Training Frontline Mental Health Staff to Deliver “Low Intensity” Psychological Therapy for Psychosis: A Qualitative Analysis of Therapist and Service User Views on the Therapy and its Future Implementation

2013 ◽  
Vol 43 (3) ◽  
pp. 298-313 ◽  
Author(s):  
Helen Waller ◽  
Philippa Garety ◽  
Suzanne Jolley ◽  
Miriam Fornells-Ambrojo ◽  
Elizabeth Kuipers ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Analysis ◽  
Service User ◽  
Structured Interview ◽  
Health Staff ◽  
Service Users ◽  
Mental Health Staff ◽  
Frontline Staff ◽  
Low Intensity ◽  
Trained Staff

Background: Increasing access to evidence-based talking therapies for people with psychosis is a national health priority. We have piloted a new, “low intensity” (LI) CBT intervention specifically designed to be delivered by frontline mental health staff, following brief training, and with ongoing supervision and support. A pilot feasibility study has demonstrated significant improvement in service user outcomes. This study is a qualitative analysis of the experiences of the staff and service users taking part in the evaluation. Aims: To evaluate the acceptability of the training protocol and the therapy, and to examine the factors promoting and restraining implementation. Method: All trained staff and service users completed a semi-structured interview that was transcribed and subjected to thematic analysis. Results: Service users spoke about learning new skills and achieving their goals. Staff spoke about being able to use a brief, structured intervention to achieve positive outcomes for their clients. Both groups felt that longer, more sophisticated interventions were required to address more complex problems. The positive clinical outcomes motivated therapists to continue using the approach, despite organizational barriers. Conclusions: For both trained staff and service users, taking part in the study was a positive experience. Staff members’ perceived skill development and positive reaction to seeing their clients improve should help to promote implementation. Work is needed to clarify whether and how more complex difficulties should be addressed by frontline staff.

scholarly journals A Systematic Review of the Characteristics and Efficacy of Recovery Training for Mental Health Staff: Implications for Supported Accommodation Services

2021 ◽  
Vol 12 ◽  
Author(s):  
Peter McPherson ◽  
Brynmor Lloyd-Evans ◽  
Christian Dalton-Locke ◽  
Helen Killaspy
Keyword(s):  
Mental Health ◽  
Service User ◽  
Health Staff ◽  
Mental Health Staff ◽  
Training Interventions ◽  
Supported Accommodation ◽  
Final Sample ◽  
Design Characteristics

Evidence suggests a link between recovery-oriented practise and service user outcomes in supported accommodation settings. Current clinical guidelines recommend recovery training for supported accommodation staff, however evidence relating to the effectiveness of this type of training is unclear. This review aimed to describe and compare the characteristics and efficacy of existing recovery training packages for mental health staff. The appropriateness and applicability of the interventions was considered in relation to UK supported accommodation services. Initial search processes returned 830 papers. After duplicate removal, inclusion and exclusion criteria were applied to 489 papers, leaving a final sample of seven papers. Data were reviewed using a narrative synthesis approach. The reviewed papers showed variation in the aims, frequency, and duration of the training interventions, although all included content consistent with the five-domains of the CHIME model. All interventions used direct, in-person teaching, and prioritised interactive, experiential learning, however a number were limited by the absence of feedback, the use of one-off, rather than repeated/follow-up sessions, and a reliance on classroom-based, rather than in-vivo, training. There was limited evidence to suggest a consistent effect of training on staff or service user outcomes, and there was no clear association between the delivery and design characteristics of the interventions and reported outcomes. In considering the development of recovery training for supported accommodation staff, little guidance can be taken from the reviewed literature. Any training package must be developed with consideration of the unique contextual and organisational characteristics of these services. The authors recommend viewing training as one component of a broader goal of service transformation.

scholarly journals Mental health social work in multidisciplinary community teams: An analysis of a national service user survey

