Motivation to lead in trainee clinical psychologists: service evaluation of a UK doctorate programme

2021 ◽  
Vol 16 (6) ◽  
pp. 442-453
Author(s):  
Charlotte L. Hassett ◽  
David M. Gresswell ◽  
Sarah V. Wilde
Keyword(s):  
Leadership Skills ◽  
Teaching Experience ◽  
Training Programme ◽  
Service Evaluation ◽  
Clinical Psychologists ◽  
Clinical Psychologist ◽  
Motivation To Lead ◽  
Content Type ◽  
Development Data ◽  
The Uk

Purpose This paper aims to explore whether a United Kingdom (UK) clinical psychology training programme (the programme) was effective in producing graduates who are confident in leadership, within the context of the National Health Service and reflecting the British Psychological Society’s views of leadership. Design/methodology/approach Mixed methods design surveys were administered to prospective-, current- and alumni trainee clinical psychologists on the programme, enquiring about their view of leadership, motivation to lead (MtL) and aspects of the course that are helpful and which need further development. Data collected from 92 individuals were analysed using content and thematic analysis (TA). Findings From the TA, three themes were identified concerning the meaning of leadership as follows: professional identity, Improving the quality of services (team; organisations and wider context), professional skills. Overall, participants thought leadership was important to the role of a clinical psychologist, with prospective trainees reporting that the desire to develop as leaders influenced their decision to apply to the programme. Moreover, participants felt confident in leadership skills and that the training programme helped develop their leadership skills, with the alumni participants demonstrating a greater MtL. Placements, group study and specific modules were identified as contributing to the development of their leadership skills, but participants felt more teaching on leadership is needed. Recommendations have been suggested to improve the development of leadership skills on the programme. Research limitations/implications The research was undertaken on a small cohort of trainees based in the UK. Practical implications Participants were motivated to become clinical leaders but this motivation needed to be nurtured and developed particularly through structured placement and teaching experience. Originality/value This service evaluation is the only audit of the leadership of the programme and the findings will contribute to the existing body of reviews in this area.

scholarly journals Exploring how to deliver videoconference-mediated psychological therapy to adults with an intellectual disability during the coronavirus pandemic

2021 ◽  
Vol 15 (1) ◽  
pp. 20-32
Author(s):  
Gregg Harry Rawlings ◽  
Christopher Gaskell ◽  
Keeley Rolling ◽  
Nigel Beail
Keyword(s):  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Service Evaluation ◽  
Psychological Therapy ◽  
Clinical Psychologist ◽  
Psychological Assessments ◽  
Content Type ◽  
The North ◽  
Novel Coronavirus ◽  
The Uk

Purpose The novel coronavirus and associated restrictions have resulted in mental health services across the UK having to adapt how they deliver psychological assessments and interventions. The purpose of this paper is to explore the accessibility and prospective acceptability of providing telephone and videoconference-mediated psychological interventions in individuals with intellectual disabilities. Design/methodology/approach As part of a service evaluation, a mixed-methods questionnaire was developed and completed by clients who had been referred for psychological therapy at an adult intellectual disabilities’ community health service in the north of England. All clients were assessed using the Red/Amber/Green (RAG) system by a consultant clinical psychologist for risk and potential suitability for indirect service delivery given their ability and needs. Findings Overall, 22 clients were invited to take part, of which, only seven (32%) were accepting of telephone or videoconference-mediated psychological therapy. Most of the clients were unable to engage in video-conference therapy and therefore, only suitable for phone therapy. This paper presents the remaining findings and discusses the clinical implications and unique considerations for intellectual disability services drawing on the existing literature. Originality/value This is the first paper that the authors are aware of, examining videoconference-mediated psychological therapy in this population. It is hoped the data will be used to help inform practice or policy when using such therapeutic approaches in adults with an intellectual disability.

The rate and impact of substance misuse in psychiatric intensive care units (PICUs) in the UK

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Hattie Catherine Ann Moyes ◽  
Lana MacNaboe ◽  
Kate Townsend
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Substance Misuse ◽  
Well Being ◽  
Training Programme ◽  
Content Type ◽  
National Quality ◽  
Improvement Programme ◽  
The Uk ◽  
The Impact

