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Related Experiment Videos

Training case managers in cognitive-behaviour therapy

R J Hafner1, A Crago, D Christensen

  • 1WA Dibden Research Unit, Glenside Hospital, Eastwood, Australia.

The Australian and New Zealand Journal of Mental Health Nursing
|December 1, 1996
PubMed
Summary
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Case managers improved patient mental health outcomes through a cognitive-behavioral therapy (CBT) training program. The 26-week in-service training enabled them to autonomously treat serious mental illness with significant symptom improvement.

Area of Science:

  • Mental Health Nursing
  • Psychotherapy Training
  • Clinical Psychology

Background:

  • In-service training programs are crucial for equipping healthcare professionals with specialized therapeutic skills.
  • Nursing case managers play a vital role in managing patients with serious mental illness.
  • Cognitive-behavioral therapy (CBT) is an evidence-based approach for treating various mental health conditions.

Observation:

  • A 26-week in-service program was implemented for four nursing case managers to develop basic CBT skills.
  • The training involved approximately 5 hours per week, including supervised therapy with patients diagnosed with serious mental illness.
  • Case managers treated an average of four patients during the supervised training period.

Findings:

  • Patients experienced significant symptom improvement after an average of fewer than 12 one-hour CBT sessions.

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  • Following the program, case managers demonstrated increased autonomy in treating patients.
  • Case managers recognized the ongoing need for supervision and the importance of referring complex cases to specialists.
  • Implications:

    • Nurses can be effectively trained in CBT to enhance mental health care delivery.
    • Supervised training programs can improve patient outcomes in serious mental illness management.
    • Integration of CBT-trained case managers can augment mental health service accessibility, with clear referral pathways for complex cases.