Despite the existence of effective behavioral interventions for people diagnosed with serious mental illness (SMI), these continue to be underutilized. Barriers to implementation include a low frequency of staff-patient interactions, as well as a lack of knowledge about, and negative attitudes toward, behavioral interventions. Therefore, we examined the effects of a mandatory behavioral staff-training program on staff-patient interactions on a long-term psychiatric inpatient program for individuals with SMI. Staff-training consisted of two-phases: didactic training followed by a written exam, and in vivo training and assessment. From pre- to posttraining, all staff demonstrated increased positive and therapeutic behaviors and decreased negative behaviors when interacting with patients. Additionally, at baseline, nonmedical staff (psychologists, social workers) displayed significantly more therapeutic and fewer negative behaviors compared with medical staff (psychiatrists, nurses, mental health workers), and this pattern persisted at posttraining despite improvements in both groups. Importantly, completion of the staff-training program was associated with improvements in patient behavior. Although both written and in vivo test scores significantly predicted change in negative staff behaviors toward patients, the in vivo test performance increased predictive ability over and above that of written test performance. Staff who disagreed with behavioral management principles displayed less improvement in negative behaviors from pre- to postassessment. These data have implications for clarifying staff training needs in programs for chronically ill people with SMI. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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行为管理和社会学习原则方面的员工培训计划对精神病康复住院部门内员工与患者互动的影响。

尽管存在针对诊断为严重精神疾病（SMI）的人们的有效行为干预措施，但这些措施仍未得到充分利用。实施的障碍包括员工与患者之间互动的频率低，缺乏对行为干预的知识以及对行为干预的消极态度。因此，我们研究了强制性行为员工培训计划对SMI患者长期精神科住院计划中医患互动的影响。员工培训包括两个阶段：教学培训，然后是笔试，以及体内培训和评估。从培训前到培训后，所有员工在与患者互动时都表现出积极的行为和治疗行为，而消极的行为减少。此外，在基线时，非医务人员（心理学家，与医务人员（精神科医生，护士，精神卫生工作者）相比，社会工作者的治疗效果显着提高，消极行为更少，尽管两组都有所改善，但这种模式一直持续到后期培训中。重要的是，人员培训计划的完成与患者行为的改善有关。尽管笔试成绩和体内测试成绩均能显着预测员工对员工的负面行为的变化，但体内测试成绩的预测能力超过了笔试成绩。从行为评估前到评估后，不同意行为管理原则的员工在负面行为方面的改善较少。这些数据对于阐明SMI慢性病患者计划中的员工培训需求具有启示意义。