Ludlow Chris, Hurn Russell, Lansdell Stuart
Child Wellbeing Practitioner Program (CYP IAPT), Postgraduate Studies Department, Anna Freud Centre, London, UK.
CYP IAPT Therapy Program, Postgraduate Studies Department, Anna Freud Centre, London, UK.
Adolesc Health Med Ther. 2020 Feb 11;11:21-28. doi: 10.2147/AHMT.S196492. eCollection 2020.
The CYP IAPT program has played a leading role in workforce development in the Child and Adolescent Mental Health Service (CAMHS) in England since its inception in 2011. Despite promising evidence of CYP IAPT's benefits, significant wait times for CAHMS have convinced policy makers that a new direction for CYP IAPT is required. Since 2017, the CYP IAPT program has changed its aim from workforce development to workforce expansion, with the project aiming to train 1700 new psychological practitioners by 2021. The CYP IAPT program now consists of three training streams (a) a low-intensity workforce, (b) a schools-based workforce, and (c) a high-intensity workforce based on the original CYP IAPT curriculum. The purpose of this paper is to outline the three CYP IAPT workforce streams. As will be reviewed, changes to CYP IAPT have occurred within the context of emerging ideas from dissemination science and government reviews that outline the shortcomings of traditional service models. Consequently, CYP IAPT practitioners are now increasingly being trained in the delivery of novel psychological interventions to address some of these shortcomings. A range of low-intensity interventions are being deployed by CYP IAPT practitioners to target mild-to-moderate anxiety, depression, and conduct. A recent meta-analysis indicates that low-intensity psychological interventions show promise for children and adolescents in efficacy trials. Nevertheless, further research is required to understand its effectiveness in real-world settings and to see if treatment effects are sustained over time. As such, this paper recommends that CYP IAPT services evaluate the long-term effectiveness of low-intensity work and subject their methods and findings to peer review.
自2011年成立以来，儿童和青少年心理健康服务（CAMHS）中的儿童和青少年心理治疗师改进与拓展计划（CYP IAPT）在劳动力发展方面发挥了主导作用。尽管有证据表明CYP IAPT有诸多益处，但儿童和青少年心理健康服务（CAHMS）的长时间等待让政策制定者确信，CYP IAPT需要一个新的方向。自2017年以来，CYP IAPT计划已将其目标从劳动力发展转变为劳动力扩充，该项目旨在到2021年培训1700名新的心理从业者。CYP IAPT计划现在包括三个培训方向：（a）低强度劳动力方向，（b）学校劳动力方向，以及（c）基于原始CYP IAPT课程的高强度劳动力方向。本文的目的是概述CYP IAPT的这三个劳动力方向。正如将要回顾的那样，CYP IAPT的变化是在传播科学和政府审查中出现的新思想背景下发生的，这些审查概述了传统服务模式的缺点。因此，CYP IAPT从业者现在越来越多地接受提供新型心理干预措施的培训，以解决其中一些缺点。CYP IAPT从业者正在部署一系列低强度干预措施，以针对轻度至中度焦虑、抑郁和行为问题。最近的一项荟萃分析表明，低强度心理干预在疗效试验中对儿童和青少年显示出前景。然而，需要进一步研究以了解其在现实环境中的有效性，以及治疗效果是否能长期持续。因此，本文建议CYP IAPT服务评估低强度工作的长期有效性，并将其方法和结果提交同行评审。
