A survey of engagement and competence levels in interventions and activities in a community mental health workforce in England

Table 5 Distribution of occupation and other factors and odds ratio for low competence of the all activities

	L*		H*
Variable	n	(%)	n	(%)	p	OR	95%	CI	p	OR†	95%	CI	p
Occupational group
Community supporter/STR worker/non-qualified nurse	17	22.4	3	3.9		6.80	1.86	24.88	0.004	12.56	1.63	96.52	0.015
Counsellor/psychotherapist /therapist/medical staff	6	7.9	4	5.3		1.80	0.47	6.83	0.387	2.60	0.27	24.78	0.407
Qualified nurse	40	52.6	48	63.2		1.00				1.00
Occupational therapists	9	11.8	6	7.9		1.80	0.59	5.49	0.301	2.16	0.43	10.98	0.353
Psychologist	1	1.3	10	13.2		0.12	0.01	0.98	0.048	0.57	0.04	9.24	0.694
Social worker	3	3.9	5	6.6	0.002	0.72	0.16	3.20	0.666	0.38	0.04	3.39	0.384
First qualification
Undergraduate course	25	38.5	21	28.4		1.40	0.67	2.93	0.371	3.51	0.84	14.67	0.086
Certificate course	34	52.3	40	54.1		1.00				1.00
diploma	6	9.2	13	17.6	0.241	0.54	0.19	1.58	0.263	0.39	0.10	1.56	0.182
Date of obtaining the first qualification
1- 1967 to 1984	4	6.5	21	29.6		0.23	0.06	0.83	0.025	0.32	0.05	2.07	0.232
2- 1985 to 1999	28	45.2	28	39.4		1.21	0.50	2.93	0.665	1.95	0.48	7.89	0.349
3- 2000 to 2004	14	22.6	17	23.9		1.00				1.00
4- 2005 to 2010	16	25.8	5	7	0.001	3.89	1.14	13.27	0.030	15.76	2.18	113.9	0.006
Frequency of Clinical Training
0	8	10.5	14	18.2		0.74	0.26	2.11	0.578	4.88	0.52	45.83	0.165
1-5	20	26.3	26	33.8		1.00				1.00
6-10	25	32.9	22	28.6		1.48	0.65	3.35	0.349	5.30	1.19	23.60	0.029
11-19	23	30.3	15	19.5	0.232	1.99	0.83	4.77	0.122	12.67	2.13	75.40	0.005
Clinical training content
Cognitive Behavioural Therapy	23	30.3	12	15.6		1.00				1.00
Behavioural Family Therapy	6	7.9	13	16.9		0.24	0.07	0.79	0.019	0.27	0.05	1.53	0.14
Trainings on protection	34	44.7	30	39	0.035	0.59	0.25	1.39	0.228	0.64	0.18	2.25	0.484
Other trainings^‡	13	17.1	22	28.6		0.31	0.12	0.82	0.018	0.15	0.02	1.00	0.05

L* - low competence and H*- high competence.
OR - univariate analysis, OR† - multivariate analysis, including all variables listed in the table and further Clinical Team and number of engagement activities (tertile) for adjustment.
^‡ Other trainings including Foundation in personal conduct therapy, Effective brief therapy for depression, Cognitive analytical therapy (CAT), Transactional analysis psychotherapy, Emotional transformation therapy (ETT), Systematic family therapy, Transference focussed therapy, Social problem solving therapy for people with personality difficulties, Occupational therapy master module, Mentalisation based therapy (MBT).

ISSN: 1472-6963