A modified measurement-based care approach to improve mental health treatment engagement among racial and ethnic minoritized youth.
A modified measurement-based care approach to improve mental health treatment engagement among racial and ethnic minoritized youth.
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DOI：
10.1037/ser0000617
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发表时间：
2022-02-07
影响因子：
2.3
通讯作者：
McKay, Mary
中科院分区：
文献类型：
--
作者：
Connors, Elizabeth H.;Arora, Prerna G.;Resnick, Sandra G.;McKay, Mary
关键词：
尽管需求很高，但种族和民族少数群体（REM）青年比他们的白色同龄人更不可能从事心理健康治疗。对治疗相关性和可接受性以及不良治疗联盟的担忧已被证明会影响REM青少年和家庭的治疗参与，特别是保留。基于测量的护理（MBC）是一种以客户为中心的做法，在整个治疗过程中收集和使用客户报告的进展数据，以告知共同决策。MBC与增加客户参与治疗，改善客户-提供者沟通以及提高对治疗服务的满意度有关。尽管MBC作为一种治疗参与策略有希望，但尚未对REM青少年进行研究，也未对MBC进行系统性修改，以满足文化多样性人群的需求。在本文中，我们提出了一个文化修改版本的MBC，战略治疗评估与青年（STAY），以提高REM青年和家庭之间的治疗参与。具体而言，STAY旨在针对治疗的感知障碍，以改善治疗保留率，并最终改善客户结果。四个STAY组件（即，介绍，收集，分享，并采取行动）是基于现有的MBC实践框架和修改，以解决感知障碍的REM青年治疗。通过一个案例，该模型的临床工作的应用。最后，未来的研究方向，探索使用MBC作为治疗保留策略与REM人群提供。
Despite high levels of need, racial and ethnic minoritized (REM) youth are much less likely than their White peers to engage in mental health treatment. Concerns about treatment relevance and acceptability and poor therapeutic alliance have been shown to impact treatment engagement, particularly retention, among REM youth and families. Measurement-based care (MBC) is a client-centered practice of collecting and using client-reported progress data throughout treatment to inform shared decision-making. MBC has been associated with increased client involvement in treatment, improved client-provider communication, and increased satisfaction with treatment services. Despite its promise as a treatment engagement strategy, the use of MBC in this capacity has not been studied with REM youth or systematically modified to address the needs of culturally-diverse populations. In this paper, we propose a culturally-modified version of MBC, Strategic Treatment Assessment with Youth (STAY), to improve treatment engagement among REM youth and families. Specifically, STAY is designed to target perceptual barriers to treatment to improve treatment retention and ultimately, client outcomes. The four STAY components (i.e., Introduce, Collect, Share, and Act) are based on an existing MBC practice framework and modified to address perceptual barriers to treatment among REM youth. The application of this model to clinical efforts is presented via a case example. Finally, future research directions to explore the use of MBC as a treatment retention strategy with REM populations are provided.
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DOI：
10.1007/s10488-019-00928-z
发表时间：
2019-07-01
影响因子：
2.6
作者：
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通讯作者：
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DOI：
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影响因子：
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DOI：
10.1007/s10488-020-01063-w
发表时间：
2021-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Connors EH;Douglas S;Jensen-Doss A;Landes SJ;Lewis CC;McLeod BD;Stanick C;Lyon AR
通讯作者：
Lyon AR