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How Do Trainees Rate the Impact of a Short Cognitive Behavioural Training Programme on their Knowledge and Skills?

Published online by Cambridge University Press:  21 June 2013

Michael Duffy*
Affiliation:
Queen's University, Belfast, Northern Ireland
Kate Gillespie
Affiliation:
CT Training, Dublin, Republic of Ireland
James O’Shea
Affiliation:
Health Service Executive, Southern Region, Waterford, Republic of Ireland
*
Reprint requests to Michael Duffy, School of Sociology, Social Policy and Social Work, 6 College Park, Belfast BT7 1LP, N. Ireland. E-mail: [email protected]

Abstract

Background: A strong evidence base for cognitive behavioural therapy has led to CBT models becoming available within mainstream mental health services. As the concept of stepped care develops, new less intensive mental health interventions such as guided self-help are emerging, delivered by staff not trained to the level of accredited Cognitive Behavioural Therapists. Aim: The aim of this study was to determine how mental health staff evaluated the usefulness of a short training programme in CBT concepts, models and techniques for routine clinical practice. Method: A cohort of mental health staff (n = 102) completed pre- and posttraining self-report questionnaires measuring trainee perceptions of the impact of a short training programme on knowledge and skills. Mentors and managers were also asked to comment on perceived impact of the training. Results: Trainees and mentors reported perceived gains in knowledge and skills posttraining and at 1-year follow-up. Managers and trainees reported perceived improvements in skills and practice. Conclusion: A short Cognitive Behavioural skills programme can enable mental health staff to integrate basic CB knowledge and skills into routine clinical practice.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Beck, J. S. (1995). Cognitive Therapy: basics and beyond. London: Guilford Press.Google Scholar
Bennet-Levy, J., McManus, F., Westling, B. E. and Fennell, M. (2009). Acquiring and refining CBT skills and competencies: which training methods are perceived to be most effective? Behavioural and Cognitive Psychotherapy, 37, 571583.CrossRefGoogle Scholar
Brosan, L., Reynolds, S. and Moore, R. G. (2008). Self-evaluation of cognitive therapy performance: do therapists know how competent they are? Behavioural and Cognitive Psychotherapy, 36, 581587.CrossRefGoogle Scholar
Coffman, S. J., Martell, C. R., Dimidjian, S., Gallop, R. and Hollon, S. D. (2007). Extreme nonresponse in cognitive therapy: can behavioural activation succeed where cognitive therapy fails? Journal of Consulting and Clinical Psychology, 75, 531541.CrossRefGoogle ScholarPubMed
DHSSPS (2009). A Strategy for the Development of Psychological Therapy Services. Belfast: Department of Health Social Services and Public Safety.Google Scholar
Government of Ireland (2006). A Vision for Change: report of the expert group on mental health policy. Dublin: Mental Health Commission.Google Scholar
Grey, N., Salkovskis, P., Quigley, A., Clark, D. M. and Ehlers, A. (2008). Dissemination of cognitive therapy for panic disorder in primary care. Behavioural and Cognitive Psychotherapy, 36, 509520.CrossRefGoogle ScholarPubMed
HSE (2012). A Vision for Psychiatric/Mental Health Nursing: a shared journey for mental health care in Ireland. Dublin: Health Service Executive.Google Scholar
King, M., Davidson, O., Taylor, F., Haines, A., Sharp, D. and Turner, R. (2002). Effectiveness of teaching general practitioners skills in brief cognitive behaviour therapy to treat patients with depression: randomised controlled trial. British Medical Journal, 324, 947952.CrossRefGoogle ScholarPubMed
Kolb, D. A. (1984). Experiential Learning: experience as the source of learning and development. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Lopez, M. A. and Basco, M. R. (2010). Feasibility of dissemination of cognitive behavioral therapy to Texas community mental health centers, Journal of Behavioral Health Services & Research, 38, 91104.Google Scholar
Lovell, K. and Richards, D. (2000). Multiple Access Points and Levels of Entry (MAPLE): ensuring choice, accessibility and equity for CBT services. Behavioural and Cognitive Psychotherapy, 28, 379391.CrossRefGoogle Scholar
Milne, D. L., Baker, C., Blackburn, James, I. and Reichelt, K. (1999). Effectiveness of cognitive therapy training. Journal of Behavior Therapy and Experimental Psychiatry, 30, 8192.Google Scholar
NICE (2004a). Depression: management of depression in primary and secondary care. CG 23. London: National Institute for Clinical Evidence. Downloaded from http://www.nice.org.uk/CG23.Google Scholar
NICE (2004b). Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care. CG 22. London. National Institute for Clinical Excellence. Downloaded from http://www.nice.org.uk/CG22.Google Scholar
NICE (2009). Depression: the treatment and management of depression in adults (update). CG90. London: National Institute for Clinical Excellence. Downloaded from http://www.nice.org.uk/CG90.Google Scholar
Rakovshik, S. and McManus, F. (2010). Establishing evidence-based training in cognitive behavioural therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review, 30, 496516.Google Scholar
Rose, R. D., Lang, A. J., Welch, S. S., Campbell-Sills, L., Chavira, D. A., Sullivan, G., et al. (2011). Training primary care staff to deliver a computer-assisted cognitive-behavioral therapy program for anxiety disorders, General Hospital Psychiatry, 33, 336342.CrossRefGoogle ScholarPubMed
Roth, A. D. and Pilling, S. (2008). Using an evidence-based methodology to identify the competencies required to deliver effective cognitive and behavioural therapy for depression and anxiety disorders. Behavioural and Cognitive Psychotherapy, 36, 129147.CrossRefGoogle Scholar
Trepka, C., Rees, A., Shapiro, D., Hardy, G. and Barkham, M. (2004). Therapist competence and outcome of cognitive therapy for depression. Cognitive Therapy and Research, 10, 1930.Google Scholar
Westbrook, D., McManus, F., Clark, G. and Bennet-Levy, J. (2012). Preliminary evaluation of an online training package in cognitive behaviour therapy: satisfaction ratings and impact on knowledge and confidence. Behavioural and Cognitive Psychotherapy, 40, 481490.CrossRefGoogle ScholarPubMed
Westbrook, D., Sedgwick-Taylor, A., Bennett-Levy, J., Butler, G. and McManus, F. (2008). A pilot evaluation of a brief CBT training course: impact on trainees’ satisfaction, clinical skills and patient outcomes. Behavioural and Cognitive Psychotherapy, 36, 569579.Google Scholar
Williams, C. J. (2009). Overcoming Depression and Low Mood: a five areas approach (3rd edn). London: Hodder Arnold.Google Scholar
Williams, C., Martinez, R., Dafters, R. and Ronald, L. (2011). Training the wider workforce in cognitive behavioural self-help: the SPIRIT (Structured Psychosocial InteRventions in Teams) training course. Behavioural and Cognitive Psychotherapy, 39, 139149.Google Scholar
Williams, C., Morrison, J., Wilson, P., McMahon, A., Walker, A., Allan, L., et al. (2007). An evaluation of the effectiveness of structured cognitive behavioural therapy self-help materials delivered by a self-help support worker within primary care. Chief Scientist Office Study Report.Google Scholar
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