Staff as Change Agents – Sustaining Mental Health in Aged Care
A randomised controlled trial evaluating the effects of staff training in the use of mental health tools and psychosocial strategies for depression and challenging behaviours associated with dementia (BPSD) on care staff and care recipients in residential aged care.
Professor Marita McCabe
468 participants
Mar 13, 2013
Interventional
Conditions
Summary
This project is designed to improve the skills of aged care staff in responding to mental health concerns, and to develop sustainable mental health management protocols within aged care facilities. The research project will assist us to assess the impact of a staff training program that aims to help staff to better detect and manage depression and the challenging behaviours associated with dementia. Hypothesis: Targeting core organisational barriers and staff screening skills to the provision of mental health care will improve implementation of strategies to better manage both depression and BPSD among older adults in aged care.
Eligibility
Inclusion Criteria3
- Participants - organisation: An aged care facility in Victoria with a minimum of 60 beds.
- Participants - staff: Leadership team and senior RNs and senior PCAs.
- Participants - residents: A score of 8 and above on the Cornell Scale for Depression in Dementia, or with challenging behaviours associated with BPSD.
Exclusion Criteria2
- Residents without depression or dementia are excluded and residents with both depression and dementia are excluded.
- Junior staff and staff not competent in English are excluded.
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Interventions
Intervention 1 The training with 6-10 senior care staff involves 5 sessions over 11 weeks. Session 1, 2 and 3 are run one week apart. Session 4 is 4 weeks after session 3 and the booster session is run 4 weeks after session 4. Session 1: Depression and Workplace Environment looks at screening, communication, referral and workplace strengths and challenges (2 hours) Session 2: Challenging Behaviours looks at possible causes, and an Assessment and Management Tool for Staff (2 hours) Session 3: Staff as Change Agents looks at key characteristics and behaviours for facilitating change (2 hours) Session 4: Sustaining Mental Health in Aged Care looks at how to develop a workplace environment framework that supports mental health protocols (2 hours) Booster Session: The content and activity will be driven by each individual facility’s needs, with the aim being to provide additional support and practice for the team leaders and participants driving the new initiatives (1.5 hours) Intervention 2 The training will run exactly the same as in intervention 1. Once training is complete and care staff have completed their post-training questionnaires, a clinical psychologist, provided by the research project, will be situated with each facility for approximately one day per week for a six month period. Their role will be to provide clinical support to care staff to assist them with the roll out of the strategy to better recognise and manage depression and BPSD among care recipients.
Locations(1)
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ACTRN12613000420741