Willetts Lucy, Leff Julian
TAPS Research Unit, Hampstead, London, UK.
J Adv Nurs. 2003 May;42(3):237-43. doi: 10.1046/j.1365-2648.2003.02612.x.
Working with people with mental illness is very challenging and mental health workers can have a significant impact on the mental status of their patients. Few studies have been published that describe training programmes for this staff group.
This paper aims to describe and evaluate a training programme for generic mental health workers used in the context of a residential unit for 'difficult to place' mentally ill patients.
The staff training programme was adapted from a previous programme showing good efficacy. It was conducted over 10 sessions and addressed a wide range of issues relating to the management of mentally ill patients, with the use of a variety of teaching methods. Twenty-nine generic mental health workers participated in the programme. The impact of the programme was examined using a knowledge questionnaire and a semi-structured questionnaire exploring the range and use of management strategies by staff members.
Comparison of pre- and post-training measures indicated that the training programme increased staff knowledge of schizophrenia and the use of certain management skills, in particular, systematic strategies to effect change. This included increased use of structured programmes with patients.
The training programme was effective in increasing knowledge and skills of staff and could be used with a variety of psychiatric staff. There are numerous limitations to this study, in particular the poor attendance rates which are likely to have decreased the impact of the programme.
与患有精神疾病的人一起工作极具挑战性，心理健康工作者会对其患者的精神状态产生重大影响。已发表的描述针对该员工群体培训项目的研究很少。
本文旨在描述和评估一个针对通用心理健康工作者的培训项目，该项目用于一个收治“难以安置”的精神病患者的住院单元。
员工培训项目改编自之前一个显示出良好效果的项目。培训共进行10次课程，涉及与精神病患者管理相关的广泛问题，并采用了多种教学方法。29名通用心理健康工作者参加了该项目。使用知识问卷和半结构化问卷来考察该项目的影响，半结构化问卷用于探究工作人员管理策略的范围和使用情况。
培训前后测量结果的比较表明，该培训项目增加了工作人员对精神分裂症的了解以及某些管理技能的使用，特别是实现改变的系统策略。这包括增加了与患者使用结构化项目的情况。
该培训项目在增加工作人员的知识和技能方面是有效的，并且可以用于各类精神科工作人员。本研究存在许多局限性，尤其是出勤率低，这可能降低了该项目的影响。
