Training the Frontline Workforce to Deliver Evidence-Based Therapy to People With Psychosis:Challenges in the GOALS Study
Autor: | Catherine Tunnard, Darshan Zala, Philippa Garety, Rikesh Halkoree, Paul McCrone, Tom K. J. Craig, Nedah Basit, Catherine Iredale, Sabine Landau, Suzanne Jolley, Miriam Fornells-Ambrojo, Helen Waller |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Adult
050103 clinical psychology Inservice Training Evidence-based practice Health Personnel media_common.quotation_subject medicine.medical_treatment Fidelity Crisis management law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Nursing law Intervention (counseling) medicine Journal Article Humans 0501 psychology and cognitive sciences Implementation Science media_common Cognitive Behavioral Therapy 05 social sciences Community Mental Health Services 030227 psychiatry Cognitive behavioral therapy Psychiatry and Mental health Psychotic Disorders Evidence-Based Practice Workforce Feasibility Studies Organizational structure Psychology |
Zdroj: | Garety, P A, Craig, T K J, Iredale, C H, Basit, N, Fornells-Ambrojo, M, Halkoree, R, Jolley, S, Landau, S, McCrone, P, Tunnard, C, Zala, D & Waller, H 2018, ' Training the Frontline Workforce to Deliver Evidence-Based Therapy to People With Psychosis : Challenges in the GOALS Study ', Psychiatric Services, vol. 69, no. 1, pp. 9-11 . https://doi.org/10.1176/appi.ps.201700268 |
DOI: | 10.1176/appi.ps.201700268 |
Popis: | Improving access to psychotherapies in psychosis requires workforce expansion in resource-challenged systems. The GOALS feasibility randomized controlled trial assessed training and implementation of an evidence-based intervention by frontline workers, targeting recovery goals. Training uptake and therapy fidelity were good. Case managers with crisis management responsibilities were less likely than clinical assistants to deliver therapy. Participants receiving "sufficient therapy" achieved goals, but therapy was usually provided by clinical assistants. This is consistent with implementation science principles, that training must be combined with supportive organizational structures, such as by focusing on roles that already include therapy delivery or developing stronger organizational supports for case managers. |
Databáze: | OpenAIRE |
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