在就业服务中实施创伤筛查，简短干预和转介治疗（T-SBIRT）：可行性试验。,American Journal of Community Psychology

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在就业服务中实施创伤筛查，简短干预和转介治疗（T-SBIRT）：可行性试验。
American Journal of Community Psychology ( IF 3.4 ) Pub Date : 2019-08-02 , DOI: 10.1002/ajcp.12361
James Topitzes _{1,

2} , Joshua P Mersky _{1,

2} , Daria J Mueller _{1,

2} , Edwin Bacalso _{1,

2} , Conor Williams ₃

Affiliation

研究表明，低收入成年人获得就业服务经历了高水平的创伤暴露和相关后果。此外，创伤对健康的影响损害了就业和就业能力。因此，在为低收入城市居民提供服务的就业服务计划中实施了创伤知情的协议-创伤筛查，短暂干预和转诊治疗或T-SBIRT。为了评估将T-SBIRT整合到就业服务中的可行性，探讨了以下五个领域：适用性，可接受性，客户依从性，提供者依从性或忠诚度以及预期结果。通过对低收入成年人（N = 83）的抽样调查，研究发现，T-SBIRT适合高创伤暴露率的就业服务参与者（90。4％的人经历了两次或两次以上的终生创伤），而且创伤后应激障碍（48.8％），重度抑郁（35.4％）和广泛性焦虑（47.6％）的阳性筛查结果率很高。研究参与者似乎发现T-SBIRT可以接受，接受率为83％。接受T-SBIRT服务的所有参与者都完成了任务，显示出客户的强烈依从性。提供者的依从性或模型保真度很高，即98.5％。最后，大多数参与者接受了转介精神保健服务（即56.6％），四分之三以上的人接受了转介任何外部服务，包括初级或精神保健服务。讨论结果的含义。研究参与者似乎发现T-SBIRT可以接受，接受率为83％。接受T-SBIRT服务的所有参与者都完成了任务，显示出客户的强烈依从性。提供者的依从性或模型保真度很高，即98.5％。最后，大多数参与者接受了转介精神保健服务（即56.6％），超过四分之三的人接受了转介任何外部服务，包括初级或精神保健服务。讨论结果的含义。研究参与者似乎发现T-SBIRT可以接受，接受率为83％。接受T-SBIRT服务的所有参与者都完成了任务，显示出客户的强烈依从性。提供者的依从性或模型保真度很高，即98.5％。最后，大多数参与者接受了转介精神保健服务（即56.6％），四分之三以上的人接受了转介任何外部服务，包括初级或精神保健服务。讨论结果的含义。超过四分之三的人接受了转介任何外部服务，包括初级或精神卫生保健。讨论结果的含义。超过四分之三的人接受了转介任何外部服务，包括初级或精神卫生保健。讨论结果的含义。

"点击查看英文标题和摘要"

Implementing Trauma Screening, Brief Intervention, and Referral to Treatment (T-SBIRT) within Employment Services: A Feasibility Trial.

Research suggests that low-income adults accessing employment services have experienced high levels of trauma exposure and associated consequences. Moreover, the health-related effects of trauma undermine employment and employability. A trauma-informed protocol-trauma screening, brief intervention, and referral to treatment or T-SBIRT-was therefore implemented within employment service programs serving low-income urban residents. To assess the feasibility of integrating T-SBIRT within employment services, five domains were explored as follows: suitability, acceptability, client adherence, provider adherence or fidelity, and intended outcomes. With a sample of low-income adults (N = 83), the study revealed that T-SBIRT is suitable for employment service participants given high rates of trauma exposure (90.4% experienced two or more lifetime traumas), along with high rates of positive screening results for post-traumatic stress disorder (48.8%), major depression (35.4%), and generalized anxiety (47.6%). Study participants appeared to find T-SBIRT acceptable as evidenced by an 83% acceptance rate. All participants accepting T-SBIRT services completed them, revealing strong client adherence. Provider adherence or model fidelity was high, that is, 98.5%. Finally, the majority of participants accepted a referral to a mental health care (i.e., 56.6%), and over three-quarters accepted a referral to any outside service including primary or mental health care. Implications of findings are discussed.

更新日期：2019-11-01

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