A survey of engagement and competence levels in interventions and activities in a community mental health workforce in England

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• 作者：Linda Lang (1)
  Sophie Orton (1)
  David Sallah (1) (2)
  Teresa Hewitt-Moran (3)
  Dongmei Zhang (1) (4)
  Sean Cullen (5)
  Sheila Dixon (1)
  Brian Bell (1)
  David Bell (1)
  Lesley Meeson (1)
  Ruoling Chen (1) (6)
  
• 刊名：BMC Health Services Research
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：11
• 期：1
• 全文大小：166KB
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• 作者单位：Linda Lang (1)
  Sophie Orton (1)
  David Sallah (1) (2)
  Teresa Hewitt-Moran (3)
  Dongmei Zhang (1) (4)
  Sean Cullen (5)
  Sheila Dixon (1)
  Brian Bell (1)
  David Bell (1)
  Lesley Meeson (1)
  Ruoling Chen (1) (6)
  
  1. School of Health and Wellbeing, University of Wolverhampton, Nursery Street, Wolverhampton, WV1 1AD, UK
  2. Leicester Partnership NHS Trust, George Hine House, Towers Hospital, Gipsy Lane, LE5 0TD, Leicester, UK
  3. West Midlands Workforce Deanery, West Midlands Strategic Health Authority, St. Chads Court, 213 Hagley Road, Birmingham, B16 9RG, UK
  4. Department of Health Services Administration, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China
  5. Coventry & Warwickshire Partnership Trust, Wisons Lane, Coventry, CV6 6NY, UK
  6. Department of Primary Care and Public Health Sciences, King鈥檚 College London, 42 Weston Street, London, SE1 3QD, UK
  

文摘

Background National Health Service (NHS) mental health workforce configuration is at the heart of successful delivery, and providers are advised to produce professional development strategies. Recent policy changes in England have sharpened the focus on competency based role development. We determined levels of intervention activities, engagement and competence and their influencing factors in a community-setting mental health workforce. Methods Using a modified questionnaire based on the Yorkshire Care Pathways Model we investigated 153 mental health staff working in Coventry and Warwickshire NHS Trust. A median score of competence was computed across 10 cluster activities. Low engagement and competence levels were examined in a logistic regression model. Results In 220 activities, Monitoring risk was the highest rate of engagement (97.6%) and Group psychological therapy/Art/Drama therapy was the lowest engagement (3.6%). The median competence level based on all activities was 3.95 (proficient). There were significant differences in the competence level among professional groups; non-qualified support group (3.00 for competent), Counsellor/Psychologist/Therapist (3.38), Occupational therapists (3.76), Nurses (4.01), Medical staff (4.05), Social workers (4.25) and Psychologists (4.62 for proficient/expert). These levels varied with activity clusters; the lowest level was for Counsellor/Psychologist/Therapist in the accommodation activity (1.44 novice/advance beginner) and the highest for Occupational therapists in personal activity (4.94 expert). In a multivariate analysis, low competence was significantly related to non-qualified community support professions, late time of obtaining first qualification, more frequencies of clinical training, and training of cognitive behavioural therapy. The associations were similar in the analysis for 10 activity clusters respectively. Conclusions There was a reasonable competence level in the community-setting mental health workforce, but competence varied with professional groups and cluster activities. New staff and other non-qualified support professions need to receive efficient training, and the training content is more important than frequency to increase level of competence.