Psychological therapies have positive effects on mental health. The National Health Service, England (NHSE), commissioned a suite of training programmes in psychological therapies to upskill clinicians and increase availability of treatments. Between 2021 and 2022, 1,575 training places were offered. The purpose of this study was to complete a training evaluation, commissioned by NHSE in 2022 / 23.
A two-phased mixed-method evaluation was conducted. Phase one assessed training provision from the perspective of trainees, managers, course teams and clinical leads against Kirkpatrick’s framework. Phase two explored the factors influencing retention and the causes and scale of attrition from training. The total data set included a trainee survey (n = 235) and qualitative interviews with trainees, educators and managers (n = 89).
Significant benefit was derived from the national programme. Trainees were highly satisfied and motivated by their training, describing client benefits and changes in therapeutic practice. However, many experienced challenges which impacted wellbeing and the likelihood of course completion. Respondents acknowledged struggling with academic requirements and busy clinical workplaces, insufficient study time plus personal issues that could “push” trainees towards attrition. Equally, key “pull” factors encouraged trainees to persevere (e.g. enjoyment, supportive managers, effective supervision and increased competence).
To maximise investments in training programmes for the delivery of psychological therapies, addressing the needs of trainees and causes of attrition is key. The authors present a new model of the push−pull factors that promote training retention and prevent attrition in this context.
