The Journal of Mental Health Training Education and Practice

Theodorou, Nikoletta; Johnsen, Sarah; Watts, Beth; Burley, Adam

2021 The Journal of Mental Health Training Education and Practice

doi: 10.1108/jmhtep-02-2021-0016

This study aims to examine the emotional and cognitive responses of frontline homelessness service support staff to the highly insecure attachment styles (AS) exhibited by people experiencing multiple exclusion homelessness (MEH), that is, a combination of homelessness and other forms of deep social exclusion.Design/methodology/approachFocus groups were conducted with frontline staff (N = 19) in four homelessness support services in Scotland. Hypothetical case vignettes depicting four insecure AS (enmeshed, fearful, withdrawn and angry-dismissive) were used to facilitate discussions. Data is analysed thematically.FindingsService users with AS characterised by high anxiety (enmeshed or fearful) often evoked feelings of compassion in staff. Their openness to accepting help led to more effective interactions between staff and service users. However, the high ambivalence and at times overdependence associated with these AS placed staff at risk of study-related stress and exhaustion. Avoidant service users (withdrawn or angry-dismissive) evoked feelings of frustration in staff. Their high need for self-reliance and defensive attitudes were experienced as hostile and dismissing. This often led to job dissatisfaction and acted as a barrier to staff engagement, leaving this group more likely to “fall through the net” of support.Originality/valueExisting literature describes challenges that support staff encounter when attempting to engage with people experiencing MEH, but provides little insight into the causes or consequences of “difficult” interactions. This study suggests that an attachment-informed approach to care can promote more constructive engagement between staff and service users in the homelessness sector.

Griffen, Kelsey; Lederman, Oscar; Morell, Rachel; Fibbins, Hamish; Curtis, Jackie; Ward, Philip; Teasdale, Scott

2021 The Journal of Mental Health Training Education and Practice

doi: 10.1108/jmhtep-12-2020-0086

This paper aims to examine student exercise physiologists (EPs) and student dietitians’ confidence regarding working with people with severe mental illness (SMI) pre- and post-practicum in a mental health service.Design/methodology/approachThis single-arm, quality improvement project included students completing practicum within a lifestyle programme embedded in mental health services. Student EPs completed 100 h of practicum across 15 weeks as part requirement for their Bachelor of Exercise Physiology degree and student dietitians completed six weeks full-time (40 h/week) for the part requirement of their Master of Nutrition and Dietetics. Students completed the Dietetic Confidence Scale (terminology was adapted for student EPs) pre- and post-practicum.FindingsIn total, 27 student EPs and 13 student dietitians completed placement and returned pre- and post-practicum questionnaires. Pre-practicum confidence scores were 90.8 ± 17.1 and 86.9 ± 18.9 out of a possible 140 points for student EPs and student dietitians, respectively. Confidence scores increased substantially post-practicum for both student EPs [mean difference (MD) = 29.3 ± 18.8, p < 0.001, d = 1.56] and dietitian students (MD = 26.1 ± 15.9, p = 0.002, d = 1.64). There were significant improvements in confidence across all domains of the confidence questionnaire for both EPs and dietitian students.Originality/valueThere is a research gap in understanding the confidence levels of student EPs’ and student dietitians’ when working with people with mental illness and the impact that undertaking a practicum in a mental health setting may play. To the best of the authors’ knowledge, this is the first study to explore student EP and student dietitian confidence in working with people with SMI pre- and post-practicum in a mental health setting.

Hassett, Charlotte L.; Gresswell, David M.; Wilde, Sarah V.

2021 The Journal of Mental Health Training Education and Practice

doi: 10.1108/jmhtep-10-2020-0075

This paper aims to explore whether a United Kingdom (UK) clinical psychology training programme (the programme) was effective in producing graduates who are confident in leadership, within the context of the National Health Service and reflecting the British Psychological Society’s views of leadership.Design/methodology/approachMixed methods design surveys were administered to prospective-, current- and alumni trainee clinical psychologists on the programme, enquiring about their view of leadership, motivation to lead (MtL) and aspects of the course that are helpful and which need further development. Data collected from 92 individuals were analysed using content and thematic analysis (TA).FindingsFrom the TA, three themes were identified concerning the meaning of leadership as follows: professional identity, Improving the quality of services (team; organisations and wider context), professional skills. Overall, participants thought leadership was important to the role of a clinical psychologist, with prospective trainees reporting that the desire to develop as leaders influenced their decision to apply to the programme. Moreover, participants felt confident in leadership skills and that the training programme helped develop their leadership skills, with the alumni participants demonstrating a greater MtL. Placements, group study and specific modules were identified as contributing to the development of their leadership skills, but participants felt more teaching on leadership is needed. Recommendations have been suggested to improve the development of leadership skills on the programme.Research limitations/implicationsThe research was undertaken on a small cohort of trainees based in the UK.Practical implicationsParticipants were motivated to become clinical leaders but this motivation needed to be nurtured and developed particularly through structured placement and teaching experience.Originality/valueThis service evaluation is the only audit of the leadership of the programme and the findings will contribute to the existing body of reviews in this area.

