Can training improve staff skills with complex trauma?

Paula Robinson, Chris Gilmore, Emma Griffith

Research output: Contribution to journalArticle

17 Downloads (Pure)

Abstract

Purpose: Studies show that experiences of repeated or complex trauma are very common in patients with severe mental health problems. Unfortunately, many professionals do not routinely ask about abuse, due to concerns about how to ask and respond. There is also a need for frontline staff to be trained in trauma-informed care. The purpose of this paper is to identify the needs of inpatient staff and developed a tailor-made training package. Design/methodology/approach: A training programme was developed from focus-group discussion and delivered to the team. Questionnaires were administered pre-, post-training and at three-month follow-up, to assess changes in knowledge, confidence and worries in the assessment and treatment of complex trauma. Findings: There was an increase in self-reported staff confidence (p=0.001) and knowledge (p=0.028) about working with complex trauma and their worries decreased (p=0.026) between pre- and post-training. Practical implications: In order to sustain the benefits of training for longer, recommendations were made to the service for on-going training, supervision and evaluation. Originality/value: Given the recent interest in complex trauma within the literature (Diagnostic and Statistical Manual of Mental Disorders – Fifth Version (DSM-V); International Statistical Classification of Diseases – 11th Version (ICD-11)), the piloting and development of complex trauma training packages is timely. To the author’s knowledge, this is the first published account of complex trauma training for inpatient staff. This paper offers clinical and research implications to services who may want to develop as trauma-informed services within the NHS.

Original languageEnglish
Pages (from-to)112-123
Number of pages12
JournalMental Health Review Journal
Volume24
Issue number2
DOIs
Publication statusPublished - 2 Jul 2019

Fingerprint

Inpatients
Wounds and Injuries
Focus Groups
Mental Health
Education
Therapeutics
Surveys and Questionnaires

Keywords

  • complex trauma, complex PTSD, staff training, service improvement, program evaluation

Cite this

Can training improve staff skills with complex trauma? / Robinson, Paula; Gilmore, Chris; Griffith, Emma.

In: Mental Health Review Journal, Vol. 24, No. 2, 02.07.2019, p. 112-123.

Research output: Contribution to journalArticle

Robinson, Paula ; Gilmore, Chris ; Griffith, Emma. / Can training improve staff skills with complex trauma?. In: Mental Health Review Journal. 2019 ; Vol. 24, No. 2. pp. 112-123.
@article{890dfb6fc92547938ed02ce73a96b66a,
title = "Can training improve staff skills with complex trauma?",
abstract = "Purpose: Studies show that experiences of repeated or complex trauma are very common in patients with severe mental health problems. Unfortunately, many professionals do not routinely ask about abuse, due to concerns about how to ask and respond. There is also a need for frontline staff to be trained in trauma-informed care. The purpose of this paper is to identify the needs of inpatient staff and developed a tailor-made training package. Design/methodology/approach: A training programme was developed from focus-group discussion and delivered to the team. Questionnaires were administered pre-, post-training and at three-month follow-up, to assess changes in knowledge, confidence and worries in the assessment and treatment of complex trauma. Findings: There was an increase in self-reported staff confidence (p=0.001) and knowledge (p=0.028) about working with complex trauma and their worries decreased (p=0.026) between pre- and post-training. Practical implications: In order to sustain the benefits of training for longer, recommendations were made to the service for on-going training, supervision and evaluation. Originality/value: Given the recent interest in complex trauma within the literature (Diagnostic and Statistical Manual of Mental Disorders – Fifth Version (DSM-V); International Statistical Classification of Diseases – 11th Version (ICD-11)), the piloting and development of complex trauma training packages is timely. To the author’s knowledge, this is the first published account of complex trauma training for inpatient staff. This paper offers clinical and research implications to services who may want to develop as trauma-informed services within the NHS.",
keywords = "complex trauma, complex PTSD, staff training, service improvement, program evaluation",
author = "Paula Robinson and Chris Gilmore and Emma Griffith",
year = "2019",
month = "7",
day = "2",
doi = "10.1108/MHRJ-10-2018-0032",
language = "English",
volume = "24",
pages = "112--123",
journal = "Mental Health Review Journal",
issn = "1361-9322",
publisher = "Emerald Group Publishing Ltd.",
number = "2",

}

TY - JOUR

T1 - Can training improve staff skills with complex trauma?

AU - Robinson, Paula

AU - Gilmore, Chris

AU - Griffith, Emma

PY - 2019/7/2

Y1 - 2019/7/2

N2 - Purpose: Studies show that experiences of repeated or complex trauma are very common in patients with severe mental health problems. Unfortunately, many professionals do not routinely ask about abuse, due to concerns about how to ask and respond. There is also a need for frontline staff to be trained in trauma-informed care. The purpose of this paper is to identify the needs of inpatient staff and developed a tailor-made training package. Design/methodology/approach: A training programme was developed from focus-group discussion and delivered to the team. Questionnaires were administered pre-, post-training and at three-month follow-up, to assess changes in knowledge, confidence and worries in the assessment and treatment of complex trauma. Findings: There was an increase in self-reported staff confidence (p=0.001) and knowledge (p=0.028) about working with complex trauma and their worries decreased (p=0.026) between pre- and post-training. Practical implications: In order to sustain the benefits of training for longer, recommendations were made to the service for on-going training, supervision and evaluation. Originality/value: Given the recent interest in complex trauma within the literature (Diagnostic and Statistical Manual of Mental Disorders – Fifth Version (DSM-V); International Statistical Classification of Diseases – 11th Version (ICD-11)), the piloting and development of complex trauma training packages is timely. To the author’s knowledge, this is the first published account of complex trauma training for inpatient staff. This paper offers clinical and research implications to services who may want to develop as trauma-informed services within the NHS.

AB - Purpose: Studies show that experiences of repeated or complex trauma are very common in patients with severe mental health problems. Unfortunately, many professionals do not routinely ask about abuse, due to concerns about how to ask and respond. There is also a need for frontline staff to be trained in trauma-informed care. The purpose of this paper is to identify the needs of inpatient staff and developed a tailor-made training package. Design/methodology/approach: A training programme was developed from focus-group discussion and delivered to the team. Questionnaires were administered pre-, post-training and at three-month follow-up, to assess changes in knowledge, confidence and worries in the assessment and treatment of complex trauma. Findings: There was an increase in self-reported staff confidence (p=0.001) and knowledge (p=0.028) about working with complex trauma and their worries decreased (p=0.026) between pre- and post-training. Practical implications: In order to sustain the benefits of training for longer, recommendations were made to the service for on-going training, supervision and evaluation. Originality/value: Given the recent interest in complex trauma within the literature (Diagnostic and Statistical Manual of Mental Disorders – Fifth Version (DSM-V); International Statistical Classification of Diseases – 11th Version (ICD-11)), the piloting and development of complex trauma training packages is timely. To the author’s knowledge, this is the first published account of complex trauma training for inpatient staff. This paper offers clinical and research implications to services who may want to develop as trauma-informed services within the NHS.

KW - complex trauma, complex PTSD, staff training, service improvement, program evaluation

UR - http://www.scopus.com/inward/record.url?scp=85067007728&partnerID=8YFLogxK

U2 - 10.1108/MHRJ-10-2018-0032

DO - 10.1108/MHRJ-10-2018-0032

M3 - Article

VL - 24

SP - 112

EP - 123

JO - Mental Health Review Journal

JF - Mental Health Review Journal

SN - 1361-9322

IS - 2

ER -