在现实世界的精神卫生保健设置致幻剂治疗的关键能力。

IF 3.7 2区 医学 Q1 PSYCHIATRY
Max Wolff , Hans Rutrecht , Gerhard Gründer , Andrea Jungaberle , Henrik Jungaberle
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引用次数: 0

摘要

迷幻药的治疗已经从研究单位扩展到医院、门诊诊所和社区实践。对比临床试验的约束程序与常规实践的现实,本文概述了在日常精神卫生保健中安全、有效和合乎伦理的迷幻治疗所需的能力。为了适应这些治疗的主流采用,我们提出的能力框架尊重迷幻治疗的独特背景和文化敏感性,同时保持在已建立的心理治疗,医学和科学范式中。该框架针对不同的服务模式而设计,是物质非特异性的(即涵盖各种经典和非典型迷幻剂)和跨理论的(即兼容认知-行为,心理动力学,人文-经验,系统和其他心理治疗方向)。该框架是在MIND基金会的增强心理治疗培训(APT)项目中开发的,涵盖了基本的心理治疗、生物医学、哲学、社会文化、存在主义、法律和自我体验领域,并将其转化为多专业合作、筛选、准备、剂量、整合和减少伤害的实用能力。虽然该框架有待在不同的临床环境中进行系统评估,但它为未来认可的认证途径和随着这些治疗进入主流护理而不断改进的临床医生培训提供了初步蓝图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Key competencies for psychedelic treatment in real-world mental health care settings
Psychedelic treatments are extending beyond research units and into hospitals, outpatient clinics, and community practices. Contrasting the constrained procedures of clinical trials with the realities of routine practice, this article outlines the competencies needed for safe, effective, and ethically sound psychedelic therapy in everyday mental health care. To accommodate mainstream adoption of these treatments, the competencies framework we present respects the distinctive contextual and cultural sensitivities of psychedelic care while remaining anchored in established psychotherapeutic, medical, and scientific paradigms. Designed for varied service models, the framework is substance-unspecific (i.e., covering various classical and atypical psychedelic agents) and transtheoretical (i.e., compatible with cognitive-behavioral, psychodynamic, humanistic-experiential, systemic and other psychotherapeutic orientations). Developed within the MIND Foundation's Augmented Psychotherapy Training (APT) program, the framework spans foundational psychotherapeutic, biomedical, philosophical, socio-cultural, existential, legal, and self-experiential domains and translates them into practical competencies for multi-professional cooperation, screening, preparation, dosing, integration, and harm-reduction. While the framework awaits systematic evaluation across diverse clinical contexts, it offers an initial blueprint for future accredited certification pathways and for the ongoing refinement of clinician training as these treatments enter mainstream care.
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来源期刊
General hospital psychiatry
General hospital psychiatry 医学-精神病学
CiteScore
9.60
自引率
2.90%
发文量
125
审稿时长
20 days
期刊介绍: General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.
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