Background School mental health care often is provided by teams contracted from community mental health agencies. The team members that provide this care, however, do not typically receive training in how to work effectively in a team-based context. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) provides a promising, evidence-based strategy for improving communication and climate in school-based teams. Methods In collaboration with stakeholders, we adapted and piloted TeamSTEPPS for use with school mental health teams. Teams in six schools were randomized to receive the adapted TeamSTEPPS approach or usual supports. The main outcomes of interest were feasibility and acceptability of the adapted TeamSTEPPS strategy. Results Results indicated that team member burnout was significantly higher at follow-up than pretreatment for both control and intervention teams. TeamSTEPPS was feasible and acceptable to implement, and leadership emerged as an important facilitator. Barriers to implementation success included staff turnover, lack of resources, and challenges in the school mental health team relationship. Additional supports to implement TeamSTEPPS were suggested, including ongoing consultation and booster training to address high staff turnover. Conclusions Results suggest that TeamSTEPPS is promising for school mental health teams but additional modifications are likely needed.

中文翻译：

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为学校心理健康团队调整 TeamSTEPPS：一项试点研究。

背景 学校精神卫生保健通常由与社区精神卫生机构签约的团队提供。然而，提供这种护理的团队成员通常不会接受如何在基于团队的环境中有效工作的培训。提高绩效和患者安全的团队策略和工具 (TeamSTEPPS) 为改善校本团队的沟通和氛围提供了一个有前途的、基于证据的策略。方法与利益相关者合作，我们调整并试用了 TeamSTEPPS，以供学校心理健康团队使用。六所学校的团队随机接受调整后的 TeamSTEPPS 方法或常规支持。感兴趣的主要结果是调整后的 TeamSTEPPS 策略的可行性和可接受性。结果 结果表明，无论是控制团队还是干预团队，随访时团队成员的倦怠明显高于治疗前。TeamSTEPPS 是可行的并且可以接受，领导层成为一个重要的促进者。实施成功的障碍包括人员流动、资源缺乏以及学校心理健康团队关系的挑战。建议为实施 TeamSTEPPS 提供额外支持，包括持续咨询和加强培训，以解决员工流动率高的问题。结论 结果表明，TeamSTEPPS 对学校心理健康团队很有希望，但可能需要进行额外的修改。实施成功的障碍包括人员流动、资源缺乏以及学校心理健康团队关系的挑战。建议为实施 TeamSTEPPS 提供额外支持，包括持续咨询和加强培训，以解决员工流动率高的问题。结论 结果表明，TeamSTEPPS 对学校心理健康团队很有希望，但可能需要进行额外的修改。实施成功的障碍包括人员流动、资源缺乏以及学校心理健康团队关系的挑战。建议为实施 TeamSTEPPS 提供额外支持，包括持续咨询和加强培训，以解决员工流动率高的问题。结论 结果表明，TeamSTEPPS 对学校心理健康团队很有希望，但可能需要进行额外的修改。