title: Improving responses to depression and related disorders: evaluation of a innovative, general, mental health care workers training program.
abstract: BACKGROUND
  Australian General Practitioners have been beneficiaries of extensive training in mental health care delivery over the last few years but less so other workers who support those with mental illness. Training is needed as it is widely recognised that the most effective interventions to prevent and treat mental disorders are often not readily available. The Mental Health Aptitudes into Practice (MAP) training package is a broad, innovative, interdisciplinary, general mental health training aimed at improving responses to individuals with depression and related disorders. The modular structure of this training program meant that such training could be targeted at those with varied backgrounds. Two hundred and seventy one days of free MAP training was delivered across Victoria in 2004/2005. The evaluation reported here assessed whether changes occurred in the trainees' confidence, mental health literacy, attitudes towards effective treatments, mental health knowledge and skills and community mental health ideology following training.
  
  
  METHODS
  These elements were assessed using pen and paper tests prior, immediately following, 6 months after and then 12 months after the training. Trainees' confidence, mental health literacy and social distance were measured using scales that have been used in evaluations of Mental Health First Aid Training. Community mental health ideology was measured using a sub-scale of the Community Attitudes to the Mentally Ill (CAMI) scale. The trainees' knowledge and skills were accessed using instrumentation specifically designed for this evaluation.
  
  
  RESULTS
  Following training, participants had more confidence in their ability to work with those who have mental health issues and less desire for social distance from them. Participants' knowledge and skills in relation to the treatment of mental disorders increased. These changes were observed immediately after training. The limited existing evidence suggests these changes were sustained six and twelve months later.
  
  
  CONCLUSIONS
  MAP training can be used to develop the capacity and capabilities of mental health workers.
authors.affiliation: Faculty of Medicine, Nursing and Health Sciences, Department of Psychological Medicine, Southern Synergy, Monash University, Notting Hill Campus, Clayton, Vic, 3800, Australia. annette.graham@med.monash.edu.au.
authors.forename: Annette L
authors.initials: AL
authors.lastname: Graham
authors.forename: John
authors.initials: J
authors.lastname: Julian
authors.forename: Graham
authors.initials: G
authors.lastname: Meadows
references.citation: Med J Aust. 2005 Jul 4;183(1):18-23
references.pmid: 15992332
references.citation: Am J Public Health. 1999 Sep;89(9):1328-33
references.pmid: 10474548
references.citation: BMC Psychiatry. 2004 Oct 23;4:33
references.pmid: 15500695
references.citation: Aust J Rural Health. 2008 Oct;16(5):313-8
references.pmid: 18808491
references.citation: BMC Med Res Methodol. 2006 Feb 23;6:5
references.pmid: 16504090
references.citation: Aust N Z J Psychiatry. 2004 Jul;38(7):554-9
references.pmid: 15255829
references.citation: BMC Psychiatry. 2002 Oct 01;2:10
references.pmid: 12359045
references.citation: J Affect Disord. 2001 May;64(2-3):277-84
references.pmid: 11313096
references.citation: Int J Law Psychiatry. 2004 Mar-Apr;27(2):135-46
references.pmid: 15063638
references.citation: Early Interv Psychiatry. 2008 Feb;2(1):55-61
references.pmid: 21352133
references.citation: Aust N Z J Psychiatry. 1999 Oct;33(5):694-700
references.pmid: 10544993
references.citation: Int J Ment Health Syst. 2010 Jun 24;4:18
references.pmid: 20576137
references.citation: Aust N Z J Psychiatry. 2006 Jan;40(1):6-8
references.pmid: 16403032
references.citation: Schizophr Bull. 1981;7(2):225-40
references.pmid: 7280561
references.citation: BMC Psychiatry. 2004 Aug 15;4:23
references.pmid: 15310395
references.citation: Br J Psychiatry. 2000 Nov;177:396-401
references.pmid: 11059991
references.citation: Australas Psychiatry. 2005 Mar;13(1):3-15
references.pmid: 15777406
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2005 Oct;40(10):835-43
references.pmid: 16179968
references.citation: Can J Psychiatry. 2005 Oct;50(12):745-52
references.pmid: 16408522
references.citation: J ECT. 2004 Mar;20(1):13-20
references.pmid: 15087991
references.citation: Am J Psychiatry. 1996 May;153(5):645-9
references.pmid: 8615409
references.citation: Aust N Z J Psychiatry. 2008 Feb;42(2):126-33
references.pmid: 18197507
references.citation: Psychiatr Prax. 2007 Jan;34(1):7-14
references.pmid: 17211780