Rebooting Psychotherapy Research and Practice to Reduce the Burden of Mental Illness

Perspectives on Psychological Science - Tập 6 Số 1 - Trang 21-37 - 2011
Alan E. Kazdin1, Stacey L. Blase1
1Department of Psychology, Yale University, New Haven, CT#TAB#

Tóm tắt

Psychological interventions to treat mental health issues have developed remarkably in the past few decades. Yet this progress often neglects a central goal—namely, to reduce the burden of mental illness and related conditions. The need for psychological services is enormous, and only a small proportion of individuals in need actually receive treatment. Individual psychotherapy, the dominant model of treatment delivery, is not likely to be able to meet this need. Despite advances, mental health professionals are not likely to reduce the prevalence, incidence, and burden of mental illness without a major shift in intervention research and clinical practice. A portfolio of models of delivery will be needed. We illustrate various models of delivery to convey opportunities provided by technology, special settings and nontraditional service providers, self-help interventions, and the media. Decreasing the burden of mental illness also will depend on integrating prevention and treatment, developing assessment and a national database for monitoring mental illness and its burdens, considering contextual issues that influence delivery of treatment, and addressing potential tensions within the mental health professions. Finally, opportunities for multidisciplinary collaborations are discussed as key considerations for reducing the burden of mental illness.

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Tài liệu tham khảo

10.1176/appi.ajp.2007.07040704

American Psychiatric Association, 2000, Diagnostic and statistical manual of mental disorders, 4

10.1001/archgenpsychiatry.2009.192

10.1080/15228830802094429

10.1002/erv.521

Berglund B., Lindvall T., Schwela D.H. (Eds.). (1999). Guidelines for community noise. Geneva, Switzerland: World Health Organization. Retrieved from www.who.int/docstore/peh/noise/guidelines2.html

10.1097/CHI.0b013e3181825af8

Boschen M.J., 2009, Behavior Therapist, 32, 168

Boschen M.J., 2009, Behavior Therapist, 32, 175

10.1001/archgenpsychiatry.2009.164

10.1542/peds.2009-3058

Cacioppo J.T. (2007, October). The rise in collaborative psychological science. Observer, 20(9), 1–3. Retrieved from www.psychologicalscience.org/observer/getArticle.cfm?id=2228.

10.1126/science.325_807a

10.1007/s10488-007-0151-x

Cohen J., 1988, Statistical power analysis in the behavioral sciences, 2

Commission on Ethnic Minority Recruitment Retention, and Training, 2008, Progress report

10.2105/AJPH.2007.123893

10.1136/tc.2007.020370

10.1037/0003-066X.55.2.205

10.1097/01.nmd.0000195316.86036.8a

Dimeff L.A., 2011, The Oxford handbook of clinical psychology, 618

10.1038/mp.2008.13

10.1176/ajp.154.2.147

Garfield S.L., 1980, Psychotherapy: An eclectic approach

10.4088/JCP.v60n0702

10.1037/0033-3204.43.4.531

Harwood H., 1998, The economic costs of alcohol and drug abuse in the United States: 1992

10.1007/978-1-4419-1099-8

10.1016/j.jrp.2008.07.012

Health Resources and Services Administration. (2010). Health professional shortage areas: Mental health designated populations. Rural Assistance Center. Retrieved from www.raconline.org/maps/mapfiles/hpsa_mental.png

Hiller F.S., 2005, Introduction to operations research, 9

10.1037/a0018643

10.1007/s10567-009-0060-5

Hoge M.A., 2007, An action plan for behavioral health workforce development

10.1097/00001648-200211000-00006

Institute of Medicine, 2008, Retooling for an aging America: Building the health care workforce

10.1037/a0017932

Joy C.B., 2003, Cochrane Database Systematic Reviews, CD001257

10.1037/0033-2909.133.5.747

10.1073/pnas.162282799

10.1093/med:psych/9780195126181.001.0001

10.1146/annurev.clinpsy.3.022806.091432

10.1017/S1121189X00001421

10.1176/ajp.2006.163.9.1561

10.1056/NEJMsa043266

10.1176/appi.ajp.2008.08010126

10.1146/annurev.publhealth.29.020907.090847

Kliegl R., 2008, Observer, 21, 29

10.1176/ajp.149.10.1295

10.1037/a0018598

10.1007/978-3-540-78273-5

10.1136/tc.2006.019786

Mahrer A., 1986, The goals of psychotherapy

10.1001/archpsyc.64.10.1180

10.1146/annurev.clinpsy.1.102803.143822

10.1001/jama.285.15.1987

10.1111/j.1468-2850.2008.00134.x

10.2196/jmir.1371

10.1080/14622200500431940

10.1016/S0140-6736(08)60526-7

10.1093/med:psych/9780195304145.001.0001

10.1037/0003-066X.41.2.181

10.1037/0022-006X.68.4.549

10.7551/mitpress/8022.001.0001

Reacher M., 2004, Communicable Disease and Public Health, 7, 39

Rice V.H., Stead L.F. (2008). Nursing interventions for smoking cessation. Retrieved from http://info.onlinelibrary.wiley.com/userfiles/ccoch/file/World%20No%20Tobacco%20Day/CD001188.pdf

10.1080/16506070252823652

10.1037/0003-066X.33.1.1

10.1037/0735-7028.34.5.527

10.1002/jclp.10263

10.1037/0893-3200.22.3.506

Sanders M.R., 2010, Evidence-based psychotherapies for children and adolescents, 2, 519

10.1001/jama.298.21.2540

10.1037/a0012552

10.4324/9781410609595

Singhal A., 1999, Entertainment-education: A communication strategy for social change

Stead L.F., Bergson G., Lancaster T. (2008). Physician advice for smoking cessation. Retrieved from http://info.onlinelibrary.wiley.com/userfiles/ccoch/file/World%20No%20Tobacco%20Day/CD000165.pdf

10.1136/tc.2007.019935

10.1037/0893-164X.15.4.366

Ulmer C., 2010, Future directions for the National Healthcare Quality and Disparities Reports

Weissman M.M., 2000, Comprehensive guide to interpersonal psychotherapy

Weisz J.R., 2010, Evidence-based psychotherapies for children and adolescents, 2

10.1176/appi.ajp.158.12.2027

World Health Organization. (2007). International statistical classification of diseases and related health problems (10th rev.). Retrieved from http://apps.who.int/classifications/apps/icd/icd10online/

10.1126/science.1136099

10.1111/j.1468-2850.1995.tb00050.x

10.1007/s11020-005-3779-8

10.1037/0735-7028.26.6.624

10.2105/AJPH.2009.168385