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影响青少年心理健康环境中结果测量反馈系统实施的因素。

Factors affecting the implementation of an outcome measurement feedback system in youth mental health settings.

机构信息

Faculty of Health, University of Canberra, Bruce, ACT, Australia.

Headspace National Youth Mental Health Foundation National Office, Melbourne, VIC, Australia.

出版信息

Psychother Res. 2021 Feb;31(2):171-183. doi: 10.1080/10503307.2020.1829738. Epub 2020 Oct 12.

Abstract

Measurement feedback systems provide clinicians with regular snapshots of a client's mental health status, which can be used in treatment planning and client feedback. There are numerous barriers to clinicians using outcome measures routinely. This study aimed to investigate factors affecting the use of a measurement feedback system across youth mental health settings. The participants were 210 clinicians from youth mental health services across Australia. They were surveyed on predictors and use of MyLifeTracker, a routine outcome measure. This was explored through three processes: looking at MyLifeTracker before session, using MyLifeTracker in treatment planning, and providing feedback of MyLifeTracker scores to clients. Clinicians were more likely to look at MyLifeTracker before session, less likely to use it in treatment planning, and least likely to provide MyLifeTracker scores to clients. Each measurement feedback system process had a distinct group of predictors. Perceptions of MyLifeTracker's practicality was the only significant predictor of all three processes. Practically, organisations and supervisors can increase the use of measurement feedback systems through targeted supports.

摘要

测量反馈系统为临床医生提供了客户心理健康状况的定期快照,可用于治疗计划和客户反馈。临床医生常规使用结果测量存在许多障碍。本研究旨在调查影响青少年心理健康环境中使用测量反馈系统的因素。参与者是来自澳大利亚青少年心理健康服务机构的 210 名临床医生。他们对 MyLifeTracker 的预测因素和使用情况进行了调查,MyLifeTracker 是一种常规的结果测量工具。这是通过三个过程来探索的:在治疗前查看 MyLifeTracker、在治疗计划中使用 MyLifeTracker 以及向客户提供 MyLifeTracker 分数反馈。临床医生更有可能在治疗前查看 MyLifeTracker,不太可能在治疗计划中使用它,最不可能向客户提供 MyLifeTracker 分数。每个测量反馈系统过程都有一个独特的预测因素组。对 MyLifeTracker 的实用性的看法是所有三个过程的唯一重要预测因素。实际上,组织和主管可以通过有针对性的支持来增加测量反馈系统的使用。

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