Application of Evidence-Based Treatment in Community Mental Health Settings: Examining EBT Delivery Duration and Client Discharge.
Application of Evidence-Based Treatment in Community Mental Health Settings: Examining EBT Delivery Duration and Client Discharge.
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DOI：
10.1007/s11414-021-09755-3
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Dorsey S
中科院分区：
文献类型：
--
作者：
Triplett NS;Woodard GS;AlRasheed R;Meza RD;Robinson S;Berliner L;Dorsey S
描述社区心理健康 (CMH) 治疗持续时间和出院情况是了解如何更好地满足客户需求的重要一步。本报告描述了参与国家资助的循证治疗 (EBT) 培训计划的临床医生的治疗持续时间和出院模式。经过培训和咨询后，临床医生 (N=376) 报告了他们“最完整病例”的治疗持续时间和出院情况。临床医生平均进行 12.4 次治疗（SD=5.1）。完成治疗后，一半的临床医生 (58.7%) 继续进行定期治疗，要么使用 EBT 元素，要么改用支持疗法。继续定期治疗的临床医生以大约相同数量的疗程进行治疗。结果显示，CMH 临床医生在完成治疗方案后通常不会停止治疗。这些发现表明，更好地了解临床医生将 EBT 应用于其病例的决策可能至关重要。
Characterizing community mental health (CMH) treatment duration and discharge is an important step toward understanding how to better meet client needs. This report describes patterns of treatment duration and discharge among clinicians participating in a state-funded evidence-based treatment (EBT) training initiative. After training and consultation, clinicians (N=376) reported on treatment duration and discharge for their “most complete case.” On average, clinicians delivered 12.4 sessions (SD=5.1) of the treatment. After completing treatment, half of clinicians (58.7%) continued with regularly-scheduled therapy, either using EBT elements or switching to supportive therapy. Clinicians who continued with regularly-scheduled therapy delivered treatment in approximately the same number of sessions. Results revealed that CMH clinicians often do not discontinue therapy after completing a treatment protocol. These findings suggest it may be essential to better understand clinician decision-making around applying EBTs to their caseloads.
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