Perspectives on Cognitive Therapy Training within Community Mental Health Settings: Implications for Clinician Satisfaction and Skill Development.
Perspectives on Cognitive Therapy Training within Community Mental Health Settings: Implications for Clinician Satisfaction and Skill Development.
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社区心理健康环境中认知治疗培训的观点：对临床医生满意度和技能发展的影响。
DOI：
10.1155/2012/391084
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发表时间：
2012
影响因子：
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通讯作者：
Crits-Christoph,Paul
中科院分区：
文献类型：
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作者：
WiltseyStirman,Shannon;Miller,ChristopherJ;Toder,Katherine;Calloway,Amber;Beck,AaronT;Evans,ArthurC;Crits-Christoph,Paul
尽管越来越多的证据表明认知疗法对抑郁症和自杀行为的益处超过常规护理，但与其他循证心理社会治疗（EBT）一样，它尚未在临床实践中广泛采用。研究表明，需要先进行培训，然后进行密集咨询，使提供者在认知疗法等复杂的多阶段治疗方案中具备适当的能力。鉴于培训在EBT实施中的关键作用，需要更多关于培训方案成功和挑战相关因素的信息。为了确定大型城市社区精神卫生系统中10个机构培训结果差异的潜在原因，我们探索了项目评估数据，并通过后续访谈检查了提供者，顾问和培训项目管理员的观点。认知疗法的看法，语境因素，以及对录音反馈的反应成为从访谈中确定的主题的大类。这些因素可能相互作用，影响临床医生努力学习认知疗法，并在实践中巧妙地提供它。调查结果突出了经验和利益攸关方的观点，可能有助于或多或少成功的培训成果。
Despite the mounting evidence of the benefits of cognitive therapy for depression and suicidal behaviors over usual care, like other evidence‐based psychosocial treatments (EBTs), it has not been widely adopted in clinical practice. Studies have shown that training followed by intensive consultation is needed to prepare providers to an appropriate level of competency in complex, multisession treatment packages such as cognitive therapy. Given the critical role of training in EBT implementation, more information on factors associated with the success and challenges of training programs is needed. To identify potential reasons for variation in training outcomes across ten agencies in a large, urban community mental health system, we explored program evaluation data and examined provider, consultant, and training program administrator perspectives through follow‐up interviews. Perceptions of cognitive therapy, contextual factors, and reactions to feedback on audio recordings emerged as broad categories of themes identified from interviews. These factors may interact and impact clinician efforts to learn cognitive therapy and deliver it skillfully in their practice. The findings highlight experiences and stakeholder perspectives that may contribute to more or less successful training outcomes.