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Cerulli C, Missell-Gray R, Harrington D, Thurston SW, Quinlan K, Jones KR, Cross WF. A Randomized Control Trial to Test Dissemination of an Online Suicide Prevention Training For Intimate Partner Violence Hotline Workers. JOURNAL OF FAMILY VIOLENCE 2023:1-14. [PMID: 37358978 PMCID: PMC10039335 DOI: 10.1007/s10896-023-00533-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 03/16/2023] [Indexed: 06/28/2023]
Abstract
Purpose Suicide risk is higher among violence-involved individuals. Intimate Partner Violence hotline workers are a critical source of support and can potentially be suicide prevention champions. Our primary goal was to examine the effectiveness of disseminating a free, online IPV-Suicide Prevention curriculum, via a randomized control trial, to hotline workers in ten states with the highest suicide and IPV homicide rates. Method We divided the country into five regions and, based on criterion, chose two states in each region to randomize into the two arms of the study. We examined training participation and engagement between the two approaches: (1) 'dissemination as usual' (control) using a National Domestic Violence Hotline email and a postcard to state/county IPV directors, versus (2) 'enhanced dissemination' (intervention) using a four-point touch method (postcard, phone call, email, and letter) to 'drive' participation. Results Participation increased in the intervention arm as approaches became more personal (i.e., email and phone calls vs. letters). Results indicate that traditional dissemination strategies such as email announcements and invitations are not as effective as varied and multiple touchpoints for IPV hotline staff. Conclusion Successful dissemination strategies to promote digital training should consider the value added by personalized connection. Future research is needed to understand how to offer effective and efficient web-based training to those providing IPV and child abuse services.
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Affiliation(s)
- Catherine Cerulli
- University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642 USA
- Susan B. Anthony Center, University of Rochester, Rochester, NY USA
| | - Rachel Missell-Gray
- University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642 USA
| | - Donald Harrington
- University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642 USA
| | - Sally W. Thurston
- University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642 USA
| | | | | | - Wendi F. Cross
- University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642 USA
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Dalton KR, Guyer KM, Schiaffino F, Ferradas C, Falke JR, Beasley EA, Meza K, Laughlin P, Agnew J, Barnett DJ, Nuzzo JB, Davis MF. Assessing COVID-19 Pandemic Risk Perception and Response Preparedness in Veterinary and Animal Care Workers. Health Secur 2022; 20:116-126. [PMID: 35108121 PMCID: PMC9081026 DOI: 10.1089/hs.2021.0091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 11/22/2021] [Accepted: 12/01/2021] [Indexed: 01/02/2023] Open
Abstract
Veterinary and animal care workers perform critical functions in biosecurity and public health, yet little has been done to understand the unique needs and barriers these workers face when responding during a pandemic crisis. In this article, we evaluated the perceived risks and roles of veterinary and animal care workers during the COVID-19 pandemic and explored barriers and facilitators in their readiness, ability, and willingness to respond during a pandemic. We deployed a survey targeting US veterinary medical personnel, animal shelter and control workers, zoo and wildlife workers, and other animal care workers. Data were collected on respondents' self-reported job and demographic factors, perceptions of risk and job efficacy, and readiness, ability, and willingness to respond during the pandemic. We found that leadership roles and older age had the strongest association with decreased perceived risk and improved job efficacy and confidence, and that increased reported contact level with others (both coworkers and the public) was associated with increased perceived risk. We determined that older age and serving in leadership positions were associated with improved readiness, willingness, and ability to respond. Veterinary and animal care workers' dedication to public health response, reflected in our findings, will be imperative if more zoonotic vectors of SARS-CoV-2 arise. Response preparedness in veterinary and animal care workers can be improved by targeting younger workers not in leadership roles through support programs that focus on improving job efficacy and confidence in safety protocols. These findings can be used to target intervention and training efforts to support the most vulnerable within this critical, yet often overlooked, workforce.
