Garety, PA;
Craig, TKJ;
Iredale, CH;
Basit, N;
Fornells-Ambrojo, M;
Halkoree, R;
Jolley, S;
... Waller, H; + view all
(2018)
Training the Frontline Workforce to Deliver Evidence-Based Therapy to People With Psychosis: Challenges in the GOALS Study.
Psychiatric Services
, 69
(1)
pp. 9-11.
10.1176/appi.ps.201700268.
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Abstract
Improving access to psychotherapies in psychosis requires workforce expansion in resource-challenged systems. The GOALS feasibility randomized controlled trial assessed training and implementation of an evidence-based intervention by frontline workers, targeting recovery goals. Training uptake and therapy fidelity were good. Case managers with crisis management responsibilities were less likely than clinical assistants to deliver therapy. Participants receiving “sufficient therapy” achieved goals, but therapy was usually provided by clinical assistants. This is consistent with implementation science principles, that training must be combined with supportive organizational structures, such as by focusing on roles that already include therapy delivery or developing stronger organizational supports for case managers.
| Type: | Article |
|---|---|
| Title: | Training the Frontline Workforce to Deliver Evidence-Based Therapy to People With Psychosis: Challenges in the GOALS Study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1176/appi.ps.201700268 |
| Publisher version: | https://doi.org/10.1176/appi.ps.201700268 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Health Policy & Services, Public, Environmental & Occupational Health, Psychiatry, Health Care Sciences & Services, COGNITIVE-BEHAVIORAL THERAPY, METAANALYSIS, DEPRESSION, ACTIVATION, TRIAL |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10060987 |
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