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Recommendations for staff education and training for older people with mental illness in long-term aged care

Published online by Cambridge University Press:  15 September 2010

Wendy Moyle ,
Mei Chi Hsu ,
Susan Lieff  and
Myrra Vernooij-Dassen
Wendy Moyle*
Affiliation:
Griffith Health Institute, RCCCPI, Griffith University, Brisbane, Australia
Mei Chi Hsu
Affiliation:
Department of Nursing, I-Shou University, Kaohsiung, Republic of China, Taiwan
Susan Lieff
Affiliation:
Baycrest Geriatric Health Care System, Faculty of Medicine and Department of Psychiatry, University of Toronto, Canada
Myrra Vernooij-Dassen
Affiliation:
Radboud University Nijmegen, Netherlands
*
Correspondence should be addressed to: Wendy Moyle, Griffith University, Griffith Health Institute, RCCCPI, 170 Kessels Rd, Nathan, Brisbane, Queensland 4111, Australia. Phone: +61 7 3735 5526; Fax: +61 7 3735 5431. Email: [email protected].
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Abstract

Background: This paper was written as a result of the International Psychogeriatric Association Task Force on Mental Health Services in Long-Term Care. The appraisal presented here aims to (1) identify the best available evidence that underpins best practice for geriatric mental health education and training of staff working in long-term care, and (2) summarize the appraisal of the literature to provide recommendations for practice.

Methods: An initial search of databases found 138 papers related to the search strategy. Selected papers were summarized and compared against set inclusion criteria. This resulted in 17 papers suitable for review.

Results: The majority of papers focused on behavior skills training. A number of key factors were identified that determine the success of geriatric mental health education and training and recommendations are outlined.

Conclusions: Methodological weaknesses are common and highlight the need for further replication studies using strong research designs.

Keywords

psychiatrydementiageriatricreview
Type
Focus on mental health issues in long-term-care homes
Information
International Psychogeriatrics , Volume 22 , Special Issue 7: Focus on mental health issues in long-term-care homes , November 2010 , pp. 1097 - 1106
Copyright
Copyright © International Psychogeriatric Association 2010

