Construction of a workshop protocol on psychotherapeutic competences for the management of complex depression in institutional primary care setting
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Date
2021
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Abstract
Background: In Chile, the prevalence of depression is high, constituting one of the main reasons for seeking mental health assistance in institutional settings, but psychologists who are working in primary care report having weak competences for treating depression and unlike in other countries, there is a lack of competence frameworks to equalise the performance of professionals.
Aim: To construct a workshop protocol on psychotherapeutic competences for the management of complex depression aimed at psychologists working in primary care.
Methodology: A mixed sequential exploratory design was employed that comprised two studies: a qualitative one (GT) to explore psychotherapeutic competences from the protagonists' perspective; and another that involved the construction of workshop protocol and its validation with a Delphi methodology.
Results: It is proposed a framework of competences that comprises four domains: knowledge (i.e. knowing about depression and its comorbidities); technical competences (i.e. knowing what to do and adapting techniques); interpersonal competences and attitude (i.e. being welcoming, active, and engaged); and professional and personal competences (i.e. being flexible in the exercise of one's role). Based on these frameworks, it constructed the workshop protocol validated with a consensus ≥80% composed by six modules: 1) theoretical-empirical basis of the protocol; 2) complex depression; 3) objectives, goals, focus, and crisis intervention; 4) suicide risk; 5) therapeutic relationship; 6) social dimension and networks in depression management.
Discussion: It is highlighted the integration of patients, psychologists and experts perspectives to proposed a transtheoretical framework of competences and the challenges to construct a workshop protocol to train them.
Conclusion: a framework of competences and a workshop protocol to train them are proposed to guarantee more appropriate psychological care of depression in primary health care.
Description
Tesis (Doctoral Program in Psychotherapy)--Pontificia Universidad Católica de Chile, 2021
Keywords
Psychotherapeutic competencies, Expectations, Depression, Primary care, Psychological care