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Evaluation of the sustained implementation of a mental health learning initiative in long-term care.
Int Psychogeriatr. 2007 Oct; 19(5):842-58.IP

Abstract

BACKGROUND

This paper describes an innovative education program for the management of mental health problems in long-term care (LTC) homes and the evaluation of its longer-term sustainability. Since 1998, the "Putting the P.I.E.C.E.S. Together" learning initiative has been providing education sessions and related learning strategies aimed at developing the knowledge and skills of health professionals who care for older persons with complex physical and mental health needs and associated behaviors, in Ontario, Canada. A major focus of this province-wide initiative was the development of in-house Psychogeriatric Resource Persons (PRPs). Evaluation of this initiative included the completion of pre- and post-education questionnaires (over three data collection time periods) assessing learner confidence (N = 1,024 and 792, for pre- and post-education, respectively) and session evaluation questionnaires gathering feedback on the session (N = 2,029 across all sessions). A survey of LTC homes in Ontario (N = 439, 79% of the homes in the province) was conducted to assess longer-term sustainability.

RESULTS

Ratings of the sessions indicated that they were relevant to learners' clinical practice. There were significant increases in ratings of ability to recognize and understand challenging behaviors and mental health problems, and in ability to use a variety of assessment tools. Few homes (15%) do not have a PRP; over 50% of the staff who completed the first session in 1999 continue to serve as a PRP and to apply learned skills.

CONCLUSIONS

A learning initiative with supportive and reinforcing strategies can develop in-house PRPs to enhance the care of the elderly in LTC. Incorporation of PRP functions into job descriptions and management support contributed to the success of this initiative. This study highlights the importance of work environments that support and reinforce the use of learned skills to the success of continuing education and quality improvement initiatives in LTC.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada. mcaineyc@mcmaster.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17069667

Citation

McAiney, Carrie A., et al. "Evaluation of the Sustained Implementation of a Mental Health Learning Initiative in Long-term Care." International Psychogeriatrics, vol. 19, no. 5, 2007, pp. 842-58.
McAiney CA, Stolee P, Hillier LM, et al. Evaluation of the sustained implementation of a mental health learning initiative in long-term care. Int Psychogeriatr. 2007;19(5):842-58.
McAiney, C. A., Stolee, P., Hillier, L. M., Harris, D., Hamilton, P., Kessler, L., Madsen, V., & Le Clair, J. K. (2007). Evaluation of the sustained implementation of a mental health learning initiative in long-term care. International Psychogeriatrics, 19(5), 842-58.
McAiney CA, et al. Evaluation of the Sustained Implementation of a Mental Health Learning Initiative in Long-term Care. Int Psychogeriatr. 2007;19(5):842-58. PubMed PMID: 17069667.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of the sustained implementation of a mental health learning initiative in long-term care. AU - McAiney,Carrie A, AU - Stolee,Paul, AU - Hillier,Loretta M, AU - Harris,Diane, AU - Hamilton,Pam, AU - Kessler,Linda, AU - Madsen,Victoria, AU - Le Clair,J Kenneth, Y1 - 2006/10/27/ PY - 2006/05/18/received PY - 2006/09/07/accepted PY - 2006/10/31/pubmed PY - 2008/1/26/medline PY - 2006/10/31/entrez SP - 842 EP - 58 JF - International psychogeriatrics JO - Int Psychogeriatr VL - 19 IS - 5 N2 - BACKGROUND: This paper describes an innovative education program for the management of mental health problems in long-term care (LTC) homes and the evaluation of its longer-term sustainability. Since 1998, the "Putting the P.I.E.C.E.S. Together" learning initiative has been providing education sessions and related learning strategies aimed at developing the knowledge and skills of health professionals who care for older persons with complex physical and mental health needs and associated behaviors, in Ontario, Canada. A major focus of this province-wide initiative was the development of in-house Psychogeriatric Resource Persons (PRPs). Evaluation of this initiative included the completion of pre- and post-education questionnaires (over three data collection time periods) assessing learner confidence (N = 1,024 and 792, for pre- and post-education, respectively) and session evaluation questionnaires gathering feedback on the session (N = 2,029 across all sessions). A survey of LTC homes in Ontario (N = 439, 79% of the homes in the province) was conducted to assess longer-term sustainability. RESULTS: Ratings of the sessions indicated that they were relevant to learners' clinical practice. There were significant increases in ratings of ability to recognize and understand challenging behaviors and mental health problems, and in ability to use a variety of assessment tools. Few homes (15%) do not have a PRP; over 50% of the staff who completed the first session in 1999 continue to serve as a PRP and to apply learned skills. CONCLUSIONS: A learning initiative with supportive and reinforcing strategies can develop in-house PRPs to enhance the care of the elderly in LTC. Incorporation of PRP functions into job descriptions and management support contributed to the success of this initiative. This study highlights the importance of work environments that support and reinforce the use of learned skills to the success of continuing education and quality improvement initiatives in LTC. SN - 1041-6102 UR - https://www.unboundmedicine.com/medline/citation/17069667/Evaluation_of_the_sustained_implementation_of_a_mental_health_learning_initiative_in_long_term_care_ L2 - https://www.cambridge.org/core/product/identifier/S1041610206004443/type/journal_article DB - PRIME DP - Unbound Medicine ER -