Standardized Patients as Drug Abuse Treatment Clients

描述(由申请人提供)： 对药物滥用治疗提供者的培训和监督的关键方面包括体验式(“动手”)学习以及对绩效的反馈。在卫生保健的其他领域，标准化患者(SP)在临床医生教育和监测的这些方面发挥着重要作用。此外，越来越多的文献表明，使用SPS对初级保健提供者进行培训和评估，以发现其患者的药物滥用问题并提供简短的干预措施。另一方面，关于使用SPS对社区药物滥用治疗提供者进行培训和监督的信息很少。标准化患者(也称为模拟患者)是经过培训的演员，旨在描绘具有特定条件的医疗保健消费者。到2002-2003学年，国家法医委员会(NBME)将把SPS作为医科学生测试的常规部分。外国医学毕业生教育委员会(ECFMG)几年来一直使用SPS来测试申请者的临床技能。大多数医学院(和许多其他健康专业教育项目)使用SPS来教育学员并评估学员实际表现的质量。据申请者所知，这种方法在社区药物滥用治疗环境中很少使用(如果有的话)。事实上，在药物滥用治疗提供者中使用SPS是否可行仍有待观察。这一试点项目旨在回答有关标准化患者方法对社区药物滥用治疗提供者进行培训和监督的可行性的基本问题。该项目将决定SPS是否能够可信地描绘公共部门药物滥用治疗客户。此外，这项研究还将评估SPS在多大程度上能够就药物滥用治疗提供者的表现提供有用的反馈。这项研究利用了俄勒冈健康与科学大学与SPS的长期合作。便利的是，该大学经营着行为健康诊所，提供者在那里接受了美国成瘾医学会(ASAM)患者安置标准、激励性访谈以及为有药物滥用和精神健康问题的客户提供认知行为治疗方法的培训。拟议的研究将审查卫生和植物检疫措施在这种环境中的可行性和实用性。

DESCRIPTION (provided by applicant): Key aspects of training and supervision for drug abuse treatment providers include experiential ("hands on") learning as well as feedback about performance. In other areas of health care, standardized patients (SPs) play important roles in these aspects of clinician education and monitoring. Moreover, there is a growing literature on use of SPs for training and evaluating primary care providers with regard to the detection of substance abuse problems among their patients and the provision of brief interventions. On the other hand, little information is available about use of SPs for training and supervision of community drug abuse treatment providers. Standardized patients (also known as simulated patients) are actors trained to portray health care consumers with specific conditions. The National Board of Medical Examiners (NBME) will include SPs as a regular part of medical student testing by the academic year 2002-2003. The Educational Commission for Foreign Medical Graduates (ECFMG) has used SPs for several years to test applicants' clinical skills. Most medical schools (and many other health professional education programs) use SPs to educate trainees and to assess the quality of the trainees' actual performances. To the applicants' knowledge, this approach has been used infrequently (if at all) in community drug abuse treatment settings. Indeed, it remains to be seen if use of SPs with drug abuse treatment providers will be feasible. This pilot project is designed to answer fundamental questions about feasibility of the standardized patient methodology for training and supervision of community drug abuse treatment providers. The project will determine whether or not SPs can believably portray public sector drug abuse treatment clients. In addition, the study will assess the extent to which SPs can provide useful feedback regarding drug abuse treatment provider performance. The study takes advantages of Oregon Health & Science University's longstanding work with SPs. Conveniently, the University operates the Behavioral Health Clinic where providers have received training in American Society of Addiction Medicine (ASAM) Patient Placement Criteria, motivational interviewing, and cognitive behavioral treatment approaches for clients with substance abuse and mental health problems. The proposed study will examine the feasibility and utility of SPs in this environment.