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Hoorcollege 6: Protocollair versus Modulair
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Hoorcollege 6: Protocollair versus Modulair
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Protocollair, transdiagnostisch of modulair werken?Zoektocht naar behandeling
Specifieke stoornis:
• Welke behandeling + evidence based?
• Welke vorm?
In de klinische praktijk; depressie
• Volgens richtlijn?
• Evidence-based?
Voorbeeld depressie; wat is CAU?
• CGT
• Interpersoonlijk therapie (IPT)
• Systeem therapie
• Ouder begeleiding
• Oplossingsgerichte therapie
• Medicatie
• Mindfulness
• ACT
• Psychodynamische therapie
• Family Functioning Therapy
• Gesprekstherapie
• Meidengroep
• EMDR
• Creatieve therapie
• Psychomotorische Therapie
• Running
• Activatie
,Voorbeeld: behandeling van depressieve adolescenten
Evidence-based versus klnische praktijk
Depressie
Evidence-based behandeling
• CGT of IPT
→ in de praktijk wordt CGT en IPT minder uitgevoerd dan het eigenlijk zou moeten.
‘’hulpverleners in de jeugdzorg en jeugdggz maken nauwelijks gebruik van kennis over
evidence based interventies, maar stellen indicatiebesluiten op basis van pragmatische
argumenten op (Baecke et al., 2009’’
Evidence based behandelingen lijken ‘’best practice’’ maar worden vaak niet gebruikt
1-2% evidence based
Specifieke stoornis:
• Welke behandeling + evidence based?
• Welke vorm > evidence based = protocol
o (evidence based) behandeling
o Protocol, flexible, transdiagnostisch,
modulair, eclectisch?
, Protocol
Wat is het protocol?
• Een stapsgewijze beschrijving van een psychologische behandeling
• Werkwijze
• Draaiboek
• Bevat een omschrijving van de behandeltechnieken en de volgorde waarin deze
moeten worden uitgevoerd
• Opdrachten voor de patiënt
37 protocollen voor depressie
Inventarisatie A&S consortium
• 58 interventies;
o 47 NL, 11 INT
o 21 angst
o 19 depressie
o 18 angst en depressie
o Dus 37 voor depressie
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