重新连接希望:美国农村饮食失调的治疗

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Jenny E. Copeland, Jacob Hefner, Sarah E. Estep, Carolyn Black Becker
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引用次数: 0

摘要

饮食失调(EDs)是一个重大的公共卫生问题,每年影响数百万美国人。由于多种原因,许多患有急症的人经常被忽视,其中包括一种刻板印象,即急症患者主要是瘦弱、富裕的白人年轻女性和女孩。一个历来被忽视的群体是美国农村地区的贫困人群,事实上,他们患ed的风险可能会增加。Ozark中心的重新连接饮食失调治疗计划(REDTP)是美国认证社区行为健康组织(CCBHO)开发的第一个全面的,基于证据的,多学科的ED治疗计划。CCBHO是一个独特的经济可持续的综合护理模式,非常适合治疗生物心理社会疾病,如ED,因为CCBHO提供全方位的服务来治疗身体和心理健康。本文详细介绍了REDTP的开发,包括它的团队、障碍和成功。回顾了社区支持专家/重新连接教练和保健之家/医疗支持的作用,其中包括提供门诊护理和加强对最急性客户的治疗。REDTP增长的关键领域包括选择核心循证治疗,建立团队并定义团队角色,以及强化培训以发展循证ED专业知识。持续存在的障碍包括为少数病人提供强化治疗的人员配备限制。介绍了REDTP客户的成人案例研究。对未来的ED和其他专业治疗方案在低资源机构提供了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reconnecting Hope: The Treatment of Eating Disorders in Rural America
Eating disorders (EDs), a significant public health concern, impact millions of Americans every year. Many people with EDs are often overlooked for multiple reasons, including the stereotype that EDs predominantly affect thin, White, affluent young women and girls. One historically overlooked group is impoverished individuals in rural areas of the United States (U.S.), who may, in fact, be at an increased risk for EDs. The Reconnect Eating Disorders treatment program (REDTP) at Ozark Center is the first comprehensive, evidence-based, multidisciplinary ED treatment program to be developed in a Certified Community Behavioral Health Organization (CCBHO) in the U.S. CCBHOs are a unique model of financially sustainable integrated care well-suited to the treatment of biopsychosocial illnesses such as EDs because CCBHOs offer a full range of services to treat both physical and mental health. This paper details the development of REDTP, including its team, barriers, and successes. The role of Community Support Specialists/Reconnect Coaches and Healthcare Home/Medical Support is reviewed, which includes providing outpatient care and intensifying treatment for the most acute clients. Key domains of growth for REDTP included selecting core evidence-based treatments, building a team and defining team roles, and intensive training to develop evidence-based ED expertise. Persistent barriers included staffing limitations for providing intensive treatment to a small number of clients. Adult case studies of REDTP clients are presented. Recommendations for future ED and other specialized treatment programs in low resource agencies are provided.
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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