DBT for Self-Harm: A Clinical/Research Training for Psychiatry Residents

用于自残的 DBT：针对精神病学住院医师的临床/研究培训

基本信息

批准号：
8247821
负责人：
Beth Sharon Brodsky
金额：
$ 3.08万
依托单位：
NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-07-01 至 2014-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8247821
关键词：
Accident and Emergency department Achievement Address Adherence Ambulatory Care Facilities Area Behavior Behavior Therapy Borderline Personality Disorder Cause of Death Clinical Clinical Management Clinical Research Clinical Skills Clinical Treatment Clinical Trials Code Cognitive Therapy Consultations Contracts Country Data Analyses Decision Making Development Diagnostic Dialectical behavior therapy Education Educational Curriculum Educational process of instructing Educational workshop Elements Epidemiologic Studies Evaluation Evidence based treatment Faculty Feeling suicidal Future Gestures Health Occupations Hearing High Prevalence Hospitalization Hospitals Hour Incidence Individual Inpatients Instruction Internships Intervention Intervention Studies Knowledge Learning Life Long Island Measures Mediation Medical Education Mental Health Methods Modeling Monitor Morbidity - disease rate New York City Outcomes Research Outpatients Patients Physicians Population Prevalence Prevention Procedures Protocols documentation Psychiatrist Psychiatry Psychologist Psychology Psychopathology Psychotherapy Publications Reading Research Research Design Research Methodology Research Personnel Research Training Residencies Role Rotation Safety Schedule Scientist Self-Injurious Behavior Social Work Suicide Suicide attempt Suicide prevention Supervision Surgeon Testing Time Training Training Programs Training and Education Treatment Efficacy Treatment outcome United States Universities Videotape Visit Washington base career college cost effectiveness design efficacy research efficacy testing efficacy trial follower of religion Jewish health care service utilization injured medical schools meetings non-suicidal self injury peer prevent programs psychopharmacologic public health priorities public health relevance reducing suicide response skills sound suicidal suicidal behavior suicidal patient suicidal risk symposium therapy adherence therapy design treatment strategy web site

项目摘要

DESCRIPTION (provided by applicant): Over the past decade, much effort has been directed toward the development and empirical testing of comprehensive psychotherapy interventions designed to target suicidal and non-suicidal self-injurious behaviors. Less effort has been devoted to incorporating these treatments into clinical training programs, or to training clinicians to conduct psychotherapy research. Dialectical Behavior Therapy (DBT) was identified in the RFA as a "scientifically validated behavioral treatment" for self-harm behaviors. The treatment is primarily taught in doctoral programs that train clinical psychologists. Yet, psychiatrists are often on the front lines of treating suicidal patients. We propose to develop, implement, evaluate and disseminate a comprehensive psychotherapy and research training curriculum for psychiatry residents using Dialectical Behavior Therapy for self- harm behaviors. We propose a 12-month DBT clinical/research training for psychiatry residents at Columbia University that combines didactic seminars, videotape rating and training, and case supervision. The curriculum has two integrated components. One is a comprehensive clinical training program for residents to learn the principles, concepts and interventions of conducting DBT for self-harm behaviors. A concurrent research curriculum will teach basic principles of conducting psychotherapy research, specifically to conduct research testing the efficacy of DBT in the reduction of self-harm behaviors. The faculty will consist of senior DBT trainers and researchers. The clinical component will include a 5 -day clinical DBT intensive along with weekly group consultation team supervision sessions and 15 hours of clinical training through peer videotape coding and rating. The research component will consist of 25 one- hour didactic sessions related to the conduct of psychotherapy efficacy trials and suicide intervention research on topics of study design, procedures for psychotherapy trials, the role of the psychiatrist in psychotherapy research, data analysis, manualization and adherence. The specific aims of this application are to: 1) develop a core curriculum for training psychiatry residents in DBT clinical interventions and research methods with suicidal and self-harming clinical populations; 2) develop a criterion-based evaluation of basic skill in DBT; 3) disseminate this training and the evaluation to other psychiatry residency training programs in the country. The proposed evaluation component includes the development and validity testing of a new measure designed to assess the achievement of clinical skill in DBT. This measure will be compared with reliable DBT adherence ratings. Basic knowledge of DBT principles, interventions and research methodology will be assessed by a final examination. The dissemination of this curriculum and evaluation plan will take place through workshops at residency training administrative conferences, publications, website postings, and consultation to residency training programs throughout the country. PUBLIC HEALTH RELEVANCE: Suicide and self-harm behaviors have been identified by the Surgeon General to be high priority public health concerns. The proposed research plan is to teach psychiatry residents to conduct Dialectical Behavior Therapy (a psychotherapy empirically shown to reduce self-harm behaviors), and to conduct psychotherapy research to further test the efficacy of DBT in reducing self-harm behaviors. The proposed curriculum will serve as a model to incorporate such trainings into residency programs throughout the country to effectively reduce and prevent suicide and self-harm behaviors.

描述（由申请人提供）：在过去的十年中，人们致力于针对自杀和非自杀自残行为的综合心理治疗干预措施的开发和实证测试。将这些治疗纳入临床培训计划或培训临床医生进行心理治疗研究的努力较少。辩证行为疗法 (DBT) 在 RFA 中被确定为针对自残行为的“经过科学验证的行为治疗”。这种治疗方法主要在培训临床心理学家的博士课程中教授。然而，精神科医生常常处于治疗自杀患者的第一线。我们建议为精神病学住院医师开发、实施、评估和传播综合心理治疗和研究培训课程，使用辩证行为疗法治疗自残行为。我们建议为哥伦比亚大学精神病学住院医师提供为期 12 个月的 DBT 临床/研究培训，其中结合了教学研讨会、录像带评级和培训以及病例监督。该课程有两个完整的组成部分。一是为住院医师提供全面的临床培训项目，让他们学习针对自残行为进行 DBT 的原理、概念和干预措施。同时开设的研究课程将教授进行心理治疗研究的基本原理，特别是进行研究测试 DBT 在减少自残行为方面的功效。该教师将由高级 DBT 培训师和研究人员组成。临床部分将包括为期 5 天的临床 DBT 强化课程、每周的小组咨询团队监督会议以及通过同行录像编码和评级进行的 15 小时临床培训。研究部分将包括 25 个一小时的教学课程，涉及心理治疗功效试验和自杀干预研究的进行，主题包括研究设计、心理治疗试验程序、精神科医生在心理治疗研究中的作用、数据分析、手册化和依从性。该应用程序的具体目标是： 1) 开发核心课程，用于对精神病学住院医师进行 DBT 临床干预和针对自杀和自残临床人群的研究方法的培训； 2) 制定基于标准的 DBT 基本技能评估； 3) 将本次培训和评估推广到国内其他精神病学住院医师培训项目。拟议的评估部分包括旨在评估 DBT 临床技能成就的新措施的开发和有效性测试。该措施将与可靠的 DBT 遵守评级进行比较。 DBT 原则、干预措施和研究方法的基本知识将通过期末考试进行评估。该课程和评估计划的传播将通过住院医师培训行政会议上的讲习班、出版物、网站发布以及全国住院医师培训项目的咨询进行。公共卫生相关性：外科医生已将自杀和自残行为确定为高度优先的公共卫生问题。拟议的研究计划是教授精神病学住院医师进行辩证行为疗法（一种经经验证明可以减少自残行为的心理治疗），并进行心理治疗研究以进一步测试 DBT 在减少自残行为方面的功效。拟议的课程将作为一个模型，将此类培训纳入全国各地的住院医师计划，以有效减少和预防自杀和自残行为。