Identification of Potential Therapist "Missteps" in the Context of Engagement in Public Mental Health Services: Analysis of Digital Recordings and Key Informant Validation.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-07-09 DOI:10.1080/10503307.2025.2521792

Hyun Seon Park, Kimberly D Becker, Wendy Chu, Kendal Reeder, Carolina Lechuga, Jonathan K Ahuna, Eleanor Wu, Lanalle Darden, Rosalyn Williams, Rosana Serrano, Bruce F Chorpita

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引用次数: 0

Abstract

Objective: This study aimed to characterize and validate potential therapist "missteps," or inadvertent behaviors that may impact youth and family engagement in mental health services.

Method: Ten misstep types were coded from 224 treatment sessions provided by 92 therapists. Rapid qualitative analysis using key informant interviews was conducted to examine insights related to the occurrence, expected impact, and perceived severity of therapist missteps as an indicator of the face validity of the missteps construct and types.

Results: All 10 misstep types demonstrated good reliability (Fleiss' k = .71-.88). All 10 misstep types appeared to have face validity with key informants. Key informants posited case-, therapist-, and setting-level factors that may increase frequency of therapist missteps.

Conclusion: Missteps can be reliably observed in youth psychotherapy and were deemed by community partners to be valid measures of behaviors that are potentially harmful to treatment engagement. Future directions involve exploring the impact of missteps on youth and family engagement and developing clinical supports to mitigate their occurrence and effects.

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在参与公共精神卫生服务的背景下识别潜在治疗师的“失误”：对数字记录和关键信息验证的分析。

目的：本研究旨在描述和验证潜在治疗师的“失误”，或可能影响青少年和家庭参与心理健康服务的无意行为。方法：对92名临床医师提供的224次治疗过程中的10种失足类型进行编码。使用关键信息提供者访谈进行快速定性分析，以检查与治疗师失误的发生，预期影响和感知严重性相关的见解，作为失误结构和类型的表面有效性的指标。结果：10种失足类型均具有良好的信度（Fleiss’k = 0.71 ~ 0.88）。所有10种失误类型似乎对关键线人都具有面部效度。关键信息提供者假设病例、治疗师和环境水平因素可能增加治疗师失误的频率。结论：在青少年心理治疗中可以可靠地观察到失误，并且被社区伙伴认为是对潜在有害治疗参与的行为的有效措施。未来的方向包括探索失误对青年和家庭参与的影响，并发展临床支持以减轻其发生和影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.