Training the Wider Workforce in Cognitive Behavioural Self-Help: The SPIRIT (Structured Psychosocial InteRventions in Teams) Training Course

Abstract

The SPIRIT training has gone some way to increasing access to CBSH for use in everyday clinical practice.

How Do Trainees Rate the Impact of a Short Cognitive Behavioural Training Programme on their Knowledge and Skills?

“…The SPIRIT programme also produced encouraging results when provided for a large multi-disciplinary group ( n = 263) of in-patient based and community based mental health staff. Perceived subjective skills and knowledge and objective skills ratings were significantly higher than baseline scores at the end of the training and at 3-month follow-up (Williams, Martinez, Dafters and Ronald, 2011).…”

“…Despite these challenges, a Regional Centre of Nursing and Midwifery Education (RCNME) in one region of the Health Service, HSE South (Carlow, Kilkenny, South Tipperary, Waterford and Wexford) located resources to finance a CBT foundation training programme for nurses and other frontline mental health professionals. This multidisciplinary programme was comprised of basic knowledge and skills and, similar to the SPIRIT initiative (Williams et al, 2011), had a strong emphasis on enhancing participants’ existing professional repertoire. During the training period major mental health policy changes were introduced including the closure of remaining psychiatric hospitals, transfer of services from institutional to community based services, and significant changes to service delivery and role definition.…”

Behavioral Rehearsal for Analogue Fidelity: Feasibility in a State-Funded Children’s Mental Health Initiative

“…A range of implementation strategies have been developed to improve implementation efforts (Powell et al, 2015). Among these strategies, training community clinicians in EBTs is one of the most frequently used (Addis & Krasnow, 2000; Herschell, McNeil, & McNeil, 2004; Rakovshik & McManus, 2010; Williams, Martinez, Dafters, Ronald, & Garland, 2011), with research suggesting that active, experiential training, followed by additional supports (e.g., EBT consultation or supervision; other organizational supports) may be required to achieve clinician behavior change and EBT fidelity (Beidas & Kendall, 2010; Herschell, Kolko, Baumann, & Davis, 2010). …”

Are Inner Context Factors Related to Implementation Outcomes in Cognitive-Behavioral Therapy for Youth Anxiety?

“…Examples of implementation strategies include discrete strategies, such as audit and feedback, as well as more complex strategies, such as the use of community development teams to implement EBP (Saldana & Chamberlain, 2012) and the Availability, Responsiveness, and Continuity (ARC) organizational implementation strategy (Glisson et al, 2010). One frequently used discrete implementation strategy is training community therapists (Addis & Krasnow, 2000; Herschell, McNeil, & McNeil, 2004; Rakovshik & McManus, 2010; Williams, Martinez, Dafters, Ronald, & Garland, 2011). …”