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Evaluating Transdiagnostic, Evidence-Based Mental Health Care in a Safety-Net Setting Serving Homeless Individuals

机译：在提供无家可归个人的安全网设置中评估跨诊断，循证心理保健

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摘要

Homeless individuals experience higher rates of mental illness than the general population, though this group is less likely to receive evidence-based psychological treatment for these difficulties. One explanation for this science-to-service gap may be that most empirically supported interventions are designed to address a single disorder, which may not map on to the substantial comorbidity present in safety-net samples, and create a high training burden for often underresourced clinicians who must learn multiple protocols to address the needs of their patients. One solution may be to prioritize the dissemination of transdiagnostic interventions that can reduce therapist burden and simultaneously address comorbid conditions. The purpose of the present article is to describe the process of conducting a pilot study administering the Unified Protocol (UP), a transdiagnostic treatment for the range of emotional disorders, at a community-based organization that provides health care and other services to homeless individuals and families in Boston, Massachusetts. Therapists on a specialized behavioral health unit received didactic training in the intervention, followed by weekly consultation while they provided the UP to patients on their caseload. Qualitative and quantitative data were collected from both patients and therapists. Barriers to use of the UP by therapists, as well as to conducting research in this setting, will be discussed, along with the solutions that were used.
机译：无家可归的个人经历了比一般人群更高的精神疾病率，尽管这一组不太可能获得这些困难的证据性心理治疗。这种科学与服务差距的一个解释可能是大多数经验支持的干预旨在解决单一的疾病，这可能不会映射到安全网样本中存在的大量合并症，并为经常持续造成高训练负担必须学习多项协议以满足患者需求的临床医生。一种解决方案可以是优先考虑传递症的转移干预措施，这可以减少治疗师负荷并同时涉及可同血管条件。本文的目的是描述进行统一协议（UP）的试点研究的过程，在基于社区的组织中为无家可归者提供医疗保健和其他服务的社区组织进行统一方案和马萨诸塞州波士顿的家庭。在专门的行为健康单位上的治疗师在干预中获得教学培训，然后进行每周咨询，同时他们为患者提供了案件。从患者和治疗师收集定性和定量数据。将讨论使用由治疗师使用的障碍以及在该设置中进行研究，以及使用的解决方案。

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