Consultation as an Implementation Strategy for Evidence-Based Practices Across Multiple Contexts: Unpacking the Black Box

Consultation as an Implementation Strategy for Evidence-Based Practices Across Multiple Contexts: Unpacking the Black Box
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DOI:
10.1007/s10488-013-0502-8
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发表时间:
2013-11-01
影响因子:
2.6
通讯作者:
Beidas, Rinad S.
Beidas, Rinad S.
中科院分区:
医学3区
文献类型:
--
作者:
Nadeem, Erum;Gleacher, Alissa;Beidas, Rinad S.

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在学校和社区精神卫生环境中传播和实施针对儿童的循证治疗和做法引起了极大的兴趣。越来越多的文献表明,使用一次性研讨会作为培训工具在影响治疗师行为和患者结果方面是无效的,持续的专家咨询和指导对于实际理解和高质量的实施至关重要。然而,我们对专家咨询如何适应更大的执行支助系统或最有效的咨询战略的了解非常有限。本评论回顾了有关儿童心理健康咨询的文献,并提出了一套在实施儿童循证实践中应进一步研究的核心咨询功能、过程和结果。
There is great interest in the dissemination and implementation of evidence-based treatments and practices for children across schools and community mental health settings. A growing body of literature suggests that the use of one-time workshops as a training tool is ineffective in influencing therapist behavior and patient outcomes and that ongoing expert consultation and coaching is critical to actual uptake and quality implementation. Yet, we have very limited understanding of how expert consultation fits into the larger implementation support system, or the most effective consultation strategies. This commentary reviews the literature on consultation in child mental health, and proposes a set of core consultation functions, processes, and outcomes that should be further studied in the implementation of evidence-based practices for children.