Purpose This paper aims to understand the current scale of substance misuse in psychiatric intensive care units (PICUs), identify how substance misuse affects members of staff, patients and the running of wards and explore with staff what resources would be most useful to more effectively manage substance misuse and dual diagnosis on PICUs. Design/methodology/approach The paper used a mixed-methods approach, using a quantitative survey to determine the extent of substance use in PICUs and a co-design workshop to understand the impact of substance misuse on PICU wards, staff and patients. Findings The estimated rate of substance misuse in PICUs over a 12-month period is 67%, with cannabis the most frequently used substance. Despite the range of problems experienced on PICUs because of substance misuse, the availability of training and resources for staff was mixed. Research limitations/implications The findings may not be fully generalisable as research participants were members of a national quality improvement programme, and therefore, may not be representative of all PICUs. Data was collected from clinicians only; if patients were included, they might have provided another perspective on substance misuse on PICUs. Practical implications This paper emphasises the importance of substance misuse training for PICU staff to adequately respond to patients who misuse substances, improve the ward environment, staff well-being and patient outcomes. Originality/value This paper provides an updated estimation of rates of substance misuse in PICUs over a 12-month period and make suggestions for a training programme that can better support staff to address substance misuse on PICUs.

Evaluating dementia training for healthcare staff

2019 ◽  
Vol 14 (4) ◽  
pp. 277-288
Author(s):  
Lucy Garrod ◽  
Jane Fossey ◽  
Catherine Henshall ◽  
Sandra Williamson ◽  
Alice Coates ◽  
...  
Keyword(s):  
Best Practice ◽  
Rating Scales ◽  
Quality Care ◽  
Training Programme ◽  
Service Evaluation ◽  
Rank Test ◽  
Experiential Training ◽  
Content Type ◽  
Competency Based ◽  
The Impact

Purpose The purpose of this paper is to report on a service evaluation of a competency-based dementia training programme for clinicians to establish its value in improving their knowledge and confidence of dementia care and to explore any resulting changes to practice. Design/methodology/approach Mixed method quantitative and qualitative data, using rating scales and focus group discussions (FGDs), were collected. Wilcoxon signed-rank test was used to analyse changes in the responses to the rating scales of knowledge and confidence and thematic analysis of FGDs was undertaken to identify staff perceptions of the impact of training on their practice. Findings In total, 162 qualified and clinical support staff undertook the training. A significant change in knowledge and confidence scores was found on all three scales. In general, feedback on the course was positive. Seven themes, demonstrating the relevance of the training to practice, emerged from the FGDs – experiential training awareness of diagnosis, approach, understanding, communication, risk, changed practice and going forward. Practical implications Providing competency-based dementia training for large numbers of staff can have a positive effect on the care delivered to patients with dementia. Originality/value Healthcare organisations have a responsibility to ensure their staff have the training to provide quality care for patients living with dementia. This paper suggests this can be achieved through a collaborative, multi-disciplinary approach involving co-production and best practice guidance.

Building a global training initiative fit for KONE’s diverse workforce

2018 ◽  
Vol 17 (2) ◽  
pp. 91-94
Author(s):  
Samantha Caine
Keyword(s):  
Design Methodology ◽  
Training Programme ◽  
Local Market ◽  
Front Line ◽  
Content Type ◽  
Diverse Workforce ◽  
Course Materials ◽  
The Uk ◽  
Global Training ◽  
Multiple Languages

Purpose Business Linked Teams was tasked with creating a training programme for KONE to transform sales people in various markets to communicate value, differentiate the organisation from its competitors, improve margins and increase orders. Design/methodology/approach Business Linked Teams developed a global solution that is adaptable to local market conditions with case studies, activities and role plays and further course materials developed specifically for each respective front line of sales staff. The programme was also developed to run in multiple languages. The solution comprises two modules that are run approximately six months apart, supported by online learning elements. Findings In the UK, the results nine months post-training were that 72 participants had identified £11,463,378 worth of orders achieved as a result of the skills and processes they were able to use after the training, with £5,044,942 of future orders in the pipeline. Originality/value Business Linked Teams created an original training programme that was tailored to the unique needs of KONE. Each training programme that was created was designed to meet the specific goals of the organisation to ensure that the most effective route possible is taken and to maximise uptake of learning once the programmes have ended.

scholarly journals Transporting Cognitive Behavioral Therapy (CBT) and the Improving Access to Psychological Therapies (IAPT) project to Japan: preliminary observations and service evaluation in Chiba

2014 ◽  
Vol 9 (3) ◽  
pp. 155-166 ◽  
Author(s):  
Osamu Kobori ◽  
Michiko Nakazato ◽  
Naoki Yoshinaga ◽  
Tetsuya Shiraishi ◽  
Kota Takaoka ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Service Evaluation ◽  
Cognitive Behavioral ◽  
Obsessive Compulsive ◽  
Content Type ◽  
Compulsive Disorder ◽  
Training Course ◽  
Psychological Therapies ◽  
The Uk