2019 ◽  
Vol 21 (1) ◽  
pp. 3-25 ◽  
Author(s):  
Jennifer Boland ◽  
Michele Abendstern ◽  
Mark Wilberforce ◽  
Rosa Pitts ◽  
Jane Hughes ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Social Workers ◽  
National Survey ◽  
Secondary Analysis ◽  
Secondary Data ◽  
Health Staff ◽  
Service Users ◽  
Limited Evidence ◽  
Mental Health Staff

Summary The article addresses the continued lack of clarity about the role of the mental health social worker within community mental health teams for working age adults and particularly the limited evidence regarding this from the perspective of service users. It compares findings from the literature, found to originate from a predominantly professional viewpoint, with secondary analysis of a national survey of service users to assess their views. Findings Three particular aspects of mental health social workers’ role identified in the literature were, to some extent, also located within the national survey and can be summarised as: approaches to practice, nature of involvement, and scope of support. The presence of these features was largely not substantiated by the survey results, with few differences evident between service users’ experiences of mental health social workers compared with other mental health staff. When nurses and social workers were compared, results were either the same for both professions or favoured nurses. The findings point both to the difficulty of articulating the social work contribution and to the limitations of the secondary data. Application The findings are a useful benchmark, highlighting the limited evidence base and the need for further research to improve both the understanding of the mental health social work role and how it is experienced by service users. The profession is keen to emphasise its specific contribution. Research evidence is required to underscore this and to ensure that the role is not subsumed within generic practice.

A systemic response to supporting frontline inpatient mental health staff in coping with the COVID-19 outbreak

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Padraig Cotter ◽  
Nicola Jhumat ◽  
Eshia Garcha ◽  
Eirini Papasileka ◽  
Jennifer Parker ◽  
...  
Keyword(s):  
Mental Health ◽  
Support Staff ◽  
Health Staff ◽  
Mental Health Staff ◽  
Frontline Staff ◽  
Content Type ◽  
Health Care Workforce ◽  
Inpatient Mental Health ◽  
The Many ◽  
The Impact

Purpose This paper aims to outline the process of supporting frontline inpatient mental health staff in developing ways of coping with COVID-19. Design/methodology/approach A whole system approach was used in formulating and developing support structures with particular focus on relationship-focused coping. Findings Interventions were developed to support staff in coping with problem-focused (e.g. systemic changes) and emotion-focused challenges (e.g. deaths of colleagues). These included psychoeducation, mindfulness-based meditation and rituals to mark the deaths of colleagues. Staff SPACE (Stopping to Process and Consider Events) sessions were used to support staff in managing the many emotions they were experiencing. Positive psychology-based interventions were used to keep morale up and help people to stay motivated. The process of seeking feedback and making changes was introduced to support staff in feeling heard and having a voice. The maternal or master intervention within each of the above was the relational component. Practical implications This work aimed to boost the emotional and psychological literacy of the system. This will be important in the aftermath of the pandemic and could have many benefits thereafter. Social implications The post-COVID-19 health-care workforce will experience significant challenges in terms of readjustment and recovery. It is important that appropriate measures are put in place to ameliorate this. Originality/value An innovative systemic formulation of the impact of COVID-19 on frontline staff, and a coordinated way of dealing with this, is outlined.

Preferences of dress and address: views of attendees and mental health professionals of the psychiatric services

2012 ◽  
Vol 29 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Christina Sim ◽  
Brian Hallahan ◽  
Colm McDonald
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Service User ◽  
Psychiatric Services ◽  
Health Staff ◽  
Mental Health Staff ◽  
Medical Terms

