title: Training frontline workforce on psychosis management: a prospective study of training effects.
abstract: BACKGROUND
  The care situation for persons experiencing severe mental illness is often complex and demands good coordination, communication, and interpersonal relationships among those involved from the primary and specialized mental health care systems. For 15 years, professional care providers from different service levels within the same geographical areas in Norway have been trained together in a 2-year local onsite training program with the aim of increasing skills, joint understanding, and collaboration in their work with individuals experiencing severe mental illness.
  
  
  METHODS
  The key aspects of competence addressed by the training program were measured at baseline, after 1 year, and at the end of the training period. Professional education and experience were also rated at baseline. Data were collected between 1999 and 2005 and were analyzed by estimating a linear mixed model.
  
  
  RESULTS
  Results showed a significant increase in participants' experienced competence in all training goals, especially for the understanding of psychosis and relationship building. There was no significant variance at the program level, indicating consistent implementation of local programs.
  
  
  CONCLUSIONS
  This prospective study indicates that the training program was successful in increasing perceived competence in the areas addressed, and training staff from different service levels together probably contributed to more collaboration. This training model still operates in Norway.
authors.affiliation: Department of Clinical Psychiatry, University of Tromsø-The Arctic University of Norway, Tromsø, Norway ; Department of Mental Health and Substance Abuse, University Hospital of North Norway, Tromsø, Norway.
authors.forename: Tore
authors.initials: T
authors.lastname: Sørlie
authors.affiliation: Buskerud and Vestfold University College, Drammen, Norway.
authors.forename: Marit
authors.initials: M
authors.lastname: Borg
authors.affiliation: Centre for Psychotherapy and Psychosocial Rehabilitation of Psychoses (SEPREP Foundation), Oslo, Norway.
authors.forename: Karin B
authors.initials: KB
authors.lastname: Flage
authors.affiliation: Telemark Hospital, Notodden/Seljord District Psychiatric Center, Notodden, Norway.
authors.forename: Ole-Bjørn
authors.initials: OB
authors.lastname: Kolbjørnsrud
authors.affiliation: Centre for Psychotherapy and Psychosocial Rehabilitation of Psychoses (SEPREP Foundation), Oslo, Norway.
authors.forename: Gunnar B
authors.initials: GB
authors.lastname: Haugen
authors.affiliation: HØKH, Research Centre, Akershus University Hospital, Lørenskog, Norway ; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
authors.forename: Jūratė Šaltytė
authors.initials: JŠ
authors.lastname: Benth
authors.affiliation: Institute of Clinical Medicine, University of Oslo, Oslo, Norway ; Division of Mental Health Services, Akershus University Hospital, Lørenskog, Norway.
authors.forename: Torleif
authors.initials: T
authors.lastname: Ruud
keywords: Evaluation; Multidisciplinary cooperation; Psychosis management; Staff training