yorkshire and the humber adult mental health network ... health/psychoed...15 march, 22 march and 5...

Yorkshire and the Humber Adult Mental Health Network

Psychoeducational Group Training 15 March, 22 March and 5 April 2017

Evaluation Report

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Psychoeducational Group Training: Evaluation Report Version number: 1 First published: May 2017 Updated: TBC Prepared by: Sarah Boul, Quality Improvement Lead, Adult Mental Health, Yorkshire and the Humber Clinical Networks

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Contents Contents ..................................................................................................................... 3

1 Purpose ............................................................................................................... 4

2 Introduction .......................................................................................................... 4

3 Aim, Objectives and Session Outline .................................................................. 5

3.1 Aim ............................................................................................................ 5

3.2 Objectives .................................................................................................. 5 3.3 Session Outline .......................................................................................... 5

4 Evaluation Results ............................................................................................... 6

4.1 Presentations ............................................................................................. 7 4.2 Skills Group Practice ............................................................................... 13 4.3 Venues .................................................................................................... 16

5 Key Issues / Challenges .................................................................................... 19

6 Opportunities for Improvement .......................................................................... 19

7 Conclusion and Recommendations ................................................................... 20

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1 Purpose The purpose of this report is to present an analysis of evaluation information, collected by the Yorkshire and the Humber Mental Health Clinical Network, following the delivery of psychoeducational group training to Step 2 practitioners across the Yorkshire and the Humber region.

2 Introduction Across the Yorkshire and the Humber region Improving Access to Psychological Therapies (IAPT) services provide assessment and treatment to a population of approximately 5.6 million. IAPT services are provided through a range of service models: some Clinical Commissioning Groups (CCGs) commission a range of services and smaller organisations to provide IAPT through a lead provider model, whilst other CCGs commission a single provider that operates one service across a geographical area. The Yorkshire and the Humber Mental Health Clinical Network is committed to supporting Providers and Commissioners in the development of their IAPT services and are committed to supporting services to achieve the Access, Waiting Time and Recovery Standards for IAPT. To facilitate developments and improvements in IAPT services the Yorkshire and the Humber Mental Health Clinical Network host a Senior Psychological Wellbeing Practitioner (PWP) Network and an IAPT Providers’ Network. Both Networks have the purpose of providing a forum to support IAPT Providers’ to deliver best practice services and to ensure fair and timely access, treatment and recovery for the population of Yorkshire and the Humber. At recent network meetings practitioner confidence in delivering group therapies, which research has indicated impacts on patient recovery rates, has been debated. Subsequent to these debates the Yorkshire and the Humber Mental Health Clinical Network conducted a survey regarding delivery of psychoeducational training and practitioner confidence in delivering group therapies. It was noted from the survey that confidence levels were low and a potential consequence of this could be to impact on patient recovery. Following an analysis of the survey results it was agreed that there was a requirement for additional training for PWPs in the delivery of psychoeducational group training; to increase practitioner confidence, improve patient care and enhance achievement of national IAPT targets. Therefore, the Yorkshire and the Humber Mental Health Clinical Network, in partnership with a Senior IAPT Lecturer and Senior Cognitive Behavioural Therapist, hosted three Psychoeducational Group Training sessions to bring together experts in the field of IAPT with PWPs from a wide range of Providers.

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3 Aim, Objectives and Session Outline

3.1 Aim

The overall aim of the Psychoeducational Group Training was:

To increase confidence in the delivery of psychoeducational programmes by Psychological Wellbeing Practitioners (PWPs).

3.2 Objectives

The objectives for the training day were to enable participants to have:

raised confidence in their ability to present psychoeducational material in group settings,

increased knowledge of the scientific basis for internal doubt and self-criticism,

applied the five areas model to performance anxiety,

learned, practiced and received feedback on key skills for presenting in public,

prepared a personal action plan for delivering psychoeducational programmes.

3.3 Session Outline

The training sessions were held on 15 March in Leeds, 22 March in Sheffield and 5 April in York. All sessions were held 09:30-16:30 and were delivered in the following format: Presentation: Introduction to the training

What is Performance Anxiety?

