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Teaching psychiatry to large groups in society
Orebro Univ, Sch Med Sci, Orebro, Sweden;Orebro Univ, Univ Hlth Care, Fac Med & Hlth, Res Ctr, Orebro, Sweden.
Municipal Norrtalje, Cent Hlth Serv Presch, Sch & Upper Secundary Sch, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Orebro Univ, Sch Business, Orebro, Sweden.
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2019 (English)In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 19, article id 148Article in journal (Refereed) Published
Abstract [en]

Background: There is a need to educate a range of professionals in caring for individuals with long-term mental disability who reside within our communities. Empathy alone is insufficient. The Kognus 4-Step Education Program was developed to achieve this goal.

Method: The program consisted of independent courses, including an 18-session basic course on psychiatric disability (on-site or online), advanced courses, and highly specialized training programs (Nidotherapy/Peer Consultation). Experts lectured together with clients with psychiatric disabilities. We first report Swedish reforms in which institutionalized patients were relocated to semi-independent individual households. We then describe the design and implementation of the education program. Approximately 50% of participants who were younger than 36years old lacked any healthcare education. The participants' backgrounds, perceptions, participation in the education program, and costs are presented.

Results: Between 2009 and 2014, 8959 participants attended the Kognus psychiatry courses online or on-site in Stockholm (basic on-site course, n=2111; online course, n=4480; advanced courses, n=2322; highly specialized programs, n=46). A total of 73% of the participants satisfactorily attended the basic sessions on-site compared with 11% of the online participants. The developers conducted the education program for the first 3years. Thereafter, another course provider continued the program with other types of participants. The program was perceived to be equally interesting and meaningful to participants with low and high levels of education, demonstrating the generalizability of the program. The quality of the basic and advanced courses was rated as 4.4 and 4.3, respectively, on a 5-point Likert scale.

Conclusions: Personnel without appropriate education who work with people with psychiatric/intellectual disabilities can be educated in large numbers. The Kognus program represents a novel and successful way of training people who have no formal education about some essentials of good mental healthcare. Moreover, the model can be easily implemented elsewhere.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 19, article id 148
Keywords [en]
Patient-centered care, Staff development, Mental disorder, Intellectual disability, Health education, Social support, Mental health services, Nidotherapy
National Category
Pedagogy
Identifiers
URN: urn:nbn:se:uu:diva-386158DOI: 10.1186/s12909-019-1596-9ISI: 000468411700002PubMedID: 31096962OAI: oai:DiVA.org:uu-386158DiVA, id: diva2:1327824
Funder
Swedish Research Council, 523-2011-3646Swedish National Board of Health and WelfareAvailable from: 2019-06-20 Created: 2019-06-20 Last updated: 2019-06-20Bibliographically approved

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