a survey of engagement and competence levels in interventions and activities in a community mental health workforce in england参与和干预能力水平的调查和活动在社区精神卫生人力在英格兰.pdfVIP
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a survey of engagement and competence levels in interventions and activities in a community mental health workforce in england参与和干预能力水平的调查和活动在社区精神卫生人力在英格兰
Lang et al. BMC Health Services Research 2011, 11:352
/1472-6963/11/352
RESEARCH ARTICLE Open Access
A survey of engagement and competence levels
in interventions and activities in a community
mental health workforce in England
1 1 1,2 3 1,4 5 1
Linda Lang , Sophie Orton , David Sallah , Teresa Hewitt-Moran , Dongmei Zhang , Sean Cullen , Sheila Dixon ,
1 1 1 1,6*
Brian Bell , David Bell , Lesley Meeson and Ruoling Chen
Abstract
Background: National Health Service (NHS) mental health workforce configuration is at the heart of successful delivery,
and providers are advised to produce professional development strategies. Recent policy changes in England have
sharpened the focus on competency based role development. We determined levels of intervention activities,
engagement and competence and their influencing factors in a community-setting mental health workforce.
Methods: Using a modified questionnaire based on the Yorkshire Care Pathways Model we investigated 153
mental health staff working in Coventry and Warwickshire NHS Trust. A median score of competence was
computed across 10 cluster activities. Low engagement and competence levels were examined in a logistic
regression model.
Results: In 220 activities, Monitoring risk was the highest rate of engagement (97.6%) and Group psychological
therapy/Art/Drama therapy was the lowest engagement (3.6%). The median competence level based on all activities
was 3.95 (proficient). There were significant differences in the competence level among professional groups; non-
qualified support group (3.00 for competent), Counsellor/Psychologist/Therap
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