Autonomic nervous system

Applying the five areas Presentation: Preparation

Acceptance strategies

Presentation skills

Dealing with challenges

Action planning

Review Skills Group Practice

Groups of ten participants approximately

One facilitator in each group

5 minute presentation on topic of person’s choice

Feedback for 10 mins max. Completion of Action Plan Review of the Day

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4 Evaluation Results The Psychoeducational Group Training was held on three different dates at three different locations across the Yorkshire and the Humber region. The purpose of this was to try and ensure equality of opportunity for participants from different services to attend. In total across the three days 166 people received the training and the Clinical Network received 129 completed evaluation forms. A breakdown of attendee numbers of completed evaluation forms is outlined in the table below:

Day 1: 15 March 2017, Leeds Total number of attendees 55

Total number of evaluation forms received 38

Day 2: 22 March 2017, Sheffield Total number of attendees 56


Day 3: 5 April 2017, York Total number of attendees 55


The evaluation forms from each session requested participant feedback on the presentations provided by the speakers; how participants experienced the skills group practice and sought views on the location of the training. Feedback was sought by both quantitative and qualitative methods and the quantitative feedback is summarised in sections 4.1, 4.2 and 4.3.

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4.1 Presentations

The feedback from the evaluation forms regarding the presentational elements of the training is summarised below: Presentations Day 1: 15 March 2017, Leeds

No

Score Very Poor

Poor Fair Good Excellent

Introduction to the training What is Performance Anxiety? Autonomic nervous system Applying the five areas

1 0 0 4 19 14

Preparation Acceptance strategies Presentation skills Dealing with challenges Action planning Review

1 0 0 2 18 17

0

2

4

6

8

10

12

14

16

18

20

Introduction to the trainingWhat is Performance Anxiety?

Autonomic nervous systemApplying the five areas

PreparationAcceptance strategies

Presentation skillsDealing with challenges

Action planningReview

Presentation Scores

No Score

Very Poor

Poor

Fair

Good

Excellent

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Summary Word Cloud Day 1: 15 March 2017, Leeds

9

Presentations Day 2: 22 March 2017, Sheffield

No Score

Very Poor


Introduction to training What is Performance Anxiety? Autonomic nervous system Applying the five areas

0 0 0 2 12 29


0 0 0 1 14 28

0

5

10

15

20

25

30

35

Introduction to trainingWhat is Performance Anxiety?





Presentation Scores

No Score

Very Poor

Poor

Fair

Good

Excellent

10

Summary Word Cloud Day 2: 22 March 2017, Sheffield

11

Presentations Day 3: 5 April 2017, York

No Score

Very Poor


Introduction to training What is Performance Anxiety? Autonomic nervous system Applying the five areas

0 0 0 2 13 32


0 0 1 5 12 29

0

5

10

15

20

25

30

35

Introduction to trainingWhat is Performance Anxiety?





Presentation Scores

No Score

Very Poor

Poor

Fair

Good

Excellent

12

Summary Word Cloud Day 3: 5 April 2017, York

13

4.2 Skills Group Practice

The feedback from the evaluation forms regarding the skills group practice is summarised below: Skills Group Practice Day 1: 15 March 2017, Leeds

No

Score Very Poor


Skills Group Practice 1 1 0 1 18 17

0

2

4

6

8

10

12

14

16

18

20

Skills Group Practice

Skills Group Practice Scores

No Score

Very Poor

Poor

Fair

Good

Excellent

14

Skills Group Practice Day 2: 22 March 2017, Sheffield

No

Score Very Poor



0

5

10

15

20

25



No Score

Very Poor

Poor

Fair

Good

Excellent

15

Skills Group Practice Day 3: 5 April 2017, York

No

Score Very Poor



0

5

10

15

20

25

30



No Score

Very Poor

Poor

Fair

Good

Excellent

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4.3 Venues

The Clinical Network sourced venues in three different locations in Yorkshire and the Humber to try and minimise journey times for attendees. A significant number of attendees reported that the consideration given to venue location and facilities had made them feel especially valued. The feedback from the evaluation forms regarding the venues for the training is summarised below: Venue Day 1: 15 March 2017, Leeds

Location

No Score

Very Poor


0 0 0 5 8 25

Parking

No Score

Very Poor


23 7 4 3 0 1

Room

No Score

Very Poor


0 0 0 3 14 21

Amenities

No Score

Very Poor


0 0 0 2 14 22

Food & Refreshments

No Score

Very Poor


0 0 2 4 19 13

0

5

10

15

20

25

30

Location Parking Room AmenitiesFood & Refreshments

Venue Scores

No Score

Very Poor

Poor

Fair

Good

Excellent

17

Venue Day 2: 22 March 2017, Sheffield

Location

No Score

Very Poor


1 0 0 4 5 33

Parking

No Score

Very Poor


16 5 6 9 3 4

Room

No Score

Very Poor


2 0 1 11 10 19

Amenities

No Score

Very Poor


1 0 0 3 10 29

Food & Refreshments

No Score

Very Poor


1 0 0 3 4 35

0

5

10

15

20

25

30

35

40


Venue Scores

No Score

Very Poor

Poor

Fair

Good

Excellent

18

Venue Day 3: 5 April 2017, York

Location

No Score

Very Poor


0 0 0 2 7 38

Parking

No Score

Very Poor


20 3 5 5 3 11

Room

No Score

Very Poor


0 0 0 3 7 37

Amenities

No Score

Very Poor


0 0 1 0 4 42

Food & Refreshments

No Score

Very Poor


0 0 0 1 3 43

0

5

10

15

20

25

30

35

40

45

50


Venue Scores

No Score

Very Poor

Poor

Fair

Good

Excellent

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5 Key Issues / Challenges The quantitative data displayed in the tables and graphs in Section 4, combined with a thematic analysis of the qualitative information provided on the evaluation forms, has highlighted the following areas that could be viewed as key issues or challenges:

Ensuring equity of access to the training for all PWPs across the Yorkshire and the Humber region;

Creating and maintaining the right balance between performance anxiety science and performance preparation skills;

Effectively managing anxiety of the attendees for skills group practice and engaging staff who did not attend due to personal issues with performance anxiety;

Ensuring facilitators for the group skills practice are provided with a clear brief, that attendee feedback is captured effectively and facilitators feel confident to manage attendee anxiety;

Working within parameters set by NHS England that made securing the funding and the desired trainers challenging.

6 Opportunities for Improvement The quantitative data displayed in the tables and graphs in Section 4, combined with a thematic analysis of the qualitative information provided on the evaluation forms, has highlighted the following areas that could be viewed as opportunities for improvement:

Undertaking a targeted advertising drive would ensure equal distribution of places on the training and ensure that places are provided to qualified PWPs and Senior PWPs only;

Ensuring that the training includes a discussion on risk management of large groups of patients, with a clear position on risk articulated and a stronger recommendation for attendees to be cognisant of their service risk protocols;

Reflecting on the feedback regarding balance between performance anxiety science and performance preparation skills, reviewing the slide set and timings to ensure the right balance is struck and including a section in the skills group practice for attendees to reflect on the science and performance skills and utilise the learning appropriately;

Discuss and agree a strategy for effective management of attendee anxiety and a strategy to manage individuals displaying disruptive behaviour. Effective anxiety management strategy could include asking attendees to rate their anxiety levels using a SUD scale before and after each body calming activity

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and to offer the opportunity to approach facilitators before the training and over lunch for a supportive discussion;

Work with services to identify staff that did not attend due to performance anxiety issues and develop a methodology to encourage attendance from this cohort. One method of encouraging attendance would be to cite Service Managers and Clinical Leads on the training and encourage them to discuss and promote the training with staff who may have performance anxiety;

Provide a clear brief of requirements for facilitators in advance of the training to assist in the management of the skills group practice. The updated brief could include a reminder to conduct a practical application of skills learned session at the start of the skills group practice; include specific debriefing questions regarding which skills people utilised during their presentation and include questions to ensure attendees focus on providing constructive and positive feedback;

Provide a template to capture written feedback for each presenter in the skills group exercise to allow them to review and reflect on their practice outside of the training;

Consider a strategy to encourage attendees to consolidate their learning from the day and then embed this in their services. One element of a strategy to consolidate learning could be to encourage services to discuss practitioner confidence during supervision and produce a top tips document for reflection to consolidate the learning service wide.

7 Conclusion and Recommendations The number of delegates attending the training, and expressing an interest in attending the training, was impressive and showed keenness from practitioners to develop their skills in this area and improve the service they deliver to patients. The attendees of the training benefitted from hearing presentations from highly skilled speakers and from undertaking group work and discussions. There was a good mix of Step 2 practitioners from across the Yorkshire and the Humber region and the interactive sessions provided opportunities for networking and sharing of best practice. Overall the evaluations indicated that delegates found the training very useful and several requests have been made to repeat the training for those people who were unable to attend, to facilitate continued learning across the workforce. From the feedback received, and discussions held within the Yorkshire and the Humber Mental Health Clinical Network, the following recommendations are proposed:

Share the learning from this training and the good practice guide with regional and national colleagues;

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Develop an online forum for all those with an interest in Psychoeducational Group Training to post questions/comments and receive responses from peers;

Explore the potential to hold a further series of training sessions for those individuals from organisations that were not represented in this series of training;

Propose that the training is included in the current PWP training curriculum or offered as a post qualifying event;

Propose that skills group practice and debriefing is incorporated into all aspects of the current PWP training curriculum;

Conduct a follow up questionnaire with attendees of the training to gain an understanding of practitioner confidence levels post-training and changes to the way in group therapies are delivered;

Consider a correlation mapping exercise between delivery of the training and recovery rate increases to understand the potential impact of the training in the region.

yorkshire and the humber adult mental health network ... health/psychoed...15 march, 22 march and 5...

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