Abstract:
BACKGROUND:Improving access to psychological therapies, and in particular cognitive behavioural therapy (CBT), has been a health service priority in England and Wales over the past decade. The delivery of CBT has been limited by a scarcity of resources and further limited by the inequitable geographic distribution of CBT therapists. AIMS:The current study replicates and extends our previous analysis of the geography of British Association of Behavioural and Cognitive Psychotherapies (BABCP) membership (Shapiro, Cavanagh and Lomas, 2003) 10 years later in order to evaluate the progress made in improving equitable access to CBT. METHOD:This paper presents the absolute and comparative geographic distribution of current BABCP members, accredited CBT practitioners, and BABCP members who are nurses or clinical psychologists in England and Wales. RESULTS:Efforts to improve the availability of CBT in England and Wales are reflected in the doubling of total membership, and a 4.5 fold increase in accredited membership over the last 10 years. There is evidence that the magnitude of inequity in the geographic availability of CBT therapists has decreased, but that inequity is still evident. Limitations of using BABCP membership data as a proxy measure of CBT availability are acknowledged. CONCLUSIONS:A five-fold discrepancy in accredited CBT practitioners between the best and least well-served population decile indicates ongoing "postcode availability" of the best qualified CBT practitioners. Possible strategies to improve the availability of CBT and remedy this inequity are discussed.
journal_name
Behav Cogn Psychotherjournal_title
Behavioural and cognitive psychotherapyauthors
Cavanagh Kdoi
10.1017/S1352465813000568subject
Has Abstractpub_date
2014-07-01 00:00:00pages
497-501issue
4eissn
1352-4658issn
1469-1833pii
S1352465813000568journal_volume
42pub_type
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