Evaluation of awareness level knowledge and understanding framework personality disorder training with mental health staff: impact on attitudes and clinical practice

Abstract

Northumbria University has developed Northumbria Research Link (NRL) to enable users to access the University's research output. Copyright © and moral rights for items on NRL are retained by the individual author(s) and/or other copyright owners. Single copies of full items can be reproduced, displayed or performed, and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided the authors, title and full bibliographic details are given, as well as a hyperlink and/or URL to the original metadata page. The content must not be changed in any way. Full items must not be sold commercially in any format or medium without formal permission of the copyright holder. The full policy is available online: http://nrl.northumbria.ac.uk/policies.html This document may differ from the final, published version of the research and has been made available online in accordance with publisher policies. To read and/or cite from the published version of the research, please visit the publisher's website (a subscription may be required.) AbstractPurpose: To evaluate the impact of Knowledge and Understanding Framework (KUF) awareness level training with mental health staff in a UK NHS Mental Health Trust Design/Methodology: 181 mental health professionals completed 3 day KUF awareness level training to promote understanding and positive attitudes in working with personality disorder. Attitudes to personality disorder were evaluated using the Personality Disorder -Knowledge and Skills Questionnaire (PD-KASQ, Bolton et al, 2010) at pre and post training and at 3 and 6 months follow up. Quantitative data was analysed and descriptive statistics were obtained. Qualitative methods were also used to evaluate the integration of learning into work based practice with 5 participants.Findings: Participants reported a favourable reaction to the training. Understanding and positive emotions about working with personality disorder increased significantly posttraining (gains maintained at 3 and 6 months follow-up). Capability in working with personality disorder was increased post training and at 3, but not 6 months. Qualitative analysis suggests clinical practice was positively impacted upon 3 months following training.Research Limitations/Implications: This research suggests awareness level KUF training can have a positive impact on the attitudes, understanding and clinical practice of mental health practitioners towards people with a personality disorder. It confirms earlier research on a decrease in capability post training, and explores strategies to further develop capability with this client group. Originality/Value: Despite the promotion of KUF awareness level training by the Department of Health there is limited evaluation of the approach with mental health professionals in practice. This study reports on an evaluation of KUF training within a large mental health trust with 3 and 6 month follow up data. Qualitative evaluation 3 months aft...

Can an interactive e-learning training package improve the understanding of personality disorder within mental health professionals?

“…One of the major limitations of this evaluation is in the reduced follow up rates. The attrition at follow up in this study is disappointingly consistent with the other studies that evaluated KUF (Lamph et al, 2014;Davies et al, 2014 andEbrahim et al, 2015). Without a dedicated research team or some motivating factors for delegates to complete the follow up, high levels of attrition can be expected.…”

“…Face to face training in this subject has also been made available in various formats to those working in this geographical area. Previous evaluations of face to face training have focused on mental health professionals (Davies et al, 2014), mixed multi-agency workers (Lamph et al, 2014) and one external evaluation with mental health professionals (Ebrahim et al, 2015). These papers will be used to provide comparisons in the evaluation of this project.…”

Exploring therapeutic engagement with individuals with a diagnosis of personality disorder in acute psychiatric inpatient settings: A nursing team perspective

“…The participants in this study ( Table 2, PD-KASQ) reported lower levels of understanding, perceived capability, and positive emotional response to PD than the pre-training scores for mental health service staff (mental health nurses and occupational therapists working in inpatient and community settings) reported by Ebrahim et al (2016). In addition, they reported lower levels of positive therapeutic engagement, and more emotional difficulties (Table 2, STAR-C), than the community mental health staff group reported by Catty et al (2012).…”

“…carer involvement; staff supervision). Such training may also have a broader impact on staff attitudes towards PD and staff perceptions of their ability to care for these individuals (Ebrahim, Robinson, Crooks, Harenwall & Forsyth; ).…”

Improving Attitudes Towards Personality Disorder: Is Training for Health and Social Care Professionals Effective?

“…Missing information was sought by contacting authors using the email addresses provided and alternative email addresses found online. There remain missing data regarding study setting (Polnay, MacLean, Lewington, & Patrick, 2015;Shanks, Pfohl, Blum, & Black, 2011), professional role of participants (Lamph et al, 2014;Lamph, Sampson, Smith, Williamson, & Guyers, 2018), use of psychological model (Commons-Treloar & Lewis, 2008;Lamph et al, 2018;Miller & Davenport, 1996), whether the intervention included a taught skills component (Davies, Sampson, Beesley, Smith, & Baldwin, 2014;Ebrahim, Robinson, Crooks, Harenwall, & Forsyth, 2016;Lamph et al, 2014), and whether videos included PPE (Keuroghlian et al, 2016;Polnay et al, 2015;Shanks et al, 2011). For one study standard deviations were not available (Ebrahim et al, 2016).…”