Corrigan P W
University of Chicago Center for Psychiatric Rehabilitation, Tinley Park, IL 60477, USA.
Psychiatr Q. 1998 Fall;69(3):193-209. doi: 10.1023/a:1022149226408.
Carefully controlled, clinical research has shown psychiatric rehabilitation to significantly help persons with severe mental illness address their disabilities and obtain a higher quality of life. For psychiatric rehabilitation to yield its greatest effect, discrete principles and skills that are part of the rehabilitation paradigm must be disseminated to staff working in real-world settings. Staff training strategies that help the rehabilitation team develop effective programs are especially important. This paper reviews Interactive Staff Training (IST), an approach to team building and program development that combines educational and organizational strategies. IST comprises four stages--introduction to the system, program development, program implementation, and program maintenance--with each stage defined by behavioral tasks that engage the team and corresponding products that serve as markers of progress. Testing treatment dissemination strategies poses interesting problems for the researcher, some which are reviewed here. Outcome studies completed on IST are summarized in light of these problems. The paper ends with a consideration of some future directions for research in this area.
经过精心控制的临床研究表明，精神康复能显著帮助重度精神疾病患者克服自身残疾问题，从而获得更高的生活质量。为使精神康复发挥最大效果，康复模式中的特定原则和技能必须传授给在现实环境中工作的员工。有助于康复团队制定有效方案的员工培训策略尤为重要。本文回顾了互动式员工培训（IST），这是一种将教育和组织策略相结合的团队建设及方案开发方法。IST包括四个阶段——系统介绍、方案开发、方案实施和方案维护——每个阶段都由使团队参与其中的行为任务以及作为进展标志的相应成果来界定。测试治疗传播策略给研究人员带来了一些有趣的问题，本文将对其中一些问题进行探讨。鉴于这些问题，对IST所完成的结果研究进行了总结。本文最后考虑了该领域未来的一些研究方向。
