Evidence-Based Assessment in Routine Mental Health Services for Youths.

Evidence-Based Assessment in Routine Mental Health Services for Youths.
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青少年常规心理健康服务的循证评估

DOI:
10.1176/appi.ps.201900537
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发表时间:
2021-03-01
影响因子:
3.8
通讯作者:
Hawley, Kristin M.
Hawley, Kristin M.
中科院分区:
医学3区
文献类型:
--
作者:
Cho, Evelyn;Tugendrajch, Siena K.;Marriott, Brigid R.;Hawley, Kristin M.

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循证评估 (EBA) 在提供有效治疗方面发挥着关键作用。然而,人们对治疗青少年的心理健康临床医生的评估实践以及支持 EBA 的因素知之甚少。作者研究了临床医生何时、如何以及在什么条件下进行 EBA。在两项多学科调查(总计 N=2,575)中,临床医生报告了他们进行治疗前、持续和治疗后评估的频率,以及他们在青少年日常护理中使用标准化措施的频率。尽管临床医生经常报告治疗前、治疗中和治疗后评估,但很少使用标准化措施。临床医生和实践环境特征预测了标准化测量的使用,而缺乏实用的评估工具似乎是青少年 EBA 使用标准化测量的障碍。许多临床医生在治疗期间进行评估,但更实际的措施和临床医生培训可以改善标准化措施与常规实践的整合。
Evidence-based assessment (EBA) plays a critical role in the delivery of effective treatments. However, little is known about the assessment practices of mental health clinicians who treat youths and the factors that support EBA. The authors examined when, how, and under what conditions clinicians conduct EBA. In two multidisciplinary surveys (combined N=2,575), clinicians reported how frequently they conducted pretreatment, ongoing, and posttreatment assessments and how frequently they used standardized measures in usual care of youths. Although clinicians reported frequent pretreatment, ongoing, and posttreatment assessments, use of standardized measures was rare. Clinician and practice setting characteristics predicted standardized measure use, and a lack of practical assessment tools appears to be a barrier to use of standardized measures in EBA of youths. Many clinicians conduct assessments during treatment, but more practical measures and clinician training may improve the integration of standardized measures into routine practice.
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