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1 results

  • Cognitive–behavioural therapy by psychiatric trainees: can a little knowledge be a good thing?

  • Eric Kelleher, Melissa Hayde, Yvonne Tone, Iulia Dud, Colette Kearns, Mary McGoldrick, Michael McDonough
  • Journal:
    BJPsych Bulletin / Volume 39 / Issue 1 / February 2015
    Published online by Cambridge University Press:
    02 January 2018, pp. 39-44
    Print publication:
    February 2015
    • Article
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  • Aims and method

    To establish the competency of psychiatric trainees in delivering cognitive–behavioural therapy (CBT) to selected cases, following introductory lectures and supervision. Supervisor reports of trainees rotating through a national psychiatric hospital over 8.5 years were reviewed along with revised Cognitive Therapy Scale (CTS-R) ratings where available. Independent t-test was used to compare variables.

    Results

    Structured supervision reports were available for 52 of 55 (95%) trainees. The mean result (4.6, s.d. = 0.9) was at or above the accepted level for competency (≥3) for participating trainees. Available CTS-R ratings (n = 22) supported the supervisor report findings for those particular trainees.

    Clinical implications

    This study indicates that trainees under supervision can provide meaningful clinical interventions when delivering CBT to selected cases. The costs of supervision need to be judged against these clinical gains.