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Formulation and feedback: an illustration of two methods for improving access to effective therapies

Derek Milne (Director, Centre for Applied Psychology, Newcastle University, Newcastle upon Tyne, UK)
Seirian Hanner (Centre for Applied Psychology, Newcastle University, Newcastle upon Tyne, UK)
Katy Woodward (Trainee Clinical Psychologist, the Centre for Applied Psychology, Newcastle University, Newcastle upon Tyne, UK)
Colin Westerman (Nurse Consultant, Newcastle, North Tyneside & Northumberland Mental Health NHS Trust, Newcastle University, Newcastle upon Tyne, UK)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 1 August 2004

Abstract

It is now recognised that therapists require career‐long training in order to maintain and improve their expertise. However, training will fail to improve services to clients unless the work environment supports staff in its use. Although this “training transfer” problem is widely acknowledged, to the authors' knowledge the way that the work environment influences clients' access to effective therapies has not been subjected to a detailed and systematic formulation. Therefore, this small study illustrates a suitable formulation, based on the training received by a group of National Health Service (NHS) staff in “psychosocial interventions”, and proposes its use as a “feedback fascia” to managers and others. To do this, structured interviews were held with a self‐selected sample of n=20 therapists (mostly nurses) and all of their managers (n=11) in one NHS Trust. The results indicated an impressive degree of training transfer. It is concluded that staff training can improve clients' access to effective treatments, but that significant organisational support for innovation is required. A feedback fascia can guide such support.

Keywords

Citation

Milne, D., Hanner, S., Woodward, K. and Westerman, C. (2004), "Formulation and feedback: an illustration of two methods for improving access to effective therapies", International Journal of Health Care Quality Assurance, Vol. 17 No. 5, pp. 268-274. https://doi.org/10.1108/09526860410549371

Publisher

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Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited