Process evaluation of SPECTROM training: Staff views from a feasibility cluster RCT

BACKGROUND: The off-label prescription of psychotropic medications for behaviours that challenge in the absence of mental illness is a significant public health concern. SPECTROM, a staff training program, was co-produced in the United Kingdom to address these issues. METHOD: 140 support staff received SPECTROM training. At the end of the training, focus groups were conducted with 14 staff to receive feedback. In the current article, we present data from the two focus groups. RESULTS: The following themes were identified: improved knowledge, self-confidence, facilitated self-reflection, empowered staff, better attitude on medication use for behaviours that challenge, improved support provided, and challenges of SPECTROM delivery and implementation. CONCLUSION: The SPECTROM training and its resources were considered useful and relevant to staff's practice. Challenges were identified in delivering and implementing SPECTROM training, which needs to be addressed before a full-scale randomised controlled trial.