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References

American Geriatrics Society and American Association for Geriatric Psychiatry. (2003). Consensus statement on improving the quality of mental health care in U.S. nursing homes: management of depression and behavioral symptoms associated with dementia. Journal of the American Geriatrics Society, 51, 1287–1298.CrossRefGoogle Scholar
Aylward, S., Stolee, P., Keat, N. and Van Johncox, M. A. (2003). Effectiveness of continuing education in long-term care: A literature review. The Gerontologist, 43, 259–271.CrossRefGoogle ScholarPubMed
Australian Institute of Health and Welfare (AIHW) (2007). Australia's Health 2007 (No. 10). Canberra: Commonwealth of Australia.Google Scholar
Beeber, A. S., Zimmerman, S., Fletcher, S., Mitchell, C. M. and Gould, E. (2010). Challenges and strategies for implementing and evaluating dementia care staff training in long-term care settings. Alzheimer's Care Today, 11, 17–39.Google Scholar
Brodaty, H., Draper, B. and Low, L. F. (2003). Nursing home staff attitudes towards residents with dementia: strain and satisfaction with work. Journal of Advanced Nursing, 44, 583–590.CrossRefGoogle ScholarPubMed
Canadian Coalition for Seniors’ Mental Health (CCSMH) (2006). National Guidelines for Seniors’ Mental Health: The Assessment and Treatment of Mental Health Issues in Long-Term Care Homes. Toronto: CCSMH. Available at: http://www.ccsmh.ca/en/natlGuidelines/initiative.cfm; last accessed 22 May 2010.Google Scholar
Cassidy, E. L. and Sheikh, J. I. (2002). Preintervention assessment of disruptive behavior problems: a focus on staff needs. Aging and Mental Health, 6, 166–171.CrossRefGoogle ScholarPubMed
Cerveo, R. M. (1985). Continuing professional education and behavioural change: a model for research and evaluation. Journal of Continuing Education in Nursing, 16, 85–88.CrossRefGoogle Scholar
Doyle, C. (2009). International perspectives on dementia education, training and knowledge transfer. International Psychogeriatrics, 21, S1–S2.CrossRefGoogle ScholarPubMed
Doyle, C. and Ward, S. (1998). Education and training in residential dementia care in Australia: needs, provision and directions. Australian and New Zealand Journal of Public Health, 22, 589–597.CrossRefGoogle ScholarPubMed
Edwards, H., Chapman, H., Forster, E., Gaskill, D., Morrison, P. and Saunders, F. (2003). Challenges associated with implementing an education program in a residential aged care setting, Australian Health Review, 26, 107–115.CrossRefGoogle Scholar
Fletcher, S. et al. (2010). Implementation fidelity of a standardized dementia care training program across multiple trainers and settings. Alzheimer's Care Today, 11, 51–60.Google Scholar
Furniaux, J. and Mitchell, T. (2004). Mental health training helps care home staff. Mental Health Nursing, 24, 4–8.Google Scholar
Gould, E. and Reed, P. (2009). Alzheimer's Association quality care campaign and professional training initiatives: improving hands-on care for people with dementia in the U.S.A. International Psychogeriatrics, 21, S25–S33.CrossRefGoogle ScholarPubMed
Halpain, M. C., Harris, M. J., McClure, F. S. and Jeste, D. V. (1999). Training in geriatric mental health: needs and strategies. Psychiatric Services, 50, 1205–1208.CrossRefGoogle ScholarPubMed
Health Survey for England (2000). The General Health of Older People and their Use of Health Services. London: The Stationery Office.Google Scholar
Hsu, M. C., Moyle, W., Creedy, D. and Venturato, L. (2005). An investigation of aged care mental health knowledge of Queensland aged care nurses. International Journal of Mental Health Nursing, 14, 16–23.CrossRefGoogle ScholarPubMed
Hyer, K., Molinari, V., Kaplan, M. and Jones, S. (2010). Credentialing dementia training: the Florida experience. International Psychogeriatrics, epublished ahead of print, doi:10.1017/S1041610210000426.CrossRefGoogle Scholar
Kaasalainen, S. (2002). Staff development and long-term care of patients with dementia. Journal of Gerontological Nursing, 28, 39–46.CrossRefGoogle ScholarPubMed
Kuske, B., Hanns, S., Luck, T., Angermeyer, M. C., Behrens, J. and Riedel-Heller, S. G. (2007). Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics, 19, 818–841.CrossRefGoogle Scholar
Kuske, B. et al. (2009). Training in dementia care: a cluster-randomised controlled trial of a training program for nursing staff in Germany. International Psychogeriatrics, 21, 295–308.CrossRefGoogle Scholar
McAiney, C. A. et al. (2007). Evaluation of the sustained implementation of a mental health learning initiative in long-term care. International Psychogeriatrics, 19, 842–858.CrossRefGoogle ScholarPubMed
McCabe, M., Davidson, T. and George, K. (2007). Effectiveness of staff training programs for behavioural problems among older people with dementia. Aging and Mental Health, 11, 505–519.CrossRefGoogle Scholar
McCabe, M. P., Russo, S., Mellor, D., Davison, T. E. and George, K. (2008). Effectiveness of a training program for carers to recognize depression among older people. International Journal of Geriatric Psychiatry, 23, 1290–1296.CrossRefGoogle ScholarPubMed
Meeks, S. and Burton, E. G. (2004). Nursing home staff characteristics and knowledge gain from a didactic workshop on depression and behaviour management. Gerontology and Geriatrics Education, 25, 57–66.CrossRefGoogle Scholar
Mellor, D., Kiehne, M., McCabe, M. P., Davison, T. E., Karantzas, G. and George, K. (2010). An evaluation of the beyondblue depression training program for aged care workers. International Psychogeriatrics. Epublished ahead of print, doi: 10.1017/S1041610210000153.CrossRefGoogle Scholar
Mitchell, C. M., Zimmerman, S. and Beeber, A. S. (2010). Dementia care training for long-term care staff. If you provide it, will they come? Alzheimer's Care Today, 11, 40–50.Google Scholar
Nolan, M. et al. (2008). The role of education and training in achieving change in care homes: a literature review. Journal of Research in Nursing, 13, 411–433.CrossRefGoogle Scholar
Rampatige, R., Dunt, D., Doyle, C., Day, S. and van Dort, P. (2009). The effect of continuing professional education on health care outcomes: lessons for dementia care. International Psychogeriatrics, 21, S34–S43.CrossRefGoogle ScholarPubMed
Schindel-Martin, L., Morden, P., Cetinski, G., Lasky, N., McDowell, C. and Roberts, J. (2003). Teaching staff to respond effectively to cognitively impaired residents who display self-protective behaviors. American Journal of Alzheimer's Disorders and Other Dementias, 18, 273–281.CrossRefGoogle ScholarPubMed
Sivis, R., McCrae, C. S. and Demir, A. (2005). Availability of mental health services for older adults: a cross-cultural comparison of the United States and Turkey. Aging and Mental Health, 9, 223–234.CrossRefGoogle ScholarPubMed
Stolee, P. et al. (2009). Sustained transfer of knowledge to practice in long-term care: facilitators and barriers of a mental health learning initiative. Gerontology and Geriatrics Education, 30, 1–20.CrossRefGoogle ScholarPubMed
Visser, S. M., Mccabe, M. P., Hudgson, C., Buchanan, G., Davison, T. E. and George, K. (2008). Managing behavioural symptoms of dementia: effectiveness of staff education and peer support. Aging and Mental Health, 12, 47–55.CrossRefGoogle ScholarPubMed
Watson, L. C., Garrett, J. M., Sloane, P. D., Gruber-Baldini, A. L. and Zimmerman, S. (2003). Depression in assisted living: results from a four state study. American Journal of Geriatric Psychiatry, 11, 534–542.CrossRefGoogle ScholarPubMed
Zimmerman, S. et al. (2010). Outcomes of a dementia care training program for staff in nursing homes and residential care/assisted living settings. Alzheimer's Care Today, 11, 83–99.Google Scholar