AbstractObjectives: The aim of this study was to determine the views of both individuals attending the mental health services (attendees) and mental health professionals in relation to how attendees and staff should be addressed, how attendees should be described, and how staff should be attired.Methods: We surveyed 132 attendees of the West Galway Mental Health Services and 97 mental health professionals in relation to how they prefer to be addressed (first name/ title and surname/ no preference) the description of attendees (patient / client / service user / no preference) and the attire of mental health staff (casual / smart / no preference). We also ascertained how mental health professionals believed attendees would view these issues.Results: Attendees preferred to be described as patients rather than clients or service users by all mental health professionals, with 46-54% of attendees preferring this term “patient” compared to 14-17% preferring the term “client”, 11-13% preferring the term “service user” and 20-25% having no preference (p < 0.001). They preferred to address doctors by their title and surname (61%) but other mental health professionals by their first names (60-69%) (p < 0.001). Attendees had a strong preference for being addressed by their first names by all the mental health professionals (86-91%) (p < 0.001). Doctors preferred to be attired formally (88%), compared to nurses (50%) or other mental health professionals (42%) (p = 0.002). Attendees had no preference in relation to the attire of doctors but preferred other mental health professionals to be attired informally.Conclusions: The study demonstrates that despite the increased use of several non-medical terms to describe attendees of mental health services; the preferred term of attendees of the psychiatric services in both in-patient and out-patient settings remains ‘patient’. However, this is not universally the case, and the ascertainment of the preference of the attendee at the first encounter with the health professional should be ascertained. We also demonstrated that attendees preferences in relation to both “dress and address” of doctors is significantly different to their preference for nurses or other allied mental health professionals; which may reflect a wish for a less familiar and more formal interaction with doctors.

scholarly journals Staff attitudes to smoking and the smoking ban

2009 ◽  
Vol 33 (3) ◽  
pp. 84-88 ◽  
Author(s):  
Kudlur Thyarappa Praveen ◽  
Swamy Nirvana Chandrappa Kudlur ◽  
Rudresh Paramishiyaiah Hanabe ◽  
Adeyemi Tiwalade Egbewunmi
Keyword(s):  
Mental Health ◽  
Response Rate ◽  
Smoking Ban ◽  
Health Staff ◽  
Clinical Implications ◽  
Service Users ◽  
Staff Attitudes ◽  
Mental Health Staff ◽  
Smoking Policy ◽  
Psychiatric Units

Aims and MethodOur aim was to explore attitudes of in-patient mental health staff to smoking and the smoking ban. A questionnaire was distributed to staff (n=450) working at National Health Service psychiatric units in three different locations.ResultsWe obtained 308 responses, at a response rate of 68.4%. Staff were generally less permissive towards smoking in mental health units when compared with previous studies. However, most (78.9%) feared that service users' states would deteriorate if they were not allowed to smoke.Clinical ImplicationsWe found small but noticeable change in staff attitudes following initial reforms in smoking policy. However, there is a need for further significant change in staff attitudes to facilitate implementation of a total smoking ban from July 2008.

scholarly journals Involving service users in the recruitment of mental health staff: the Service User Informed Tool for Staff Selection (SUITSS)

2012 ◽  
Vol 36 (4) ◽  
pp. 133-136
Author(s):  
Angel Sánchez-Bahíllo ◽  
Claire Davis ◽  
Richard Onyon ◽  
Jan Birtle
Keyword(s):  
Service User ◽  
Selection Process ◽  
User Involvement ◽  
Health Staff ◽  
Service Users ◽  
Service User Involvement ◽  
Mental Health Staff ◽  
User Focus ◽  
Local Input ◽  
Staff Recruitment

Aims and methodService user involvement in the development of services is a fundamental aim of the National Health Service (NHS). However, a structured and quantifiable approach to their involvement in the recruitment of NHS staff is still lacking. In this study, we used service-user focus groups within a therapeutic community for people with personality disorder in order to develop the Service User Informed Tool for Staff Selection (SUITSS).ResultsWe enabled service users to develop SUITSS as a Likert scale with which to define relevant staff characteristics and rate applicants according to them, informing the staff-selection process. The tool has a semi-quantitative format that allows to test whether applicants with higher ratings are actually appointed by selection panels or not.Clinical implicationsThis new tool provides an approach to enhancing service user contributions to staff recruitment. It may be adapted and refined for use in a range of services, with local input from service users, following the approach described here.

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