Stage Three
Post-Training – consolidation and maintenance of new practice
- Provide opportunities to practice through assisting clinician with the selection of cases with which to start using new skills
- Establish positive climate to use new skills through positive interest and reinforcement proactively shown by line and clinical managers, especially for effort in trying to use new skills
- Clinical supervision models to directly reflect skills development eg CBT supervision if skills development is CBT skills, SFT if SFT etc
- Provide appropriate level of practice support for each clinician eg joint work with clinical psychologist in team, individual supervision reflecting frequency of contact with service users with whom new skills being used, less frequent supervision as clinician becomes more confident and skills become more consolidated
- Monitor attendance at practice support (eg supervision, joint work etc) to show it matters
- Audit use of skills in practice in accordance with system designed in stage 1.
- Provide regular positive feedback and address any issues of transfer falling away.
- Measure effectiveness of training programme – assess training on multiple levels (reactions, learning, behavioural change, organisational impact) - use data from evaluations to refine future training initiatives (Walker 01; Glen 04; Greenhalgh et al 04; Meyer et al 06, 07; Griscti and Jacob 06; Kirwan 09; Crawford-Docherty 13)
