Skills development and family interventions in an early psychosis service.

Background: Little is known about the development and use of skills within functionally differentiated specialist mental health teams.Method: A prospective cohort study of skills acquisition and a cross-sectional investigation of family work in a specialist early psychosis service (COAST) were carri...

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Publicado en:Journal of Mental Health Vol. 12; no. 4; pp. 405 - 416
Autores principales: Slade M, Holloway F, Kuipers E
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2003
      vid: 12
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        2003155817
        10.1080/0963823031000153448
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        atl: Skills development and family interventions in an early psychosis service.
      aug:
        au:
          Slade M
          Holloway F
          Kuipers E
        affil: MRC Clinician Scientist Fellow, Health Services Research Department (Box PO29), Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK; m.slade@iop.kcl.ac.uk
      sug:
        subj:
          Clinical Competence
          Community Mental Health Services
          Family Therapy
          Mental Health Personnel
          Psychotic Disorders Therapy
          Skill Acquisition
          Attitude to Mental Illness
          Clinical Supervision
          Confidence
          Cross Sectional Studies
          England
          Exploratory Research
          Fisher's Exact Test
          Multidisciplinary Care Team
          Multimethod Studies
          Prospective Studies
          Questionnaires
          Self Assessment
          Summated Rating Scaling
          T-Tests
          Thematic Analysis
          Human
      ab: Background: Little is known about the development and use of skills within functionally differentiated specialist mental health teams.Method: A prospective cohort study of skills acquisition and a cross-sectional investigation of family work in a specialist early psychosis service (COAST) were carried out, using generic community mental health teams (CMHTs) for comparison data.Results: Self-reported skills improved over time in the COAST team, but not in the comparison CMHT. All staff acknowledged the importance of family work in psychosis, but COAST staff had access to supervision and engaged more in family work. The pattern of family work undertaken differed from that reported in research studies.Conclusions: Tracking the acquisition of skills by mental health staff is feasible. However, clinical skills are used differently in routine services and in research settings. Most families in early episodes of psychosis need relatively low intensity support, such as information and a clear contact point.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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