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Table 2 Details of the simulation training courses participants attended

From: Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts

Simulation course

Professions of non-clinical participants

Course overview

Course learning objectives

Example scenario

Police and ambulance service – mental health awareness

Police officers

This course aims to equip police and ambulance staff with the skills required to support people with mental health needs, as they often present initially to these professions

- Improved confidence, knowledge and skills in recognising, assessing and managing people with mental health conditions

- Enhanced understanding of the role of human factors in supporting people with mental health conditions

- Increased communication and collaboration skills with multi-disciplinary professionals

A police officer has been called to investigate disturbances at a property reported by a neighbour, where they are required to risk assess someone with suicidal ideation

Managing mental health situations for non-clinical staff

Administrators

This course aims to support non-clinical staff to develop skills that may help them manage challenging situations in the workplace

- Improved interactions with service users and family members, reflecting on their experiences

- Enhanced confidence when communicating with distressed and agitated service users and relatives

- Increased understanding of how to manage difficult conversations with colleagues

You receive a phone call from a 30-year-old female known to your team who reports that she is distressed and contemplating suicide

Primary care navigator skills

Administrators (primary care)

This course aims to support pre-identified non-clinical staff assume the role of primary care navigators to help coordinate patients’ care

- Improved confidence to interact with service users and family members and liaising with professionals

- Enhanced confidence when communicating with distressed and agitated service users and carers

- Increased ability to empathise with and reflect on service users’ experiences

A carer of his frail elderly mother arrives in the surgery unhappy with the care his mother is receiving, subsequently reporting that he has ‘sacked’ her carers

Mental health workshop for primary care administrators

Administrators (primary care)

This course aims to develop the skills and understanding required to support people with mental health conditions in primary care

- Improved understanding of human factors in supporting people with mental health needs

- Enhanced knowledge and recognition of common mental health conditions

- Increased confidence in approaching and providing support to distressed and agitated patients

An elderly patient with dementia has arrived at the surgery confused and worried about where he is and why he is there, as he becomes increasingly anxious

Mental health awareness for probation officers

Probation officers

This course aims to build probation workers’ ability to working with people experiencing mental health conditions across a variety of situations

- Improved skills to manage difficult situations and engagement with service users

- Increased collaboration and communication skills with statutory, community and health services

- Enhanced use of human factors skills in supporting people with mental health needs

Home visit to see a 35-year-old male recently released from prison following breach of a suspended sentence order for drunk driving, raising safeguarding concerns relating to his pregnant girlfriend

Early intervention and prevention in children’s health

Administrators and support workers

This course aims to support those working with young people and families in primary care to intervene early in mental illness and promote wellbeing

- Improved recognition of risks and signs of mental illness in young people

- Enhanced confidence in risk assessing and intervening in mental health needs

- Increased skills in working with mental and physical health, emotional distress, and families and carers

Tanya, a 15-year-old school girl, is struggling with somatic symptoms and depression related to cyber-bullying noted by her school nurse; however, her mother is dismissive of the problems

‘Starting the conversation’: end of life care

Support workers and social workers

This course aims to empower health and social care staff to start end of life care conversations and advanced care planning at the right time for patients and families

- Improved communication skills with people with dementia and their carers about sensitive issues

- Enhanced knowledge of best practice in having early conversations about end of life decisions and planning

- Increased confidence in having these conversations and addressing various needs across the care pathway

Peggy has vascular dementia following a stroke. You are asked to have a planning conversation with Peggy in her home with her main carer and foster daughter Carol

Perinatal mental health

Social workers

This course aims to bring together professionals from all settings of health and social care that may support mothers, babies and families with mental health needs during the perinatal period

- Improved confidence, knowledge and skills in assessing and managing perinatal mental illness

- Greater confidence in undertaking comprehensive risk assessments of perinatal mental illness

Enhanced understanding of collaborating with the range of agencies involved in perinatal health

A mother, her baby and partner are on the obstetric ward about medical complications at birth, with the mother becoming increasingly agitated and showing signs of postpartum psychosis

Opportunistic interventions for alcohol and drugs

Social workers

This course aims to support healthcare staff to provide service users with brief interventions for alcohol and drug use when the opportunity arises

- Improved ability to screen for and identify harmful use of substances

- Enhanced ability to deliver a brief intervention in a sensitive and non-judgemental way

- Increased knowledge of alcohol and substance abuse, local services and resources

A woman in her 50s has presented to Accident & Emergency with a head laceration and has now been cleared for discharge, the team suspect that she has been intoxicated and screening has indicated hazardous drinking