scholarly journals Therapeutic Alliance in Cognitive Behavioural Therapy in Child and Adolescent Mental Health-Current Trends and Future Challenges

2022 ◽  
Vol 12 ◽  
Author(s):  
Hazel Fernandes
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Therapeutic Alliance ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Social Construct ◽  
Review Section ◽  
Cognitive Behaviour

This extended literature review proposes to present the trends in the therapeutic alliance, outcomes, and measures in the last decade within the premises of individual cognitive behaviour therapy (CBT) and its innovations, used as an interventional measure in the context of child and adolescent mental health setting. A brief background of the rationale for conducting this literature search is presented at the start. This is followed by the methodology and design which incorporates the inclusion and exclusion criteria and the basis for the same. The critical appraisal of the primary studies is presented in the literature review section with a brief description of the summary features of the studies in the study tables followed by the results and discussion of the study findings. To summarise, the literature review of primary studies conducted in the last decade demonstrates the need for further research to be conducted both in the field of CBT in children and therapeutic alliance, competence, and therapy outcomes, integrating perspectives in child development, carer alliance, and the social construct theory in children, to allow for further innovations in CBT in the context of increasing challenges in the current times of exponentially developing technology and its utility without compromising the quality of therapy. In conclusion, recommendations are made as a guideline for future studies and research in this field.

The Availability of Cognitive Behaviour Therapy Within Specialist Child and Adolescent Mental Health Services (CAMHS): A National Survey

2007 ◽  
Vol 35 (4) ◽  
pp. 501-505 ◽  
Author(s):  
Paul Stallard ◽  
Orlee Udwin ◽  
Meghan Goddard ◽  
Sarah Hibbert
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Cognitive Behaviour Therapy ◽  
Health Workers ◽  
Clinical Excellence ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

The National Institute for Clinical Excellence has recommended cognitive behaviour therapy (CBT) for a number of common child and adolescent mental health disorders. The aim of this study was to clarify the practice of CBT within specialist child and adolescent mental health services in the United Kingdom. A survey was distributed to specialist child mental health workers through national organizations and professional bodies. Approximately 10% of specialist CAMHS professionals replied (n = 540). One in five reported CBT to be their dominant therapeutic approach, whilst 40% rarely used CBT. Specialist post-qualification training had been undertaken by 21.0% of respondents, with over two-thirds identifying training needs in the core skills of CBT. This survey suggests that the capacity of specialist CAMHS to meet the requirements of NICE in terms of the availability of CBT skills is doubtful. There is a need to develop CBT training and supervision infra-structures.

A feasibility and pilot trial of computerised cognitive behaviour therapy for depression in adolescents: lessons learned from planning and conducting a randomised controlled trial

2016 ◽  
Vol 21 (3) ◽  
pp. 193-199 ◽  
Author(s):  
Lucy Tindall ◽  
Danielle Varley ◽  
Barry Wright
Keyword(s):  
Mental Health ◽  
Research Team ◽  
Controlled Trial ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Behaviour Therapy ◽  
Content Type ◽  
Cognitive Behaviour ◽  
Computerised Cognitive Behaviour Therapy ◽  
Randomised Controlled

Purpose The purpose of this paper is to focus upon the challenges faced by a research team when conducting a computerised cognitive behaviour therapy (CCBT) trial for adolescents with low mood/depression and how solutions were sought to eliminate these difficulties in future child and adolescent mental health clinical research. Design/methodology/approach The authors have presented a number of problems faced by the research team when conducting a randomised controlled trial (RCT) concerning adolescents with low mood/depression. Findings From examining the problems faced by the research team, the authors have provided key pieces of advice for prospective adolescent mental health RCTs. This advice includes developing clear project plans, setting strategies to encourage and maintain study information in the community and support recruitment, and keeping your organisation appraised of study needs and network and involve governance departments, IT and finance departments in these discussions early. Originality/value RCTs, particularly those focusing on child and adolescent mental health, can face a number of difficulties throughout its stages of completion (from protocol development to follow-up analysis). Studies involving the use of technologies add a layer of complexity to this. This review will be of value to researchers aiming to run a high-quality RCT concerning child and adolescent mental health.

