• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>other >Community-Based Implementation of Trauma-Focused Interventions for Youth: Economic Impact of the Learning Collaborative Model
【2h】

Community-Based Implementation of Trauma-Focused Interventions for Youth: Economic Impact of the Learning Collaborative Model

机译：以社区为基础的针对青年的创伤性干预措施的实施：学习合作模式的经济影响

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This study investigated the economics of the learning collaborative (LC) model in the implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), an evidence-based intervention for traumatic stress in youth. We evaluated the cost-effectiveness of the LC model based on data from 13 LCs completed in the southeastern United States. Specifically, we calculated cost-effectiveness ratios (CERs) for two key service outcomes: (1) clinician TF-CBT competence, based on pre- and post-LC self-ratings (n = 574); and (2) trauma-related mental health symptoms (i.e., traumatic stress and depression), self- and caregiver-reported, for youth who received TF-CBT (n = 1,410). CERs represented the cost of achieving one standard unit of change on a measure (i.e., d = 1.0). The results indicated that (1) costs of $18,679 per clinician were associated with each unit increase in TF-CBT competency and (2) costs from $5,318 to $6,548 per youth were associated with each unit decrease in mental health symptoms. Thus, although the impact of LC participation on clinician competence did not produce a favorable CER, subsequent reductions in youth psychopathology demonstrated high cost-effectiveness. Clinicians and administrators in community provider agencies should consider these findings in their decisions about implementation of evidence-based interventions for youth with traumatic stress disorders.
机译：这项研究调查了学习型协作（LC）模型在创伤重点认知行为疗法（TF-CBT）实施中的经济效益，这是一种针对青少年创伤性应激的循证干预措施。我们根据在美国东南部完成的13个LC的数据评估了LC模型的成本效益。具体而言，我们针对以下两项关键服务结果计算了成本效益比（CER）：( 1）基于LC之前和之后的自我评估（n = 574），临床医生TF-CBT能力。 （2）对于接受TF-CBT的年轻人（n = 1,410），自我和照顾者报告的与创伤有关的心理健康症状（即，创伤压力和抑郁）。 CER表示在度量上实现一个标准变更单位的成本（即d = 1.0）。结果表明，（1）每位临床医生的成本与TF-CBT能力的每增加1单位相关；（2）每位年轻人从5,318美元至6,548美元的成本与每单位心理健康症状的减少相关。因此，尽管LC参与对临床医生能力的影响并未产生有利的CER，但随后的青年心理病理学研究减少显示出较高的成本效益。社区提供机构的临床医生和管理人员应在有关为创伤性应激障碍的年轻人实施循证干预的决策中考虑这些发现。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号