Unintended Consequences of Evidence-Based Treatment Policy Reform: Is Implementation the Goal or the Strategy for Higher Quality Care?
Unintended Consequences of Evidence-Based Treatment Policy Reform: Is Implementation the Goal or the Strategy for Higher Quality Care?
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DOI：
10.1007/s10488-018-0853-2
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发表时间：
2018-07-01
影响因子：
2.6
通讯作者：
Chorpita, Bruce F.
中科院分区：
文献类型：
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作者：
Park, Alayna L.;Tsai, Katherine H.;Chorpita, Bruce F.
本研究调查了在全县范围内开展循证治疗（EBT）改革举措后的EBT提供模式。数据收集自60名青年和他们的21名提供者，他们被指示按照EBT计划提供治疗。结果表明，县支持的EBT的服务样本的适用性有限，大多数青年没有收到传统的EBT交付。研究结果表明，这可能是不现实的，期望提供者提供EBT与所有客户的忠诚，EBT的实施可能是最好的思想作为一种战略，以改善心理健康服务，而不是一个目标。
This study examined patterns of evidence-based treatment (EBT) delivery following a county-wide EBT reform initiative. Data were gathered from 60 youth and their 21 providers, who were instructed to deliver therapy as they normally would under the EBT initiative. Results showed limited applicability of county-supported EBTs to this service sample, and that most youth did not receive traditional delivery of EBTs. Findings suggest that it may be unrealistic to expect providers to deliver EBTs with fidelity with all clients, and that EBT implementation may be best thought of as a strategy for improving mental health services rather than a goal.