interprofessional collaboration in mental health settings, collaborative practice initiatives have struggled with conceptual and methodological limitations. A behaviour analytic contribution to interprofessional care provides a philosophical position with an analytical goal distinguished by the prediction and influence of events, theoretical clarity, and methodological rigour that are needed within interprofessional research and practice. At the philosophical level, the extension of functional contextualism to interprofessional care research may provide a framework to achieve the valued ends of improving interprofessional collaboration and ultimately improving health-related outcomes for service users. Interprofessional collaboration can be conceptualized as metacontingency, a behaviour analytic concept that allows for a group level analysis of contributing social components. This paper uses the example of mental health care to guide a conceptual analysis of the potential application of behaviour analytic methodology within interprofessional practice, research, and education.
跨专业合作已成为优质心理健康护理的重要组成部分。高等教育机构和心理健康组织都希望使临床医生具备在与不同专业人员协作的同时提供连贯临床服务的能力。尽管研究表明,在心理健康环境中可能存在跨专业合作的好处,但合作实践倡议一直受到概念和方法学限制的困扰。行为分析对跨专业护理的贡献提供了一种哲学立场,其分析目标是通过对事件的预测和影响、理论清晰度以及在跨专业研究和实践中所需的方法严谨性来区分。在哲学层面上,将功能语境主义扩展到跨专业护理研究中,可能为实现提高跨专业合作并最终改善服务使用者健康相关结果的有价值目标提供一个框架。跨专业合作可以被概念化为元连续,这是一种行为分析概念,允许对促成社会成分的群组水平进行分析。本文以心理健康护理为例,指导对行为分析方法在跨专业实践、研究和教育中的潜在应用进行概念分析。