Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

Beidas Rinad S.; Adams Danielle R.; Kratz Hilary E.; Jackson Kamilah; Berkowitz Steven; Zinny Arturo; Cliggitt Lauren Pilar; DeWitt Kathryn L.; Skriner Laura; Evans Arthur Jr.

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Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

机译：在费城建立具有创伤信息的公共行为卫生系统时吸取的教训

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Exposure to traumatic experiences among youth is a serious public health concern. A trauma-informed public behavioral health system that emphasizes core principles such as understanding trauma, promoting safety, supporting consumer autonomy, sharing power, and ensuring cultural competence, is needed to support traumatized youth and the providers who work with them. This article describes a case study of the creation and evaluation of a trauma-informed publicly funded behavioral health system for children and adolescents in the City of Philadelphia (the Philadelphia Alliance for Child Trauma Services; PACTS) using the Exploration, Preparation, Implementation, and Sustainment (EPIS) as a guiding framework. We describe our evaluation of this effort with an emphasis on implementation determinants and outcomes. Implementation determinants include inner context factors, specifically therapist knowledge and attitudes (N=114) towards evidence-based practices. Implementation outcomes include rate of PTSD diagnoses in agencies over time, number of youth receiving TF-CBT over time, and penetration (i.e., number of youth receiving TF-CBT divided by the number of youth screening positive on trauma screening). We describe lessons learned from our experiences building a trauma-informed public behavioral health system in the hopes that this case study can guide other similar efforts. (C) 2016 Elsevier Ltd. All rights reserved.

机译：青年人遭受创伤的经历是严重的公共卫生问题。需要一个受创伤影响的公共行为卫生系统，该系统强调诸如了解创伤，促进安全，支持消费者自治，分享权力以及确保文化能力等核心原则，以支持受创伤的青年以及与之合作的提供者。本文描述了一个案例研究，该案例使用探索，准备，实施和开发方法，创建并评估了费城市针对儿童和青少年的创伤知情公共资助的行为健康系统（费城儿童创伤服务联盟； PACTS）。可持续性（EPIS）作为指导框架。我们描述了对这项工作的评估，重点是实施决定因素和成果。实施决定因素包括内部情境因素，特别是治疗师的知识和对循证实践的态度（N = 114）。实施结果包括随着时间推移机构中PTSD的诊断率，随着时间推移接受TF-CBT的青年人数和普及率（即接受TF-CBT的青年人数除以创伤筛查阳性的青年筛查人数）。我们描述了从我们建立创伤知情的公共行为卫生系统的经验中学到的教训，希望本案例研究可以指导其他类似的工作。（C）2016 Elsevier Ltd.保留所有权利。

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《Evaluation and program planning》 |2016年第12期|21-32|共12页
作者
Beidas Rinad S.; Adams Danielle R.; Kratz Hilary E.; Jackson Kamilah; Berkowitz Steven; Zinny Arturo; Cliggitt Lauren Pilar; DeWitt Kathryn L.; Skriner Laura; Evans Arthur Jr.;
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Univ Penn, Dept Psychiat, Perelman Sch Med, 3535 Market St,3015, Philadelphia, PA 19104 USA;

Univ Penn, Dept Psychiat, Perelman Sch Med, 3535 Market St,3015, Philadelphia, PA 19104 USA;

Univ Penn, Dept Psychiat, Perelman Sch Med, 3535 Market St,3015, Philadelphia, PA 19104 USA;

Community Behav Hlth, 801 Market St, Philadelphia, PA 19107 USA;

Univ Penn, Dept Psychiat, Perelman Sch Med, 3535 Market St,3015, Philadelphia, PA 19104 USA;

Community Behav Hlth, 801 Market St, Philadelphia, PA 19107 USA;

Hall Mercer Community Mental Hlth Ctr, 245 South 8th St, Philadelphia, PA 19106 USA;

Univ Penn, Dept Psychiat, Perelman Sch Med, 3535 Market St,3015, Philadelphia, PA 19104 USA;

Univ Penn, Dept Psychiat, Perelman Sch Med, 3535 Market St,3015, Philadelphia, PA 19104 USA;

Univ Penn, Dept Psychiat, Perelman Sch Med, 3535 Market St,3015, Philadelphia, PA 19104 USA|Dept Behav Hlth & Intellectual Disabil Serv, 1101 Market St, Philadelphia, PA 19107 USA;

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正文语种 eng
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关键词
Trauma-informed system; Evidence-based practices; Implementation science;

机译：创伤信息系统;循证实践;实施科学;

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6. Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia [O] . Rinad S. Beidas, Danielle R. Adams, Hilary E. Kratz, -1

机译：在费城建立具有创伤信息的公共行为卫生系统时吸取的教训
7. Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia [O] . Rinad S. Beidas, Danielle R. Adams, Hilary E. Kratz, 2016

机译：在建立在费城市的创伤知识的公共行为卫生系统时学习的经验教训

Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

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