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Affiliation(s)
- Kathryn R. Dalton
- Kathryn R. Dalton, PhD, VMD, MPH, is a Postdoctoral Fellow; all in the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Kimberly M. Guyer
- Kimberly M. Guyer, DVM; are Graduate Students, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Francesca Schiaffino
- Francesca Schiaffino, DVM, PhD, is a Postdoctoral Fellow, Faculty of Veterinary Medicine; both at Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Cusi Ferradas
- Cusi Ferradas, DVM, MPH, is a Postdoctoral Fellow, Emerging Diseases and Climate Change Research Unit, School of Public Health and Administration; both at Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Jacqueline R. Falke
- Jacqueline R. Falke, DVM, MPH; are Graduate Students, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Erin A. Beasley
- Erin A. Beasley, DVM, MPH; are Graduate Students, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Kayla Meza
- Kayla Meza, MPH, are Graduate Students, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Paige Laughlin
- Paige Laughlin is a Research Technician; all in the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Jacqueline Agnew
- Jacqueline Agnew, PhD, RN, is a Professor; all in the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Daniel J. Barnett
- Daniel J. Barnett, MD, MPH, all in the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Jennifer B. Nuzzo
- Jennifer B. Nuzzo, DrPH, SM, is a Senior Scholar, Johns Hopkins Center for Health Security, Baltimore, MD
| | - Meghan F. Davis
- Meghan F. Davis, PhD, DVM, MPH, are Associate Professors; all in the Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
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Assessment of school teachers’ disaster preparedness using the extended parallel process model: a cross-sectional study in Angeles City, Philippines. J Public Health (Oxf) 2021. [DOI: 10.1007/s10389-020-01237-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Developing Public Health Emergency Response Leaders in Incident Management: A Scoping Review of Educational Interventions. Disaster Med Public Health Prep 2021; 16:2149-2178. [PMID: 34462032 DOI: 10.1017/dmp.2021.164] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
During emergency responses, public health leaders frequently serve in incident management roles that differ from their routine job functions. Leaders' familiarity with incident management principles and functions can influence response outcomes. Therefore, training and exercises in incident management are often required for public health leaders. To describe existing methods of incident management training and exercises in the literature, we queried 6 English language databases and found 786 relevant articles. Five themes emerged: (1) experiential learning as an established approach to foster engaging and interactive learning environments and optimize training design; (2) technology-aided decision support tools are increasingly common for crisis decision-making; (3) integration of leadership training in the education continuum is needed for developing public health response leaders; (4) equal emphasis on competency and character is needed for developing capable and adaptable leaders; and (5) consistent evaluation methodologies and metrics are needed to assess the effectiveness of educational interventions.These findings offer important strategic and practical considerations for improving the design and delivery of educational interventions to develop public health emergency response leaders. This review and ongoing real-world events could facilitate further exploration of current practices, emerging trends, and challenges for continuous improvements in developing public health emergency response leaders.
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Renn BN, Areán PA, Raue PJ, Aisenberg E, Friedman EC, Popović Z. Modernizing Training in Psychotherapy Competencies With Adaptive Learning Systems: Proof of Concept. RESEARCH ON SOCIAL WORK PRACTICE 2021; 31:90-100. [PMID: 34321858 PMCID: PMC8315227 DOI: 10.1177/1049731520964854] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
PURPOSE This proof-of-concept study assessed the feasibility, acceptability, and effectiveness of an intelligent tutoring system (ITS) as a classroom adjunct to improve training bachelor of social work (BSW) students in client engagement strategies. METHODS We codeveloped the ITS with 11 undergraduate students and pilot tested it with six BSW students enrolled in a class on telephone-based cognitive behavioral therapy (tCBT). Student competencies in tCBT were assessed by expert review of role-plays. We also examined time spent using ITS and relation with competency. RESULTS The majority of students (81.8%) in Wave 1 and all of the students who submitted role-plays in Wave 2 passed the clinical skills role-play. Students advancing through the ITS more quickly had better tCBT competency ratings than those progressing more slowly. DISCUSSION One of the most challenging aspects of training is how to competently deliver evidence-based practices. ITS has the potential to streamline and scale such training.
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Affiliation(s)
- Brenna N. Renn
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
- Department of Psychology, University of Nevada, Las Vegas, NV, USA
| | - Patricia A. Areán
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
| | - Patrick J. Raue
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
| | - Eugene Aisenberg
- School of Social Work, University of Washington, Seattle, WA, USA
| | - Emily C. Friedman
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
| | - Zoran Popović
- Paul G. Allen School of Computer Science and Engineering, University of Washington, Seattle, WA, USA
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Implementation and Evaluation of the Value of Improved and Sustained Information Access by Library Expertise (VISIBLE) Program. Disaster Med Public Health Prep 2019; 13:982-988. [PMID: 31250779 DOI: 10.1017/dmp.2019.33] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To increase knowledge of National Library of Medicine resources by using a train-the-trainer approach. METHODS Workshops were held in spring 2016 to increase knowledge of 4 National Library of Medicine tools. Data were collected before the workshop and immediately, 3 months, and 1 year after the workshop. Knowledge questions were scored as 1 point per question; an aggregated knowledge score could range from 0 to 16 points. A paired t test assessed the change in knowledge from before to after the workshop. RESULTS Four workshops were hosted, with a total of 74 attendees. The response rate for the surveys ranged from 50% to 100%. Knowledge scores changed significantly from 7.2 to 11.9 (t = 15, P < .001). One year after the workshop, more of the participants reported having informally trained others (56.8%) than reported providing 1 or more formal training session (8.1%)(P < .001). CONCLUSION Objective measures of knowledge and information dissemination showed that the National Library of Medicine workshop was successful and resulted in both short- and long-term gains. This workshop could be repeated with other populations to further disseminate information regarding the National Library of Medicine tools, which could help improve disaster response.