Cognitive Behaviour Therapy: Standards for Training and Clinical Practice

2006 ◽  
Vol 23 (4) ◽  
pp. 227-238 ◽  
Author(s):  
◽  
Julie Barrington
Keyword(s):  
Mental Health ◽  
Best Practice ◽  
Mental Health Problems ◽  
Psychological Treatment ◽  
Public Funding ◽  
Public Mental Health ◽  
Behavioural Therapy ◽  
Clinical Psychologists ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

AbstractThe purpose of this article is to open discussion on the appropriate standards for training and practice in cognitive behavioural therapy (CBT) for clinical psychologists. CBT has in recent years become increasingly popular as a brief and effective psychological treatment for mental health problems. Public funding has become available for the provision of CBT for a prescribed number of sessions to people diagnosed with specific psychiatric disorders, and there has been an increasing shift in public mental health services toward more short-term and structured episodic care interventions, many of which are CBT-based. There has also been a corresponding increase in health professionals seeking CBT training and offering psychological services described as CBT. However, there is a lack of formal nationally agreed standards for clinical psychologists in relation to training and practice in CBT, and ethical concerns have been raised about the provision of ‘stand-alone’ brief training to professionals who do not have an undergraduate psychology degree and hence may not have an understanding of the theory and research that underlies CBT. Issues raised in this article include training and practice considerations such as levels of competence, diversity and complexity of CBT, treatment length, ethical considerations and barriers to best practice.

The management of young people who self-harm by New Zealand Infant, Child and Adolescent Mental Health Services: cutting-edge or cutting corners?

2018 ◽  
Vol 26 (2) ◽  
pp. 152-159
Author(s):  
Hiran Thabrew ◽  
Ernest Gandeza ◽  
Giselle Bahr ◽  
David Bettany ◽  
Chris Bampton ◽  
...  
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Evidence Based ◽  
Behaviour Therapy ◽  
Self Harm

Objectives: Self-harm is common in New Zealand (NZ) young people and can have short-term and long-term consequences, including suicide. This study was undertaken to examine the extent to which evidence-based approaches for addressing self-harm are offered by Infant, Child and Adolescent Mental Health Services (ICAMHS). Methods: A national survey of ICAMHS practitioners working with young people who self-harm was undertaken between May and July 2016. Results: Responses from 23 out of 30 ICAMHS confirmed self-harm was a familiar presentation and most commonly associated with diagnoses of depression, anxiety and borderline personality disorder. Cognitive behavioural therapy (47.1%, n = 8), dialectical behaviour therapy (47.1%, n = 8) and acceptance and commitment therapy (5.9%, n = 1) were the treatments of choice, but variably delivered. There were significant training gaps for all types of therapy. Conclusions: Although it is reassuring that many ICAMHS are using evidence-based approaches to address self-harm in young people, there is concerning variability in the way these therapies are delivered. Improvement in training in key modalities, further research into therapist performance and continuous evaluation of workforce development are needed to maximise the effectiveness of proven interventions and provide NZ young people with the state-of-the-art service they deserve.

scholarly journals Is the Automation of Digital Mental Health Ethical? Applying an Ethical Framework to Chatbots for Cognitive Behaviour Therapy

2021 ◽  
Vol 3 ◽  
Author(s):  
Giovanna Nunes Vilaza ◽  
Darragh McCashin
Keyword(s):  
Mental Health ◽  
Research Policy ◽  
Behavioural Therapy ◽  
Ethical Framework ◽  
Conversational Agents ◽  
Behaviour Therapy ◽  
Face To Face ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Mental Health Support

