Fostering a culture of engagement: an evaluation of a 2-day training in solution-focused brief therapy for mental health workers.

The focus of mental health care has changed considerably in recent years, from an almost exclusive inpatient system of care to one where the majority of care is being delivered within the community. Arguably this has contributed to a reduction in the length of inpatient admissions. Therefore, there is a need to understand the ramifications that shorter admissions have on inpatient care and nursing practice. This paper reports on a study designed to test the knowledge and skill acquisition and self-reported application of solution-focused brief therapy by staff following a 2-day training. The study adopted a repeated measures design where participants' baseline knowledge was measured prior to the 2-day training and then at 3 and 6 months post-training. This study has demonstrated that the 2-day training was effective in increasing participants' reported knowledge and understanding of solution-focused brief therapy and their self-reported use of the techniques in routine clinical practice. In conclusion, this study has established that staff from a variety of professional and non-professional backgrounds can make good skill acquisition from a fairly modest training. Additionally, the current study has also highlighted the need for well-conducted large-scale trials of this potentially important technology.

[1]  H. Ferraz,et al.  The integration of solution-focused brief therapy principles in nursing: a literature review. , 2008, Journal of psychiatric and mental health nursing.

[2]  N. Wellman,et al.  Fostering a culture of engagement: a pilot study of the outcomes of training mental health nurses working in two UK acute admission units in brief solution-focused therapy techniques. , 2007, Journal of psychiatric and mental health nursing.

[3]  D. Freshwater Editors, midwives and peer review. , 2007, Journal of psychiatric and mental health nursing.

[4]  L. Yágüez,et al.  Factors associated with multiple re-admission to a psychiatric hospital , 2007 .

[5]  Yvonne M. Dolan,et al.  Steve de Shazer and the future of solution-focused therapy. , 2006, Journal of marital and family therapy.

[6]  N. Fineberg,et al.  What is the usual length of stay in a psychiatric ward? , 2004, International journal of psychiatry in clinical practice.

[7]  P. Barker,et al.  Finding solutions through empowerment: a preliminary study of a solution-orientated approach to nursing in acute psychiatric settings. , 2003, Journal of psychiatric and mental health nursing.

[8]  S. Wiseman Brief intervention: reducing the repetition of deliberate self-harm. , 2003, Nursing times.

[9]  M. McAllister Doing practice differently: solution-focused nursing. , 2003, Journal of advanced nursing.

[10]  Chris Iveson Solution-focused brief therapy , 2002 .

[11]  H. Kirkpatrick,et al.  Understanding those who seek frequent psychiatric hospitalizations. , 2002, Archives of psychiatric nursing.

[12]  N. Bowles,et al.  Nurses' communication skills: an evaluation of the impact of solution-focused communication training. , 2001, Journal of advanced nursing.

[13]  W. Gingerich,et al.  Solution-focused brief therapy: a review of the outcome research. , 2000, Family process.

[14]  M. Lambert,et al.  Outcome assessment: From conceptualization to implementation. , 1998 .

[15]  J. Johnston,et al.  Expanding the Influence of a Single-Session Consultation Program , 1996 .

[16]  P. de Jong,et al.  Solution-Building Conversations: Co-Constructing a Sense of Competence with Clients , 1996 .

[17]  Scott D. Miller,et al.  How to Interview for Client Strengths , 1995 .

[18]  K. Vaughn,et al.  Brief inpatient psychiatric treatment: finding solutions. , 1995, Issues in mental health nursing.

[19]  K. Vaughn,et al.  Introducing solution-focused approaches to staff in inpatient psychiatric settings. , 1994, Archives of psychiatric nursing.

[20]  D. Hedeker,et al.  Length of stay and recidivism in schizophrenia: a study of public psychiatric hospital patients. , 1993, The American journal of psychiatry.

[21]  D. C. Webster Solution-focused approaches in psychiatric/mental health nursing. , 2009, Perspectives in psychiatric care.