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Becoming a more mindful practitioner: the effectiveness of a Mindfulness-based CBT course in meeting training needs for clinical staff in adult mental health Urgent Care services

Published online by Cambridge University Press:  08 February 2016

Cate Moorhead ,
Jill Winfield  and
Mark H. Freeston
Cate Moorhead*
Affiliation:
Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle Cognitive and Behavioural Therapies Centre (NCBTC), Newcastle Upon Tyne, UK
Jill Winfield
Affiliation:
Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle Cognitive and Behavioural Therapies Centre (NCBTC), Newcastle Upon Tyne, UK
Mark H. Freeston
Affiliation:
Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle Cognitive and Behavioural Therapies Centre (NCBTC), Newcastle Upon Tyne, UK Newcastle University, Institute of Neuroscience, Ridley Building, Newcastle upon Tyne, UK
*
*Author for correspondence: Mrs C. Moorhead, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle CBT Centre, Benfield House, Walkergate Park, Benfield Road, Newcastle Upon Tyne, UK (email: catemoorhead@gmail.com).
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Abstract

This paper describes a service development which arose from an adult mental health inpatient ward team who wanted to be able to work more effectively to help patients who had major difficulties with emotion regulation. It was proposed that enhancing mindfulness through a Mindfulness-based Cognitive Therapy (MBCT) programme within the core staff team would enhance therapeutic milieu and therefore general outcomes associated with engagement and recovery. The training delivered was an adapted 8-week MBCT programme. A double baseline design was used with measures taken at 1 month before training and immediately before the programme started. Standardized and non-standardized measures were administered at pre-, mid-, post-, and 1-month follow-up points. Workshops and interviews supported the investigation of staff experience and impact of MBCT training. Participants in the training were nursing and occupational therapy staff. The trainer was the first author (C.M.), who is a cognitive behavioural therapist and mindfulness teacher at Newcastle Cognitive and Behavioural Therapies Centre, specializing in emotion regulation and stabilization. Results showed that staff reported a significant increase in mindfulness which had a positive impact upon their wellbeing and perceived ability to respond skilfully to challenging situations at work and at home. Gains were mostly in the first half of training but were maintained to the end and to follow-up. This adapted mindfulness training course appeared to be effective in meeting the need for a group of clinical staff to develop mindfulness. The potential impact upon patient engagement has been identified but further research into this area is indicated.

Keywords

InpatientsMindfulness Cognitive Therapystaff wellbeing
Type
Education and supervision
Information
the Cognitive Behaviour Therapist , Volume 9 , 2016 , e4
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

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References

Recommended follow-up reading

Didonna, F (2009). Mindfulness-based Interventions in an In-patient Setting. New York: Springer.Google Scholar
Kabat-Zinn, J (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness medication: theoretical consideration and preliminary results. General Hospital Psychiatry 4, 33–47 CrossRefGoogle ScholarPubMed
Kabat-Zinn, J (1990). Full Catastrophe Living: How to Cope with Stress, Pain and Illness Using Mindfulness Meditation. New York: Piatkus.Google Scholar
McCown, D, Reibel, D, Micozzi, MS (2010). Teaching Mindfulness: A Practical Guide for Clinicians and Educators. New York: Springer.Google Scholar
Teasdale, JD, Segal, ZV, Williams, JMG (2003). Mindfulness training and problem formulation. Clinical Psychology 102, 157–160.Google Scholar

