Mental health knowledge and training needs among direct care workers: a mixed methods study.

Area of Science:

• Gerontology
• Mental Health Care
• Home Healthcare

Background:

• Direct care providers (DCWs) are pivotal in identifying client mental health issues due to extensive in-home contact.
• Limited formal mental health preparation and research exist regarding DCWs' role in client care.
• Understanding DCWs' perspectives is essential for enhancing mental health support in home-based settings.

Purpose of the Study:

• To explore the knowledge, attitudes, and experiences of DCWs in caring for clients with mental health problems.
• To gather insights from key administrators (KAs) on the challenges and perceptions of DCWs' mental health capabilities.

Main Methods:

• A mixed-methods design was employed, utilizing structured interviews with DCWs and focus groups with KAs.
• The study involved 29 DCWs and 12 KAs to capture diverse viewpoints.

Main Results:

• Loneliness and memory problems were identified as primary client challenges by DCWs.
• DCWs reported mid-to-high mental health knowledge but held misconceptions, particularly regarding aging and mental health.
• Key administrators (KAs) observed varied DCW knowledge, with some viewing mental health issues as dispositional or age-related, and highlighted challenges in managing client behaviors and DCW emotional responses.

Conclusions:

• The study highlights critical areas for DCW professional development in mental health.
• Systemic factors including workload, resource availability, mental health stigma, and client diversity must be concurrently addressed to support DCWs effectively.