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Cross WF, West JC, Pisani AR, Crean HF, Nielsen JL, Kay AH, Caine ED. A randomized controlled trial of suicide prevention training for primary care providers: a study protocol. BMC MEDICAL EDUCATION 2019; 19:58. [PMID: 30764814 PMCID: PMC6376665 DOI: 10.1186/s12909-019-1482-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Accepted: 01/30/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Suicide is a national public health crisis and a critical patient safety issue. It is the 10th leading cause of death overall and the second leading cause of death among adolescents and young adults (15-34 years old). Research shows 80% of youth who died by suicide saw their primary care provider within the year of their death. It is imperative that primary care providers develop the knowledge and skills to talk with patients about distress and suicidal thoughts, and to assess and respond in the context of the ongoing patient - primary care provider relationship. METHODS This study examines the effectiveness of simulation on suicide prevention training for providers-in-training by comparing two conditions: 1) a control group that receives online teaching on suicide prevention in primary care via brief online videos and 2) an experimental group that includes the same online teaching videos plus two standardized patient (SP) interactions (face-to-face and telehealth, presentation randomized). All SP interactions are video-recorded. The primary analysis is a comparison of the two groups' suicide prevention skills using an SP "test case" at 6-month follow-up. DISCUSSION The primary research question examines the impact of practice (through SP simulation) over and above online teaching alone on suicide prevention skills demonstrated at follow-up. We will assess moderators of outcomes, differences among SP simulations (i.e., face-to-face vs. telehealth modalities), and whether the experimental group's suicide prevention skills improve over the three SP experiences. TRIAL REGISTRATION The study was registered on Clinical Trials Registry ( clinicaltrials.gov ) on December 14, 2016. The Trial Registration Number is NCT02996344 .
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Affiliation(s)
- Wendi F. Cross
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642 USA
- Injury Control Research Center for Suicide Prevention, Rochester, NY 14642 USA
| | - Jennifer C. West
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642 USA
| | - Anthony R. Pisani
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642 USA
| | - Hugh F. Crean
- School of Nursing, University of Rochester, Rochester, NY 14642 USA
| | - Jessica L. Nielsen
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642 USA
| | - Amanda H. Kay
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642 USA
| | - Eric D. Caine
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642 USA
- Injury Control Research Center for Suicide Prevention, Rochester, NY 14642 USA
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Su Q, Li C, Long F, Chen B, Wan Z, Wu Y, Dai M, Wang D, Zhang Y, Wang B. Effects of a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients in Hainan Province, China. Vascular 2016; 25:242-248. [PMID: 27580820 DOI: 10.1177/1708538116666159] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Survivors of ischemic stroke are still at a significant risk for recurrence. Antiplatelet agents are the treatment of first choice for long-term secondary prevention of vascular events. This study aims to assess a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients in Hainan province, China. In five hospitals from the intervention group, four highly experienced physicians trained 62 neurologists, who in turn trained 613 stroke patients to improve their awareness and adherence to antiplatelet therapy. Physicians and patients of the control group received usual stroke management programs. After one-year follow-up, the proportion of patients who took the antiplatelet therapy increased significantly in the intervention group, reaching 73.2%, with a pre-post difference between two arms of 22.9% ( P < 0.01). There was also a significant net increase in the proportion of patients with awareness of antiplatelet therapy (24.4%, P < 0.01). Multivariate analysis illustrated health promotion program, higher education, annual household income, insurance, and medical status affected antiplatelet drug use in stroke patients. In conclusion, the health promotion program, based on a train-the-trainer approach, showed positive effects on awareness of and adherence to antiplatelet therapy, which has the potential to be scaled up to other resource-limited areas.
