Sandra T. Neil, Megan Johnstone, Katie Fox, Richard Collins, Lee D. Mulligan
{"title":"Staff experiences of reflective practice groups in a crisis resolution and home Treatment team: a mixed methods service evaluation","authors":"Sandra T. Neil, Megan Johnstone, Katie Fox, Richard Collins, Lee D. Mulligan","doi":"10.1080/14623943.2023.2264193","DOIUrl":null,"url":null,"abstract":"ABSTRACTCrisis Resolution and Home Treatment Teams (CRHTTs) provide mental health support for people experiencing crises and its employees are at high risk of occupational stress. Reflective Practice Groups (RPGs) hold promise for reducing staff burnout. However, to date, there have been no evaluations of RPGs delivered in CRHTT settings. This study aimed to explore staff experiences of RPGs delivered in one CRHTT. All CRHTT staff members who had attended at least one RPG were approached to take part. Participants completed two supervision questionnaires and a semi-structured interview. Descriptive statistics were calculated to quantify staff experiences and qualitative themes were generated using thematic analysis. Thirteen people participated, all of whom reported positive experiences of RPGs. Three qualitative themes also emerged comprising ‘core components of RPGs’ ‘benefits to staff’ and ‘challenges of RPG delivery’. Staff value RPGs delivered in CRHTT settings, which may reduce staff burnout and contribute to workforce development.KEYWORDS: Adult mental healthcrisis resolution home treatmentreflective practice groupssupervisionservice evaluationstaff views AcknowledgmentsThe authors would like to acknowledge the contribution of Sidra Hussain for her assistance in this service evaluation.Disclosure statementNo potential conflict of interest was reported by the authors.Statements and declarationsThe authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.Additional informationNotes on contributorsSandra T. NeilSandra Neil is a Principal Clinical Psychologist in a Home-Based Treatment Team at Greater Manchester Mental Health NHS Foundation Trust, England. She has previously worked in community mental health and early intervention services. Her research interests include the measurement of recovery from psychosis, developing interventions for people at risk of developing psychosis and bipolar disorder and for those presenting in crisis.Megan JohnstoneMegan Johnstone is a Trainee Clinical Psychologist in her first year of study at Lancaster University, England. She has previously worked as an Associate Psychological Practitioner in a community NHS urgent care setting. Her research interests include understanding the experiences of Clinical Psychologists in positions of leadership, and evaluating interventions for adults experiencing a crisis in their mental health.Katie FoxKatie Fox is a Trainee Clinical Psychologist in her first year of study at the University of Liverpool, England. She has previously worked as an Assistant Psychologist in community learning disability and secondary care mental health services. Her research interests are in the field of perinatal mental health and include understanding the impact of childbirth, maternal mental health and infant attachment.Richard CollinsRichard Collins is a Senior Assistant Psychologist in a Home-Based Treatment Team at Greater Manchester Mental Health NHS Foundation Trust. He has previously worked as an Assistant Psychologist on an NHS Crisis Helpline and in older adult care settings. His research interests include adapting psychological interventions for people diagnosed with Autistic Spectrum Conditions.Lee D. MulliganLee Mulligan is a Clinical Research Fellow with the Biomedical Research Centre (BRC) at the University of Manchester, England. He has previously worked as a Principal Clinical Psychologist in inpatient and community NHS urgent care settings. His research interests include identifying psychological and behavioural risk factors for suicide-related outcomes in people experiencing mental health problems and developing interventions for those at high-risk.","PeriodicalId":51594,"journal":{"name":"Reflective Practice","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reflective Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/14623943.2023.2264193","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
引用次数: 0
Abstract
