SPECTROM Training for Training Group

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of New Mexico

Disqualifiers: Non-English speakers

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

55 Participants Needed

Trial Summary

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the SPECTROM Training treatment?

The research suggests that training programs for dual diagnosis (mental health and substance misuse) have been positively evaluated by participants, indicating potential effectiveness. Additionally, pilot studies of interventions for dual diagnosis treatment have shown positive results, suggesting that similar training programs like SPECTROM could be beneficial. ^{1 2 3 4 5}

How is SPECTROM Training different from other treatments for dual diagnosis?

SPECTROM Training is unique because it focuses on training healthcare providers in dual diagnosis, which involves both mental health and substance misuse, rather than directly treating patients. This approach aims to improve the skills and confidence of healthcare providers, which can lead to better patient outcomes. ^{1 3 6 7 8}

What is the purpose of this trial?

This is a clinical trial, with participants undergoing the 16 hour SPECTROM training, and completing 2 assessments before and after training (the Psychotropic Knowledge Questionnaire-Revised and the Management of Aggression and Violence Attitude Scale-Revised-ID).

Eligibility Criteria

This trial is for English-speaking individuals aged 18 or older who work at the 3 ARCA group homes or the UNM psychiatric center. It's designed to help them improve their understanding and management of dual diagnosis conditions.

Exclusion Criteria

All participants must be fluent in English because for this pilot study we do not have funds to translate study materials.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Participants undergo the 16-hour SPECTROM training and complete assessments

1 week

1 visit (in-person)

Follow-up

Participants are monitored for knowledge retention and behavior management effectiveness

6 months

Treatment Details

Interventions

• SPECTROM Training

Trial Overview The SPECTROM Training program, which spans over a total of 16 hours, is being tested. Participants will be assessed before and after training using two tools: the Psychotropic Knowledge Questionnaire-Revised and the Management of Aggression and Violence Attitude Scale-Revised-ID.

Participant Groups

Group I: Training Arm Experimental Treatment 1 Intervention

Who Is Running the Clinical Trial?

University of New Mexico

Lead Sponsor

Trials

393

Recruited

3,526,000+

Findings from Research

The dual diagnosis training program, initiated in 2003 across three NHS trusts, aimed to improve the treatment of individuals with both mental health issues and substance misuse, highlighting the importance of integrated care.

The article evaluates the first year of the program, focusing on the training provided and participants' feedback, indicating a commitment to enhancing the skills of healthcare professionals in managing complex cases.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Participants' evaluation of a training programme in dual diagnosis. Cooper, P., Doolin, N., Hemming, I., et al.[2019]

Different treatment models (serial, parallel, and integrated) can help healthcare providers optimize resources for patients with dual diagnoses, but these models need further empirical testing to determine their effectiveness.

Pilot studies have shown positive results for interventions targeting dual diagnosis patients, highlighting the urgent need for well-designed programs to address their unique treatment needs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Clinical treatment matching models for dually diagnosed patients. Ries, R.[2005]

A systematic review identified only 11 articles on staff training for dual diagnosis competencies from a pool of 129 potential studies, highlighting a significant lack of research in this area.

The existing studies faced issues such as small sample sizes and biases, indicating a need for more robust research to evaluate the effectiveness of dual diagnosis training and to incorporate service user perspectives.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Dual diagnosis competencies: A systematic review of staff training literature. Petrakis, M., Robinson, R., Myers, K., et al.[2022]

A study assessing 30 treatment programs in California found that only 43% met the criteria for dual diagnosis capability, indicating a need for improvement in serving clients with both mental health and substance use disorders.

Programs that received funding for both mental health and substance use services scored higher in dual diagnosis capability, suggesting that funding sources significantly impact the ability of treatment organizations to effectively support clients with co-occurring disorders.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Dual Diagnosis Capability in Mental Health and Substance Use Disorder Treatment Programs. Padwa, H., Larkins, S., Crevecoeur-Macphail, DA., et al.[2022]

The REDD-PAC cohort, established in 2017, includes over 2,500 patients with dual diagnoses of psychiatric illness and substance use disorder, providing valuable real-world data on integrated treatment outcomes from 2002 to 2017.

The primary diagnosis among patients was psychosis spectrum disorder (37.0%), and the cohort revealed that most patients were motivated for treatment, highlighting the potential for effective integrated care in this population.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

REDD-PAC Cohort Description: Researching Dual Diagnosis - Prognosis and Characteristics. Mårtensson, S., Johansen, KS., Krarup, J., et al.[2022]

A new psychotherapy training program, implemented in seven residency programs across the U.S., effectively introduces essential concepts of psychotherapy in a time-efficient manner.

Preliminary evaluation results from 15 trainees at the University of Missouri-Columbia showed a significant increase in self-confidence among trainees after completing the program, particularly after Module 4, indicating its potential effectiveness for psychiatric residents.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A new psychotherapy training program : description and preliminary results. Beitman, BD., Yue, D.[2014]

A voluntary training program for psychiatry residents, consisting of 6 hours of didactic instruction followed by 6 months of supervised group facilitation, significantly improved self-reported knowledge and skills in group facilitation, with 88% of participants reporting increased confidence.

Out of 23 residents who attended the training, 12 actively facilitated groups, and the positive feedback suggests that this intervention could enhance the educational experience in psychiatry residency programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Group Training for Psychiatric Residents: Support Group Facilitation and Supervision with Didactics. Denduluri, MS., Gold, JA., Serrano, WC., et al.[2021]

A new training initiative for psychiatry trainees focuses on the 'recovery' paradigm, emphasizing the importance of supporting patients in their personal recovery and promoting wellbeing.

The training, which was delivered by someone with personal recovery experience and peer support expertise, received positive feedback and is set to expand nationally and internationally, highlighting its effectiveness in enhancing the training of future psychiatrists.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Integrating recovery-oriented practice into psychiatric registrar training. Stratford, A., Brophy, L., Castle, D.[2012]

References

1. England pubmed.ncbi.nlm.nih.gov

Participants' evaluation of a training programme in dual diagnosis. [2019]

2. United States pubmed.ncbi.nlm.nih.gov

Clinical treatment matching models for dually diagnosed patients. [2005]

3. Netherlands pubmed.ncbi.nlm.nih.gov

Dual diagnosis competencies: A systematic review of staff training literature. [2022]

4. United States pubmed.ncbi.nlm.nih.gov

Dual Diagnosis Capability in Mental Health and Substance Use Disorder Treatment Programs. [2022]

5. United States pubmed.ncbi.nlm.nih.gov

REDD-PAC Cohort Description: Researching Dual Diagnosis - Prognosis and Characteristics. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

A new psychotherapy training program : description and preliminary results. [2014]

7. United States pubmed.ncbi.nlm.nih.gov

Group Training for Psychiatric Residents: Support Group Facilitation and Supervision with Didactics. [2021]

8. England pubmed.ncbi.nlm.nih.gov

Integrating recovery-oriented practice into psychiatric registrar training. [2012]