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báo cáo khoa học: " Implementing Cognitive Behavioral Therapy in the real world: A case study of two mental health centers"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Implementing Cognitive Behavioral Therapy in the real world: A case study of two mental health centers | Implementation Science BioMed Central Research article Open Access Implementing Cognitive Behavioral Therapy in the real world A case study of two mental health centers Teresa L Kramer 1 and Barbara J Burns2 Address Department of Psychiatry University of Arkansas for Medical Sciences Little Rock AR USA and 2Department of Psychiatry and Behavioral Sciences Duke University School of Medicine Durham NC USA Email Teresa L Kramer - KramerTeresaL@uams.edu Barbara J Burns - bjb@geriduke.edu Corresponding author Published 29 February 2008 Received 27 April 2007 Implementation Science 2008 3 14 doi 10.1186 1748-5908-3-14 Accepted 29 February 2008 This article is available from http www.implementationscience.cOm content 3 1 14 2008 Kramer and Burns licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Behavioral health services for children and adolescents in the U.S. are lacking in accessibility availability and quality. Evidence-based interventions for emotional and behavioral disorders can improve quality yet few studies have systematically examined their implementation in routine care settings. Methods Using quantitative and qualitative data we evaluated a multi-faceted implementation strategy to implement cognitive-behavioral therapy CBT for depressed adolescents into two publicly-funded mental healthcare centers. Extent of implementation during the study s duration and variables influencing implementation were explored. Results Of the 35 clinicians eligible to participate 25 71 were randomized into intervention n 11 or usual care n 14 . Nine intervention clinicians completed the CBT training. Sixteen adolescents were enrolled in CBT with six of the intervention clinicians half of these received at least six CBT .