Trichotillomania Referral Education Awareness and Treatment (TREAT)

描述（由申请人提供）：拔毛癖（强迫性拔毛），或TTM，其特征是反复拔出自己的头发，导致明显的脱发。这种冲动控制障碍包括在拔毛之前或试图抵制行为时的紧张感增加;拔毛时的快乐，满足或缓解;以及临床上显著的社交，职业或其他重要功能领域的痛苦或损害。专家认为，美国可能有250万至1100万TTM患者（Diefenbach，Reitman，&威廉姆森，2000; Tay，Levy，& Metry，2004）。TTM很少在临床或研究环境中进行筛查，并且由于疾病的秘密性而经常无法识别。TTM是一种比较模糊、研究不足和治疗不足的精神疾病。患有TTM的人经常感到羞耻，自尊心差，感觉并与他人隔离。由于缺乏资源，为这一人口，丹雅国际公司，建议制定，评估和促进一个多成分的拔毛癖转介意识和治疗（TREAT）计划。TREAT的基本目标是告知和教育美容师，临床医生和其他利益相关者关于TTM，并为他们提供旨在帮助他们的患者/客户获得治疗这种疾病的工具。TREAT将旨在提高美容师对TTM的认识和知识，并帮助他们教育他们的客户有关TTM，以及旨在提高临床医生对TTM的认识和知识，并提供工具，帮助他们教育和治疗他们的患者。在第一阶段，我们将建立一个咨询小组;进行文献综述;制定指南，海报和小册子;与美容师和临床医生进行焦点小组讨论;并根据建议进行修改。我们还将与一组美容师和一组临床医生一起对材料进行可行性评估。在第二阶段，我们将开发额外的材料，包括临床医生TTM干预手册，临床医生在线课程，美容师CD-ROM光盘，恢复网站，教育视频和辅导员指南，以及简短的数字视频。还将对这两个阶段创建的所有产品进行全面评估。

DESCRIPTION (provided by applicant): Trichotillomania (compulsive hair pulling), or TTM, is characterized by the recurrent pulling out of one's own hair resulting in noticeable hair loss. This impulse-control disorder includes an increasing sense of tension immediately prior to pulling hair out or when attempting to resist the behavior; pleasure, gratification, or relief when pulling out hair; and clinically significant distress or impairment in social, occupational, or other important areas of functioning. Experts believe there are potentially 2.5 million to 11 million people with TTM in the United States (Diefenbach, Reitman, & Williamson, 2000; Tay, Levy, & Metry, 2004). TTM is rarely screened for in clinical or research settings and often goes unrecognized due to the secretive nature of the disorder. TTM is one of the more obscure, understudied, and undertreated psychiatric disorders. People with TTM often feel shame, poor self-esteem, and feel and become isolated from others. Because of the lack of resources for this population, Danya International, Inc., proposes to develop, evaluate, and promote a multicomponent Trichotillomania Referral Awareness and Treatment (TREAT) program. The fundamental goal of TREAT is to inform and educate cosmetologists, clinicians, and other stakeholders about TTM and provide them with tools designed to help their patients/clients obtain treatment for this disorder. TREAT will be designed to increase awareness and knowledge about TTM among cosmetologists, and to help them educate their clients about TTM, as well as be designed to increase awareness and knowledge about TTM among clinicians and provide tools to help them educate and treat their patients. In Phase I, we will establish an advisory group; conduct a literature review; develop the guides, posters, and brochures; conduct focus groups with cosmetologists and clinicians; and modify them as suggested. We will also conduct feasibility evaluations of materials with a group of cosmetologists and a group of clinicians. In Phase II, we will develop additional materials, including a TTM Intervention Manual for Clinicians, a Clinician Online Course, a Cosmetologist CD-ROM Tutorial, a Recovery Web Site, an Education Video and Facilitator's Guide, and a brief Digital Video. A full-scale evaluation of all products created in both phases will also be conducted.