Implementation case study: Multifamily group intervention in first-episode psychosis programs.
Implementation case study: Multifamily group intervention in first-episode psychosis programs.
复制标题
DOI：
10.1111/eip.13066
复制
发表时间：
2021-10
影响因子：
2
通讯作者：
Kline E
中科院分区：
文献类型：
--
作者：
Browne J;Sanders AS;Friedman-Yakoobian M;Guyer M;Keshavan M;Kim B;Kline E
家庭干预是首发精神病治疗的核心组成部分；然而，一直有低执行率的报告。因此，需要开展工作来了解影响现实世界治疗交付的因素。本文描述了mcfarlane模型多家庭心理教育团体（MFG）在单一状态下建立的FEP早期干预计划中的实施情况。目的是检查：(1)MFG的培训参与和实施，(2)实施的障碍和促进因素，以及(3)对MFG的修改。来自六个已建立的FEP早期干预项目的从业者在MFG接受了面对面的培训和持续的咨询。培训参与数据通过出勤获得，实施结果从从业者报告中获得。在最初的培训后15个月，从业者报告了临床特定障碍、促进因素和四类（环境、干预、从业者和接受者）的修改。6个诊所的23名从业人员接受了当面培训，并提供持续咨询以支持实施。开始MFG的困难是突出的，因为最早的一组是在初始培训后7个月进行的，因此导致小组的总体频率较低。许多跨越背景、干预、从业者和接受者领域的障碍被注意到，其中大多数是临床特异性的。尽管面临挑战，从业人员还是确定了几个促进因素，并对干预措施及其实施服务的交付进行了修改。该实施案例研究的结果强调了在实际FEP早期干预项目中提供MFG的挑战。此外，本文强调了在实施MFG时识别和解决临床特定因素的价值。
Family interventions are a core component of first-episode psychosis (FEP) treatment; however, low implementation rates are consistently reported. As such, work is needed to understand the factors impacting real-world treatment delivery. The present paper describes the implementation of the McFarlane-model multifamily psychoeducational groups (MFG) in established FEP early intervention programs within a single state. The aims were to examine: (1) training participation and implementation of MFG, (2) barriers and facilitators to implementation, and (3) modifications made to MFG. Practitioners from six established FEP early intervention programs received in-person training and ongoing consultation in MFG. Training participation data were obtained via attendance and implementation outcomes were obtained from practitioner reports. Fifteen months following the initial training, practitioners reported on clinic-specific barriers, facilitators, and modifications across four categories (context, intervention, practitioner, and recipient). Twenty-three practitioners across six clinics received in-person training and were offered ongoing consultation to support implementation. Difficulties in starting MFG were salient as the earliest group was run seven months after the initial training, thereby resulting in low overall frequency of groups. A number of barriers spanning context, intervention, practitioner, and recipient domains were noted, the majority of which were clinic-specific. Despite challenges, practitioners identified several facilitators and made modifications to the intervention and its delivery in service of implementation. Results from this implementation case study highlighted the challenges of delivering MFG in real-world FEP early intervention programs. Further, this paper emphasizes the value in identifying and addressing clinic-specific factors when implementing MFG.
登录
查看更多内容
影响因子：
5.7
作者：
Cohen, Amy N.;Glynn, Shirley M.;Young, Alexander S.
通讯作者：
Young, Alexander S.
影响因子：
3.8
作者：
Cohen, Amy N.;Glynn, Shirley M.;Dixon, Lisa B.
通讯作者：
Dixon, Lisa B.
影响因子：
3
作者：
Jewell, Thomas C.;Downing, Donna;McFarlane, William R.
通讯作者：
McFarlane, William R.
影响因子：
1.9
作者：
Bucci, Sandra;Berry, Katherine;Haddock, Gillian
通讯作者：
Haddock, Gillian
影响因子：
2.7
作者：
Kim, Hea-Won;Salyers, Michelle P.
通讯作者：
Salyers, Michelle P.