scholarly journals Cognitive therapy training for psychiatrists

1998 ◽  
Vol 4 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Jan Scott ◽  
Steven Moorhead
Keyword(s):  
Psychological Intervention ◽  
Clinical Skills ◽  
Training Programme ◽  
Behavioural Therapy ◽  
Successful Implementation ◽  
Psychological Therapies ◽  
Therapy Training ◽  
Cognitive Behavioural ◽  
The Subject ◽  
Training Schemes

Psychological therapies are a necessary component of any mental health service. Psychiatrists will require a working knowledge of different psychological approaches and many will wish to develop clinical skills to practice at least one model of psychotherapy. Historically, most psychiatry training schemes have offered exposure to psychodynamic psychotherapies, while training in other approaches has been less systematic. The expansion of research into brief psychological therapies and a wealth of recent publications on the subject have led to an increasing awareness of the benefits of training in other models of psychotherapy. The most widely practised and researched brief psychological intervention is cognitive-behavioural therapy (CBT). This paper will outline the principles behind providing training in CBT, and the barriers to successful implementation of a training programme.

scholarly journals Setting up and evaluating a cognitive–behavioural therapy training programme for psychiatric trainees

2007 ◽  
Vol 31 (11) ◽  
pp. 431-434 ◽  
Author(s):  
Rebeca Martinez ◽  
Rebecca Horne
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Psychotherapy Training ◽  
Training Programme ◽  
Behavioural Therapy ◽  
Training Structures ◽  
Training Scheme ◽  
Therapy Training ◽  
Cognitive Behavioural ◽  
Training Schemes ◽  
The Uk

Psychotherapy training provision within psychiatry training schemes differs across the UK. In the light of the current changes in training structures, adjustments may be required in the way that psychotherapy training is delivered and assessed. This paper reports on the development, delivery and evaluation of a cognitive–behavioural therapy (CBT) training programme for psychiatric trainees within a training scheme with limited psychotherapy resources.

scholarly journals Evaluation of a Trauma-Focused CBT Training Programme for IAPT services

2017 ◽  
Vol 45 (5) ◽  
pp. 467-482 ◽  
Author(s):  
Hannah Murray
Keyword(s):  
Training Programme ◽  
Behavioural Therapy ◽  
Routine Practice ◽  
Post Traumatic Stress ◽  
Training Interventions ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Co Morbidity ◽  
Early Life Trauma ◽  
Post Traumatic

Background: Therapists in Improving Access to Psychological Therapies (IAPT) services are often expected to treat complex presentations of post-traumatic stress disorder (PTSD), such as individuals with multiple, prolonged or early life trauma histories and significant co-morbidity, for which they have received minimal training. Although high recovery rates for PTSD have been demonstrated in randomized controlled trials, these are not always replicated in routine practice, suggesting that training interventions are required to fill the research–practice gap. Aims: This study investigated the outcomes of a therapist training programme on treating PTSD with trauma-focused cognitive behavioural therapy (TF-CBT). Method: Twenty therapists from ten IAPT services participated in the training, which consisted of workshops, webinars and consultation sessions over a 6-month period. Results: Feedback indicated that participants found the training highly acceptable. PTSD knowledge and self- and supervisor-rated competence on TF-CBT measures improved following the training and improvements were maintained a year later. Client outcomes on a PTSD measure improved following the training. Participants reported attempts to disseminate learning from the course back to their teams. Conclusions: The findings indicate that the training programme was successful in improving TF-CBT knowledge, skills and outcomes for IAPT therapists. Tentative support for training ‘trauma experts’ within IAPT services was found, although institutional constraints and staff turnover may limit the sustainability of the model.

Training low intensity workers

2010 ◽  
pp. 419-426 ◽  
Author(s):  
David A. Richards
Keyword(s):  
Cognitive Behavioural Therapy ◽  
National Curriculum ◽  
Training Programme ◽  
Behavioural Therapy ◽  
Theory And Practice ◽  
Low Intensity ◽  
Psychological Therapies ◽  
Cognitive Behavioural

Chapter 44 describes the theory and practice of low intensity (LI) training programme for cognitive behavioural therapy (CBT) using the example of a specific programme that has been implemented across England as part of the Improving Access to Psychological Therapies (IAPT) initiative. The chapter describes the challenges of education to meet the clinical demands of LI CBT, together with solutions adopted by the English national curriculum for LI CBT.

