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Outcomes of care programme approach, dual diagnosis, carer support and psychological therapy inductions

  • Caroline Kamau (a1)
Abstract
Aims and method

For many trainees, an obstacle into psychiatry is the challenge of an imprecise job design and uncertainty about the psychiatrist's job design across many complex, often ad hoc care situations involving multiple professions and organisations. The UK's National Health Service (NHS) has introduced inductions for trainee psychiatrists geared towards improving that. Are the induction programmes effective? This article presents an analysis of the outcomes (n = 1115) of inductions about the care programme approach, dual diagnosis, carer support, mental health risk assessment, psychological therapy and suicide risk assessment.

Results

Univariate analyses of variance revealed a consistent interaction of care programme approach, dual diagnosis, carer support and psychological therapy inductions. Psychiatrists who attend all four inductions have the best perceptions about their job design, strongest teamwork approach, and highest motivation.

Clinical implications

The NHS and hospitals outside the UK should note these results when prioritising inductions for trainee psychiatrists.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Caroline Kamau (c.kamau@bbk.ac.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Kakuma, R, Minas, H, van Ginneken, N, Dal Poz, MR, Desiraju, K, Morris, JE, et al Human resources for mental health care: current situation and strategies for action. Lancet 2011; 378: 1654–63.
2 Bowen, J, Bremner, A. Psychotherapy training as part of general psychiatry training. Experience of two registrars at the Cassel Hospital, February to November 1989. Psychiatr Bull 1990; 14: 542–3.
3 Herzberg, J, Paice, E. Psychiatric training revisited – better, worse or the same? Psychiatr Bull 2002; 26; 132–4.
4 Department of Health. Improving Working Lives Standard. Department of Health, 2000.
5 General Medical Council. Report on Induction Processes for Medical Staff in the HPSS. GMC, 2006 (ttp://www.gmc-uk.org/DV011_Enclosure_2___Induction_report_final.pdf_30940297.pdf)
6 Bindman, J, Beck, A, Glover, G, Thornicroft, G, Knapp, M, Leese, M, et al Evaluating mental health policy in England. Care Programme Approach and supervision registers. Br J Psychiatry 1999; 175: 327–30.
7 Care Quality Commission, Picker Institute Europe. National Health Service National Staff Survey, 2011 [computer file]. Colchester, Essex: UK Data Archive [distributor], February 2013. SN: 7203, http://dx.doi.org/10.5255/UKDA-SN-7203-1.
8 Earnest, DR, Allen, DG, Landis, RS. Mechanisms linking realistic job previews with turnover: a meta-analytic path analysis. Pers Psychol 2011; 64: 865–97.
9 Gilboa, S, Shirom, A, Fried, Y, Cooper, C. A meta-analysis of work demand stressors and job performance: examining main and moderating effects. Pers Psychol 2008; 61: 227–71.
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BJPsych Bulletin
  • ISSN: 2053-4868
  • EISSN: 2053-4876
  • URL: /core/journals/bjpsych-bulletin
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Outcomes of care programme approach, dual diagnosis, carer support and psychological therapy inductions

  • Caroline Kamau (a1)
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