title: Outcomes from the trial implementation of a multidisciplinary online learning program in rural mental health emergency care.
abstract: BACKGROUND
  Emergency Departments (EDs) are often the first point of contact for people with acute mental health problems. The impact of the Mental Health Emergency Care (MHEC) online learning program on the knowledge and skills development of clinicians and support staff was evaluated, and options for sustainable implementation of the program were proposed.
  
  
  METHODS
  Participants were recruited from the four rural health services and the rural areas of one metropolitan health service in New South Wales, Australia. The MHEC course was conducted online over 24 weeks and comprised four sequential modules, each based on a clinical scenario that demonstrated a typical, acute mental health presentation to a general hospital ED. The course was designed to model collaborative practice in mental health emergency care.
  
  
  RESULTS
  Participants were surveyed before and after completing the MHEC course. Statistically significant improvements were detected in participant confidence in managing key mental health problems, perceived self-efficacy in dealing with challenging, aggressive behaviours and confidence in key online learning skills. Participants also reported very positive experiences in relation to the course content and structure, instructor support, multidisciplinary discussion and feedback, and improvements in their knowledge and skills about emergency mental healthcare.
  
  
  CONCLUSIONS
  This study provides evidence for the effectiveness and acceptability of an online educational program in developing the capacity of front-line staff to respond effectively to people who present to EDs with acute mental health problems. The positive outcomes and evaluations of the MHEC course provide support for the deployment of online learning programs that address mental health emergency care.
authors.affiliation: NSW Centre for Rural and Remote Mental Health, The University of Newcastle, Orange NSW 2800, Australia. Danny.Hills@newcastle.edu.au
authors.forename: D J
authors.initials: DJ
authors.lastname: Hills
authors.forename: T
authors.initials: T
authors.lastname: Robinson
authors.forename: B
authors.initials: B
authors.lastname: Kelly
authors.forename: S
authors.initials: S
authors.lastname: Heathcote
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003194:Computer-Assisted Instruction; D003299:Cooperative Behavior; D020375:Education, Distance / Q000379:methods* / Q000458:organization & administration; D004521:Educational Measurement; D004522:Educational Status; D004632:Emergency Medical Services / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008603:Mental Health; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D009517:New South Wales; D009862:Online Systems; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D015397:Program Evaluation; D036301:Qualitative Research; D019035:Rural Health Services / Q000458:organization & administration*; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D055815:Young Adult