Client-led culturally responsive CBT – integrating familism in the treatment of chronic depression: a case study

2020 ◽  
Vol 13 ◽  
Author(s):  
Lilian Skilbeck ◽  
Christopher Spanton ◽  
Ian Roylance
Keyword(s):  
Cultural Adaptation ◽  
Treatment Plan ◽  
Behavioural Therapy ◽  
Cultural Responsiveness ◽  
Chronic Depression ◽  
List Type ◽  
Her Family ◽  
Psychological Therapies ◽  
Cognitive Behavioural

Abstract Britain has increasingly become a multi-cultural society. In order to improve access to primary care psychological therapy including cognitive behavioural therapy (CBT), there has been an increase in focus on cultural adaptation and cultural responsiveness. To date, these adaptations have focused on domains such as language, beliefs and values. In this case, familism was the focus for adaptation. The client was a 22-year-old female from a black African-British background. She presented with severe symptoms of chronic depression as measured on routine standard questionnaires and the interview. She had minimal success from previous interventions and was struggling to make progress. Therapy was guided by the client’s views on what issues had a bearing on her difficulties. The client hypothesised that familism factors with themes around ‘my parents’ culture’ and ‘family comes first’ were interacting with her cognitive behavioural factors to maintain her problem. She requested the involvement of her family in her treatment plan. In line with the Improving Access to Psychological Therapies–Black, Asian and Minority Ethnic service user Positive Practice Guide, this was integrated as part of her formulation. Upon involvement of her father in a single session, the client attained reliable improvement. She attributed her improvement to this involvement. By the end of therapy, she reached recovery, which was maintained at 3-month follow-up. This study was responsive to the client’s own perceived cultural needs through the integration of familism into her CBT formulation. It illustrates a client-led cultural adaptation of CBT to treat chronic depression. Key learning aims It is hoped that the reader will increase their understanding of the following from reading this case study: (1) Creating an environment where clients can freely discuss their perceived cultural factors from the outset. (2) Client-led cultural responsiveness to their expressed cultural needs. (3) Familism as a domain for adapting CBT.

scholarly journals General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study

2018 ◽  
Vol 42 (3) ◽  
pp. 115-118 ◽  
Author(s):  
Noel Collins ◽  
Laurie Corna
Keyword(s):  
Older Adults ◽  
General Practitioner ◽  
Thematic Analysis ◽  
Older Patients ◽  
Watchful Waiting ◽  
Behavioural Therapy ◽  
Clinical Implications ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Willingness To Refer

Aims and methodTo understand general practitioner (GP) reticence to refer older patients to a local Improving Access to Psychological Therapies (IAPT) service providing mostly cognitive–behavioural therapy (CBT)-based interventions. Semi-structured, hour-long interviews were conducted with eight GPs and then analysed by modified grounded theory and thematic analysis.ResultsGP views regarding the treatability of older adults with CBT influenced their willingness to refer to a CBT-based IAPT service. Perceptions of local IAPT assessment processes being distressing and onerous to older patients also motivated referral inaction. GPs expressed a preference to treat depressed older patients themselves (with medication and psychological approaches such as watchful waiting).Clinical implicationsAny strategy to increase referral rates of older adults to CBT-based IAPT services should address local GP concerns regarding assessment processes and the effectiveness of offered treatments.Declaration of interestNone.

Geographic Inequity in the Availability of Cognitive Behavioural Therapy in England and Wales: A 10-Year Update

2013 ◽  
Vol 42 (4) ◽  
pp. 497-501 ◽  
Author(s):  
Kate Cavanagh
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Geographic Distribution ◽  
Fold Increase ◽  
Behavioural Therapy ◽  
England And Wales ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Proxy Measure ◽  
Scarcity Of Resources ◽  
Made In

