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在急性和强化治疗环境中为青少年实施基于证据的治疗。

Implementing Evidence-Based Treatments for Youth in Acute and Intensive Treatment Settings.

机构信息

Mayo Clinic, Rochester, Minnesota

Department of Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

出版信息

J Cogn Psychother. 2020 Aug 1;34(3):185-199. doi: 10.1891/JCPSY-D-20-00018.

Abstract

Evidence-based treatments (EBTs) have been well studied in outpatient and research settings to address a myriad of mental health concerns. Research studies have found benefits and challenges when implementing these interventions. However, less is known about the implementation of EBTs in acute and intensive treatment settings such as inpatient psychiatric hospitalization (IPH) units, partial hospitalization programs (PHPs), or intensive outpatient programs (IOPs). As a result, the specific benefits and challenges of providing EBTs in these settings are less clear. For example, challenges of implementing EBTs in IPHs, PHPs, and IOPs can include working within a multi-disciplinary team setting and sustaining trained staff. The current article provides an overview of implementing EBTs in IPHs PHPs, and IOPs. Current PHP, IOP, and IPH models of implementing evidence-based interventions along with strategies for engaging stakeholders, program development and implementation, and measurement are reviewed. Further considerations for sustainability and practice consideration are also provided.

摘要

循证治疗(EBT)已在门诊和研究环境中进行了充分研究,以解决各种心理健康问题。研究发现,在实施这些干预措施时存在益处和挑战。然而,对于在急性和强化治疗环境(如住院精神病院[IPH]病房、部分住院计划[PHP]或强化门诊计划[IOP])中实施 EBT 的了解较少。因此,在这些环境中提供 EBT 的具体益处和挑战尚不清楚。例如,在 IPH、PHP 和 IOP 中实施 EBT 的挑战可能包括在多学科团队环境中工作和维持经过培训的员工。本文概述了在 IPH、PHP 和 IOP 中实施 EBT 的情况。审查了实施循证干预措施的当前 PHP、IOP 和 IPH 模型,以及吸引利益相关者、项目开发和实施以及测量的策略。还提供了可持续性和实践考虑的进一步考虑。

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