Implementing a Residential Dialectical Behavior Therapy Informed Treatment Model to Improve Adolescent Mental Health: Feasibility, Fidelity, and Acceptability

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-06-29 DOI:10.1080/0886571X.2022.2090481

K. Espenes, Pamela M. Waaler, Serap Keles, S. S. Helland, Henry Schmidt, J. Kjøbli, Anita J. Tørmoen

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引用次数: 1

Abstract

ABSTRACT Dialectical Behavior Therapy (DBT) is an outpatient treatment that addresses severe emotional and relational difficulties and is successfully applied across diagnoses, populations, and settings. In this feasibility study, we examined a residential DBT-informed treatment model in Norway, the Care and Development Model (CDM), aimed to improve adolescent mental health outcomes. Study participants included 42 adolescents (22 males and 20 females) with a mean age of 15.13 years (SD = 1.41, range 13–17 years), as well as the adolescents’ caregivers and residential staff. Data collection lasted from May 2018 until May 2021 and combined standardized self-report measures of program feasibility and acceptability, including treatment satisfaction and alliance, as well as customized program fidelity measures combining on-site observation and interviews with adolescents and staff, protocol data on treatment characteristics, and self-report checklists for treatment adherence. Results indicate that residential staff consider the implementation of CDM appropriate, but also distinct challenges were mentioned regarding the population and setting. Moderate to high satisfaction and alliance levels were reported by both adolescents and therapists. The CDM program shows promise and may be feasible and acceptable, although considerable effort to implement it is required. Implications for practice and research are discussed.

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实施住宅辩证行为治疗知情治疗模式改善青少年心理健康:可行性、保真度与可接受性

辩证行为疗法(DBT)是一种解决严重情感和关系困难的门诊治疗方法，已成功应用于各种诊断、人群和环境。在这项可行性研究中，我们检查了挪威的一种基于dbt的住院治疗模式，即护理和发展模式(CDM)，旨在改善青少年心理健康结果。研究对象包括42名青少年(22名男性，20名女性)，平均年龄15.13岁(SD = 1.41，范围13-17岁)，以及青少年的照顾者和住院工作人员。数据收集时间为2018年5月至2021年5月，结合治疗满意度、联盟性等项目可行性和可接受性的标准化自我报告指标，以及结合青少年和工作人员现场观察、访谈、治疗特征方案数据、治疗依从性自我报告清单等定制的项目保真度指标。结果表明，住院工作人员认为清洁发展机制的实施是适当的，但也提到了人口和环境方面的明显挑战。青少年和治疗师都报告了中度到高度的满意度和联盟水平。清洁发展机制计划显示了希望，可能是可行和可接受的，尽管实施它需要相当大的努力。讨论了对实践和研究的启示。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.