Readiness to Implement an Evidence-Based Psychotherapy: Perspectives of Community Mental Health Clinicians and Administrators.
Readiness to Implement an Evidence-Based Psychotherapy: Perspectives of Community Mental Health Clinicians and Administrators.
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准备实施循证心理治疗：社区心理健康临床医生和管理人员的观点。
DOI：
10.1176/appi.ps.201400424
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Stein,BradleyD
中科院分区：
文献类型：
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作者：
Hamm,Megan;Williams,Kelly;Nikolajski,Cara;Celedonia,KarenL;Frank,Ellen;Swartz,HollyA;Zickmund,SusanL;Stein,BradleyD
在社区精神卫生诊所使用循证心理疗法可以显着改善患者的功能。本研究探讨了与实施人际和社会节律疗法（IPSRT）相关的感知促进者和障碍，IPSRT是一种针对双相情感障碍的循证心理疗法。MethodsThe作者对来自五个社区精神卫生诊所的诊所管理者、主管和临床医生进行了30分钟的半结构化访谈，重点关注与实施IPSRT相关的预期障碍和促进者。（四名管理员，三名主管和十名临床医生）完成了访谈。有效实施的重要障碍包括客户经常不出现，从培训过渡到实践的困难以及时间限制。促进者包括从主管和其他临床医生的支持，降低生产力的要求或补偿所花费的时间，而学习IPSRT，和references.ConclusionsAdministrators和临床医生表示类似的信念有关的促进者和障碍实施IPSRT。在以前的研究中，高未入住率的挑战并没有被确定为一个障碍。
ObjectiveUsing evidence-based psychotherapies in community mental health clinics could significantly improve patient functioning. This study explored perceived facilitators and barriers related to implementing interpersonal and social rhythm therapy (IPSRT), an evidence-based psychotherapy for bipolar disorder.MethodsThe authors conducted 30-minute semistructured interviews with clinic administrators, supervisors, and clinicians from five community mental health clinics focusing on anticipated barriers and facilitators related to implementing IPSRT.ResultsSeventeen participants (four administrators, three supervisors, and ten clinicians) completed the interviews. Important barriers to effective implementation included frequent client no-shows, difficulties transitioning from training to practice, and time constraints. Facilitators included support from supervisors and other clinicians, decreased productivity requirements or compensation for time spent while learning IPSRT, and reference materials.ConclusionsAdministrators and clinicians expressed similar beliefs about facilitators and barriers related to implementing IPSRT. The challenge of high no-show rates was not identified as a barrier in previous research.