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Cognitive behavioural psychotherapy graduates in Ireland: a follow-up survey of graduates from an Irish university

Published online by Cambridge University Press:  24 October 2014

Fionnula MacLiam
Fionnula MacLiam*
Affiliation:
Department of Psychiatry, Trinity College Dublin, Dublin, Ireland HSE Mental Health Dublin South East, Baggot St Community Hospital, Dublin, Ireland
*
*Address for correspondence: F. MacLiam, Mental Health Out Patient Department, Baggot St Community Hospital, Dublin 4, Ireland. (Email: fmacliam@iol.ie)
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Abstract

Background

Training in cognitive behavioural psychotherapy (CBT) is expensive both for the students and their funding bodies.

Objectives

It is important to know how graduates of CBT courses are putting their skills to use, and whether they are continuously updating those skills to achieve best practice. We also wanted to discover the similarities and differences between CBT trainees in the United Kingdom and in the Republic of Ireland (courses in the United Kingdom being analogous to those in Ireland in content and participants).

Method

An internet survey, derived from previous postal questionnaires, was used to enquire into the practice, experience, and continuing professional development of graduates from the CBT courses at Trinity College Dublin.

Results

Most MDT professions were represented in the graduates, preponderantly psychiatrists and mental health nurses, but also including social workers and occupational therapists. Most participants believed that the course had enhanced their careers, and almost half had changed job since graduating. Half said that CBT was now the main focus of their job, but others reported lack of resources, funding, time, and other duties impeded their ability to conduct CBT with clients. However, most participants engaged in continuous professional development regarding CBT, and received CBT clinical supervision.

Discussion

There was a difference in the proportion of the different professions undertaking this course compared with the United Kingdom and our response rate here was significantly lower. As in UK surveys, participants who may have been supported and funded to undertake the training may not afterwards be supported in implementing their skills in the workplace. The broader implications of this are discussed.

Keywords

CBTcognitive behavioural psychotherapygraduatesIrelandsupervisionsurveytraining
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 32 , Issue 2 , June 2015 , pp. 187 - 195
Copyright
© College of Psychiatrists of Ireland 2014 

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References

Ashworth, P, Williams, C, Blackburn, I-M (1999). What becomes of cognitive therapy trainees? A survey of trainees’ opinions and current clinical practice after postgraduate cognitive therapy training. Behavioural & Cognitive Psychotherapy 27, 267–277.CrossRefGoogle Scholar
Braithwaite, D, Emery, J, De Lusignan, S, Sutton, S (2003). Using the internet to conduct surveys of health professionals: a valid alternative? Family Practice 20, 545–551.Google Scholar
Cook, C, Heath, F, Thompson, RL (2000). A meta-analysis of response rates in web- or Internet-based surveys Educational and Psychological Measurement 60, 821–826.CrossRefGoogle Scholar
Couper, MP (2000). Web surveys: a review of issues and approaches. Public Opinion Quarterly 64, 464–494.CrossRefGoogle ScholarPubMed
Crowe, F (2008). How Effective is Cognitive Therapy Training? A Survey of Participants in a Two Year Masters Course. University College Cork: Cork.Google Scholar
Davidson, K (2004). Advanced CBT Training in Scotland: A NES Sponsored Study (unpublished).Google Scholar
Department of Health and Children (2006). A Vision for Change: Report of the Expert Group on Mental Health Policy. Department Health and Children: Dublin.Google Scholar
Dillman, DA, Phelps, G, Torora, R, Swift, K, Kohrell, J, Berck, J, Messer, BL (2009). Response rate and measurement differences in mixedmode surveys using mail, telephone, interactive voice response (IVR) and the internet. Social Science Research 38, 1–18.Google Scholar
Ginsberg, G, Marks, I (1977). Costs and benefits of behavioural psychotherapy: a pilot study of neurotics treated by nurse-therapists. Psychological Medicine 28, 685–700.CrossRefGoogle Scholar
Gournay, K (2000). Nurses as therapists (1972–2000). Behavioural & Cognitive Psychotherapy 28, 369–377.Google Scholar
Gournay, K, Denford, L, Parr, A-M, Neewell, R (2000). British nurses in behavioural psychotherapy: a 25 year follow up. Journal of Advanced Nursing 32, 343–351.Google Scholar
Hoffmann, SG, Asnaani, A, Vonk Imke, JJ, Sawyer, AT, Fang, A (2012). The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognitive Therapy Research 36 437–440, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584580/accessed 29 July 2014.Google Scholar
Hull, AM, Swan, J (2003). A survey of psychiatrists completing a CBT diploma course. Behavioural & Cognitive Psychotherapy 31, 467–471.Google Scholar
Kaplowitz, MD, Hadlock, TD, Levine, R (2004). A comparison of web and mail survey response rates. Public Opinion Quarterly 68, 94–101.Google Scholar
Layard, R, Clark, D (2014). Thrive: The Power of Evidence-Based Psychological Therapies. Allen Lane: London.Google Scholar
Lefevre, P, Goldbeck, R (2001). CBT: a survey of the training, practice and views of Scottish consultant psychiatrists. Psychiatric Bulletin 25, 425–428.Google Scholar
Mannix, KA, Blackburn, IV, Garland, A, Gracie, J, Moorey, S, Reid, B, Standart, S, Scott, J (2006). Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners. Palliative Medicine 20, 579–584.CrossRefGoogle ScholarPubMed
Marks, I (1985). Controlled trial of psychiatric nurse therapists in primary care. British Medical Journal (Clin Res Ed) 290, 1181–1184.Google Scholar
Marks, I, Connolly, J, Hallam, R (1973). Psychiatric nurse as therapist. British Medical Journal 3, 156–160.Google Scholar
Mavis, BE (2005). Graduate Follow-up Surveys are a Good Idea. http://www.facs.org/education/rap/mavis.html. Accessed 10 June 2010.Google Scholar
Newell, R, Gournay, K (1994). British nurses in behavioural psychotherapy: a 20-year follow-up. Journal of Advanced Nursing 20, 53–60.Google Scholar
Ryan, D, Cullinan, V, Quayle, E (2005). A survey of trainees' opinions and current clinical practice after behaviour therapy training. Journal of Psychiatric & Mental Health Nursing 12, 199–208.Google Scholar
Swift, G, Durkin, I, Beuster, C (2004). Cognitive therapy training for psychiatrists: impact on individual clinical practice. Psychiatric Bulletin 28, 117–119.Google Scholar
Townend, M, Ianetta, L, Freeston, MH (2002). Clinical supervision in practice: a survey of UK cognitive behavioural psychotherapists accredited by the BABCP. Behavioural and Cognitive Psychotherapy 30, 485–500.Google Scholar
Waller, G (2009). Evidence-based treatment and therapist drift. Behaviour Research and Therapy 47, 119–127.Google Scholar
Whitfield, G, Connolly, M, Davidson, A, Williams, C (2006). Use of CBT skills among trained psychiatrists. Psychiatric Bulletin 30, 58–60.Google Scholar
World Bank (2014). World Development Indicators, Internet Users as a Proportion of the Population, Ireland. World Bank; 2010 [updated 7th May 2010; cited 2010 11th June]; available at http://www.google.com/publicdata?ds=wb-wdi&met=it_net_user_p2&idim=country:IRL&dl=en&hl=en&q=internet+usage+in+ireland.Google Scholar