Anne K Schwabenbauer, John Merladet, Neil Metzner, Brea Salib, Kevin Siffert
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引用次数: 0
摘要
目标：本质量改进项目旨在为居家初级保健（HPBC）心理健康（MH）临床医生制定将基于测量的护理（MBC）融入其实践的指南，并获得参与项目的心理学家对其使用 MBC 治疗 HBPC 退伍军人心理健康问题的经验反馈：方法：根据 HBPC 心理健康社区的反馈意见，并与国家领导层协商，HBPC 心理学家工作组制定了一份针对 HBPC 退伍军人的 MBC 指南。八名 HBPC 心理学家在 53 名退伍军人中试用了经调整的 MBC 方法。参与试点的心理学家就测量管理、退伍军人对 MBC 的反应以及所感受到的益处和挑战提供了反馈意见：结果：试点参与者的反馈表明，MBC 是在 HBPC 中提供心理健康服务的一个非常有用的工具，尽管对具体的 MBC 测量方法的反馈各不相同。定性反馈主要是积极的，但参与者也指出了基于当前问题的性质和退伍军人特定特征的挑战：研究结果表明，MBC 可用于适当的 HBPC 退伍军人，并有可能为护理工作带来益处。还需要进一步研究，以明确在 HBPC 中提高或降低 MBC 实用性的因素：HBPC 医疗服务提供者认为 MBC 是一种有用的工具，尤其是在根据 HBPC 退伍军人的需求进行调整时。
Adapting Measurement-Based Care to VA Home-Based Primary Care Mental Health Treatment: A Quality Improvement Project.
Objectives: This quality improvement project sought to develop guidance for Home-Based Primary Care (HPBC) Mental Health (MH) clinicians on integrating Measurement-Based Care (MBC) into their practice and gain participating psychologists' feedback on their experience using MBC for treating mental health concerns with HBPC Veterans.
Methods: Based on feedback from the HBPC MH community and in consultation with national leadership, a workgroup of HBPC psychologists developed a guide tailoring MBC to HBPC Veterans. Eight HBPC psychologists piloted the adapted MBC approach with 53 Veterans. Participating psychologists provided feedback on measure administration, Veterans' responses to MBC, and perceived benefits and challenges.
Results: Pilot participants' feedback suggested that MBC can be a highly useful tool for delivering mental health services in HBPC, although feedback varied about specific MBC measures. Qualitative feedback was primarily positive, but participants noted challenges based on the nature of the presenting problem and Veteran-specific characteristics.
Conclusions: Findings indicate that MBC can be utilized with appropriate HBPC Veterans and has the potential to benefit care. Further research is needed to clarify factors that enhance or reduce MBC's utility within HBPC.
Clinical implications: HBPC MH providers identified MBC as a useful tool particularly when adapted to meet the needs of HBPC Veterans.
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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