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Leveling the Practice Field for Youth Mental Health: Institution-Supported Training in Evidence-Based Practice for Clinicians

机译:平衡青年心理健康的实践领域:机构支持的临床医生循证实践培训

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摘要

Despite efforts to expand use of evidence-based practice (EBP) within child and adolescent mental health clinics, these practices continue to be underutilized, partially due to a lack of quality training for clinicians. This article describes the second iteration of an evidence-based assessment and treatment seminar for staff clinicians and trainees in an academic medical center. The seminar was held in-person over 11 weeks in 90-min sessions and covered assessments and interventions for the most common referral concerns in our outpatient clinic. Clinicians and supervisors completed measures before and after the seminar to assess the impact of the seminar on attitudes, knowledge, skill, and frequency of use of EBP. Although, on average, the majority of clinicians and their supervisors reported that knowledge and clinically appropriate use of interventions and assessments increased after the seminar, differential effects were found for progress monitoring versus assessment for diagnostic evaluation. This study demonstrates the potential of using in-house clinic leaders and supervisors who are trained in delivering EBPs as a source of support for incoming clinicians. We highlight many practical considerations that may be helpful to consider when implementing a training seminar to increase the use of EBP. Public Significance Statement This article provides practical information about the implementation of an institution-supported training focused on evidence-based practice that is feasible for clinics and easily available for clinicians. Clinicians reported an increase in knowledge and appropriate use of evidence-based interventions and assessments after the seminar, while also indicating that future endeavors in this area should include more training to increase the use of progress monitoring in treatment.
机译:尽管努力扩大使用循证在儿童和青少年精神实践(EBP)继续健康诊所,这些实践没有得到充分利用,部分由于缺乏质量为临床医生培训。以证据为基础的第二次迭代评估和治疗研讨会人员在一个学术医疗临床医生和实习生中心。周在90 - min会话和覆盖评估为最常见的推荐和干预在我们门诊的担忧。主管完成措施之前和之后评估影响的研讨会态度、知识、技能和频率EBP的使用。临床医生和他们的上司报告知识和临床合理使用干预措施和评估后增加研讨会上,微分效应被发现进度监控和评估诊断评估。使用内部诊所领导人的潜力在交付和管理者培训ebp的支持的临床医生。考虑这可能是有用的考虑在实现增加一个培训研讨会EBP的使用。本文提供了实用的信息一个支持的实现训练集中在以证据为基础的做法为诊所和容易是可行的吗临床医生。知识和合理使用以证据为基础的干预措施和评估研讨会后,同时也表明未来努力这个区域应该包括更多的培训增加使用进度监控治疗。

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