Purpose – The purpose of this paper is to discuss the implementation and evaluation of a cognitive behavioral therapy (CBT) training course for clinicians in Chiba, the sixth-largest province in Japan. Design/methodology/approach – Individual CBT for obsessive-compulsive disorder, bulimia nervosa, or social anxiety disorder was delivered by trainees of the Chiba CBT training course in a single study design. Findings – The results demonstrated that individual CBT delivered by trainees led to statistically significant reductions in symptom severity for all three disorders. Feedback from the trainees indicated that the training course achieved its aims. Research limitations/implications – Barriers to the dissemination of CBT in Japan such as opportunities for training and possible solutions are discussed. Originality/value – This paper evaluates the Chiba CBT training course, which is a Japanese adaptation of the UK Improving Access to Psychological Therapies Project and the first post-qualification CBT training course in Japan.

Multi-professional approved clinicians’ contribution to clinical leadership

2018 ◽  
Vol 13 (2) ◽  
pp. 65-76 ◽  
Author(s):  
Selma Ebrahim
Keyword(s):  
Mental Health ◽  
Workforce Development ◽  
Distributed Leadership ◽  
Patient Choice ◽  
Clinical Psychologist ◽  
Mental Health Nursing ◽  
Clinical Leadership ◽  
Content Type ◽  
Mental Health Settings ◽  
The Uk

Purpose The purpose of this paper is to explore how multi-professional approved clinicians (MPACs), responsible for the care of patients detained under the Mental Health Act (2007), can enable clinical leadership in mental health settings. Design/methodology/approach A questionnaire was completed by clinical psychology and mental health nursing practitioners in a mental health trust in the UK working towards or having gained approved clinician (AC) status, identifying barriers to implementation of the roles and enablers. Qualitative interview data were also gathered with psychiatrists, clinical psychologist and Mental Health Nurse ACs (three in each group). Findings There are a number of barriers and enablers of distributed leadership promoted by the MPAC role. Themes identified focused on enabling person-centred care, clinical leadership and culture change more broadly within mental health care. The AC role is supporting clinical leadership by a range of professionals, promoting patient choice by enabling access to clinicians with the appropriate skills to meet needs. Clinical leadership roles are promoting links between organisational priorities, teams and patient care, fostering distributed leadership in practice. Research limitations/implications This project reflects the views of a limited number of practitioners within one organisation which limits generalisabilty. Practical implications Organisations need clear strategies linked to workforce development and implementation of the roles to capitalise on their potential to support clinical leadership and person-centred care. Originality/value This study provides initial qualitative data on potential benefits and challenges of implementing the role.

Staff support procedures in a low-secure forensic service

2018 ◽  
Vol 20 (3) ◽  
pp. 191-201
Author(s):  
Sarah Cooper ◽  
Andy Colin Inett
Keyword(s):  
Service Evaluation ◽  
Structured Interviews ◽  
Staff Support ◽  
Missed Opportunities ◽  
Content Type ◽  
Increased Risk ◽  
Forensic Service ◽  
Inpatient Settings ◽  
The Uk ◽  
Practical Implications

PurposeStaff working in forensic inpatient settings are at increased risk of harm perpetrated by patients. Support offered in response to such incidents can have a significant impact on how staff recover. The purpose of this paper is to explore how staff support procedures implemented in one low-secure forensic service impacted on staff recovery.Design/methodology/approachIn total, 11 members of staff who had direct patient contact volunteered from an opportunity sample. Semi-structured interviews were conducted with each participant, asking about experiences of abuse at work and subsequent staff support procedures. Interviews were analysed using thematic analysis.FindingsFour overarching themes were identified; experiences of harm, supported recovery, missed opportunities and therapeutic relationships. This led to a better understanding of how staff coped with incidents of abuse at work and how support procedures impacted on their recovery.Research limitations/implicationsThe service evaluation was limited by transferability of the findings. The process of sampling may have meant there were biases in those who volunteered to take part. Further projects such as this are required to develop the themes identified.Practical implicationsFindings led to the development of a new integrated model of staff support.Originality/valueThis was one of the first studies in the UK to formally evaluate a staff support procedure in forensic low-secure services and include experiences of both clinical and non-clinical staff who are regularly exposed to potentially harmful events.