Sundaray, Bijaya Kumar; Sarangi, Pragyan; Patra, Soumendra Kumar

2021 The Journal of Mental Health Training Education and Practice

doi: 10.1108/jmhtep-05-2021-0041

In light of growing concerns related to the psychological vulnerability during the pandemic, this study aims to examine the impact of fear or trauma of COVID-19 on stress, anxiety and depression among management students. Additionally, the study also explores the possible strategies adopted by professional students to cope with the pandemic situation.Design/methodology/approachWith an approach to establish a probable concrete relationship between fear with the level of stress, anxiety and depression, the data for the study was collected from 1,408 management students through a structured questionnaire designed in Google Form and administered through WhatsApp. The survey was carried out in the month of July and August 2020 during the lockdown period. Correlation and structural equation modeling have been used to examine the relationship among the test attributes.FindingsThe results from the study discovered that “fear of COVID-19” has a significant and considerable impact on the increased level of anxiety and stress among the professional students, but the observations did not demonstrate a significant influence of the “fear” on “depression.” The responses reveal that students have developed anxiety and felt stressed mostly due to uncertainty in the upcoming academic plans, disturbances in their regular academic routines and concerns about their future careers. Further, the findings have portrayed that students have adopted both protective and avoidance coping strategies to overcome the adverse consequences of the pandemic.Research limitations/implicationsThe study gives an insight on the psychological vulnerability of the management students and their capability to overcome such sudden disruptions due to pandemics. This research could thus, serve as a reference to the policymakers, universities and institutions while planning out programs and schemes, which would encourage the aspiring managers to overcome the crisis and prepare themselves to befit the vibrant corporate world.Originality/valueSeveral studies exist on the impact of the pandemic on undergraduate students in different universities. However, there are a dearth of literature, which reflects the psychological vulnerability of professional graduates especially management students who are on the verge of starting their professional career.

Woodley, Helen

2021 The Journal of Mental Health Training Education and Practice

doi: 10.1108/jmhtep-05-2020-0026

This study aims to reflect upon the first wave of training of Education Mental Health Practitioners (EMHPs), a new National Health Service role to provide support for Children and Young People (CYP) with low and moderate mental health needs in education settings in England. The study specifically focusses on the training for EMHPs in relation to their support for CYP who identify themselves as Black, Asian or Minority Ethnic (BAME), refugees or from the traveller community.Design/methodology/approachA brief review of the policy and literature on the role and remit of EMHPs was undertaken, including an exploration of the current status of BAME, refugee and traveller community CYP in schools in England. The review was then related to the specific experience of the author within the context of teaching EMHP trainees in a higher educational setting and evaluated as developing outcomes in low-intensity school-based practice.FindingsThere are benefits for trainee EMHPs to have an understanding of the minority groups of CYP attending schools in the area their Mental Health Support Team (MHST) covers. There are benefits for the MHST to form relationships with minority groups at an early stage in the MHST formation. Adapting the EMHP curriculum at a local level to include specific training on the needs of minority groups supports the development of relationships between schools and the communities they engage with locally. Ongoing training should be provided by services focussing on the specific needs of minority groups in their MHST area.Originality/valueInvolving minority groups in education in the formation of MHST and the training of EMHPs may improve outcomes in developing therapeutic relationships with CYP. Developing engagement practices in MHSTs with higher education providers, begins the process early in the experience of EMHP trainees, providing a safe environment in which to develop engagement skills.

Evans, Nicola; Lane, Rhiannon; Stacey-Emile, Gemma; Sefasi, Anthony

2021 The Journal of Mental Health Training Education and Practice

doi: 10.1108/jmhtep-07-2020-0049

The World Health Organisation found depression to be the fourth leading cause of disability in Malawi (Bowie, 2006) with the prevalence of mental health need in children and young people in Malawi estimated between 10 and 30% (Kutcher et al., 2019). One option to address this was to provide schoolteachers with skills and knowledge related to mental health so they can better support children. There is generally a lack of evidence of the utility or feasibility of school-based mental health literacy programmes in low to medium income countries (LMIC). This paper aims to report on a project to train schoolteachers in Malawi on aspects of mental health.Design/methodology/approachThe aim of this project was to determine the acceptability and feasibility of delivering a training initiative in Malawi to teachers to better enable them to recognise and cope with school children who had been exposed to trauma and substance misuse.FindingsFeedback was generated through the use of a specifically designed pre and post measure, focus groups, interviews and observations of the teaching delivery.Practical implicationsTeachers found the training built on their existing knowledge and they requested further opportunities for training and consultation about how to manage difficult presentations. It was evident that teachers did not know how to access mental health care or support for children whose needs could not be met by schoolteachers alone.Originality/valueFor a sustainable improvement for children’s mental health care in this context, further training becomes valuable when located as part of a network of joined up health and educational services.