References

Baer, RA (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice 10, 125–143.Google Scholar
Bishop, SR, Lau, M, Shapiro, S, Carlson, L, Anderson, ND, Carmody, J, Segal, ZV, Abbey, S, Speca, M, Velting, D, Devins, G (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice 11, 230–241.Google Scholar
Bohus, M, Haaf, B, Simms, T, Limberger, MF, Schmaal, C, Unckel, C, Lieb, K, Linehan, MM (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial Behavior Research Therapy 42, 487–499.CrossRefGoogle ScholarPubMed
Carmody, J, Baer, RA (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioural Medicine 31, 23–33.Google Scholar
Chadwick, PDJ, Hughes, S, Russell, D, Russell, I, Dagnan, D (2009). Mindfulness groups for distressing voices and paranoia: a replication and feasibility trial. Behavioural Cognitive Research 37, 403–412.Google Scholar
Chadwick, PDJ, Newman-Taylor, K, Abba, N (2005). Mindfulness groups for people with distressing psychosis Behavioural Cognitive Psychotherapy 33, 351–359.Google Scholar
Cloitre, M, Courtois, CD, Charuvastra, A, Carapezza, R, Stolbach, B, Green, BC (2011). Treatment of complex PTSD: results of the ISTSS expert clinician survey on best practices Journal of Traumatic Stress 24, 615–627.Google Scholar
Connelly, JE (2005). Narrative possibilities: using mindfulness in clinical practice. Perspective in Biology and Medicine 48, 84–94.CrossRefGoogle ScholarPubMed
Didonna, F (2009). Mindfulness-based interventions in an in-patient setting. In Clinical Handbook of Mindfulness (ed. Didonna, F.), pp. 447–462. New York: Springer.CrossRefGoogle Scholar
Germer, CK, Siegal, RD, Fulton, PR (eds) (2005). Mindfulness and Psychotherapy. New York, NY: The Guilford Press.Google Scholar
Gilbert, P (2010). An introduction to compassion focused therapy in cognitive behavior therapy. Journal of Cognitive Psychotherapy 3, 97–112.Google Scholar
Grossman, P (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research 64, 405–408.Google Scholar
Hayes, AM, Feldman, G (2004). Clarifying the construct of mindfulness in the context of emotion regulation and process of change in therapy. Clinical Psychology: Science and Practice 11, 255–262.Google Scholar
Heidenreich, T, Ströhle, G, Michalak, J (2006). Mindfulness: conceptual aspects and results to the Freiburg Mindfulness Inventory [in German]. Verhaltenstherapie 16, 33–40.Google Scholar
Kearney, DJ, McDermott, K, Malte, C, Martinez, M, Simpson, TL (2012). Association of participation in a mindfulness program with measures of PTSD, depression and quality of life in a veteran sample. Journal of Clinical Psychology 68, 100–116.Google Scholar
Kirkpatrick, DL, Kirkpatrick, JD (2000). Evaluating Training Programs: The Four Levels. 3rd edn. San Francisco, CA: Berrett-Koehler.Google Scholar
Leigh, J, Bowen, S, Marlatt, GA (2005). Sprituality, mindfulness and substance abuse. Addictive Behaviors 30, 1335–1341.Google Scholar
Liddell, AE, Meares, KM, Standart, SH, Wood, C, Freeston, MH (2012). The North East Traumatic Stress Centre: Complexity, Treatment and Pathways. Poster presented at the British Association for Behavioural and Cognitive Psychotherapies Conference, Leeds, UK.Google Scholar
Linehan, MM, Schmidt, H, Dimeff, LA, Craft, JC, Kanter, J, Comtois, KA (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. American Journal on Addictions 8, 279–292.Google Scholar
Moorhead, C (2012). Newcastle Mindfulness Training Questionnaire. Newcastle Cognitive and Behavioural Therapies Centre. In-house Training Questionnaires.Google Scholar
Noone, SJ, Hastings, RP (2010). Using acceptance and mindfulness-based workshops with support staff caring for adults with intellectual disabilities. Mindfulness 1, 67–73.Google Scholar
Singh, NN, Lancioni, GE, Winton, ASW, Adkins, AD, Wahler, RG, Sabaawi, M, Singh, J (2007). Individuals with mental illness can control their aggressive behavior through mindfulness training. Behavior Modification 31, 313–328.CrossRefGoogle ScholarPubMed
Singh, NN, Singh, SD, Sabaawi, M, Wahler, RG (2006). Enhancing treatment team process through mindfulness-based mentoring in an inpatient psychiatric hospital. Behavior Modification 30, 423–441.Google Scholar
Standart, SH, Wood, C (2011). The Northeast Traumatic Stress Centre: EMDR and Mindfulness. Paper presented at the 3rd EMDR Autumn Workshop Conference 2011, Finchale Training College.Google Scholar
Voss, C (2011). Hope, Empowerment, Resilience and Outcomes for Carers. Paper presented at the Carers NSW Biennial Conference, Brighton-le-Sands, New South Wales, Australia.Google Scholar
Walach, H, Buchheld, N, Buttenmüller, V, Kleinknecht, N, Schmidt, S (2006). Measuring mindfulness – the Freiburg Mindfulness Inventory (FMI). Personality and Individual Differences 40, 1543–1555.Google Scholar
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