Skip to main content
Erschienen in: Journal of Contemporary Psychotherapy 4/2012

01.12.2012 | Original Paper

Transporting a Manualized Treatment for Children’s Disruptive Behavior to a Community Clinic

verfasst von: Jeremy P. Shapiro, Jen Kogos Youngstrom, Eric A. Youngstrom, Heather F. Marcinick

Erschienen in: Journal of Contemporary Psychotherapy | Ausgabe 4/2012

Einloggen, um Zugang zu erhalten

Abstract

We compared a research-based, manualized intervention called Helping the Noncompliant Child (HNC; McMahon and Forehand 2003) to treatment as usual (TAU) for 194 children, 3–9 years old, with disruptive behavior disorders in a community clinic. The two interventions did not produce different outcomes or levels of parent satisfaction. However, almost three times as many parents in the HNC condition stated they ended therapy because their goals had been met, and almost three times as many parents in TAU stated they terminated because of practical obstacles. Number of sessions was related to outcome in the HNC condition but not in TAU.
Literatur
Zurück zum Zitat Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington: University of Vermont, Department of Psychiatry. Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington: University of Vermont, Department of Psychiatry.
Zurück zum Zitat Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont. Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont.
Zurück zum Zitat Beutler, L. E., Malik, M., Alimohamed, S., Harwood, T. M., Talebi, H., Noble, S., et al. (2004). Therapist variables. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed.). New York: Wiley. Beutler, L. E., Malik, M., Alimohamed, S., Harwood, T. M., Talebi, H., Noble, S., et al. (2004). Therapist variables. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed.). New York: Wiley.
Zurück zum Zitat Cambell, D. T., & Stanley, J. C. (1963). Experimental and quasi-experimental designs for research. Boston: Houghton Mifflin. Cambell, D. T., & Stanley, J. C. (1963). Experimental and quasi-experimental designs for research. Boston: Houghton Mifflin.
Zurück zum Zitat Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.PubMedCrossRef Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.PubMedCrossRef
Zurück zum Zitat Clarke, G. N. (1995). Improving the transition from basic efficacy research to effectiveness studies: Methodological issues and procedures. Journal of Consulting and Clinical Psychology, 63, 718–725.PubMedCrossRef Clarke, G. N. (1995). Improving the transition from basic efficacy research to effectiveness studies: Methodological issues and procedures. Journal of Consulting and Clinical Psychology, 63, 718–725.PubMedCrossRef
Zurück zum Zitat Cucciare, M. A., Weingardt, K. R., & Villafranca, S. (2008). Using blended learning to implement evidence-based psychotherapies. Clinical Psychology: Science and Practice, 15, 299–307.CrossRef Cucciare, M. A., Weingardt, K. R., & Villafranca, S. (2008). Using blended learning to implement evidence-based psychotherapies. Clinical Psychology: Science and Practice, 15, 299–307.CrossRef
Zurück zum Zitat Deegear, J., & Lawson, D. M. (2003). The utility of empirically supported treatments. Professional Psychology: Research and Practice, 34, 271–277.CrossRef Deegear, J., & Lawson, D. M. (2003). The utility of empirically supported treatments. Professional Psychology: Research and Practice, 34, 271–277.CrossRef
Zurück zum Zitat Elliott, S. N. (1988). Acceptability of behavioral treatments: Review of variables that influence treatment selection. Professional Psychology: Research and Practice, 19, 68–80.CrossRef Elliott, S. N. (1988). Acceptability of behavioral treatments: Review of variables that influence treatment selection. Professional Psychology: Research and Practice, 19, 68–80.CrossRef
Zurück zum Zitat Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–317.PubMedCrossRef Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–317.PubMedCrossRef
