Support workers in community mental health teams for older people: roles, boundaries, supervision and training

Wilberforce, Mark; Abendstern, Michele; Tucker, Susan; Ahmed, Saima; Jasper, Rowan; Challis, David

doi:10.1111/jan.13264

Cited by 23 publications

(52 citation statements)

References 32 publications

(35 reference statements)

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“…Support workers contribute to the care of people with severe and enduring mental health problems in the community . Within CMHTs for older people, it has been reported that they undertook diverse roles and our data confirmed this . However, in memory clinics, they were reported as having a more specific role — the provision of support and education.…”

Section: Discussionmentioning

confidence: 99%

“…22 Within CMHTs for older people, it has been reported that they undertook diverse roles and our data confirmed this. 23 However, in memory clinics, they were reported as having a more specific role-the provision of support and education. Other research has suggested that the workload of a social worker in a CMHT is contingent on the structure of the team.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Specialist services in early diagnosis and support for older people with dementia in England: Staff roles and service mix

Ahmed

Hughes

Davies

et al. 2018

Int J Geriat Psychiatry

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Variations in the staff mix in CMHTs and memory clinics reflected their different functions. There was limited evidence in both of profession specific interventions relating to the provision of support, information, therapy and education, associated with either diagnosis or long-term support. The potential for a single service to undertake both diagnostic and long-term support and the associated costs and benefits are areas for future research.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Specialist services in early diagnosis and support for older people with dementia in England: Staff roles and service mix

Ahmed

Hughes

Davies

et al. 2018

Int J Geriat Psychiatry

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“…However, the most striking change was in the number of teams containing assistant‐grade support workers (87.0%), considering that just 4 years previously, a quarter of teams had no access to them at all. Recent qualitative work has shed light on the wide variety of tasks that support workers undertake in CMHTs, and the supervisory and training challenges this brings . Nevertheless, still less than a third of CMHTs had all 6 key disciplines as core team members; almost a third had no core team social workers; and a tenth could not access any psychology input.…”

Section: Discussionmentioning

confidence: 99%

“…Recent qualitative work has shed light on the wide variety of tasks that support workers undertake in CMHTs, and the supervisory and training challenges this brings. 31 Nevertheless, still less than a third of CMHTs had all 6 key disciplines as core team members; almost a third had no core team social workers; and a tenth could not access any psychology input. Further, the findings reflect a global trend in healthcare provision towards an increase in the proportion of unqualified as opposed to qualified staff, [32][33][34] and a relative increase in the presence of nonmedical as opposed to medically trained personnel.…”

Section: Team Structure and Compositionmentioning

confidence: 99%

Community mental health teams for older people in England: Variations in ways of working

Verbeek

Worden

Wilberforce

et al. 2017

Int J Geriat Psychiatry

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Compared with previous studies, teams had grown and changed, with a clear increase in non-medical practitioners, particularly support workers. Measures to facilitate integrated care within CMHTs (eg, common access and documentation) were widespread, but integration across health and social care/primary and secondary services was less developed. Consideration of barriers to further integration, and the impact of current reforms is potentially fruitful.

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“…In the first place, there is a high variability of educational levels, inadequate training according to the workplace demands and the educational interventions carried out have been ad-hoc (Karacsony, Chang, Johnson, Good, & Edenborough, 2018). The fact that many of them work without being trained (Craftman, Grundberg, & Westerboth, 2019) is often due to workplace conditions such as low wages and time pressure (Wilberforce et al, 2017;Estabrooks, Squires, Carleton, Cummings, & Norton, 2015), as well as the lack of standardized training programs that give access to such jobs, as it occurs with unregulated care providers in Canada (Kelly, & Bourgeault, 2015). And in the second place, they suffer from burnout.…”

Section: Training Programs For Caregiversmentioning

confidence: 99%

Health and burnout of home health care assistants: impact of a training intervention

Saavedra¹,

Murvartian²,

Vallecillo³

2019

AN PSICOL-SPAIN

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Título: Salud y burnout de cuidadores profesionales a domicilio: Impacto de una intervención formativa. Resumen: Existe una creciente necesidad de cuidados en los países desarrollados, por lo que el número de cuidadoras a domicilio ha aumentado de manera exponencial. La literatura ha señalado que este grupo profesional tiene un alto riesgo de sufrir una gran variedad de problemas de salud. A pesar de su importancia, no hay cursos de entrenamiento descritos para ellas. Este estudio describe el diseño de un curso psicoeducativo para un grupo de cuidadoras y muestra los resultados de un estudio pre-post para evaluar su efectividad considerando las siguientes variables: el estado psicosocial de salud, el agotamiento y los pensamientos disfuncionales sobre el cuidado. Una ANOVA de medidas repetidas se utilizó siempre que fue posible y la prueba de Wilcoxon o la prueba de Mann Whitney se usaron como pruebas no paramétricas. Los pensamientos disfuncionales se redujeron después del curso, siendo el tamaño del efecto mediano a grande. La disfunción social se redujo solo en el grupo de mujeres que también eran cuidadoras familiares. Llegamos a la conclusión de que las cuidadoras profesionales pueden beneficiarse de una breve capacitación.Abstract: There is a growing need for care in developed countries, so the number of home health care assistants has increased exponentially. The literature has pointed out that this professional group is at high risk for a variety of health problems. Despite its importance, there are no described specific training interventions for it. This study describes a course for a group of female caregivers. A pre-post study is carried out to evaluate its effectiveness considering the following variables: the psychosocial state of health, the burnout and the dysfunctional thoughts about caregiving. The repeated measures ANOVA was used whenever possible and the Wilcoxon-test or the Mann Whitney-test were used as nonparametric tests. Dysfunctional thoughts were reduced after the course, being the effect size medium to large. Social dysfunction was reduced only in the group of women who were also family caregivers. We conclude that professional caregivers can benefit from brief training.

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Support workers in community mental health teams for older people: roles, boundaries, supervision and training

Abstract: Local and national attention is needed to prevent 'drift' into activities that both support workers and registered practitioners consider outside their remit. Barriers to training and further qualification need to be addressed.

Cited by 23 publications

References 32 publications

Specialist services in early diagnosis and support for older people with dementia in England: Staff roles and service mix

Specialist services in early diagnosis and support for older people with dementia in England: Staff roles and service mix

Community mental health teams for older people in England: Variations in ways of working

Health and burnout of home health care assistants: impact of a training intervention

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