School of Population Health, University of Queensland, Herston Campus, Brisbane, Australia.
Community Ment Health J. 2013 Feb;49(1):86-94. doi: 10.1007/s10597-012-9489-y.
Training for health services staff often focuses on improving individual practitioner's knowledge and skills, with less emphasis given to the broader organizational context, in particular those elements that support successful implementation of changes post-training. This paper compares the effectiveness of a standard training model for suicide prevention to an enhanced training model. The training involved the public mental health workforce throughout the State of Queensland, Australia and was developed in collaboration with the State health department and as such took place within a policy and practice context. The standard training involved participation in a one-day training workshop, which provided information on evidence-based suicide prevention strategies. The enhanced model took an organizational development approach and incorporated a focus on creating and strengthening networks to enhance the capacity of mental health service staff to undertake preventive strategies. Findings suggest that multi-component organizational approaches for suicide prevention produces benefits that should now be trialled through experimental approaches.
培训卫生服务人员通常侧重于提高个体从业者的知识和技能,而较少关注更广泛的组织背景,特别是那些支持培训后成功实施变革的要素。本文比较了一种标准的预防自杀培训模式和一种强化培训模式的效果。培训涉及澳大利亚昆士兰州的公共精神卫生工作者,是与州卫生部门合作开发的,因此是在政策和实践背景下进行的。标准培训包括参加为期一天的培训研讨会,提供有关循证预防自杀策略的信息。强化模式采用组织发展方法,注重创建和加强网络,以增强精神卫生服务人员实施预防策略的能力。研究结果表明,多组成分的组织预防自杀方法带来了益处,现在应该通过实验方法进行试验。