Zurück zum Zitat Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature (Florida Mental Health Institute Publication No. 231). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Institute. Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature (Florida Mental Health Institute Publication No. 231). Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Institute.
Zurück zum Zitat Forgatch, M. S. (1994). Parenting through change: A programmed intervention curriculum for groups of single mothers. Eugene, OR: Oregon Social Learning Center. Forgatch, M. S. (1994). Parenting through change: A programmed intervention curriculum for groups of single mothers. Eugene, OR: Oregon Social Learning Center.
Zurück zum Zitat Garland, A. F., Kruse, M., & Aarons, G. A. (2003). Clinicians and outcome measurement: What’s the use? Journal of Behavioral and Health Services Research, 30, 393–405.CrossRef Garland, A. F., Kruse, M., & Aarons, G. A. (2003). Clinicians and outcome measurement: What’s the use? Journal of Behavioral and Health Services Research, 30, 393–405.CrossRef
Zurück zum Zitat Gotham, H. J. (2004). Diffusion of mental health and substance abuse treatments: Development, dissemination, and implementation. Clinical Psychology: Science and Practice, 11, 160–176.CrossRef Gotham, H. J. (2004). Diffusion of mental health and substance abuse treatments: Development, dissemination, and implementation. Clinical Psychology: Science and Practice, 11, 160–176.CrossRef
Zurück zum Zitat Harpaz-Rotem, I., Leslie, D., & Rosenheck, R. A. (2004). Treatment and retention among children entering a new episode of mental health care. Psychiatric Services, 55, 1022–1028.PubMedCrossRef Harpaz-Rotem, I., Leslie, D., & Rosenheck, R. A. (2004). Treatment and retention among children entering a new episode of mental health care. Psychiatric Services, 55, 1022–1028.PubMedCrossRef
Zurück zum Zitat Hemmelgam, A. L., Glisson, C., & James, L. R. (2006). Organizational culture and climate: Implications for services and interventions research. Clinical Psychology: Science and Practice, 13, 73–89.CrossRef Hemmelgam, A. L., Glisson, C., & James, L. R. (2006). Organizational culture and climate: Implications for services and interventions research. Clinical Psychology: Science and Practice, 13, 73–89.CrossRef
Zurück zum Zitat Henggeler, S. W., Schoenwald, S. K., Liao, J. G., Letourneau, E. J., & Edwards, D. L. (2002). Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child and Adolescent Psychology, 31, 155–167.PubMed Henggeler, S. W., Schoenwald, S. K., Liao, J. G., Letourneau, E. J., & Edwards, D. L. (2002). Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child and Adolescent Psychology, 31, 155–167.PubMed
Zurück zum Zitat Ho, A. C., Weisz, J. R., Austin, A. A., Chorpita, B. F., Wells, K. C., Southam-Gerow, M. A., et al. (2007). Bridging science and community practice: Clinician and organizational engagement in community clinics in the clinic treatment project. Report on Emotional and Behavioral Disorders in Youth, 7, 13–16. Ho, A. C., Weisz, J. R., Austin, A. A., Chorpita, B. F., Wells, K. C., Southam-Gerow, M. A., et al. (2007). Bridging science and community practice: Clinician and organizational engagement in community clinics in the clinic treatment project. Report on Emotional and Behavioral Disorders in Youth, 7, 13–16.
Zurück zum Zitat Johnson, J. H., & McCutcheon, S. (1980). Assessing life stress in older children and adolescents: Preliminary findings with the life events checklist. In I. G. Sarason & C. D. Spielberger (Eds.), Stress and anxiety (Vol. 7, pp. 61–104). Washington, DC: Hemisphere. Johnson, J. H., & McCutcheon, S. (1980). Assessing life stress in older children and adolescents: Preliminary findings with the life events checklist. In I. G. Sarason & C. D. Spielberger (Eds.), Stress and anxiety (Vol. 7, pp. 61–104). Washington, DC: Hemisphere.
Zurück zum Zitat Kerfoot, M., Harrington, R., Harrington, V., Rogers, J., & Verduyn, C. (2004). A step too far? Randomized trial of cognitive-behaviour therapy delivered by social workers to depressed adolescents. European Child and Adolescent Psychiatry, 13, 92–99.PubMedCrossRef Kerfoot, M., Harrington, R., Harrington, V., Rogers, J., & Verduyn, C. (2004). A step too far? Randomized trial of cognitive-behaviour therapy delivered by social workers to depressed adolescents. European Child and Adolescent Psychiatry, 13, 92–99.PubMedCrossRef
