Adapting the Delivery of Functional Family Therapy Around the World During a Global Pandemic.
Adapting the Delivery of Functional Family Therapy Around the World During a Global Pandemic.
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DOI：
10.1007/s43477-021-00009-0
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Midouhas H
中科院分区：
文献类型：
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作者：
Robbins MS;Midouhas H
本文介绍了在COVID-19期间为支持在社区环境中全球提供功能性家庭治疗（FFT）而实施的措施。FFT是一种循证家庭疗法，已用于青少年司法，儿童福利，心理健康和学校环境中的青少年和家庭。FFT LLC是一个将FFT传播到社区环境的组织，目前支持全球350多个提供FFT的社区机构。本文使用Fixsen等人提出的实施框架（实施研究：文献综合，南佛罗里达大学，Louis de la Parte佛罗里达心理健康研究所，国家实施研究网络，2005年），描述了关键的实施驱动因素集（即，能力，组织和领导），促进了适应，以满足挑战，保持忠实于FFT的培训和临床服务过渡到在线平台。为了评估适应性是否与保真度和结局相关，关于治疗交付和基本结局的描述性信息（例如，从2020年3月15日到2020年9月1日的治疗师对模型的忠诚度，青年行为结果）与2019年同期进行了比较。于2020年，FFT LLC为超过11，000个家庭的治疗师提供支援，并与家庭进行超过35，000次电话会议。总体而言，结果显示，2019年和2020年的完成率（79%对75%）、治疗师保真度（3.77对3.94）和治疗师报告的结果相似，这表明可以使用远程治疗格式以保真度实现FFT模型。
This paper describes accommodations that were implemented to support the global delivery of Functional Family Therapy (FFT) in community-based settings during COVID-19. FFT is an evidence-based family therapy that has been used with youth and families in juvenile justice, child welfare, mental health, and school settings. FFT LLC, an organization that disseminates FFT into community settings, currently supports over 350 community-based agencies that deliver FFT globally. Using the implementation framework articulated by Fixsen et al. (Implementation research: a synthesis of the literature, University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network, 2005), this paper describes key sets of implementation drivers (i.e., competency, organizational, and leadership) that facilitated the accommodations made to meet the challenge of maintaining fidelity to FFT as training and clinical services were transitioned to online platforms. To evaluate if accommodations were associated with fidelity and outcomes, descriptive information about treatment delivery and basic outcomes (e.g., therapist fidelity to model, youth behavioral outcomes) from March 15, 2020, to September 1, 2020 were compared to the same period from 2019. During 2020, FFT LLC supported therapists who served over 11,000 families and conducted over 35,000 tele-sessions with families. Overall, results showed similar completion rates (79% vs. 75%), therapist fidelity (3.77 vs. 3.94), and therapist-reported outcomes in 2019 and 2020 (respectively), suggesting that delivering the FFT model can be implemented with fidelity using teletherapy formats.