Patel Vikram, Naslund John A, Wood Sheena, Patel Anushka, Chauvin Joshua J, Agrawal Ravindra, Bhan Anant, Joshi Udita, Amara Margaux, Kohrt Brandon A, Singla Daisy R, Fairburn Christopher G
Department of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Focus (Am Psychiatr Publ). 2022 Summer;20(3):301-306. doi: 10.1176/appi.focus.20220042. Epub 2022 Jun 22.
Even before the COVID-19 pandemic, the needs for care of persons with mental illness remained largely unmet worldwide, testifying to the inadequacy of current approaches to mental health care and their unsuitability for the rising demand. One hurdle to improved access to quality care is the reliance on expensive specialist providers, particularly for the delivery of psychosocial interventions. This article describes EMPOWER, a not-for-profit program that builds on the clinical science demonstrating the effectiveness of brief psychosocial interventions for a range of psychiatric conditions; implementation science demonstrating the effectiveness of delivery of these interventions by non-specialist providers (NSPs); and pedagogical science demonstrating the effectiveness of digital approaches for training and quality assurance. The EMPOWER program leverages digital tools for training and supervising NSPs, designing competency-based curricula, assessing treatment-specific competencies, implementing measurement-based peer supervision for support and quality assurance, and evaluating impacts to enhance the effectiveness of the delivery system.
甚至在新冠疫情之前，全球范围内精神疾病患者的护理需求在很大程度上仍未得到满足，这证明了当前精神卫生保健方法的不足及其无法满足不断增长的需求。改善获得优质护理的一个障碍是依赖昂贵的专科医疗服务提供者，尤其是在提供心理社会干预方面。本文介绍了“赋权”（EMPOWER）项目，这是一个非营利性项目，它基于临床科学，该科学证明了简短心理社会干预对一系列精神疾病状况的有效性；基于实施科学，该科学证明了由非专科医疗服务提供者（NSPs）提供这些干预措施的有效性；以及基于教学科学，该科学证明了数字方法在培训和质量保证方面的有效性。“赋权”项目利用数字工具来培训和监督非专科医疗服务提供者、设计基于能力的课程、评估特定治疗能力、实施基于测量的同伴监督以提供支持和质量保证，以及评估影响以提高提供系统的有效性。