Zurück zum Zitat Lambert, M. J. (2005). Early response in psychotherapy: Further evidence for the importance of common factors rather than “placebo effects”. Journal of Clinical Psychology, 61, 855–869.PubMedCrossRef Lambert, M. J. (2005). Early response in psychotherapy: Further evidence for the importance of common factors rather than “placebo effects”. Journal of Clinical Psychology, 61, 855–869.PubMedCrossRef
Zurück zum Zitat Lochman, J. E., Boxmeyer, C., Powell, N., Qu, L., Wells, K., & Windle, M. (2009). Dissemination of the Coping Power program. Journal of Consulting and Clinical Psychology, 77, 397–407.PubMedCrossRef Lochman, J. E., Boxmeyer, C., Powell, N., Qu, L., Wells, K., & Windle, M. (2009). Dissemination of the Coping Power program. Journal of Consulting and Clinical Psychology, 77, 397–407.PubMedCrossRef
Zurück zum Zitat Long, N. (2008). Editorial: Closing the gap between research and practice—The importance of practitioner training. Clinical Child Psychology and Psychiatry, 13, 187–190.PubMedCrossRef Long, N. (2008). Editorial: Closing the gap between research and practice—The importance of practitioner training. Clinical Child Psychology and Psychiatry, 13, 187–190.PubMedCrossRef
Zurück zum Zitat Lundahl, B., Risser, H. J., & Lovejoy, C. (2005). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26, 86–104.PubMedCrossRef Lundahl, B., Risser, H. J., & Lovejoy, C. (2005). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26, 86–104.PubMedCrossRef
Zurück zum Zitat Margison, F. R., Barkham, M., Evans, C., McGrath, G., Clark, J. M., Audit, K., et al. (2000). Measurement and psychotherapy: Evidence-based practice and practice-based evidence. The British Journal of Psychiatry, 177, 123–130.PubMedCrossRef Margison, F. R., Barkham, M., Evans, C., McGrath, G., Clark, J. M., Audit, K., et al. (2000). Measurement and psychotherapy: Evidence-based practice and practice-based evidence. The British Journal of Psychiatry, 177, 123–130.PubMedCrossRef
Zurück zum Zitat McCart, M. R., Priester, P. E., Davies, W. H., & Azen, R. (2006). Differential effectiveness of behavioral parent-training and cognitive-behavioral therapy for antisocial youth: A meta-analysis. Journal of Abnormal Child Psychology, 34, 527–543.PubMedCrossRef McCart, M. R., Priester, P. E., Davies, W. H., & Azen, R. (2006). Differential effectiveness of behavioral parent-training and cognitive-behavioral therapy for antisocial youth: A meta-analysis. Journal of Abnormal Child Psychology, 34, 527–543.PubMedCrossRef
Zurück zum Zitat McFall, S. L., Warnecke, R. B., Kaluzny, A. D., & Ford, L. (1996). Practice setting and physician influences on judgments of colon cancer treatment by community physicians. Health Services Research, 31, 5–19.PubMed McFall, S. L., Warnecke, R. B., Kaluzny, A. D., & Ford, L. (1996). Practice setting and physician influences on judgments of colon cancer treatment by community physicians. Health Services Research, 31, 5–19.PubMed
Zurück zum Zitat McMahon, R. J., & Forehand, R. L. (2003). Helping the noncompliant child: Family-based treatment for oppositional behavior (2nd ed.). New York: Guilford. McMahon, R. J., & Forehand, R. L. (2003). Helping the noncompliant child: Family-based treatment for oppositional behavior (2nd ed.). New York: Guilford.
Zurück zum Zitat Moher, D., Schulz, K. F., & Altman, D. G. (2001). The CONSORT statement: Revised recommendations for improving the quality of reports of parallel group randomised trials. The Lancet, 357, 1191–1194.CrossRef Moher, D., Schulz, K. F., & Altman, D. G. (2001). The CONSORT statement: Revised recommendations for improving the quality of reports of parallel group randomised trials. The Lancet, 357, 1191–1194.CrossRef
Zurück zum Zitat National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention and Deployment. (2001). Blueprint for change: Research on child and adolescent mental health. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health. National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention and Deployment. (2001). Blueprint for change: Research on child and adolescent mental health. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health.