Experience of transition between a child and adolescent service and adult service for the treatment of eating disorders

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jackie Wales ◽  
Nicola Brewin ◽  
Karima Susi ◽  
Alison Eivors ◽  
Debbie Whight ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Qualitative Methodology ◽  
Geographical Location ◽  
Child And Adolescent ◽  
Service Evaluation ◽  
Valuable Insight ◽  
Content Type ◽  
Adult Services ◽  
The Uk ◽  
Effective Transfer

Purpose There is a dearth of research on what constitutes effective transfer of care from children’s and young people services to adult services for patients with eating disorders (EDs) in the UK. Transition has implications for continuity of care and particularly for early intervention which has the best prognosis. The purpose of this paper is to understand the experience of transition and identify facilitators and barriers to this. Design/methodology/approach Qualitative methodology was used. Focus groups (n = 4) were held with clinicians (n = 22) working in Child and Adolescent Mental Health Services or adult ED services. Individual interviews were conducted with patients (n = 5) who had commenced/completed transition to adult services and with parents/carers (n = 6) of patients invited for interview. Findings A number of factors may facilitate or impede transition and can be grouped into the broad themes of communication, managing the differences between services and timing of transition. Improvements in communication, clear explanation of service differences and flexibility around the timing of transitions may enhance the experience for patients and parents/carers. Research limitations/implications The service evaluation was limited to transition between two specialist ED services in one geographical location. The findings provide the basis for a wider research study to examine which factors are most important when planning transition from the perspectives of patients, parents/carers and clinicians. Originality/value This is the first study examining ED transitions in the UK. It provides valuable insight of the experience of service users and carers and highlights potential improvements when planning transitions for this patient group.

scholarly journals The convergence of National Professional Qualifications in educational leadership and master’s level study

2018 ◽  
Vol 8 (4) ◽  
pp. 484-494
Author(s):  
Steve Lambert
Keyword(s):  
Educational Leadership ◽  
Training Programme ◽  
Master's Level ◽  
Professional Networks ◽  
Professional Qualification ◽  
Content Type ◽  
Key Issues ◽  
The Government ◽  
The Uk ◽  
The University

Purpose In 2017 the UK Government decided that the suite of National Professional Qualifications (National Professional Qualifications for Middle Leadership, National Professional Qualifications for Senior Leadership and National Professional Qualifications for Headship) needs to be updated in order to ensure they remained relevant to the changing shape of the educational landscape, particularly through the expansion of multi-academy trusts (MATs). At the same time, the Government proposed a new National Professional Qualification for Executive Leadership aimed at the CEOs of MATs. The purpose of this paper is to explore the way in which the new National Professional Qualification (NPQ) programmes are having master’s level criteria embedded into them to facilitate a seamless progression into the master’s level study. Design/methodology/approach The paper combines desk research with reflections on the experience of developing the new NPQ programme within higher education institutions (HEIs) and considers the implications of this upon current and emerging HEI practice and research into educational leadership. Findings There were a number of key issues highlighted by the paper. Notably, the process of embedding academic criteria into a training programme, which was not used to support the notion of critical reflection. Also, the associated mechanisms of accreditation, existing professional networks and the upskilling of staff delivering the NPQ programme, and a professionally oriented interface between the university, employer and deliverer of the training. Originality/value This paper provides an original perspective involving the embedding of master’s level criteria into professional qualifications in the field of educational leadership.

scholarly journals Chefs' competencies: a stakeholder's perspective

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Evangelia Marinakou ◽  
Charalampos Giousmpasoglou
Keyword(s):  
Leadership Skills ◽  
Skills Gap ◽  
Academic Institutions ◽  
Culinary Arts ◽  
Content Type ◽  
Democratic Management ◽  
Attention To Diversity ◽  
The Uk ◽  
Different Cultures ◽  
Practical Implications

PurposeIn view to the skills gap challenge in the chefs' occupation, the purpose of this study was to identify the required chefs' skills and competencies for successful careers in culinary arts management in the UK context.Design/methodology/approachA quantitative approach was employed with a survey questionnaire on competencies. Data were collected from different stakeholders with 407 valid responses presenting views on necessary competencies and skills to pursue a career in culinary arts.FindingsThis study suggests that professionals in commercial kitchens should demonstrate strong managerial and leadership skills, as well as operational and administrative. Professionalism and democratic management should be exhibited by chefs, who should further develop their emotional intelligence (EI) competency.Practical implicationsOrganizations and academic institutions should provide such training to develop managerial and leadership skills that chefs need. Organizations should recruit based on these competencies model. Attention to diversity, equality and different cultures are important. Academic institutions should redesign their curriculum to address the industry's need on chefs' skills and competencies.Originality/valueThis is the first study to investigate chefs' competencies with empirical evidence from professionals, academics and students in the UK context. This study proposes a model with four sets of competencies, namely management, technical, strategic and operational.

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