AFFIRM Mental Health, LLC, 2090 East Palomino Drive, Gilbert, AZ, 85296, USA.
Montefiore Medical Center/ Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY, 10467, USA.
Community Ment Health J. 2024 Apr;60(3):411-425. doi: 10.1007/s10597-023-01214-x. Epub 2023 Dec 27.
Clinical pathways are structured multidisciplinary care plans used by treatment providers to detail essential steps in the care of patients based on assessment of their current health care needs and motivation and commitment for treatment. Reducing unnecessary variations in care and streamlining treatment processes in mental health settings may promote efficiency and help support quality improvement efforts. (Rotter et al., 2019) In this article we will describe the development of clinical pathways, coined Patient Centered Clinical Tracks (PCCT) in an outpatient community mental health clinic in an academic medical center in New York City. PCCT is comprised of six different clinical pathways that include: Medication & Engagement, Supportive Therapy, Dialectal-Behavior Therapy, Cognitive-Behavioral Therapy/Acceptance Commitment-Therapy, Relational Therapy and THRIVE (a Trauma Specialty Program). We will present the six Clinical Tracks and describe the early implementation of this model. We will explore how this programmatic infrastructure can connect evidence to practice and address multiple systemic challenges faced in a community mental health setting with a strong emphasis on training.
临床路径是一种结构化的多学科护理计划，由治疗提供者使用，根据患者当前的医疗需求以及治疗的动机和承诺，详细说明患者护理的基本步骤。在精神卫生环境中减少护理的不必要差异并简化治疗流程可以提高效率，并有助于支持质量改进工作。（Rotter 等人，2019 年）在本文中，我们将描述在纽约市一所学术医疗中心的社区门诊精神卫生诊所中制定的临床路径，命名为以患者为中心的临床路径（PCCT）。PCCT 包括六个不同的临床路径，包括：药物治疗和参与、支持性治疗、辩证行为疗法、认知行为疗法/接受承诺疗法、关系治疗和 THRIVE（创伤专科计划）。我们将介绍这六个临床路径，并描述该模型的早期实施情况。我们将探讨该计划架构如何将证据与实践联系起来，并解决社区精神卫生环境中面临的多个系统挑战，重点是培训。
