Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.
Alfred Hospital Psychiatric Services, Melbourne, Victoria, Australia.
Early Interv Psychiatry. 2019 Apr;13(2):217-223. doi: 10.1111/eip.12465. Epub 2017 Aug 9.
The aim of this study was to identify the core competencies required of mental health professionals working in the early psychosis field, which could function as an evidence-based tool to support the early psychosis workforce and in turn assist early psychosis service implementation and strengthen early psychosis model fidelity.
The Delphi method was used to establish expert consensus on the core competencies. In the first stage, a systematic literature search was conducted to generate competency items. In the second stage, a panel consisting of expert early psychosis clinicians from around the world was formed. Panel members then rated each of the competency items on how essential they are to the clinical practice of all early psychosis clinicians.
In total, 1023 pieces of literature including textbooks, journal articles and grey literature were reviewed. A final 542 competency items were identified for inclusion in the questionnaire. A total of 63 early psychosis experts participated in 3 rating rounds. Of the 542 competency items, 242 were endorsed as the required core competencies. There were 29 competency items that were endorsed by 62 or more experts, and these may be considered the foundational competencies for early psychosis practice.
The study generated a set of core competencies that provide a common language for early psychosis clinicians across professional disciplines and country of practice, and potentially are a useful professional resource to support early psychosis workforce development and service reform.
本研究旨在确定精神卫生专业人员在早期精神病领域工作所需的核心能力，这些能力可以作为一种循证工具，为早期精神病劳动力提供支持，进而有助于早期精神病服务的实施，并加强早期精神病模式的保真度。
采用德尔菲法（Delphi method）就核心能力达成专家共识。在第一阶段，进行了系统的文献检索，以生成能力项目。在第二阶段，组成了一个由来自世界各地的早期精神病临床专家组成的专家组。专家组的成员然后对每个能力项目进行评估，以确定它们对所有早期精神病临床医生的临床实践有多么重要。
共查阅了 1023 篇文献，包括教科书、期刊文章和灰色文献。最终确定了 542 项能力项目纳入问卷。共有 63 名早期精神病学专家参加了 3 轮评估。在 542 项能力项目中，有 242 项被认为是必需的核心能力。有 29 项能力项目得到了 62 名或更多专家的认可，这些能力项目可能被认为是早期精神病学实践的基础能力。
该研究产生了一套核心能力，为跨专业和国家实践的早期精神病临床医生提供了共同的语言，并可能成为支持早期精神病劳动力发展和服务改革的有用专业资源。
