mental health treatment

心理健康治疗
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    文章类型: Journal Article
    提供无障碍,对心理健康(PH)状况的高质量护理,如创伤后应激障碍(PTSD)和重度抑郁症(MDD),对保持健康很重要,任务准备部队。目前尚不清楚当前的护理系统是否满足患有PTSD或MDD的服务成员的需求,对提供指南一致护理的障碍知之甚少。RAND使用了现有的提供商劳动力数据,提供者调查,和关键线人访谈(1)概述军事治疗设施(MTF)的PH劳动力,(2)检查在军事治疗设施中对PTSD和MDD的护理与退伍军人事务部/国防部临床实践指南一致的程度,(3)确定提供这种护理的促进者和障碍。本研究对提供者在MTF中提供PH护理的能力进行了全面评估,并按提供者类型和服务部门提供了详细结果。研究结果表明,大多数提供者报告使用指南一致的心理治疗,但使用不同的提供者类型。大多数提供者报告在至少一种推荐的PTSD和MDD心理治疗中接受了至少最少的培训和监督。尽管如此,超过四分之一的提供者报告说,旅行限制和日程安排中缺乏受保护的时间影响了他们获得额外专业培训的能力。最后,大多数提供者报告使用经过验证的筛查工具对患者进行PTSD和MDD的常规筛查,但较少提供者报告使用经过验证的筛查仪器监测治疗进展.
    Providing accessible, high-quality care for psychological health (PH) conditions, such as posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), is important to maintaining a healthy, mission-ready force. It is unclear whether the current system of care meets the needs of service members with PTSD or MDD, and little is known about the barriers to delivering guideline-concordant care. RAND used existing provider workforce data, a provider survey, and key informant interviews to (1) provide an overview of the PH workforce at military treatment facilities (MTFs), (2) examine the extent to which care for PTSD and MDD in military treatment facilities is consistent with Department of Veterans Affairs/Department of Defense clinical practice guidelines, and (3) identify facilitators and barriers to providing this care. This study provides a comprehensive assessment of providers\' perspectives on their capacity to deliver PH care within MTFs and presents detailed results by provider type and service branch. Findings suggest that most providers report using guideline-concordant psychotherapies, but use varied by provider type. The majority of providers reported receiving at least minimal training and supervision in at least one recommended psychotherapy for PTSD and for MDD. Still, more than one-quarter of providers reported that limits on travel and lack of protected time in their schedule affected their ability to access additional professional training. Finally, most providers reported routinely screening patients for PTSD and MDD with a validated screening instrument, but fewer providers reported using a validated screening instrument to monitor treatment progress.
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