Reay Susan, Reay William, Tevis Kris, Patterson Lisa
Grace Abbott School of Social Work, University of Nebraska Omaha, 6001 Dodge St., CPACS 205, Omaha, NE 68182 USA.
Omni Inventive Care, Omaha, NE USA.
Glob Implement Res Appl. 2023;3(1):67-77. doi: 10.1007/s43477-023-00076-5. Epub 2023 Mar 23.
The global workforce crisis significantly impacts how evidence-based treatment is provided to youth with developmental disabilities and co-occurring mental health conditions. Addressing the workforce crisis requires re-examining the long-standing methods of selecting individuals for employment based on academic degrees. This project offers an innovative workforce development option that provides specialized training to staff with advanced education degrees and staff with less education. The participants in this study were employed in a rural area of the USA within the mental health, child welfare, and correctional industries. All participants worked with youth experiencing intellectual disabilities and mental illness. Results indicated that participants improved their knowledge of the population, demonstrated a better understanding of EBPs, and were willing to employ evidence-based approaches regardless of their education or age. Although overall attitudes toward EBPs decreased, diverging attitudes increased, suggesting a need to accommodate treatment strategies when EBP models are unavailable for special populations. Initial knowledge gaps demonstrated by those with a master's degree and those with less education disappeared after the training. This finding supports the application of innovative task-shifting options in mental health, such as diverting more sophisticated care tasks to nonprofessionally trained persons, which can reduce workforce pressure and unmet demand for care. This study demonstrates cost-effective and time-efficient methods of training staff regardless of education by relying less on specific EBP models and more on adaptation.
全球劳动力危机对如何为发育障碍和同时患有心理健康问题的青少年提供循证治疗产生了重大影响。解决劳动力危机需要重新审视基于学位选拔就业人员的长期方法。该项目提供了一种创新的劳动力发展方案，为拥有高等教育学位的员工和受教育程度较低的员工提供专业培训。本研究的参与者受雇于美国农村地区的心理健康、儿童福利和惩教行业。所有参与者都与患有智力残疾和精神疾病的青少年一起工作。结果表明，参与者增进了对该人群的了解，对循证实践有了更好的理解，并且无论其教育程度或年龄如何，都愿意采用循证方法。虽然对循证实践的总体态度有所下降，但不同的态度有所增加，这表明当特殊人群没有循证实践模型时，需要调整治疗策略。硕士学位者和受教育程度较低者最初表现出的知识差距在培训后消失了。这一发现支持在心理健康领域应用创新的任务转移方案，比如将更复杂的护理任务转移给未经专业培训的人员，这可以减轻劳动力压力和未满足的护理需求。本研究表明，通过减少对特定循证实践模型的依赖，更多地依靠适应性调整，无论教育程度如何，都可以采用具有成本效益和高效省时的方法来培训员工。
