Dissemination of supported employment in Department of Veterans Affairs
Dissemination of supported employment in Department of Veterans Affairs
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DOI：
10.1682/jrrd.2007.02.0043
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发表时间：
2007-01-01
影响因子：
--
通讯作者：
Rosenheck, Robert
中科院分区：
文献类型：
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作者：
Resnick, Sandra G.;Rosenheck, Robert
传播复杂的创新做法是精神卫生服务组织的主要挑战之一。虽然在为严重精神疾病患者制定循证做法方面取得了实质性进展，但制定大规模传播这种做法的方法却滞后了。2004年，退伍军人健康管理局开始在全国范围内宣传支持就业。与临床计划同时，还资助了一个研究项目，通过评估SE循证实践中两个级别培训的有效性和成本效益，研究促进项目成功实施的因素。本文回顾了传播工作和相关的研究项目。这一举措是迄今为止在美国任何单一医疗保健系统中最大的心理社会康复模式传播努力。我们审查的传播计划，包括开发一个导师培训系统在两个强度水平，定期现场和电话培训和监督，持续的保真度评估，并与基于Web的数据收集系统的国家成果监测。
The dissemination of complex innovative practices is one of the major challenges of mental health service organizations. Although substantial progress has been made in the development of evidence-based practices for people with severe mental illness, development of approaches for the large-scale dissemination of such practices has lagged. In 2004, the Veterans Health Administration began a national dissemination effort of supported employment (SE). Concomitant with the clinical initiative, a research project was funded to study the factors that promote successful program implementation through an evaluation of the effectiveness and cost-effectiveness of two levels of training in the evidence-based practice of SE. This article reviews the dissemination effort and associated research project. This initiative represents the largest dissemination effort of any psychosocial rehabilitation model to date in any single healthcare system in the United States. We review the dissemination plan, including development of a mentor-trainer system at two intensity levels, regular on-site and telephone training and supervision, ongoing fidelity evaluation, and national outcomes monitoring with a Web-based data collection system.