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The empowerment plan: Enhancing the safety plan with a CBS approach to repertoire expansion
Journal of Contextual Behavioral Science ( IF 5.138 ) Pub Date : 2021-04-09 , DOI: 10.1016/j.jcbs.2021.03.004
Jonathan H. Weinstein , Emily B. Kroska , Robyn D. Walser

Safety planning is an essential tool for helping those considering suicide stay safe, and it is best practice for assisting veterans who are in crisis. Further elaboration on this tool, as well as integration of empirically supported therapeutic interventions, may lead to greater engagement and possibility for change. Stanley and Brown's safety plan (2012) has been implemented in the Veterans Health Administration Medical Centers (VA) and is considered the standard of care for suicidal behavior in veterans, a population with a well-documented vulnerability to suicide. The unique characteristics of a CBS-informed safety plan (supplemented with components of Relational Frame Theory), or Empowerment Plan, is contrasted with Stanley and Brown's approach. Increasing specificity with RFT provides the clinician with sets of targeted interventions to empower the patient, providing the CBS therapist with skills to enhance safety planning. The goal is to identify multiple ways to amplify meaning and associated action into awareness, thus, connecting the veteran with reasons and motivation to live. The key elements of a transdiagnostic, process-focused approach to safety planning are delineated. A description for creating a CBS-informed single-session safety plan is provided.



中文翻译:

授权计划:使用CBS扩展库的方法来增强安全计划

安全计划是帮助那些考虑自杀的人保持安全的重要工具,也是帮助处于危机中的退伍军人的最佳实践。对该工具的进一步详细说明以及经验支持的治疗干预措施的整合,可能会导致更大的参与度和改变的可能性。斯坦利和布朗(Stanley and Brown)的安全计划(2012)已在退伍军人健康管理局医疗中心(VA)中实施,被认为是退伍军人自杀行为的护理标准,退伍军人有充分的自杀倾向。CBS告知的安全计划(由关系框架理论的组成部分补充)或授权计划的独特特征与Stanley和Brown的方法形成鲜明对比。RFT的特异性提高为临床医生提供了一系列针对性的干预措施,以增强患者的能力,为CBS治疗师提供了增强安全性计划的技能。目标是确定多种方法,以将意义和相关的动作放大为意识,从而将退伍军人与生活的原因和动机联系起来。描述了一种以过程诊断为重点的安全计划方法的关键要素。提供了有关创建CBS通知的单会话安全计划的说明。描述了以过程为中心的安全计划方法。提供了有关创建CBS通知的单会话安全计划的说明。描述了以过程为中心的安全计划方法。提供了有关创建CBS通知的单会话安全计划的说明。

更新日期:2021-04-18
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