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Early Interv Psychiatry. 2013 Nov;7(4):442-50. doi: 10.1111/eip.12044. Epub 2013 Mar 14.

Psychosis 101: evaluating a training programme for northern and remote youth mental health service providers.

Author information

1
Canadian Mental Health Association - Thunder Bay, First Place Clinic and Regional Resource Centre, Thunder Bay, Ontario, Canada; Centre for Addiction and Mental Health, Centre for Research on Employment and Workplace Health (CREWH), Toronto, Ontario, Canada.

Abstract

BACKGROUND:

Most of the early psychosis intervention (EPI) training has focused on family physicians participants. In Northern Ontario, there is a shortage of primary care. This paper will present evaluation results of a pilot training programme for rural and remote youth mental health service providers.

METHOD:

A mixed methods approach was used. We evaluated a 2-day workshop about EPI for non-medical mental health workers delivered onsite and simultaneously by videoconferencing. There were 19 participants across four agencies. Seven were onsite and 12 were offsite. Participants' knowledge was measured using a validated questionnaire at pre-intervention and at 3-, 6- and 9-month follow up. A repeated measures ANOVA was used to evaluate knowledge acquisition between the two modes of training. At 6 months, focus group interviews were conducted to explore their experiences of the mode of intervention delivery and evaluation. Emerging themes were iteratively derived through a series of discussions involving independent coders.

RESULTS:

Only 15 complete datasets were available of the 19 original participants. Differences in knowledge acquisition between the two groups did not reach statistical difference. Six-month focus group data indicated that participants improved their relationship with EPI services and they were part of a strengthened network with other providers in the region. Post-intervention, the accuracy of referrals from participating agencies increased dramatically, with an increase in proportion of referrals who were eligible for EPI services. The follow-up process engaged participants in learning and re-engaged them with the material taught during the training session.

CONCLUSIONS:

The results about developing service partnerships and relationship with specialist services are encouraging for policy and service decision-makers to address mental health service needs in northern and remote areas.

KEYWORDS:

continuing education; early psychosis intervention; remote learning; rural health service; telepsychiatry

PMID:
24164723
DOI:
10.1111/eip.12044
[Indexed for MEDLINE]

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