improving_psychiatric_diagnosis_in_multidisciplinary_child_and_adolescent_mental_health_services.pdf (93.95 kB)
Improving psychiatric diagnosis in multidisciplinary child and adolescent mental health services
journal contribution
posted on 2023-06-09, 15:43 authored by Daniel Michelson, Stephen Rock, Sophia Holliday, Gil Myers, Susan Tilki, Elizabeth Murphy, Crispin DayAims and method We examined learning outcomes, practice impacts and implementation processes for a training intervention in diagnostic skills delivered to multidisciplinary child and adolescent mental health service practitioners (n = 63). Results Training was viewed positively by most participants and associated with significant increases in practitioner self-efficacy, with the effect sustained at 8-month follow-up. A comparative audit before and after training indicated that clinicians were significantly more likely to assign an Axis I diagnosis following the training intervention. However, absolute rates of Axis I classification remained relatively low (< 40%) both before and after training. Practitioners were moderately successful at following through on personal plans for implementing new learning; inconsistent support for implementation was provided within teams. Clinical implications A brief training workshop may have limited effects in changing practitioners' behaviour so that diagnoses are made more promptly and appropriately recorded. Future workforce development initiatives should consider more comprehensive and diversified strategies, including targeted post-training support, if increased self-efficacy following training is to be translated into sustained changes in diagnostic practice.
History
Publication status
- Published
File Version
- Published version
Journal
PsychiatristISSN
1758-3209Publisher
Cambridge University PressExternal DOI
Issue
12Volume
35Page range
454-459Department affiliated with
- Psychology Publications
Research groups affiliated with
- Developmental and Clinical Psychology Research Group Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2018-11-02First Open Access (FOA) Date
2018-11-02First Compliant Deposit (FCD) Date
2018-11-02Usage metrics
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