“There is substantial and alarming evidence that the current workforce is largely unable to deliver care of proven effectiveness in partnership with the people who need services.” — Annapolis Coalition (2006)
Regardless of education, most behavioral health practitioners are not prepared to offer services that fully promote rehabilitation and recovery. In addition, most behavioral health agencies lack a deep and sustained process of training and supervision for building the recovery-oriented competencies essential for effective services for people with psychiatric disabilities. The most useful training efforts carefully integrate psychiatric rehabilitation principles, evidence-based practices, relationship-development skills that build engagement and motivation, and local factors or conditions that influence service delivery. An agency-specific work-based learning model can create a consistent culture of practice through staff orientation, competence-based instruction, on-the-job practice, and performance-focused supervision.