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Affiliation(s)
- Qingjie Su
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Chaoyun Li
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Faqing Long
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Bin Chen
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Zhongqin Wan
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Yingman Wu
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Mingming Dai
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Desheng Wang
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Yuhui Zhang
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
| | - Bufei Wang
- Department of Neurology, Hainan Provincial Nongken Hospital, Haikou, People's Republic of China
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Cross WF, Pisani AR, Schmeelk-Cone K, Xia Y, Tu X, McMahon M, Munfakh JL, Gould MS. Measuring trainer fidelity in the transfer of suicide prevention training. CRISIS 2016; 35:202-12. [PMID: 24901061 DOI: 10.1027/0227-5910/a000253] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Finding effective and efficient models to train large numbers of suicide prevention interventionists, including 'hotline' crisis counselors, is a high priority. Train-the-trainer (TTT) models are widely used but understudied. AIMS To assess the extent to which trainers following TTT delivered the Applied Suicide Intervention Skills Training (ASIST) program with fidelity, and to examine fidelity across two trainings and seven training segments. METHOD We recorded and reliably rated trainer fidelity, defined as adherence to program content and competence of program delivery, for 34 newly trained ASIST trainers delivering the program to crisis center staff on two separate occasions. A total of 324 observations were coded. Trainer demographics were also collected. RESULTS On average, trainers delivered two-thirds of the program. Previous training was associated with lower levels of trainer adherence to the program. In all, 18% of trainers' observations were rated as solidly competent. Trainers did not improve fidelity from their first to second training. Significantly higher fidelity was found for lectures and lower fidelity was found for interactive training activities including asking about suicide and creating a safe plan. CONCLUSIONS We found wide variability in trainer fidelity to the ASIST program following TTT and few trainers had high levels of both adherence and competence. More research is needed to examine the cost-effectiveness of TTT models.
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Affiliation(s)
- Wendi F Cross
- Department of Psychiatry, University of Rochester Medical Center (URMC), Rochester, NY, USA Department of Pediatrics, University of Rochester Medical Center (URMC), Rochester, NY, USA
| | - Anthony R Pisani
- Department of Psychiatry, University of Rochester Medical Center (URMC), Rochester, NY, USA Department of Pediatrics, University of Rochester Medical Center (URMC), Rochester, NY, USA
| | - Karen Schmeelk-Cone
- Department of Psychiatry, University of Rochester Medical Center (URMC), Rochester, NY, USA
| | - Yinglin Xia
- Department of Biostatstics and Computation Biology, University of Rochester Medical Center (URMC), Rochester, NY, USA
| | - Xin Tu
- Department of Biostatstics and Computation Biology, University of Rochester Medical Center (URMC), Rochester, NY, USA
| | - Marcie McMahon
- Center for Employee Wellness at the School of Nursing at the University of Rochester Medical Center (URMC), Rochester, NY, USA
| | - Jimmie Lou Munfakh
- Division of Child and Adolescent Psychiatry at the New York State Psychiatric Institute, New York, NY, USA
| | - Madelyn S Gould
- Division of Child and Adolescent Psychiatry at the New York State Psychiatric Institute, New York, NY, USA Departments of Psychiatry and Epidemiology (School of Public Health), Columbia University Medical Center, New York, NY, USA
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Wade D, Crompton D, Howard A, Stevens N, Metcalf O, Brymer M, Ruzek J, Watson P, Bryant R, Forbes D. Skills for Psychological Recovery: Evaluation of a post-disaster mental health training program. DISASTER HEALTH 2015; 2:138-145. [PMID: 28229008 DOI: 10.1080/21665044.2015.1085625] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Accepted: 08/18/2015] [Indexed: 10/22/2022]
Abstract
Skills for Psychological Recovery (SPR) is a brief skills-based approach to assist community members to better cope after a disaster or other tragedy. This paper reports on an evaluation of a large SPR training and support program following floods and cyclones in Queensland, Australia. The program sought to recruit, train and support competent SPR trainers; provide systematic high-quality training in SPR skills for practitioners; improve the confidence of a large number of practitioners to use SPR; and encourage practitioners' use of SPR with community members. Trainers recruited to the program facilitated 49 training sessions for 788 practitioners across Queensland. Trainers were assessed by practitioners to have high-level competencies to run training sessions. Practitioners reported improved confidence to use each SPR intervention following training and at 6 months post-training. Based on available data, more than 6 out of 10 practitioners used an SPR intervention during the follow up period, with each intervention used by over half of the practitioners at both 3 and 6 months. The most frequently reported barrier to using SPR was not having seen a community member with problems requiring SPR. For trainers, a psychology background and cognitive-behavioral therapy (CBT) orientation were unrelated to their competencies to facilitate practitioner training sessions. For practitioners, a psychology background and to some extent a CBT orientation were related to confidence to use SPR interventions. In summary, this study provides details of an evaluation of a large-scale mental health training and support program to enhance response to meet the mental health needs of those affected by disaster.
