Psychosocial Interventions for Mental and Substance Use Disorders A Framework for Establishing Evidence-Based Standards (2015) / Chapter Skim
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2 Closing the Quality Chasm: A Proposed Framework for Improving the Quality and Delivery of Psychosocial Interventions
2 Closing the Quality Chasm: A Proposed Framework for Improving the Quality and Delivery of Psychosocial Interventions
Pages 47-56
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From page 47... ...
While it was beyond the scope of this study to provide a comprehensive review of these interventions, they include a number of psychotherapies, including (but not limited to) interpersonal psychotherapy, dialectal behavioral therapy, cognitive processing therapy, eye movement desensitization and reprocessing, psychodynamic therapy, behavioral couples therapy, problem solving therapy, cognitive-behavioral therapy, social skills training, family-focused therapy, behavioral activation, relaxation training, parent skills training, and motivational interviewing.
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From page 48... ...
A number of metaanalyses have established the effects of psychosocial interventions on mental health and substance abuse problems. Psychotherapies in particular have been subject to numerous meta-analyses.
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From page 49... ...
and have been shown to have positive effects on the intended intervention target. Although meta-analyses support the use of psychosocial interventions in the treatment of mental health and substance use problems, other studies are needed to further determine the utility of these interventions in different populations and settings.
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From page 50... ...
of the Substance Abuse and Mental Health Services Administration (SAMHSA) requires that interventions have a manual or set of guidelines, as well as a training program and a means for measuring quality that tracks to the core competencies in the manuals (SAMHSA, 2015)
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From page 51... ...
could be used to expedite the review process. DEVELOP QUALITY MEASURES Guidelines based on systematic reviews support decision making among providers and consumers and also form the basis for the development of quality measures that can be used to monitor and evaluate the quality of care in real-world clinical practice settings and ultimately the impact of interventions in improving patient outcomes.
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From page 52... ...
Stakeholders in each of these areas can manipulate levers that shape the quality of a psychosocial intervention; shortfalls in the context of an intervention and in the manipulation of those levers can render a highly efficacious intervention unhelpful or even harmful. ENGAGE CONSUMERS IN THE FRAMEWORK CYCLE An evidence base demonstrates that consumers bring important perspectives on and knowledge of mental health and substance use problems to psychosocial research and intervention development (Beinecke and Delman, 2008; Berwick, 2009; Deegan, 1993)
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From page 53... ...
Thus, the framework is envisioned as a continuous, iterative process, with each step in the cycle expanding the knowledge base for the development of new and improved standards for psychosocial interventions that can improve patient outcomes. CONCLUSIONS AND RECOMMENDATIONS The committee drew the following conclusions about the need for a framework: The mental health and substance use care delivery system needs a framework for applying strategies to improve the evidence base for and increase the uptake of high-quality evidence-based interven tions in the delivery of care.
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From page 54... ...
The U.S. De partment of Health and Human Services and other public and private funding agencies should ensure that consumers are active participants in the development of practice guidelines, quality measures, policies, and implementation strategies for, as well as research on, psychosocial interventions for people with mental health and substance use disor ders, and provide appropriate incentives to that end.
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From page 55... ...
:109-111. SAMHSA (Substance Abuse and Mental Health Services Administration)
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