King's College London

Research portal

Training the Frontline Workforce to Deliver Evidence-Based Therapy to People With Psychosis: Challenges in the GOALS Study

Research output: Contribution to journalArticle

Philippa A Garety, Tom K J Craig, Catherine H Iredale, Nedah Basit, Miriam Fornells-Ambrojo, Rikesh Halkoree, Suzanne Jolley, Sabine Landau, Paul McCrone, Catherine Tunnard, Darshan Zala, Helen Waller

Original languageEnglish
Pages (from-to)9-11
Number of pages3
JournalPsychiatric Services
Issue number1
Early online date2 Jan 2018
StateE-pub ahead of print - 2 Jan 2018


King's Authors


Improving access to psychotherapies in psychosis requires workforce expansion in resource-challenged systems. The GOALS feasibility randomized controlled trial assessed training and implementation of an evidence-based intervention by frontline workers, targeting recovery goals. Training uptake and therapy fidelity were good. Case managers with crisis management responsibilities were less likely than clinical assistants to deliver therapy. Participants receiving "sufficient therapy" achieved goals, but therapy was usually provided by clinical assistants. This is consistent with implementation science principles, that training must be combined with supportive organizational structures, such as by focusing on roles that already include therapy delivery or developing stronger organizational supports for case managers.

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454