Facilitators and barriers associated with implementation of evidence-based psychotherapy in community settings.
Facilitators and barriers associated with implementation of evidence-based psychotherapy in community settings.
复制标题
在社区环境中实施循证心理治疗相关的促进因素和障碍。
DOI：
10.1176/appi.ps.201200508
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Frank,Ellen
中科院分区：
文献类型：
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作者：
Stein,BradleyD;Celedonia,KarenL;Kogan,JaneN;Swartz,HollyA;Frank,Ellen
目的尽管社区精神卫生诊所（CMHC）广泛使用个体门诊心理治疗，但很少有研究探讨这些心理治疗的实施情况。这项探索性的定性研究确定了与实施经验支持的心理治疗CMHC相关的关键主题。方法我们进行了半结构式访谈，12个关键的线人从4个CMHC培训的人际和社会节奏疗法（IPSRT）和分类重复的关键主题。结果确定了五个主要主题：培训前熟悉IPSRT，行政和管理支持，IPSRT“适合”与通常的做法和诊所文化，实施团队和计划，监督和咨询。来自成功实施IPSRT和未成功实施IPSRT的诊所的参与者对这些主题的讨论各不相同。受访者确定了促进执行的关键主题和若干战略。我们的研究结果表明，当这些关键因素存在时，即使在资源有限的诊所，也可以实施和维持提高疗效的治疗。
Objective Despite widespread use of individual outpatient psychotherapies in community mental health clinics (CMHCs), few studies have examined implementation of these psychotherapies. This exploratory qualitative study identified key themes associated with the implementation of an empirically supported psychotherapy in CMHCs. Methods We conducted semi-structured interviews with twelve key informants from four CMHCs trained in interpersonal and social rhythm therapy (IPSRT) and categorized recurring key themes. Results Five major themes were identified: pre- training familiarity with IPSRT, administrative and management support, IPSRT “fit” with usual practice and clinic culture, implementation team and plan, and supervision and consultation. Discussion of these themes varied between participants from clinics that had successfully implemented IPSRT and those that had not. Conclusions Interviewees identified both key themes and several strategies for facilitating implementation. Our findings suggest that when these key factors are present, outcome-enhancing treatments can be implemented and sustained, even in clinics with limited resources.