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Training Staff in Enhanced Relapse Prevention for Bipolar Disorder: Rates of Uptake and Measures of Skill and Confidence

Dr. Lobban is affiliated with the Spectrum Centre, Institute for Health Research, Lancaster University, Lancaster LA1 4YT United Kingdom (e-mail: f.lobban{at}lancaster.ac.uk). Mr. Taylor is with Pennine Care NHS Foundation Trust, Lancashire, United Kingdom. Dr. Chandler, Dr. Sellwood, Ms. Tyler, and Professor Kinderman are with the Department of Clinical Psychology and Dr. Gamble is with the Department of Medical Statistics, University of Liverpool, Liverpool, United Kingdom. Professor Morriss is with the Department of Psychiatry, School of Community Health Sciences, University of Nottingham, Nottingham, United Kingdom. An earlier version of this study was presented at the World Congress of Behavioural and Cognitive Therapies, Barcelona, Spain, July 11–14, 2007.

OBJECTIVE: This study examined the feasibility and effectiveness of training clinical staff in enhanced relapse prevention for people with bipolar disorder in routine services. METHODS: A cluster randomized controlled trial was conducted in North West England. This brief report focuses on the 56 staff who received enhanced relapse prevention. Staff-perceived skill in working with people with bipolar disorder to prevent relapse was assessed pretraining, posttraining, and postsupervision. Staff ratings of confidence and trainer ratings of competence for key elements of enhanced relapse prevention were made posttraining and postsupervision. Staff gave feedback on training and supervision. RESULTS: Feedback was very positive. Staff's perception of their skill increased after training and increased further after supervision. Most staff felt confident and were rated as competent in key elements of enhanced relapse prevention after training and supervision. CONCLUSIONS: An effective training and supervision package was developed. Barriers to implementation need to be addressed.

This article has been cited by other articles:

				F. Lobban, L. Taylor, C. Chandler, E. Tyler, P. Kinderman, R. Kolamunnage-Dona, C. Gamble, S. Peters, E. Pontin, W. Sellwood, et al. Enhanced relapse prevention for bipolar disorder by community mental health teams: cluster feasibility randomised trial The British Journal of Psychiatry, January 1, 2010; 196(1): 59 - 63. [Abstract] [Full Text] [PDF]

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