Lambert G, Gournay K
Illawarra Institute for Mental Health, University of Wollongong, New South Wales, Australia.
Aust N Z J Psychiatry. 1999 Oct;33(5):694-700. doi: 10.1080/j.1440-1614.1999.00615.x.
Implementation of the National Mental Health Strategy has important implications for education and training of the Australian mental health workforce. This paper discusses relevant developments in the United Kingdom that may provide some lessons for Australia.
A review was undertaken of a number of specific clinical education and training programs for mental health workers in the United Kingdom which have been subjected to published evaluation.
A finite mental health resource base dictates that education and training activity should: (i) be evaluated; (ii) target those clients most in need; (iii) include evidence-based approaches such as assertive community treatment, medication management, cognitive-behaviour therapy and family interventions; and (iv) prepare mental health workers in the core competencies needed to implement these approaches. Two programs, developed in the United Kingdom, which meet these criteria are presented as examples of best practice: the nurse therapy model established by Isaac Marks; and the Thorn initiative established in association with the Institute of Psychiatry, London and the University of Manchester.
实施《国家心理健康战略》对澳大利亚心理健康工作队伍的教育与培训具有重要意义。本文探讨了英国的相关发展情况，可为澳大利亚提供一些借鉴。
对英国一些针对心理健康工作者的特定临床教育与培训项目进行了综述，这些项目已接受公开评估。
有限的心理健康资源基础决定了教育与培训活动应：（i）接受评估；（ii）针对最有需求的客户；（iii）包括基于证据的方法，如积极社区治疗、药物管理、认知行为疗法和家庭干预；（iv）让心理健康工作者具备实施这些方法所需的核心能力。英国开发的两个符合这些标准的项目被作为最佳实践案例呈现：艾萨克·马克斯建立的护士治疗模式；以及与伦敦精神病学研究所和曼彻斯特大学联合发起的索恩倡议。
