Is there a role for Psychological Wellbeing Practitioners and Primary Care Mental Health Workers in the delivery of low intensity cognitive behavioural therapy for individuals who self-harm? Journal of Mental Health Training, Education and Practice, The, 2011, Vol. 6 Issue: 4 pp. 165-174
Hayley Williams, – Primary Care Mental Health Worker at Lancashire Care Foundation Trust, Preston, UK
The aim of this paper is to explore how the role of low intensity cognitive behavioural therapy (CBT) could be incorporated as a treatment option for individuals who engage in non-suicidal self-injury. Primary Care Mental Health Workers (PCMHWs) and Psychological Wellbeing Practitioners (PWPs) are employed to assist patients experiencing common mental health problems through CBT-based self-help materials; this is commonly referred to as low intensity CBT.
This article reviews the literature in order to investigate how these workers could incorporate their skills to offer support to those who self-harm as means of coping with psychological distress.
Findings – The findings from this review identify a call for research into the efficacy of low intensity CBT, to enable the dissemination of clear guidance into the treatment of non-suicidal self-injury, considering the role of PWPs and PCMHWs.
Originality/value – At present, there is a lack of guidance into the treatment options for people who participate in non-suicidal self-injury. There is ambiguity into how PWPs and PCMHWs should manage this client base and training courses designed for these workers do not address the issues of self-harm. It is hoped that this article may promote the development of such protocols.
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There are around 200,000 regular serving personnel in the armed forces (HMF), 100,000 of whom are in the Army and 50,000 each in the Royal Navy and RAF. There are around 35,000 personnel in the reserve forces, a significant proportion of whom since 2003 have been deployed on active service alongside the regular forces. The make up of HMF is complex and heterogeneous.There are around 200,000 regular serving personnel in the armed forces (HMF), 100,000 of whom are in the Army and 50,000 each in the Royal Navy and RAF. There are around 35,000 personnel in the reserve forces, a significant proportion of whom since 2003 have been deployed on active service alongside the regular forces. The make up of HMF is complex and heterogeneous. ………..
Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience, International Review of Psychiatry, 2011 Aug;23(4):318-27
University of Oxford , UK
The Improving Access to Psychological Therapies (IAPT) programme is a large-scale initiative that aims to greatly increase the availability of NICE recommended psychological treatment for depression and anxiety disorders within the National Health Service in England. This article describes the background to the programme, the arguments on which it is based, the therapist training scheme, the clinical service model, and a summary of progress to date. At mid-point in a national roll-out of the programme progress is generally in line with expectation, and a large number of people who would not otherwise have had the opportunity to receive evidence-based psychological treatment have accessed, and benefited from, the new IAPT services. Planned future developments and challenges for the programme are briefly described.
Where does mental health nursing fit in primary care? Nursing Times; 2011, 107: 45, 24-25
Jude Caie is mental health nurse therapist, Manchester Mental Health and Social Care Trust, HMP Manchester, Manchester, UK
The introduction of the Improving Access to Psychological Therapies scheme in primary mental health care has raised questions about mental health nurses’ role and function. This article considers some of the key questions around where and indeed whether nursing continues to have a place within primary mental health care.
The remit of Imp
Improving Access to Psychological Therapies (IAPT) is to provide timely and time-limited therapy
New roles in the IAPT framework mean nurses can access new training
Becoming part of the IAPT structure could give mental health nurses the opportunity to have their skills formally recognised
It is up to individual mental health nurses to decide whether they can work within an IAPT model
Nursing must fight to survive and establish its place within a changing healthcare environment
Role Transition from Mental Health Nurse to IAPT High Intensity Psychological Therapist, Behavioural & Cognitive Psychotherapy, early view, 2011
Simon Robinson, Stephen Kellett, Ingrid King and Val Keating
South West Yorkshire Partnership NHS Foundation Trust, UK
Centre for Psychological Services Research, University of Sheffield, and Sheffield Social and Healthcare NHS Foundation Trust, UK
Background: The Improving Access to Psychological Therapies (IAPT) initiative has depended on the training of a new NHS mental health workforce. At step 3 of the stepped care model, capacity building has required the recruitment of a wide range of mental health professionals into high intensity therapists training posts. This shift naturally entails role transition on the part of trainees into delivering cognitive behavioural psychotherapy (CBP), but no previous research has examined the experience of such transitions. Aim: To describe the lived experience of transition from mental health nurse to IAPT high intensity therapist and to identify possible factors which moderate effective role conversions. Method: Six qualified high intensity therapists were interviewed using a semi-structured interview and the subsequent interviews transcribed. Thematic content analysis (TCA) was used to analyze personal accounts of role transition. All participants had previously been mental health nurses and attended the same IAPT high intensity therapist (HIT) training programme. Results: Six key themes were apparent from the TCA. Three interconnected themes concerning supervision (style, impact of approach and historical context) and three additional themes of the challenge of learning a new clinical approach, high need for support, and forming a new psychotherapist identity. Conclusions: Findings suggest supervision is the most important factor in supporting complex psychotherapy role transitions. Clinical supervisors may need to incorporate dedicated time on role and identity shift during CBP training to ensure effective assimilation and transition. Methodological short-comings are identified and discussed.
Talking about Talking Therapies :Thinking and planning about how to make good and accessible talking therapies available to children and young people,March 2011,
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In looking to improve the mental health and wellbeing of children and young people, the Department of Health (DH) established a three year programme to ensure improved access to a range of psychological therapies for them. The DH tasked YoungMinds to support children and young people’s participation in the programme.
The intended outcomes are: • Improved well being and mental health for children and young people with both mild and severe symptoms accessing CAMH Services in the widest definition e.g. including statutory, third and private sectors. • Transformed services: achieving organisational change based on increased awareness and response to the voice and influence of children and young people as service users.
The first stage from February and March 2011 involved five stages. • First, top ten questions were identified as being critical to describing the journey from the end result of improved outcomes all the way back to the initial commissioning. • Second, a desk top review called “What do we know already?” was undertaken based on these top ten questions. It included a guided conversation with the National Advisory Council meeting with young people. The review is included later in this report. • Third, the top ten questions were given to children and young people who use mental health services to share their reflections. 25 young people filled in the questionnaire themselves or by phone. These are found later in this report. • Fourth and drawing on the above, the Big Event was held, supported by three organisations, b-eat, Platform 51 and YoungMinds. 20 young people as experts by experience took part, along with ten workers, including DH colleagues leading on the Improving Access to Psychological Therapies programme. Details are included below.