A Two-Year Multidisciplinary Training Program for the Frontline Workforce in Community Treatment of Severe Mental Illness

Ruud, Torleif; Flage, Karin B.; Kolbjørnsrud, Ole-Bjørn; Haugen, Gunnar B.; Sørlie, Tore

doi:10.1176/appi.ps.201500199

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…This program was arranged in collaboration with the Center for Psychotherapy and Psychosocial Rehabilitation of Psychoses (SEPREP), which is a national network of clinicians, service users and caregivers. The participants received supervision every second week in joint supervision groups for health workers from both the CMHC and primary care, attended 1 day of lectures every month, and met in groups to discuss clinical literature every month [ 16 ]. The training was part-time and completed in parallel to clinical work and aimed to increase the competency of clinical practice during the training.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction with primary care and mental health care among individuals with severe mental illness in a rural area: a seven-year follow-up study of a clinical cohort

Ruud

Aarre

Boeskov

et al. 2016

Int J Ment Health Syst

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BackgroundMost studies of services for people with severe mental illness have been performed in cities. Our 7-year follow-up study aimed to investigate clinical course and satisfaction with services among individuals with severe mental illness who received community mental health services in a rural area. The services were provided by primary care and a community mental health center (CMHC), which worked in close collaboration and emphasized individually tailored case management, relationship-building and continuity of care.MethodsAll 57 patients with severe mental illness who were seen by the CMHC in 1992–1993 and were still alive in 1999 were asked to participate. Retrospective ratings were performed for the first month of contact in 1992–1993 based on patient records and detailed notes. A semi-structured interview was conducted in 1999–2000 with the 40 patients (70.2 %) who gave written consent to participate in the study. DSM-IV diagnoses were made using OPCRIT. The retrospective baseline ratings and the follow-up interview included assessments of symptoms and functioning using the following instruments: the Brief Psychiatric Rating Scale Expanded version 4 (BPRS-E), the Health of the Nation Outcome Scales (HoNOS), the Global Assessment of Functioning Scale (split version), and the Practical and Social Functioning Scale (PSF).ResultsThe ratings revealed improvements in psychiatric problems and functioning. Patients with schizophrenia spectrum disorders improved primarily in psychotic symptoms, while patients with severe affective disorders improved primarily in affective symptoms. Large variations in the use of primary care and mental health services were observed, with more intensive specialized mental health services for individuals with schizophrenia spectrum disorders than severe affective disorders. Overall, the patients were satisfied with the provided services. They were most satisfied with GPs and more satisfied with local outpatient and inpatient services than with hospital inpatient services and medication.ConclusionsPatients with severe mental illness in a rural area value local services that emphasize relationships and close collaborations among the CMHC, GPs and primary health and social care. Even in an area with a fairly well-staffed CMHC, the highest patient satisfaction was reported for GPs, indicating the potential key role of GPs for this patient group.

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Section: Introductionmentioning

confidence: 99%

Satisfaction with primary care and mental health care among individuals with severe mental illness in a rural area: a seven-year follow-up study of a clinical cohort

Ruud

Aarre

Boeskov

et al. 2016

Int J Ment Health Syst

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“…Another distinct aspect of the program that may serve as a model for other institutions and countries is its use of a team approach to learning. Of note, only Norway was noted in our review of the literature to have utilized a multidisciplinary approach to training in the field of substance use disorder (as a co-occurring disorder among individuals with severe mental illness) 21,22 , as all other training programs were conducted for each professional group separately. [9][10][11][12][13][14][15][16][17][18][19] While it can be argued that different professionals have varying job descriptions and, hence, will require development of diverse set of competencies, a counterclaim can be made that, at least within the ambit of drug rehabilitation, the focus of service provision by physicians and rehabilitation practitioners is the same individual.…”

Section: Discussionmentioning

confidence: 99%

The Design and Outputs of the Pilot Implementation of the “Enhancing Skills in Screening and Assessment for Physicians and Rehabilitation Practitioners Level 2 Course”, Philippines, 2014

Antonio¹,

Tomanan

Castillo

et al. 2021

Acta Med Philipp

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Background and Objectives. The Philippine Department of Health (DOH) is mandated by law to, among others, develop capacities and accredit physicians and rehabilitation practitioners across the country on the assessment and management of drug dependence. This paper describes the design and presents the outputs of an advanced course on screening and assessment of drug dependence developed by DOH in partnership with the College of

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“…These include institutes and training programmes in various types of psychotherapy and group therapy, as well as in treatment of specific patient groups. One large national programme with governmental support has, over the last 20 years, run two-year, local, multidisciplinary clinical training programmes throughout Norway, for health workers in CMHCs and primary care, working with patients with severe mental illnesses in community-based mental healthcare [25,26] .…”

Section: Community Mental Health Centresmentioning

confidence: 99%

Community-based Mental Health Services in Norway

Ruud

Friis

2021

Consortium Psychiatricum

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Community-based mental healthcare in Norway consists of local community mental health centres (CMHCs) collaborating with general practitioners and primary mental healthcare in the municipalities, and with psychiatrists and psychologists working in private practices. The CMHCs were developed from the 1980s to give a broad range of comprehensive mental health services in local catchment areas. The CMHCs have outpatient clinics, mobile teams, and inpatient wards. They serve the larger group of patients needing specialized mental healthcare, and they also collaborate with the hospital-based mental health services. Both CMHCs and hospitals are operated by 19 health trusts with public funding. Increasing resources in community-based mental healthcare was a major aim in a national plan for mental health between 1999 and 2008. The number of beds has decreased in CMHCs the last decade, while there has been an increase in mobile teams including crisis resolution teams (CRTs), early intervention teams for psychosis and assertive community treatment teams (ACT teams). Team-based care for mental health problems is also part of primary care, including care for patients with severe mental illnesses. Involuntary inpatient admissions mainly take place at hospitals, but CMHCs may continue such admissions and give community treatment orders for involuntary treatment in the community. The increasing specialization of mental health services are considered to have improved services. However, this may also have resulted in more fragmented services and less continuity of care from service providers whom the patients know and trust. This can be a particular problem for patients with severe mental illnesses. As the outcomes of routine mental health services are usually not measured, the effects of community-based mental care for the patients and their families, are mostly unknown.

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A Two-Year Multidisciplinary Training Program for the Frontline Workforce in Community Treatment of Severe Mental Illness

Cited by 3 publications

References 12 publications

Satisfaction with primary care and mental health care among individuals with severe mental illness in a rural area: a seven-year follow-up study of a clinical cohort

Satisfaction with primary care and mental health care among individuals with severe mental illness in a rural area: a seven-year follow-up study of a clinical cohort

The Design and Outputs of the Pilot Implementation of the “Enhancing Skills in Screening and Assessment for Physicians and Rehabilitation Practitioners Level 2 Course”, Philippines, 2014

Community-based Mental Health Services in Norway

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