The COVID-19 pandemic has intensified the need for mental health support across the whole spectrum of the population. Where global demand outweighs the supply of mental health services, established interventions such as cognitive behavioural therapy (CBT) have been adapted from traditional face-to-face interaction to technology-assisted formats. One such notable development is the emergence of Artificially Intelligent (AI) conversational agents for psychotherapy. Pre-pandemic, these adaptations had demonstrated some positive results; but they also generated debate due to a number of ethical and societal challenges. This article commences with a critical overview of both positive and negative aspects concerning the role of AI-CBT in its present form. Thereafter, an ethical framework is applied with reference to the themes of (1) beneficence, (2) non-maleficence, (3) autonomy, (4) justice, and (5) explicability. These themes are then discussed in terms of practical recommendations for future developments. Although automated versions of therapeutic support may be of appeal during times of global crises, ethical thinking should be at the core of AI-CBT design, in addition to guiding research, policy, and real-world implementation as the world considers post-COVID-19 society.

Depression, Anxiety and Self-esteem: A Clinical Field Study

2002 ◽  
Vol 19 (2) ◽  
pp. 112-120 ◽  
Author(s):  
Denise A. Nisbet Wallis
Keyword(s):  
Mental Health ◽  
Therapy Group ◽  
Self Esteem ◽  
Behavioural Therapy ◽  
Anxiety And Depression ◽  
Behaviour Therapy ◽  
Central Coast ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

AbstractThe Cognitive Behavioural Therapy Group Program at Central Coast Mental Health Specialty Clinics includes treatments for generalised anxiety disorder, panic disorder and depression. This study provides empirical validation for hypotheses developed in clinical controlled studies; that is, that cognitive-behaviour therapy provided benefits in the treatment of anxiety and depression in a service setting. This would be reflected in decreases in the symptoms of anxiety and depression and increased self-esteem. Participants (N = 139) were referred to Specialty Clinics, Central Coast Mental Health Services for treatment for depression and/or anxiety in CBT groups. They were tested on the BDI, STAI and the SERS at three time points, prior to entering the group, at termination of the group and at 3-month follow-up. Depression and anxiety symptoms decreased and self-esteem increased between pre- and post-group and the trends continued to 3-month follow-up.

scholarly journals Cognitive Behaviour Therapy in Forensic Setting: An Overview

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Tomar, P ◽  
Tyagi, M ◽  
Rajkumar, E ◽  
Manikandaprabu, M
Keyword(s):  
Mental Health ◽  
Skill Training ◽  
Behavioural Therapy ◽  
Health Facilities ◽  
Behaviour Therapy ◽  
Soft Skill ◽  
Forensic Population ◽  
Cognitive Behaviour ◽  
Mental Health Facilities ◽  
Forensic Setting

The increase in need of treatment services in prison has been in great demand. The augmented number of crimes ranging from petty crimes to serious heinous crimes in last two decades brought in the requirement of mental health facilities in prisons at the surface level. Growth in prison facilities and prisoner populations has outstripped the slower growth in mental health services, and become the need of an hour to appoint the trained and experienced therapist to reduce the rate of recidivism. Psychotherapy one of the facility in forensic setting, has been proved as an efficient method in recidivism. Among the various therapies administered on offenders, Cognitive Behavioural Therapy (CBT) includes numerous programs like anger management therapy, moral reconation therapy, reasoning and rehabilitation, soft skill training, substance abuse training, relapse prevention therapy etc. are considered as the important component of the mental health facilities in the prisons, correctional and observation homes with an aim to increase the community re-entry of the offenders. CBT in prison focuses on cognitive functioning and behaviour especially on developing skills for living in harmony with the community and engaging in behaviours that contribute to positive outcomes in society. In the light of the available applications of CBT on forensic population, the heed of this article is to provide an overview of the effectiveness in crime reduction and training the offenders for becoming an acceptable member of the society.

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