Zurück zum Zitat National Institute of Mental Health. (2006). The road ahead: Research partnerships to transform services. A report by the National Advisory Mental Health Council’s Workgroup on Services and Clinical Epidemiology Research. Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health. National Institute of Mental Health. (2006). The road ahead: Research partnerships to transform services. A report by the National Advisory Mental Health Council’s Workgroup on Services and Clinical Epidemiology Research. Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health.
Zurück zum Zitat Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: A conceptual and empirical review. Clinical Child and Family Psychology Review, 8, 149–166.PubMedCrossRef Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: A conceptual and empirical review. Clinical Child and Family Psychology Review, 8, 149–166.PubMedCrossRef
Zurück zum Zitat Office of the Surgeon General. (2004). Report of the surgeon general’s conference on children’s mental health: A national action agenda. Rockville, MD: U.S. Department of Health and Human Services. Office of the Surgeon General. (2004). Report of the surgeon general’s conference on children’s mental health: A national action agenda. Rockville, MD: U.S. Department of Health and Human Services.
Zurück zum Zitat Ogden, T., & Hagen, K. A. (2008). Treatment effectiveness of parent management training in Norway: A randomized controlled trial of children with conduct problems. Journal of Consulting and Clinical Psychology, 76, 607–621.PubMedCrossRef Ogden, T., & Hagen, K. A. (2008). Treatment effectiveness of parent management training in Norway: A randomized controlled trial of children with conduct problems. Journal of Consulting and Clinical Psychology, 76, 607–621.PubMedCrossRef
Zurück zum Zitat Ogles, B. M., Melendez, G., Davis, D. C., & Lunnen, K. M. (2001). The Ohio Scales: Practical outcome assessment. Journal of Child and Family Studies, 10, 199–212.CrossRef Ogles, B. M., Melendez, G., Davis, D. C., & Lunnen, K. M. (2001). The Ohio Scales: Practical outcome assessment. Journal of Child and Family Studies, 10, 199–212.CrossRef
Zurück zum Zitat Panzano, P. C., & Roth, D. (2006). The decision to adopt evidence-based and other innovative mental health practices: Risky business? Psychiatric Services, 57, 1153–1161.PubMedCrossRef Panzano, P. C., & Roth, D. (2006). The decision to adopt evidence-based and other innovative mental health practices: Risky business? Psychiatric Services, 57, 1153–1161.PubMedCrossRef
Zurück zum Zitat Perepletchikova, F., & Kazdin, A. E. (2005). Treatment integrity and therapeutic change: Issues and research recommendations. Clinical Psychology: Science and Practice, 12, 365–383.CrossRef Perepletchikova, F., & Kazdin, A. E. (2005). Treatment integrity and therapeutic change: Issues and research recommendations. Clinical Psychology: Science and Practice, 12, 365–383.CrossRef
Zurück zum Zitat President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America: Final report (DHHS Publication No. SMA-03-3832). Rockville, MD: Author. President’s New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America: Final report (DHHS Publication No. SMA-03-3832). Rockville, MD: Author.
Zurück zum Zitat Reid, J. B., Patterson, G. R., & Snyder, J. J. (2002). Antisocial behavior in children and adolescents. Washington, DC: American Psychological Association.CrossRef Reid, J. B., Patterson, G. R., & Snyder, J. J. (2002). Antisocial behavior in children and adolescents. Washington, DC: American Psychological Association.CrossRef
Zurück zum Zitat Rohrbach, L. A., D’Onofrio, C. N., Backer, T. E., & Montgomery, S. B. (1996). Diffusion of school-based substance abuse prevention programs. The American Behavioral Scientist, 39, 919–934.CrossRef Rohrbach, L. A., D’Onofrio, C. N., Backer, T. E., & Montgomery, S. B. (1996). Diffusion of school-based substance abuse prevention programs. The American Behavioral Scientist, 39, 919–934.CrossRef
