Background Psychotherapy implementation must contend with the task of preparing a mental health workforce to provide the highest quality services to as much of a service population as possible, in high-income as well as low-to-middle income countries. Objective We outline general challenges and solutions and investigate how well various implementation strategies would fit a clinical population. Methods Using a data set from a prior cluster randomised trial with a clinically diverse population and 33 intervention practices, we presented multiple illustrations comparing the ability of different implementation strategies to serve youth and families with procedures in which service providers were trained. Findings A series of survival functions demonstrated that many common implementation strategies are unlikely to create a prepared workforce, given the large and diverse number of practices needed to be mastered by providers. Clinical implications ‘Benchmark’ solutions that afforded superior coverage of the service population could be supported through paced learning approaches (ie, training interventions a little at a time) using extensible, modular intervention designs.

中文翻译：

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创建一支有准备的心理健康劳动力队伍：实施策略的比较说明

背景 心理治疗的实施必须应对准备心理健​​康劳动力的任务，以便为高收入和中低收入国家的尽可能多的服务人群提供最高质量的服务。目标 我们概述了一般挑战和解决方案，并研究了各种实施策略对临床人群的适应程度。方法 使用先前针对临床多样化人群和 33 种干预实践进行的整群随机试验的数据集，我们提出了多个插图，比较了不同实施策略为青少年和家庭提供服务的能力与服务提供者接受培训的程序的能力。结果 一系列生存功能表明，鉴于提供商需要掌握大量且多样化的实践，许多常见的实施策略不太可能培养出一支有准备的劳动力队伍。临床意义 可以通过使用可扩展的模块化干预设计的节奏学习方法（即一次进行一点培训干预）来支持对服务人群提供更好覆盖的“基准”解决方案。