Mixed Methods Analysis of Implementation of Interpersonal Psychotherapy (IPT) for Major Depressive Disorder in Prisons in a Hybrid Type I Randomized Trial.
Identifieur interne : 000157 ( Main/Exploration ); précédent : 000156; suivant : 000158Mixed Methods Analysis of Implementation of Interpersonal Psychotherapy (IPT) for Major Depressive Disorder in Prisons in a Hybrid Type I Randomized Trial.
Auteurs : Jennifer E. Johnson [États-Unis] ; Maji Hailemariam [États-Unis] ; Caron Zlotnick [États-Unis, Afrique du Sud] ; Fallon Richie [États-Unis] ; Joshua Sinclair [États-Unis] ; Adam Chuong [États-Unis] ; Shannon Wiltsey Stirman [États-Unis]Source :
- Administration and policy in mental health [ 1573-3289 ] ; 2020.
Abstract
This article describes a mixed methods evaluation of implementation of interpersonal psychotherapy (IPT) in the first fully-powered trial of any treatment for major depressive disorder in an incarcerated population. Assessments in this Hybrid Type I trial included surveys of prison providers and administrators (n = 71), measures of feasibility and acceptability to prison patients (n = 90), and a planned document review (n = 460) to assess potential determinants of implementation. Quantitative and qualitative results indicated that IPT was a good fit for prisoners, and that prisoners and providers were enthusiastic about IPT. Providers were open to feedback, open to learning evidence-based practices, and committed to helping their clients. Limited treatment staff and variable supervision and collegial support may pose implementation challenges. For widespread prison implementation, scalable models for ongoing IPT training and supervision are needed.
DOI: 10.1007/s10488-019-00996-1
PubMed: 31797190
Affiliations:
- Afrique du Sud, États-Unis
- Michigan, Rhode Island
- East Lansing, Providence (Rhode Island)
- Université Brown, Université d'État du Michigan
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Le document en format XML
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<front><div type="abstract" xml:lang="en">This article describes a mixed methods evaluation of implementation of interpersonal psychotherapy (IPT) in the first fully-powered trial of any treatment for major depressive disorder in an incarcerated population. Assessments in this Hybrid Type I trial included surveys of prison providers and administrators (n = 71), measures of feasibility and acceptability to prison patients (n = 90), and a planned document review (n = 460) to assess potential determinants of implementation. Quantitative and qualitative results indicated that IPT was a good fit for prisoners, and that prisoners and providers were enthusiastic about IPT. Providers were open to feedback, open to learning evidence-based practices, and committed to helping their clients. Limited treatment staff and variable supervision and collegial support may pose implementation challenges. For widespread prison implementation, scalable models for ongoing IPT training and supervision are needed.</div>
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