Zurück zum Zitat Rosenberg, L. (2010). The reality of implementing evidence-based practices. Journal of Behavioral Health Services and Research, 37, 1–3.PubMedCrossRef Rosenberg, L. (2010). The reality of implementing evidence-based practices. Journal of Behavioral Health Services and Research, 37, 1–3.PubMedCrossRef
Zurück zum Zitat Shapiro, J. P., Welker, C. J., & Jacobson, B. J. (1997). The youth client satisfaction questionnaire: Development, construct validation, and factor structure. Journal of Clinical Child Psychology, 26, 87–98.PubMedCrossRef Shapiro, J. P., Welker, C. J., & Jacobson, B. J. (1997). The youth client satisfaction questionnaire: Development, construct validation, and factor structure. Journal of Clinical Child Psychology, 26, 87–98.PubMedCrossRef
Zurück zum Zitat Shimokawa, K. M. J., Lambert, M. J., & Smart, D. W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of Consulting and Clinical Psychology, 78, 298–311.PubMedCrossRef Shimokawa, K. M. J., Lambert, M. J., & Smart, D. W. (2010). Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic review of a psychotherapy quality assurance system. Journal of Consulting and Clinical Psychology, 78, 298–311.PubMedCrossRef
Zurück zum Zitat Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106–115.PubMedCrossRef Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106–115.PubMedCrossRef
Zurück zum Zitat Southam-Gerow, M. A., Austin, A. A., & Marder, A. M. (2008). Transportability and dissemination of psychological treatments: Research models and methods. In D. McKay (Ed.), Handbook of research methods in abnormal and clinical psychology (pp. 203–224). Newbury Park, CA: Sage. Southam-Gerow, M. A., Austin, A. A., & Marder, A. M. (2008). Transportability and dissemination of psychological treatments: Research models and methods. In D. McKay (Ed.), Handbook of research methods in abnormal and clinical psychology (pp. 203–224). Newbury Park, CA: Sage.
Zurück zum Zitat Stirman, S. W., Crits-Christoph, P., & DeRubeis, R. J. (2004). Achieving successful dissemination of empirically supported psychotherapies: A synthesis of dissemination theory. Clinical Psychology: Science and Practice, 11, 343–359.CrossRef Stirman, S. W., Crits-Christoph, P., & DeRubeis, R. J. (2004). Achieving successful dissemination of empirically supported psychotherapies: A synthesis of dissemination theory. Clinical Psychology: Science and Practice, 11, 343–359.CrossRef
Zurück zum Zitat Weisz, J. R. (2004). Psychotherapy for children and adolescents: Evidence-based treatments and case examples. Cambridge: Cambridge University Press.CrossRef Weisz, J. R. (2004). Psychotherapy for children and adolescents: Evidence-based treatments and case examples. Cambridge: Cambridge University Press.CrossRef
Zurück zum Zitat Weisz, J. R., & Gray, J. S. (2008). Evidence-based psychotherapy for children and adolescents: Data from the present and a model for the future. Child and Adolescent Mental Health, 13, 54–65.CrossRef Weisz, J. R., & Gray, J. S. (2008). Evidence-based psychotherapy for children and adolescents: Data from the present and a model for the future. Child and Adolescent Mental Health, 13, 54–65.CrossRef
Zurück zum Zitat Wells, K. C., & Egan, J. (1988). Social learning and systems family therapy for childhood oppositional disorder. Comprehensive Psychiatry, 29, 138–146.PubMedCrossRef Wells, K. C., & Egan, J. (1988). Social learning and systems family therapy for childhood oppositional disorder. Comprehensive Psychiatry, 29, 138–146.PubMedCrossRef
Metadaten
Titel
Transporting a Manualized Treatment for Children’s Disruptive Behavior to a Community Clinic
verfasst von
Jeremy P. Shapiro
Jen Kogos Youngstrom
Eric A. Youngstrom
Heather F. Marcinick
Publikationsdatum
01.12.2012
Verlag
Springer US
Erschienen in
Journal of Contemporary Psychotherapy / Ausgabe 4/2012
Print ISSN: 0022-0116
Elektronische ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-012-9206-8

Weitere Artikel der Ausgabe 4/2012

Journal of Contemporary Psychotherapy 4/2012 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).