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The effectiveness of CBT training on service delivery systems: a benchmarking study

Published online by Cambridge University Press:  19 December 2018

L.M. Hadden ,
M. Groom  and
L. Waddington
L.M. Hadden*
Affiliation:
Cardiff University, School of Psychology, Tower Building, Park Place, Cardiff CF10 3AT
M. Groom
Affiliation:
Burmantofts Health Centre, Cromwell Mount, Leeds LS9 7TA
L. Waddington*
Affiliation:
Cardiff University, School of Psychology, Tower Building, Park Place, Cardiff CF10 3AT
*
*Author for correspondence: L. Waddington, Cardiff University, School of Psychology, Tower Building, Park Place, Cardiff CF10 3AT (email: WaddingtonL1@cardiff.ac.uk)
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Abstract

Wales has not adopted the English IAPT system and has no centralized training plan for developing cognitive behavioural therapy (CBT) in Wales. However, Welsh Government policy expresses an ambition to improve access to evidence-based psychological therapies for people in Wales. This study focuses on one Welsh Health Board's plan to improve access to CBT. The study aims to benchmark support for effective delivery of CBT in the Health Board against NICE and Department of Health standards, and to establish whether the Health Board's plan is succeeding in developing staff capability and access to evidence-based CBT. Mental health staff funded by the Health Board to complete accredited training in CBT were asked to complete an online questionnaire asking about their training, accreditation, use of CBT, and experience of workplace support for delivering CBT. The standards were taken from the Department of Health competency framework for CBT, NICE guidelines and BABCP safety and confidentiality criteria. The Health Board performed well across seven standards of workplace support for the delivery of evidence-based CBT. Staff funded to undertake accredited CBT training continued to develop and to use CBT in their everyday clinical practice. The study indicates that the Health Board is succeeding in offering good standards of workplace support for CBT, including access to accredited CBT training. A recommendation is made that this be shared with other Welsh Health Boards and that a comparable study be undertaken within an IAPT service.

Keywords

cognitive behaviour therapyHealth Boardstaff trainingservice systems
Type
Service Models and Forms of Delivery
Information
the Cognitive Behaviour Therapist , Volume 11 , 2018 , e18
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

Recommended follow-up reading

Jenkins, H, Waddington, L, Thomas, N, Hare, J (2018). Trainees’ experience of cognitive behavioural therapy training: a mixed methods systematic review. the Cognitive Behaviour Therapist 11, e2, 1–22. doi: 10.1017/S1754470X17000253Google Scholar
Waddington, L, Jury, R (2013). Improving access to psychological therapies: a comparison between two devolved nations. the Cognitive Behaviour Therapist 6, e2, 1–13. doi: 10.1017/S1754470X1300007XGoogle Scholar

References

BABCP (2009, 2016). Standards of Conduct, Performance and Ethics in the Practice of Behavioural and Cognitive Psychotherapies. Available at: https://http://www.babcp.com/files/About/BABCP-Standards-of-Conduct-Performance-and-Ethics.pdfGoogle Scholar
British Psychological Society (2009). Code of Ethics and Conduct. Leicester: BPS.Google Scholar
Groom, M, Delgadillo, J (2010). RAISE CBT Audit Tool: Resources and Infrastructure to Support Effective Cognitive Behavioural Therapy. Unpublished manuscript, Leeds, UK.Google Scholar
Layard, R, Clark, DM (2015). Thrive: The Power of Psychological Therapy. London: Penguin.Google Scholar
McManus, F, Westbrrok, D, Vazquez-Montes, M, Fennell, M, Kennerley, H (2010). An evaluation of the effectiveness of the diploma-level training in cognitive behaviour therapy. Behaviour Research and Therapy 48, 1123–1132. doi: 10.1016/j.brat.2010.08.002Google Scholar
National Assembly Wales (2016). Psychological Therapies in Wales: Research Briefing. Available at: http://www.assembly.wales/research%20documents/16-050-psychological-therapies/16-050-web-english.pdfGoogle Scholar
National Psychological Therapies Committee, supported by Public Health Wales (2017) Matrics Cymru: Guidance for Delivery of Evidence-Based Psychological Therapy in Wales. Available at: http://www.1000livesplus.wales.nhs.uk/document/314454Google Scholar
NHS Digital (2017). Psychological therapies: Annual report on the use of IAPT services England, further analyses on 2016–17 (PAS). Available at: https://digital.nhs.uk/data-and-information/publications/statistical/psychological-therapies-annual-reports-on-the-use-of-iapt-services/annual-report-2016-17-further-analyses (accessed 8 August 2018).Google Scholar
NICE (2004). Anxiety: management of anxiety (panic disorder, with or without agoraphobia, and generalized anxiety disorder) in adults in primary, secondary and community care. Available at: http://guidance.nice.org.uk/CG22/guidance/pdf/EnglishGoogle Scholar
NICE (2005a). Obsessive-compulsive disorder: core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder. Available at: http://guidance.nice.org.uk/CG31/guidance/pdf/EnglishGoogle Scholar
NICE (2005b). Management of post-traumatic stress disorder in adults in primary, secondary and community care. Available at: http://guidance.nice.org.uk/CG26/guidance/pdf/EnglishGoogle Scholar
NICE (2009). Depression in adults: recognition and management (update). Available at: https://www.nice.org.uk/guidance/cg90/chapter/1-Guidance#care-of-all-people-with-depressionGoogle Scholar
Policy Implementation Guidance (2012). Psychological Therapies in Wales. WAG. Available at: http://gov.wales/docs/dhss/publications/120326psychologicalen.pdfGoogle Scholar
Psychological Service Management Committee Annual Report (no date). Available at: http://www.wales.nhs.uk/sitesplus/documents/862/Item18bvAppendix4PsychologicalServicesManagementCommitteeAnnualReport.pdfGoogle Scholar
Rakovshik, S.G, McManus, F (2010). Establishing evidence-based training in cognitive behavioral therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review 30, 496–516. doi: 10.1016/j.cpr.2010.03.004Google Scholar
Roth, AD, Pilling, S (2007). The competences required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disorders. Available at: http://webarchive.nationalarchives.gov.uk/20130107105354/http:/www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_078535.pdf (accessed 12 February 2017).Google Scholar
Roth, AD, Pilling, S (2008). Using an evidence-based methodology to identify the competences required to deliver effective cognitive and behavioural therapy for depression and anxiety disorders. Behavioural and Cognitive Psychotherapy 36, 129–147. doi: 10.1017/S1352465808004141Google Scholar
Roth, AD, Pilling, S, Turner, J (2010). Therapist training and supervision in clinical trials: Implications for clinical practice. Behavioural and Cognitive Psychotherapy 38, 291–302. doi: 10.1017/S1352465810000068Google Scholar
van de Mortel, TF (2008). Faking it: social desirability response bias in self-report research. Australian Journal of Advanced Nursing 25, 40–48.Google Scholar
Welsh Assembly Government (2012). Together for Mental Health. Delivery Plan: 2012–16. Available at: http://gov.wales/docs/dhss/publications/121022deliveryen.pdfGoogle Scholar
Welsh Assembly Government (2016). Together for Mental Health. Delivery Plan: 2016–19. Available at: http://gov.wales/docs/dhss/publications/161010deliveryen.pdfGoogle Scholar
Westbrook, D, Sedgwick-Taylor, A, Bennett-Levy, J, Butlet, G, 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, 569–579.Google Scholar
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