Abstract
Research shows that, in mental healthcare, empathy and active listening skills play a fundamental role in the therapeutic relationship. Despite this, clinicians receive little training in cultivating these qualities, and there is a dearth of training in therapeutic relationships and relational care in this field more generally. In response to this paucity of training, a new intensive three-day training programme has been developed called Compassionate and Relational Enquiry (CARE). The CARE training programme has recently been delivered to a number of mental health teams in different boroughs of an NHS Trust and has undergone several rounds of redevelopment. This paper outlines the CARE training programme’s objectives and mode of delivery, and subsequently presents questionnaire results from recent CARE trainees regarding their experience of the nature and utility of the training. Four main themes emerged from responses to the question of the utility of the training, these were ‘A shift towards more person-centred care’, ‘Strengthens the therapeutic relationship’, ‘Facilitates more collaborative care with patients and their families’ and ‘Development of new skills and therapeutic techniques’. The paper concludes by discussing the potential of this training to help forge a substantial shift in the culture of mental health services in a systemic way.
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References
Ditton-Phare, P., Sandhu, H., Kelly, B., Kissane, D., & Loughland, C. (2016). Pilot evaluation of a communication skills training program for psychiatry residents using standardized patient assessment. Academic Psychiatry, 40, 768–775.
Frank, A. F., & Gunderson, J. G. (1990). The role of the therapeutic alliance in the treatment of schizophrenia: Relationship to course and outcome. Archives of general psychiatry, 47(3), 228–236.
Greenhalgh, T., Hinton, L., Finlay, T., Macfarlane, A., Fahy, N., Clyde, B., & Chant, A. (2019). Frameworks for supporting patient and public involvement in research: systematic review and co-design pilot. Health Expectations, 22(4), 785–801.
Krupnick, J., Sotsky, S., Simmens, S., Moyer, J., Elkin, I., Watkins, J., & Pilkonis, P. (1996). The role of the therapeutic alliance in psychotherapy and pharmacotherapy outcome: Findings in the NIMH Treatment of Depression Collaborative Research Program. Journal of Consulting and Clinical Psychology, 64(3), 532–539.
Loughland, C., Kelly, B., Ditton-Phare, P., Sandhu, H., Vamos, M., Outram, S., Levin, T., & Investigators, C. (2015). Improving clinician competency in communication about schizophrenia: a pilot educational program for psychiatry trainees. Academic Psychiatry, 39, 160–164.
Mauritz, M. W., Goossens, P. J., Draijer, N., & Van Achterberg, T. (2013). Prevalence of interpersonal trauma exposure and trauma-related disorders in severe mental illness. European journal of psychotraumatology, 4(1), 19985.
McCabe, R., John, P., Dooley, J., Healey, P., Cushing, A., Kingdon, D., Bremner, S., & Priebe, S. (2016). Training to enhance psychiatrist communication with patients with psychosis (TEMPO): cluster randomised controlled trial. The British Journal of Psychiatry, 209(6), 517–524.
Mercer, S. W., Maxwell, M., Heaney, D., & Watt, G. C. (2004). The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Family Practice, 21(6), 699–705.
Olson, M., Seikkula, J., & Ziedonis, D. (2014). The key elements of dialogic practice in open dialogue: Fidelity criteria. The University of Massachusetts Medical School, 8, 2017.
Pilling, S., Clarke, K., Parker, G., James, K., Landau, S., Weaver, T., Razzaque, R., & Craig, T. (2022). Open Dialogue compared to treatment as usual for adults experiencing a mental health crisis: Protocol for the ODDESSI multi-site cluster randomised controlled trial. Contemporary Clinical Trials, 113, 106664.
Priebe, S., & Mccabe, R. (2008). Therapeutic relationships in psychiatry: the basis of therapy or therapy in itself? International Review of Psychiatry, 20(6), 521–526.
Rashid, A., Thomas, V., Shaw, T., & Leng, G. (2017). Patient and public involvement in the development of healthcare guidance: an overview of current methods and future challenges. The Patient-Patient-Centered Outcomes Research, 10, 277–282.
Razzaque, R., Okoro, E., & Wood, L. (2015). Mindfulness in clinician therapeutic relationships. Mindfulness, 6, 170–174.
Sweeney, A., Filson, B., Kennedy, A., Collinson, L., & Gillard, S. (2018). A paradigm shift: relationships in trauma-informed mental health services. BJPsych advances, 24(5), 319–333.
Sweeney, A., Fahmy, S., Nolan, F., Morant, N., Fox, Z., Lloyd-Evans, B., Osborn, D., Burgess, E., Gilburt, H., & McCabe, R. (2014). The relationship between therapeutic alliance and service user satisfaction in mental health inpatient wards and crisis house alternatives: a cross-sectional study. PLoS ONE, 9(7), e100153.
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Razzaque, R., Mckenzie, E. Introducing Compassionate and Relational Enquiry (CARE): A Three-Day Training for Mental Health Clinicians on Relational Ways of Working. Community Ment Health J (2024). https://doi.org/10.1007/s10597-024-01272-9
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DOI: https://doi.org/10.1007/s10597-024-01272-9