ABSTRACTCrisis Resolution and Home Treatment Teams (CRHTTs) provide mental health support for people experiencing crises and its employees are at high risk of occupational stress. Reflective Practice Groups (RPGs) hold promise for reducing staff burnout. However, to date, there have been no evaluations of RPGs delivered in CRHTT settings. This study aimed to explore staff experiences of RPGs delivered in one CRHTT. All CRHTT staff members who had attended at least one RPG were approached to take part. Participants completed two supervision questionnaires and a semi-structured interview. Descriptive statistics were calculated to quantify staff experiences and qualitative themes were generated using thematic analysis. Thirteen people participated, all of whom reported positive experiences of RPGs. Three qualitative themes also emerged comprising ‘core components of RPGs’ ‘benefits to staff’ and ‘challenges of RPG delivery’. Staff value RPGs delivered in CRHTT settings, which may reduce staff burnout and contribute to workforce development.KEYWORDS: Adult mental healthcrisis resolution home treatmentreflective practice groupssupervisionservice evaluationstaff views AcknowledgmentsThe authors would like to acknowledge the contribution of Sidra Hussain for her assistance in this service evaluation.Disclosure statementNo potential conflict of interest was reported by the authors.Statements and declarationsThe authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.Additional informationNotes on contributorsSandra T. NeilSandra Neil is a Principal Clinical Psychologist in a Home-Based Treatment Team at Greater Manchester Mental Health NHS Foundation Trust, England. She has previously worked in community mental health and early intervention services. Her research interests include the measurement of recovery from psychosis, developing interventions for people at risk of developing psychosis and bipolar disorder and for those presenting in crisis.Megan JohnstoneMegan Johnstone is a Trainee Clinical Psychologist in her first year of study at Lancaster University, England. She has previously worked as an Associate Psychological Practitioner in a community NHS urgent care setting. Her research interests include understanding the experiences of Clinical Psychologists in positions of leadership, and evaluating interventions for adults experiencing a crisis in their mental health.Katie FoxKatie Fox is a Trainee Clinical Psychologist in her first year of study at the University of Liverpool, England. She has previously worked as an Assistant Psychologist in community learning disability and secondary care mental health services. Her research interests are in the field of perinatal mental health and include understanding the impact of childbirth, maternal mental health and infant attachment.Richard CollinsRichard Collins is a Senior Assistant Psychologist in a Home-Based Treatment Team at Greater Manchester Mental Health NHS Foundation Trust. He has previously worked as an Assistant Psychologist on an NHS Crisis Helpline and in older adult care settings. His research interests include adapting psychological interventions for people diagnosed with Autistic Spectrum Conditions.Lee D. MulliganLee Mulligan is a Clinical Research Fellow with the Biomedical Research Centre (BRC) at the University of Manchester, England. He has previously worked as a Principal Clinical Psychologist in inpatient and community NHS urgent care settings. His research interests include identifying psychological and behavioural risk factors for suicide-related outcomes in people experiencing mental health problems and developing interventions for those at high-risk.
摘要危机解决与家庭治疗团队(CRHTTs)为面临危机的人群及职业压力高危人群提供心理健康支持。反思实践小组(rpg)有望减少员工的倦怠。然而,到目前为止,还没有对在CRHTT环境下交付的rpg进行评估。本研究旨在探讨员工在一个CRHTT中交付的rpg体验。所有参加过至少一次RPG的CRHTT工作人员都被邀请参加。参与者完成了两份监督问卷和一份半结构化访谈。计算描述性统计以量化工作人员的经验,并利用专题分析产生定性主题。13人参与了调查,他们都报告了对rpg的积极体验。三个定性主题也出现了,包括“RPG的核心组件”、“员工的利益”和“RPG交付的挑战”。员工重视在CRHTT环境中交付的rpg,这可能会减少员工的倦怠,并有助于劳动力发展。关键词:成人心理健康危机解决家庭治疗反思性实践小组监督服务评价工作人员观点致谢作者感谢Sidra Hussain在本服务评价中提供的帮助。披露声明作者未报告潜在的利益冲突。声明与声明作者报告无利益冲突。作者独自负责这篇文章的内容和写作。sandra T. NeilSandra Neil是英格兰大曼彻斯特精神健康NHS基金会信托基金家庭治疗小组的首席临床心理学家。她曾在社区精神卫生和早期干预服务部门工作。她的研究兴趣包括精神病康复的测量,为有患精神病和双相情感障碍风险的人以及处于危机中的人制定干预措施。Megan Johnstone是英国兰开斯特大学的一名实习临床心理学家。她以前曾在一个社区NHS紧急护理设置心理执业助理。她的研究兴趣包括了解临床心理学家在领导岗位上的经验,以及评估对经历心理健康危机的成年人的干预措施。Katie Fox是一名实习临床心理学家,在英国利物浦大学学习第一年。她曾在社区学习障碍和二级护理精神卫生服务担任助理心理学家。她的研究兴趣是围产期心理健康领域,包括了解分娩,孕产妇心理健康和婴儿依恋的影响。理查德·柯林斯(Richard Collins)是大曼彻斯特心理健康NHS基金会信托基金家庭治疗小组的高级助理心理学家。他曾在NHS危机求助热线和老年人护理机构担任助理心理学家。他的研究兴趣包括对被诊断患有自闭症谱系疾病的人进行适应性心理干预。Lee D. Mulligan是英国曼彻斯特大学生物医学研究中心(BRC)的临床研究员。他曾在住院和社区NHS紧急护理设置担任首席临床心理学家。他的研究兴趣包括在经历精神健康问题的人群中识别与自杀相关结果的心理和行为风险因素,并为高危人群制定干预措施。