WHAT IS THIS FOR?
The purpose of this questionnaire is to help teams in defining their
Post-training outcome goals.
| There is also a Mini-PREACHY that is rather shorter and easier to use! |
PREACHY (Practice, Relationships, Education, Attitudes, and Coherence in Helping Youth)
| This questionnaire is designed to help us learn about |
| You,Your work, What supports it, What hinders it. |
This will help us develop better support for workers.
Acknowledgements:
Many of the questions that follow are drawn directly, or adapted from the CO-MORBIDITY AND CO-MORBID CLIENTS’ PROBLEMS PERCEPTIONS QUESTIONNAIRE produced by the Scottish Effective Interventions Unit in 2005 (Hazel Watson, William Maclaren, Fraser Shaw, Andrew Nolan; Glasgow Caledonian University and Greater Glasgow Primary Care NHS Trust).
In addition work by members of the AMBIT project at the Anna Freud Centre is acknowledged, especially Pippa Sweeney, Aine O’Callaghan and Yvette Boateng.
1. Please tell us a bit about yourself
Indicate which of the following most closely fits your current level of training/education:
- No formal training, but life experience/time/willingness
- Some formal training/education, but not to degree level.
- Degree, but a non-clinical subject
- Currently in training for a professional Clinical or Social Care role (e.g. training to be an occupational therapist, social worker, nurse, clinical psychologist, medical doctor, etc.)
- Qualified as a health or social care professional (e.g. occupational therapist, social worker, nurse, clinical psychologist medical doctor, etc)
- Professional (clinical) qualification AND additional specialist therapeutic training.
2. How long have you worked in face-to-face clinical situations, either in statutory or
in non-statutory services?
- Less than one year
- 1 - 2 years
- 3 - 5 years
- 6 - 10 years
- Greater than 10 years
Some statements about working with young people
| Please say how much you agree or disagree with each one. |
| 1 = strongly AGREE 7 = strongly DISAGREE 0 = Don’t Know |
1. I feel I have a working knowledge of the common problems faced be complex 'hard to reach' youth.
2. I feel I know enough about the causes of complex (or "comorbid") problems in youth to carry out my role when working with these young people.
3. I feel I can advise complex 'hard to reach' youth appropriately about the range of common issues that come up.
4. I feel I know how to do effective therapeutic work over longer periods of time with complex hard to reach youth.
5. I feel I have a clear idea of my responsibilities in helping complex hard to reach youth.
6. I feel I know enough about the physical effects of drugs and alcohol use to carry out my role when working with my clients.
7. I feel I know enough about the psychological effects of drugs and alcohol use to carry out my role when working with my clients.
8. I am interested in the nature of the problems faced by complex hard to reach youth, and in the different ways workers can respond to them.
9. I want to work with complex hard to reach youth.
10. I feel that the best I can personally offer complex hard to reach youth is referral to somebody else.
11. I feel that there is little I can do to help complex hard to reach youth.
12. Pessimism is the most realistic attitude to take toward complex hard to reach youth.
13. I feel I am able to work just as well with complex hard to reach youth as with other client groups that I (may) work with.
14. All in all I am inclined to feel I am a failure with complex hard to reach youth.
15. In general, I have less respect for complex hard to reach youth than for most other patients/clients I work (or have worked) with.
16. At times I feel anxious working with complex hard to reach youth.
17 On the whole, I am satisfied with the way I work with complex hard to reach youth.
18. In general, it is rewarding to work with complex hard to reach youth.
19. In general, I feel I can understand complex hard to reach youth.
20. In general, I like complex hard to reach youth.
21 In general you can’t teach people how to work with complex hard to reach young people; they either have the skills or they don’t.
22. In general you need creativity and instinct in this work much more than technical knowledge and skills from books.
23. If I felt the need when working with my clients I could easily find someone with whom I could discuss any personal difficulties that I might encounter.
24. If I felt the need when working with my clients I could easily find someone who would help me clarify my professional responsibilities.
25. If I felt the need I could easily find someone who would be able to help me formulate a care plan for a client.
26. In a team doing this work, it is more important to have people who can offer a range of very different models of understanding and working, than it is to have a shared model.
27. In my own team, staff have very different ways of understanding human behaviour, and use very different ways of working.
28. In my own team we have a clearly agreed way to record any ‘learning points’ from discussions we have about 'how we do this work here', so that we can refer back to these and build on our experience.
