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Teaching psychiatric trainees ‘compliance therapy’

Institute of Psychiatry

Philip Timms, Senior Lecturer in Community Psychiatry

Guy's, King's & St Thomas' School of Medicine (GKT)

Anthony S. David, Professor of Cognitive Neuropsychiatry

GKT School of Medicine & Institute of Psychiatry, London SE5 8AF, UK

AIMS AND METHOD

Training workshops were organised to teach junior psychiatrists ‘compliance therapy’. A questionnaire was administered to 19 trainees before and after participation in the workshop. Data from 54 non-participating psychiatrists from the same NHS trust were also obtained for comparison.

RESULTS

Those receiving training were similar to the comparison group except for having less confidence in dealing with non-compliant patients. After training, participants showed a broader awareness of the potential causes and costs of non-compliance and an increased confidence empathising with patients. Beliefs concerning management did not change significantly.

CLINICAL IMPLICATIONS

A brief training programme is capable of changing trainee psychiatrists' attitudes towards patient non-compliance in the desired direction.