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Sarah L. Kopelovich MacKenzie Hughes Maria B. Monroe-DeVita Roselyn Peterson Corinne Cather Jennifer Gottlieb 《Cognitive and behavioral practice》2019,26(3):439-452
Cognitive Behavioral Therapy for Psychosis (CBTp) is an evidence-based psychotherapeutic intervention (EBPI) for adults with schizophrenia spectrum disorders that remains under-implemented in the United States (U.S.). There has been little empirical attention on implementation and dissemination strategies for this EBPI. The Learning Collaborative (LC) model is a method of implementing evidence-based practices across agencies and geographic regions that may facilitate CBTp implementation and dissemination in the US.We applied the LC model in an attempt to enhance the accessibility of CBTp in community mental health settings statewide. Providers (N = 56) from 12 agencies voluntarily participated in an in-person, CBTp workshop followed by 6 months of biweekly phone-based consultation sessions (Phase 1). Twenty-one providers opted to participate in an additional 6-month CBTp LC immediately following completion of the initial CBTp LC (Phase 2). Adoption, penetration, provider-perceived skill development, fidelity, as well as provider-perceived implementation barriers were re-assessed during and 6 months after completion of Phase 2.One year after the completion of the Phase 2 LC, 21% of the original trainee group across 3 of the 12 participating agencies continued to offer CBTp to clients. CBTp trainees were treating between one and two clients each. Self-assessed CBTp skills improved modestly over the Phase 2 consultation period. On average, both clinicians and supervisors reached an acceptable fidelity score on the sessions reviewed. Participating providers identified multiple barriers to CBTp implementation, including features of the training and consultation, the agency, the intervention itself, and psychosocial and clinical challenges associated with the client population.Few CBTp implementation studies have applied a framework to CBTp implementation. The authors adapted the LC model in an attempt to promote adoption of CBTp in community mental health clinics across a large, populous state with poor access to mental health services. Identified challenges and recommendations should be considered in future implementation efforts. 相似文献
914.
Frédéric Dieu 《Médecine & Droit》2019,2019(154):20-24
Constituted courts of ordinal authorities are not competent to judge facts committed by a university professor-hospital practitioner, which are related to his teaching activity. Only the court specific to hospital teachers, which is seized by the ministries of health and higher education, is competent to judge those facts. 相似文献
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916.
Michael Barkham Emma Broglia Graldine Dufour Mark Fudge Louise Knowles Alan Percy Afra Turner Charlotte Williams 《Counselling and Psychotherapy Research》2019,19(4):351-357
Against a background of huge changes in the world of university and college students since the turn of the millennium, together with a multitude of reports on student mental health/wellbeing, this article argues that the field of student mental health is hampered by the imprecise use of terms, a rush to action by universities in the absence of a robust evidence‐base, and a lack of overall coordination and collaboration in the collection and use of data. In response, we argue for clearer and more consistent use of definitions of, as well as differentiations between, student wellbeing and mental health, for a longitudinal approach to the student body that captures their developmental transitions to and through university, and a strategic and systematic approach to the use of bona fide measures in the collection of data on wellbeing and on the process of outcomes in embedded university counselling services. Such a coordinated approach will provide the necessary evidence‐base upon which to develop and deliver appropriate support and interventions to underpin and enhance the quality of students’ lives and learning while at university or college. 相似文献
917.
The aim of this study was to examine the use of video playback with student teachers to promote teacher learning and to analyse patterns of reflection. A total of 14 student teachers video recorded their lessons in the practice setting and later confronted their performance, facing their videotaped lesson during the course of an interview with their university supervisor. The interviews were then transcribed and coded. Our results indicate that video playback facilitates student teacher learning and that the quality of reflection ranges from routine to dialogic. This suggests that further research into how to elicit higher levels of reflection is needed. The role of the supervisor in promoting deeper thinking should be further examined. 相似文献
918.
Transdiagnostic cognitive behavioral interventions target different cognitive processes to promote mental health, including cognitive fusion and cognitive reappraisal. Determining the relative impact of cognitive fusion and reappraisal on a range of student mental health concerns could help interventions target psychopathological cognitive processes more effectively. Therefore, this study examined the longitudinal impact of cognitive fusion and reappraisal on mental health and functioning outcomes. A series of hierarchical regression models tested the effects of cognitive fusion and reappraisal in a sample of college students (n = 339). When controlling for reappraisal and baseline symptoms, fusion predicted distress, depression, generalized anxiety, social anxiety, hostility, academic distress, and student role problems 1 month later. Reappraisal predicted only student role problems longitudinally when controlling for fusion. These results suggest that cognitive fusion is a stronger predictor than reappraisal for a range of student mental health concerns and may be a particularly important target for improving student mental health. 相似文献
919.
Ali Eryılmaz 《British Journal of Guidance & Counselling》2017,45(3):225-237
The present study aims to investigate the effectiveness of a peer-helping programme in increasing the subjective well-being of a group of university students compared with a control group with the same characteristics who did not receive the intervention. The intervention recipients consisted of 13 male and 17 female participants. The peer helpers were 22 female and 8 male participants. The peer-helping programme consisted of three stages: training in helping skills, implementation and facilitating supervision sessions. The short-term effects of the programme were investigated using the Positive and Negative Affect Scale. The programme's long-term effects were evaluated using the Life Satisfaction Scale and the Positive and Negative Affect Schedule. The results indicated that the short-term subjective well-being effects of the intervention activities were statistically significant. Additionally, the results revealed statistically significant increases in positive affect and life satisfaction and significant decreases in negative affect in the intervention group compared with that in the control group. Peer-helping programme may be used to increase individuals’ subjective well-being. 相似文献
920.
James Friedrich Gale Lucas Emily Hodell 《Organizational behavior and human decision processes》2005,98(2):2541-215
People often reason proportionally, perceiving fixed outcomes as larger or smaller depending upon the reference condition. Thus, for policies affecting individuals, presenting data as percentages rather than frequencies can alter perceived effects on high versus low base rate group members, even though identical numbers of individuals in each group are affected. Such numerical framing effects were explored through a case analysis of public debates over race-conscious selection policies and through experimental manipulations employing a race-conscious university admissions scenario. Undergraduates (N = 193) received data reporting the expected impact on black and white student enrollment resulting from a university shift to race-neutral admissions. Compared to those encountering percentages or proportions, participants receiving identical information expressed as frequencies revealed a predicted greater preference for race-neutral or “race blind” admissions. Structural equation analysis supported a model in which perceived impact and fairness mediated the relationship between format and endorsement of race-neutral admissions. 相似文献