The Implementation of Mindfulness-Based Cognitive Therapy: Learning From the UK Health Service Experience
The Implementation of Mindfulness-Based Cognitive Therapy: Learning From the UK Health Service Experience
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DOI：
10.1007/s12671-012-0121-6
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发表时间：
2013-09-01
期刊：
影响因子：
3.6
通讯作者：
Kuyken, Willem
中科院分区：
文献类型：
--
作者：
Crane, Rebecca S.;Kuyken, Willem
基于正念的认知疗法（MBCT）是一种有效的抑郁症预防计划，适用于有复发性抑郁症病史的人。在英国，国家临床卓越研究所（NICE）建议MBCT是实施的优先事项。本文探讨了交流，合成和应用的证据和指导MBCT之间的学术设置产生的证据和提供从业人员的培训和实践设置的实施发生。五十七个参加讲习班的MBCT在NHS的实施被要求为他们的经验的促进者和实施的障碍，和英国范围内的在线调查103 MBCT教师和利益相关者进行。虽然MBCT开始在NHS中提供，但这很少是战略，连贯或适当资源方法的一部分。查明了一系列结构、政治、文化、教育、情感和物质/技术方面的障碍和妨碍执行的因素。自NICE首次推荐MBCT以来近十年，英国只有少数心理健康服务机构系统地实施了该指南。制定了实施的指导原则。我们提供实施资源，以促进MBCT知识转化为行动。
Mindfulness-based cognitive therapy (MBCT) is an effective depression prevention programme for people with a history of recurrent depression. In the UK, the National Institute for Clinical Excellence (NICE) has suggested that MBCT is a priority for implementation. This paper explores the exchange, synthesis and application of evidence and guidance on MBCT between the academic settings generating the evidence and delivering practitioner training and the practice settings where implementation takes place. Fifty-seven participants in a workshop on MBCT implementation in the NHS were asked for their experience of facilitators and obstacles to implementation, and a UK-wide online survey of 103 MBCT teachers and stakeholders was conducted. While MBCT is starting to become available in the NHS, this is rarely part of a strategic, coherent or appropriately resourced approach. A series of structural, political cultural, educational, emotional and physical/technological obstacles and facilitators to implementation were identified. Nearly a decade since NICE first recommended MBCT, only a small number of mental health services in the UK have systematically implemented the guidance. Guiding principles for implementation are set out. We offer an implementation resource to facilitate the transfer of MBCT knowledge into action.