29. Our team works according to instructions laid out in a treatment manual.
30. If you wish, please add any additional comments about why you do this work, or what makes it easier or more difficult, etc:
If (only if) your team uses a specific treatment manual please anser the next question:
31. In the past four working weeks I have actively looked at material from our treatment manual (either alone or in company) for a total of approximately:
Please tick the appropriate box: 0 minutes; 1 - 15 minutes; 15 – 60 minutes; > 60 minutes
32. If you wish, please add any additional comments about accessing your treatment manual here:
If your team uses a treatment manual (even if you don’t use it yourself) please answer the following questions:
33. In my experience, using a treatment manual helps me work more effectively for my clients.
34. Treatment manuals don't change what practitioners actually do
35. I know exactly where I could find our treatment manual if I wanted to look something up right now.
36. I find treatment manuals are more of a burden than a support
37. Film clips showing techniques, or explaining ideas, are much less use than a page or two of text.
38. Treatment manuals never seem to fit the local culture or to cover the local problems we see at my place of work.
39. If I am honest I don’t like being told how to do things by distant “experts”
40. If you wish, please add any other comments about your experience of treatment manuals:
41. My team’s treatment manual is:
Paper-based
— Online
—
If (only if) your treatment manual is an Online version:
42. The benefits of an online treatment manual outweigh the problems.
43. My poor technical (I.T.) skills mean I can't work the manual out at all.
44. Being able to search for key words is helpful
45. My access to computers at work is so limited that I can’t access the manual in working hours.
46. I like the video content
47. Although I have access to a computer, the I.T. systems at work make it very hard to access and use an online manual (as content is blocked, etc.)
48. Adding (editing) in our own team’s local expertise to the online manual makes it more relevant to our work.
49. If you wish, please add any other comments about your DIGITAL treatment manual
Supervisory responsibilities:
50. Do you have a duty to offer formal supervision sessions to other staff at work? No/Yes
IF YES (i.e. if you DO give formal supervision people in your job) then please complete the questions below:
51. I always refer to our treatment manual in the supervision sessions I provide.
52. I always email/send copies of relevant material from the manual to my supervisees after case discussion.
53. Referring to treatment manuals in supervision sessions actually prevents good communication.
54. Our team’s treatment manual provides a supportive framework for my supervision.
ABOUT A SPECIFIC CASE
The last questions are about a SPECIFIC CASE you have worked with.
Please recall a SPECIFIC RECENT CASE that you have worked with within the past two months. (NB the questions which follow do not ask anything that would breach confidentiality about your work). Please choose the case that you feel best illustrates the REALITY of your work and remember that your answers are confidential and will not be passed back to your managers! Answer each question by illustrating how much you agree or disagree with the statement (1 = Strongly AGREE 7 = Strongly DISAGREE) Please choose a SPECIFIC case that you feel best illustrates the reality of your work.
55. I deliberately and explicitly tried to develop a mentalized understanding of their difficulties
56. I deliberately and explicitly tried to maintain a mentalizing stance when with my client.
57. An understanding of mentalization was helpful in the work I did.
58. I completed a risk assessment, filed it, and kept it regularly updated.
59. In accordance with local protocols, I kept notes up to date and in good order, including a clear and regularly updated care plan.
60. There was evidence of conflict or disagreement between the different workers (or teams, or agencies) involved in the case, that threatened (or actually damaged) the outcomes of my work.
61. In situations of inter-professional or inter-agency conflict, I knew I could relieve my tension by criticising those people in the privacy of my own team.
62. I deliberately and explicitly identified (or tried to identify) resiliencies in my client's existing relationships.
63. I deliberately and explicitly planned work to support or strengthen these relationships.
64. I talked frequently, and in disciplined/structured ways, with other team members about the work I was doing.
65. If need be I know I could have consulted, or actually did consult, "live" with colleagues via phone whilst in the field.
66. I deliberately and explicitly planned and carried out work in MORE THAN ONE "domain" of functioning (e.g. physical health, individual psychological functioning, family, social-ecology, professional network, etc)
67. I deliberately and explicitly took responsibility for explaining or clarifying the roles and responsibilities of other professionals or agencies involved in the case.
68. I deliberately and explicitly tried to identify any elements in the network around my client that appeared contradictory or poorly integrated, using structured/disciplined methods to do this.
69. I deliberately and explicitly planned action to minimise or resolve any inter-professional or inter-agency disagreements or contradictions.
70. I completed one or more outcome measures at the appointed time(s)
71 Wherever necessary I took steps to check that the work I planned was faithful to the team's agreed protocols and what evidence supports as best practice.
YOU HAVE FINISHED! WE ARE EXTREMELY GRATEFUL TO YOU FOR THIS TIME