Enhancing Competency-Based Education in Pre-Service and In-Service Training for Mental Health Professionals

1. PSR Education Methods Patricia B. Nemec, PsyD, CRC, CPRP PSR-RPS Canada

2. Venues and Audiences Certificate Pre-service Advanced Academic Field training Level Format Classroom Distance Blended On the job (inservice) Mentoring, supervision Conferences CE Providers PSR-RPS Canada

3. Workforce Development Challenges The Pipeline Recruitment Preparation Retention Quality Assurance PSR-RPS Canada

4. selecting marketing screening recruitment PSR-RPS Canada

5. supervising training orienting preparation PSR-RPS Canada

6. advancement morale pay scale retention PSR-RPS Canada

7. support evaluation incentives quality assurance PSR-RPS Canada

8. Education / Training Process Identification of competencies Design instruction to develop competencies Deliver instruction Ensure application Facilitate quality improvement Evaluate effectiveness Calculate return on investment supervision dissemination utilization PSR-RPS Canada

9. Instructional Technology • Recorded audio/video • PowerPoint • Learning Management Systems • Epistemic games David Schaffer PSR-RPS Canada

10. Instructional Methods • Self-directed learning • Instructor-directed learning • Lecture (with or without PowerPoint) • Interactive “discovery” learning • Competency-based instruction • Work-based learning • Content based on the job role competencies • Classroom / homework integrated with the job ineffective PSR-RPS Canada

11. Ineffective Strategies • Primarily lecture (instructor to trainee) • Trainee is passive (no self-directed inquiry) • Focus is on knowledge, not application • Assessment is based on recall • Recall parallels format of instruction PSR-RPS Canada

12. What works? • Evidence-based strategies • Multiple high quality studies • Consistent positive outcomes • Very few studies available, most focus on MDs • Theory-based strategies • Adult education in other areas (non MH) • Research on how people learn HSRI White Paper (Leff et al.) PSR-RPS Canada

13. Evidence-Based Strategies • Use of credible instructors • Credibility determined by trainees • Depth of knowledge and expertise • Opinion leaders, champions • Outreach, community-based training on site • Multiple training methods / approaches • Individualized to trainees with feedback PSR-RPS Canada

14. Theory-Based Strategies • Curriculum incorporates activities • Promotes self-directed learning • Includes practice application • Transformative learning • Integrated theory and technical skills • Stakeholders contribute to curriculum • Active inquiry comprises 60% of training time 10-10-10 PSR-RPS Canada

15. Targeted Training Outcomes outcome determines method • Content area • Focus on KSA competencies • Level of training • Exposure • Experience • Expertise PSR-RPS Canada

16. Competency Training: How To • Apply knowledge: Problem-based instruction • Develop skills: • Break down into component behaviors • Tell, Show, Do • Practice in real-life settings • Feedback • Support performance through system design PSR-RPS Canada

17. Work-Based Learning: Activities • Identify need for training • Job / role competencies • Rating competencies • (importance, criticality, frequency) • Match content to job competencies • Develop effective sustainable training process • Identify outcomes • Calculate “return on investment” PSR-RPS Canada

18. Work-Based Learning: How To • Create a culture where learning is expected • Base training on job requirements • Integrate training with job performance • Use a “train-practice-train” format • Require “homework” • Involve supervisors in reviewing homework • Invest in changes for sustainability PSR-RPS Canada

19. Practice What You Teach • Recovery-based teaching strategies • Apply the principles of psych rehab: • Respect and dignity • The primacy of the relationship • Empowerment and self-determination • Hope: An essential ingredient PSR-RPS Canada

20. To Download Outline http://www.patnemec.com (p. 2 of resources) PSR-RPS Canada