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Affiliation(s)
- Darryl Wade
- Phoenix Australia and Department of Psychiatry; The University of Melbourne ; Melbourne, Australia
| | - David Crompton
- Queensland Health; Queensland Government ; Brisbane, Australia
| | - Alexandra Howard
- Phoenix Australia and Department of Psychiatry; The University of Melbourne ; Melbourne, Australia
| | - Naomi Stevens
- Phoenix Australia and Department of Psychiatry; The University of Melbourne ; Melbourne, Australia
| | - Olivia Metcalf
- Phoenix Australia and Department of Psychiatry; The University of Melbourne ; Melbourne, Australia
| | - Melissa Brymer
- UCLA/Duke University National Center for Child Traumatic Stress; Department of Psychiatry and Biobehavioral Sciences; University of California ; Los Angeles, CA USA
| | - Josef Ruzek
- National Center for PTSD; VA Palo Alto Health Care System ; Palo Alto, CA USA
| | - Patricia Watson
- UCLA/Duke University National Center for Child Traumatic Stress; Department of Psychiatry and Biobehavioral Sciences; University of California; Los Angeles, CA USA; National Center for PTSD; Dartmouth Medical School; Dartmouth, NH USA
| | - Richard Bryant
- School of Psychology; University of New South Wales ; Sydney, New South Wales, Australia
| | - David Forbes
- Phoenix Australia and Department of Psychiatry; The University of Melbourne ; Melbourne, Australia
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Laborde DJ, Magruder K, Caye J, Parrish T. Feasibility of disaster mental health preparedness training for black communities. Disaster Med Public Health Prep 2014; 7:302-12. [PMID: 22752411 DOI: 10.1001/dmp.2012.18] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVES To test the feasibility of developing evidence-based mental health training to build capacity to respond to natural disasters in black communities and the adaptation of a train-the-trainer (TTT) model for black community leaders and clinical providers in distressed areas at risk of natural disasters. METHODS A core curriculum was developed based on a training needs assessment and resource review. Participants were recruited using network sampling in eastern North Carolina. The core curriculum was tested for usability, revised, and then pilot tested among five mental health providers. Three of the five were trained to lead one-day workshops tailored for black community leaders and clinical providers. Process data were collected, and workshop participants completed posttraining knowledge tests, evaluation forms, and debriefing focus groups. RESULTS Ten providers and 13 community leaders pilot tested the training. Posttest knowledge scores were generally higher among clinical providers. Perceived effectiveness of training was higher among community-based organization leaders than clinical providers. Evaluations indicated that the workshop components were culturally relevant and well received by all participants. We identified ways to facilitate recruitment, provide optional e-learning, evaluate effectiveness, and extend trainer support in future field trials. CONCLUSION The curriculum and TTT model provide culturally competent disaster mental health preparedness training for black communities.
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Affiliation(s)
| | - Kathryn Magruder
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina
| | - Joanne Caye
- Department of Social Work, University of North Carolina, Chapel Hill
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Pisani AR, Cross WF, Watts A, Conner K. Evaluation of the Commitment to Living (CTL) curriculum: a 3-hour training for mental health professionals to address suicide risk. CRISIS 2012; 33:30-8. [PMID: 21940243 DOI: 10.1027/0227-5910/a000099] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Finding effective and efficient options for training mental health professionals to assess and manage suicide risk is a high priority. AIMS To test whether an innovative, brief workshop can improve provider knowledge, confidence, and written risk assessment in a multidisciplinary sample of ambulatory and acute services professionals and trainees. METHODS We conducted a pre/post evaluation of a 3 h workshop designed to improve clinical competence in suicide risk assessment by using visual concept mapping, medical records documentation, and site-specific crisis response options. Participants (N = 338 diverse mental health professionals) completed pre- and postworkshop questionnaires measuring their knowledge and confidence. Before and after the workshop, participants completed documentation for a clinical vignette. Trained coders rated the quality of risk assessment formulation before and after training. RESULTS Participants' knowledge, confidence, and objectively-rated documentation skills improved significantly (p < .001), with large effect sizes. Participants' expectation of their ability to transfer workshop content to their clinical practice was high (mean = 4.10 on 1-5 scale). CONCLUSIONS Commitment to Living is a promising, innovative, and efficient curriculum for educating practicing clinicians to assess and respond to suicide risk. Well-designed, brief, suicide risk management programs can improve clinicians' knowledge, confidence, and skill.
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