Background: Improving access to psychological therapies, and in particular cognitive behavioural therapy (CBT), has been a health service priority in England and Wales over the past decade. The delivery of CBT has been limited by a scarcity of resources and further limited by the inequitable geographic distribution of CBT therapists. Aims: The current study replicates and extends our previous analysis of the geography of British Association of Behavioural and Cognitive Psychotherapies (BABCP) membership (Shapiro, Cavanagh and Lomas, 2003) 10 years later in order to evaluate the progress made in improving equitable access to CBT. Method: This paper presents the absolute and comparative geographic distribution of current BABCP members, accredited CBT practitioners, and BABCP members who are nurses or clinical psychologists in England and Wales. Results: Efforts to improve the availability of CBT in England and Wales are reflected in the doubling of total membership, and a 4.5 fold increase in accredited membership over the last 10 years. There is evidence that the magnitude of inequity in the geographic availability of CBT therapists has decreased, but that inequity is still evident. Limitations of using BABCP membership data as a proxy measure of CBT availability are acknowledged. Conclusions: A five-fold discrepancy in accredited CBT practitioners between the best and least well-served population decile indicates ongoing “postcode availability” of the best qualified CBT practitioners. Possible strategies to improve the availability of CBT and remedy this inequity are discussed.

A cognitive–behavioural therapy assessment model for use in everyday clinical practice

2002 ◽  
Vol 8 (3) ◽  
pp. 172-179 ◽  
Author(s):  
Chris Williams ◽  
Anne Garland
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Clinical Skills ◽  
Health Anxiety ◽  
Antidepressant Medication ◽  
Bipolar Disorders ◽  
Behavioural Therapy ◽  
Assessment Model ◽  
Therapy Assessment ◽  
Compulsive Disorder ◽  
Cognitive Behavioural

Cognitive–behavioural therapy (CBT) is a shortterm, problem-focused psychosocial intervention. Evidence from randomised controlled trials and metaanalyses shows that it is an effective intervention for depression, panic disorder, generalised anxiety and obsessive–compulsive disorder (Department of Health, 2001). Increasing evidence indicates its usefulness in a growing range of other psychiatric disorders such as health anxiety/hypochondriasis, social phobia, schizophrenia and bipolar disorders. CBT is also of proven benefit to patients who attend psychiatric clinics (Paykel et al, 1999). The model is fully compatible with the use of medication, and studies examining depression have tended to confirm that CBT used together with antidepressant medication is more effective than either treatment alone (Blackburn et al, 1981) and that CBT treatment may lead to a reduction in future relapse (Evans et al, 1992). Generic CBT skills provide a readily accessible model for patient assessment and management and can usefully inform general clinical skills in everyday practice.

scholarly journals Evaluating the Outcomes of Transactional Analysis and Integrative Counselling Psychology within UK Primary Care Settings

2011 ◽  
Vol 2 (2) ◽  
Author(s):  
Biljana Van Rijn ◽  
Ciara Wild ◽  
Patricia Moran
Keyword(s):  
Primary Care ◽  
Working Alliance ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Future Research ◽  
Transactional Analysis ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Uk National Health Service ◽  
Counselling Psychology

The paper reports on a naturalistic study that replicated the evaluative design associated with the UK National Health Service initiative IAPT − Improving Access to Psychological Therapies (CSIP 2008, NHS 2011), as previously used to assess Cognitive Behavioural Therapy (CBT), with the aim of evaluating 12-session treatments for anxiety and depression, applying Transactional Analysis and Integrative Counselling Psychology approaches within real clinical settings in primary care. Standard outcome measures were used in line with the IAPT model (CORE 10 and 34, GAD-7, PHQ-9), supplemented with measurement of the working alliance (WAI Horvath 1986) and an additional depression inventory BDI-II (Beck, 1996), and ad-herence to the therapeutic model using newly designed questionnaires. Results indicated that severity of problems was reduced using either approach, comparative to Cognitive Behavioural Therapy; that initial severity was predictive of outcome; and that working alliance increased as therapy progressed but was not directly related to outcomes. Adherence was high for both approaches. Several areas for enhance-ments to future research are suggested.

scholarly journals Invited commentary on … Proposals for massive expansion of psychological therapies would be counterproductive across society

2008 ◽  
Vol 192 (5) ◽  
pp. 331-332
Author(s):  
Michael King
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Mental Distress ◽  
Behavioural Therapy ◽  
Ethical Implications ◽  
Psychological Therapies ◽  
Cognitive Behavioural

SummaryWill an expansion of access to cognitive-behavioural therapy lead to greater happiness? Summerfield and Veale debate this question by focusing on the nature of mental distress and the best evidence for ameliorating it. Stimulating though it is, their debate left me wondering about the wider philosophical and ethical implications behind our rush to therapy.

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