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弥合实施科学中的公平差距:为公共部门患有严重精神疾病的人群调整团体循证实践

Bridging the gap of Inequity in Implementation Science: Adaptations of Group EBPs for those with Serious Mental Illness in the Public Sector.

作者信息

Carr Erika R

机构信息

Department of Psychiatry, Yale University School of Medicine, 34 Park St., New Haven, CT, USA.

出版信息

Community Ment Health J. 2025 May;61(4):639-648. doi: 10.1007/s10597-024-01371-7. Epub 2024 Oct 19.

Abstract

There are many group EBPs that are now listed as effective treatments for those with serious mental illness (SMI). Despite this, there are few of these group EBPs that are being delivered consistently in the public sector, causing disparity. This article reviews the challenges that relate to implementation science and those with SMI receiving group EBPs to help them live a life of meaning as they define. The article discusses the need for adaptations of EBPs as individuals with complex concerns need different approaches to implementation science. Next, the article conveys what core constructs of group EBPs have to be maintained as they are and what elements of EBPs need adapting to empower those with SMI in engagement. This article provides knowledge of practical application of implementation science approaches while providing dialectical behavior group therapy and cognitive behavior group therapy for psychosis adaptations for those with SMI in a public sector inpatient setting.

摘要

现在有许多循证实践团体干预措施被列为严重精神疾病(SMI)患者的有效治疗方法。尽管如此,这些循证实践团体干预措施在公共部门持续实施的却很少,从而造成了差异。本文回顾了与实施科学相关的挑战,以及严重精神疾病患者接受循证实践团体干预措施以帮助他们按照自己的定义过上有意义生活的挑战。本文讨论了对循证实践进行调整的必要性,因为有复杂问题的个体需要不同的实施科学方法。接下来,本文阐述了循证实践团体干预措施的哪些核心构建必须保持不变,以及循证实践的哪些要素需要调整,以使严重精神疾病患者在参与过程中获得力量。本文在为公共部门住院环境中的严重精神疾病患者提供辩证行为团体治疗和精神病适应认知行为团体治疗的同时,提供了实施科学方法实际应用的知识。

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