McPherson Peter, Lloyd-Evans Brynmor, Dalton-Locke Christian, Killaspy Helen
Division of Psychiatry, UCL, London, United Kingdom.
Front Psychiatry. 2021 May 14;12:624081. doi: 10.3389/fpsyt.2021.624081. eCollection 2021.
Evidence suggests a link between recovery-oriented practise and service user outcomes in supported accommodation settings. Current clinical guidelines recommend recovery training for supported accommodation staff, however evidence relating to the effectiveness of this type of training is unclear. This review aimed to describe and compare the characteristics and efficacy of existing recovery training packages for mental health staff. The appropriateness and applicability of the interventions was considered in relation to UK supported accommodation services. Initial search processes returned 830 papers. After duplicate removal, inclusion and exclusion criteria were applied to 489 papers, leaving a final sample of seven papers. Data were reviewed using a narrative synthesis approach. The reviewed papers showed variation in the aims, frequency, and duration of the training interventions, although all included content consistent with the five-domains of the CHIME model. All interventions used direct, in-person teaching, and prioritised interactive, experiential learning, however a number were limited by the absence of feedback, the use of one-off, rather than repeated/follow-up sessions, and a reliance on classroom-based, rather than , training. There was limited evidence to suggest a consistent effect of training on staff or service user outcomes, and there was no clear association between the delivery and design characteristics of the interventions and reported outcomes. In considering the development of recovery training for supported accommodation staff, little guidance can be taken from the reviewed literature. Any training package must be developed with consideration of the unique contextual and organisational characteristics of these services. The authors recommend viewing training as one component of a broader goal of service transformation.
有证据表明，在支持性住宿环境中，以康复为导向的实践与服务使用者的结果之间存在联系。当前的临床指南建议为支持性住宿工作人员提供康复培训，然而，关于这类培训有效性的证据尚不清楚。本综述旨在描述和比较现有的心理健康工作人员康复培训包的特点和效果。并结合英国支持性住宿服务，考虑了这些干预措施的适当性和适用性。初步检索过程共返回830篇论文。在去除重复项后，对489篇论文应用了纳入和排除标准，最终样本为7篇论文。采用叙述性综合方法对数据进行了综述。综述论文显示，培训干预的目标、频率和持续时间存在差异，尽管所有内容均与CHIME模型的五个领域一致。所有干预措施都采用面对面直接教学，并优先考虑互动式体验学习，然而，一些干预措施存在局限性，缺乏反馈，采用一次性而非重复/后续课程，且依赖课堂教学而非其他培训方式。几乎没有证据表明培训对工作人员或服务使用者的结果有一致的影响，而且干预措施的实施和设计特点与报告的结果之间没有明确的关联。在考虑为支持性住宿工作人员开展康复培训时，从综述文献中几乎无法获得指导。任何培训包的开发都必须考虑这些服务独特的背景和组织特征。作者建议将培训视为服务转型这一更广泛目标的一个组成部分。
