Managing and Adapting Practice: A System for Applying Evidence in Clinical Care with Youth and Families
Managing and Adapting Practice: A System for Applying Evidence in Clinical Care with Youth and Families
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DOI：
10.1007/s10615-013-0460-3
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发表时间：
2014-06-01
影响因子：
2.8
通讯作者：
Collins, Kathryn S.
中科院分区：
文献类型：
--
作者：
Chorpita, Bruce F.;Daleiden, Eric L.;Collins, Kathryn S.
对心理健康系统服务质量差距的担忧，以及越来越多关于经过科学检验的治疗方法的文献，导致了多项政策和实践倡议，呼吁在儿童心理健康系统中更多地使用经验支持的干预措施(ESIS)。尽管这些方法的有效性得到了证明，但仍有一些人担心，目前是否适合将esis作为提高服务系统质量的单一战略。提出的问题包括：(A)针对紧急事件的个别护理或适应的某些干预措施是否适当，以及(B)应急服务机构集体为青年和家庭提供全面服务的能力。因此，本文件概述了一种补充和扩展这项工作的战略，通过一个系统来组织和协调现有的ESI，以及在需要时建立和调整个性化的、循证的计划，使用专门的工具实时告知治疗设计、适应和评估。给出了一个病例，并讨论了对治疗和研究的启示。
Concerns about the gap between service quality in mental health systems and the growing literature on scientifically tested treatment approaches has led to multiple policy and practice initiatives calling for greater use of empirically supported interventions (ESIs) in children's mental health systems. Despite the demonstrated efficacy of these approaches, some concerns remain about the current suitability of ESIs as a single strategy for improving service system quality. Issues raised include (a) the appropriateness of some interventions for individualized care or adaptation in response to emergent events, and (b) the ability for ESIs collectively to yield a comprehensive service array for youth and families. The current paper thus outlines one strategy to complement and extend that work, through a system for organizing and coordinating currently available ESIs as well as for building and adjusting individualized, evidence-informed plans when needed, using dedicated tools to inform treatment design, adaptation, and evaluation in real time. A case example is presented, and implications for treatment and research are discussed.