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Interprofessional Simulation Training to Promote Working With Families and Networks in Mental Health Services

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Abstract

Objective

Working with the families and networks of patients with mental illness has significant benefits. There are, however, numerous barriers to this way of working, meaning that it is not universally privileged in mental healthcare services. This study evaluated the impact of an interprofessional simulation (IPS) course on working with families and networks on participants’ confidence, attitudes, and perceived future clinical practice.

Methods

A one-day IPS course pairing high-fidelity scenarios with reflective debriefs was developed. Simulated patients were engaged to portray patients and family members. Participants were mental health professionals from a variety of medical, nursing, and allied health professional backgrounds (n = 105). A mixed-methods approach to data collection was adopted, comprising pre- and post-course quantitative data on confidence and attitudes towards working with families and networks, and post-course qualitative data on participant experience and learning. Paired samples t tests and thematic analysis were conducted on the respective data sets.

Results

Participants’ overall confidence and attitude scores showed statistically significant improvements with large and medium effect sizes, respectively. Thematic analyses identified several perceived improvements in areas related to the following: personal professional development, interprofessional and team working, and patient care and experience. Key pedagogical features of IPS were also highlighted.

Conclusions

These findings support the use of IPS to improve clinicians’ capabilities in undertaking systemic work while also supporting its ability to alter clinicians’ ways of working in general. The importance of interprofessional and team working for this was also highlighted. Longitudinal evaluation of the training’s impact on clinical practice is warranted.

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Acknowledgments

The authors would like to thank all those who participated in the course and also those involved in developing it—in particular Dr. Ros Humphreys, Dr. Catherine Wilson, Dr. Angharad Piette, and Dr. Gregoire Billon.

Funding

On behalf of all authors, the corresponding author states that there are no financial disclosures.

Author information

Authors and Affiliations

  1. Medical-Psychiatry Alliance, Centre for Addiction and Mental Health, Toronto, ON, Canada

    Christopher Kowalski

  2. Maudsley Simulation, London, UK

    Christopher Kowalski, Chris Attoe & Sean Cross

  3. South London and Maudsley NHS Foundation Trust, London, UK

    Isabelle Ekdawi, Claire Parry, Sabrina Phillips & Sean Cross

Authors
  1. Christopher Kowalski
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  2. Chris Attoe
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  3. Isabelle Ekdawi
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  4. Claire Parry
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  5. Sabrina Phillips
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  6. Sean Cross
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Corresponding author

Correspondence to Christopher Kowalski.

Ethics declarations

All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendment or comparable ethical standards.

Ethical Considerations

Institutional ethical approval was granted by the research ethics board at the South London and Maudsley NHS Foundation Trust, London, UK.

Disclosure

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

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Kowalski, C., Attoe, C., Ekdawi, I. et al. Interprofessional Simulation Training to Promote Working With Families and Networks in Mental Health Services. Acad Psychiatry 42, 605–612 (2018). https://doi.org/10.1007/s40596-017-0840-z

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  • DOI: https://doi.org/10.1007/s40596-017-0840-z

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