Published in:
Open Access
01-09-2017 | Original Paper
The Role of Practitioner Resilience and Mindfulness in Effective Practice: A Practice-Based Feasibility Study
Authors:
Jo-Ann Pereira, Michael Barkham, Stephen Kellett, David Saxon
Published in:
Administration and Policy in Mental Health and Mental Health Services Research
|
Issue 5/2017
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Abstract
A growing body of literature attests to the existence of therapist effects with little explanation of this phenomenon. This study therefore investigated the role of resilience and mindfulness as factors related to practitioner wellbeing and associated effective practice. Data comprised practitioners (n = 37) and their patient outcome data (n = 4980) conducted within a stepped care model of service delivery. Analyses employed benchmarking and multilevel modeling to identify more and less effective practitioners via yoking of therapist factors and nested patient outcomes. A therapist effect of 6.7 % was identified based on patient depression (PHQ-9) outcome scores. More effective practitioners compared to less effective practitioners displayed significantly higher levels of mindfulness as well as resilience and mindfulness combined. Implications for policy, research and practice are discussed.