Abstract:
BACKGROUND:Increasing access to evidence-based talking therapies for people with psychosis is a national health priority. We have piloted a new, "low intensity" (LI) CBT intervention specifically designed to be delivered by frontline mental health staff, following brief training, and with ongoing supervision and support. A pilot feasibility study has demonstrated significant improvement in service user outcomes. This study is a qualitative analysis of the experiences of the staff and service users taking part in the evaluation. AIMS:To evaluate the acceptability of the training protocol and the therapy, and to examine the factors promoting and restraining implementation. METHOD:All trained staff and service users completed a semi-structured interview that was transcribed and subjected to thematic analysis. RESULTS:Service users spoke about learning new skills and achieving their goals. Staff spoke about being able to use a brief, structured intervention to achieve positive outcomes for their clients. Both groups felt that longer, more sophisticated interventions were required to address more complex problems. The positive clinical outcomes motivated therapists to continue using the approach, despite organizational barriers. CONCLUSIONS:For both trained staff and service users, taking part in the study was a positive experience. Staff members' perceived skill development and positive reaction to seeing their clients improve should help to promote implementation. Work is needed to clarify whether and how more complex difficulties should be addressed by frontline staff.
journal_name
Behav Cogn Psychotherjournal_title
Behavioural and cognitive psychotherapyauthors
Waller H,Garety P,Jolley S,Fornells-Ambrojo M,Kuipers E,Onwumere J,Woodall A,Craig Tdoi
10.1017/S1352465813000908subject
Has Abstractpub_date
2015-05-01 00:00:00pages
298-313issue
3eissn
1352-4658issn
1469-1833pii
S1352465813000908journal_volume
43pub_type
杂志文章abstract:BACKGROUND:Group schema therapy is an emerging treatment for personality and other psychiatric disorders. It may be particularly suited to individuals with complex trauma given that early abuse is likely to create maladaptive schemas. AIMS:This pilot study explored the feasibility and effectiveness of a 4-week in-pati...
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journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 临床试验,杂志文章
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pub_type: 临床试验,杂志文章
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更新日期:2019-11-01 00:00:00
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journal_title:Behavioural and cognitive psychotherapy
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更新日期:2009-10-01 00:00:00
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journal_title:Behavioural and cognitive psychotherapy
pub_type: 杂志文章,随机对照试验
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更新日期:2014-09-01 00:00:00
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journal_title:Behavioural and cognitive psychotherapy
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journal_title:Behavioural and cognitive psychotherapy
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更新日期:2015-05-01 00:00:00
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