Buccheri, Robin

Buffum, Marti

Trygstad, Louise

English

University of San Francisco

The University of San FranciscoUSF Scholarship: a digital repository @ Gleeson Library |Geschke CenterNursing and Health Professions Faculty Researchand Publications School of Nursing and Health Professions10-19-2011Disseminating the Course for the BehavioralManagement of Auditory Hallucinations across VAMental Health SettingsMarti BuffumRobin BuccheriUniversity of San Francisco, buccherir@usfca.eduLouise TrygstadFollow this and additional works at: http://repository.usfca.edu/nursing_facPart of the Nursing CommonsThis Poster is brought to you for free and open access by the School of Nursing and Health Professions at USF Scholarship: a digital repository @Gleeson Library | Geschke Center. It has been accepted for inclusion in Nursing and Health Professions Faculty Research and Publications by anauthorized administrator of USF Scholarship: a digital repository @ Gleeson Library | Geschke Center. For more information, please contactrepository@usfca.edu.Recommended CitationBuffum, Marti; Buccheri, Robin; and Trygstad, Louise, "Disseminating the Course for the Behavioral Management of AuditoryHallucinations across VA Mental Health Settings" (2011). Nursing and Health Professions Faculty Research and Publications. Paper 16.http://repository.usfca.edu/nursing_fac/16Disseminating the Course for the Behavioral Management of Auditory Hallucinations across VA Mental Health Settings  Marti Buffum, DNSc, RN, PMHCNS-BC;   Robin Buccheri, DNSc, PMHNP; Louise Trygstad, DNSc, RN, CNS San Francisco VA Medical Center / University of San Francisco 10-Session Course:  Classes and Strategies 1.Orientation, self-awareness 2.  Talking with someone 3.Listening to music/radio 4.Watching tv or something else 5.Saying “stop”/ignoring 6.Earplugs 7.Relaxation exercises 8.Keeping busy/purposeful activity 9.Using prescribed medication 10.Summary/evaluation  Preliminary Findings Notes: • Calls are helpful, give confidence for educating staff and patients, support in not feeling isolated.    • Like that the Veterans appreciate the course.  Vets help each other. •“….think the members in our group enjoyed the freedom to talk about their voices without fear of being immediately hospitalized.” •“Facilitators need more ideas for how to get skills to be practiced outside of group.” •“We had no problems getting patients to do homework—and didn’t use incentives other than positive verbal feedback.”       Methods Design  Evaluation of a Dissemination Project    Procedures Recruitment: Invitations at conferences for VA Psychosocial Rehabilitation and Recovery Centers (PRRC)  Sample:  PRRC/Outpatient: self-selected sites Inclusion criteria:   •Licensed professional staff in PRRC •Experience facilitating groups   Activities: • 5- 1.5 hour teleconference training            sessions • Distribution and training:      Treatment Manual  Instruments • Characteristics of Auditory  Hallucinations (CAHQ) •  Unpleasant Voices Scale (1-10) •  Safety Protocol  Evaluations       Training DVD       Relaxation CD   Data collection: •Course facilitator evaluation •Patient participant evaluation •Notes from sessions and emails  Aims   To expand dissemination of the 10-session evidence-based course for symptom management of persistent auditory hallucinations in  VA psychosocial recovery centers   To evaluate facilitators successes and challenges implementing the course    To evaluate patients’  experiences with the course effectiveness and symptom self-management  Background   Psychosocial Rehabilitation and Recovery model  supports implementation of patient-centered symptom management education.   Past VA piloting efforts have  demonstrated positive staff and patient benefits from telecommunications methods of dissemination.   10-session Behavioral Management of Auditory Hallucinations Course  has been recognized as a best nuring practice; evidence supports implementation.  Patients with persistent auditory hallucinations associated with schizophrenia have improved  their symptoms after taking this class.    Preliminary Findings •Jan through May 2011:  24 PRRC/outpatient sites sent multidisciplinary staff to training sessions    100% attended training session    100% attended 1st support call      83% attended 2nd support call      48% attended 3rd support call      33% attended 4th support call      33% attended all calls • 8 sites have completed the course •   group size: 2-7 patients •   2 are conducting the course again •   1 has offered each class twice  Evaluation to Date:   11Facilitators: 93%: improved understanding of           voice hearing experience 100%:  better able to communicate         with patients about their voices 100%:  worthwhile experience    83%:  plan to teach again     26 Patients: 70% better able to manage voices 83 %better able to communicate with         staff about voices 82% feel less alone 93% feel safer telling staff about          harm voices  60% deny harm voices 85% would recommend the course   

Disseminating the Course for the Behavioral Management of Auditory Hallucinations across VA Mental Health Settings

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Disseminating the Course for the Behavioral Management of Auditory Hallucinations across VA Mental Health Settings

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