Hostname: page-component-848d4c4894-hfldf Total loading time: 0 Render date: 2024-05-17T06:25:25.666Z Has data issue: false hasContentIssue false
  • English
  • Français

The acceptability of cognitive analytic guided self-help in an Improving Access to Psychological Therapies service

Published online by Cambridge University Press:  16 May 2022

Annie Wray ,
Stephen Kellett Open the ORCID record for Stephen Kellett [Opens in a new window] ,
Charlotte Bee ,
Jess Smithies ,
Vikki Aadahl ,
Mel Simmonds-Buckley  and
Colleen McElhatton
Annie Wray
Affiliation:
University of Sheffield, Sheffield, UK
Stephen Kellett*
Affiliation:
University of Sheffield, Sheffield, UK Rotherham Doncaster and South Humber NHS Foundation Trust, UK
Charlotte Bee
Affiliation:
Pennine Care NHS Foundation Trust, UK
Jess Smithies
Affiliation:
Pennine Care NHS Foundation Trust, UK
Vikki Aadahl
Affiliation:
Pennine Care NHS Foundation Trust, UK
Mel Simmonds-Buckley
Affiliation:
University of Sheffield, Sheffield, UK
Colleen McElhatton
Affiliation:
University of Sheffield, Sheffield, UK
*
*Corresponding author. Email: s.kellett@sheffield.ac.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

An Improving Access to Psychological Therapies (IAPT) service in England has implemented cognitive analytic therapy guided self-help (CAT-GSH) alongside cognitive behavioural guided self-help (CBT-GSH) in order to support enhanced patient choice. This study sought to explore the acceptability to psychological wellbeing practitioners (PWPs) of delivering CAT-GSH.

Method:

This study used a qualitative design with semi-structured interviews and associated thematic analysis (TA). A sample of n=12 PWPs experienced in delivering CAT-GSH were interviewed.

Results:

Five over-arching themes (containing 12 subthemes) were identified and conceptually mapped: (a) the past-present focus (made up of working with clients’ pasts and the different type of change work), (b) expanding the treatment offer (from the perspective of PWPs and clients), (c) the time and resources required to effectively deliver CAT-GSH (to enable safe and effective delivery for clients and personal/professional development for PWPs), (d) understanding CAT-GSH (made up of confidence, learning new therapeutic language/concepts and appreciating the difference with CBT-GSH) and (e) joint exploration (made up of therapeutic/supervisory relationships and enhanced collaboration).

Conclusion:

CAT-GSH appears an acceptable (but challenging) approach for PWPs to deliver in IAPT services. Services should prioritise training and supervision for PWPs to ensure good governance of delivery.

Keywords

CATIAPTlow intensityPWPs
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 50 , Issue 5 , September 2022 , pp. 493 - 507
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Association for Cognitive Analytic Therapy (2007). The Psychotherapy File: An Aid to Understanding Ourselves Better. https://internationalcat.org/pdf/ThePsychotherapyFile-inwords.pdf Google Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. https://doi.org/10.1191/1478088706qp063oa CrossRefGoogle Scholar
Braun, V., & Clarke, V. (2013). Successful Qualitative Research: A Practical Guide for Beginners. London, UK: Sage Publications.Google Scholar
Braun, V., & Clarke, V. (2021). Thematic Analysis; A Practical Guide. London, UK: Sage Publications.Google Scholar
Calvert, R., & Kellett, S. (2014). Cognitive analytic therapy: a review of the outcome evidence base for treatment. Psychology and Psychotherapy: Theory, Research and Practice, 87, 253–277. https://doi.org/10.1111/papt.12020 CrossRefGoogle ScholarPubMed
Care Services and Improvement Partnership Choice and Access Team (2008). Improving Access to Psychological Therapies Commissioning Toolkit. https://www.england.nhs.uk/wp-content/uploads/2020/05/iapt-manual-v4.pdf Google Scholar
Cape, J. (2015). Guide to Evaluating Self-Help Guidance Materials for Anxiety Disorders and Depression. https://www.ucl.ac.uk/pals/sites/pals/files/7_guide_to_evaluating_self-help_materials.pdf Google Scholar
Clark, D. M. (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: the IAPT experience. International Review of Psychiatry, 23, 318–327. https://doi.org/10.3109/09540261.2011.606803 CrossRefGoogle ScholarPubMed
Conceicao, S. C. O., Samuel, A., & Yelich Biniecki, S. M. (2017). Using conceptual mapping as a tool for conducting research: an analysis of three approaches. Cogent Social Sciences, 3. doi: 1080/23312886.2017.1404753Google Scholar
Daley, B. J. (2004). Using conceptual maps in qualitative research. Proceedings of the First International Conference on Conceptual Mapping. Pamplona, Spain.Google Scholar
Hallam, C., Simmonds-Buckley, M., Kellett, S., Greenhill, B., & Jones, A. (2021). The acceptability, effectiveness, and durability of cognitive analytic therapy: systematic review and meta-analysis. Psychology and Psychotherapy: Theory, Research and Practice, 94, 8–35. https://doi.org/10.1111/papt.12286 Google ScholarPubMed
Hunsley, J. (1992). Development of the Treatment Acceptability Questionnaire. Journal of Psychopathology and Behavioural Assessment, 14, 55–64. https://doi.org/10.1007/BF00960091 CrossRefGoogle Scholar
Kellett, S., Bee, C., Aadahl, V., Headley, E., & Delgadillo, J. (2021). A pragmatic patient preference trial of cognitive behavioural versus cognitive analytic guided self-help for anxiety disorders. Behavioural and Cognitive Psychotherapy, 49, 104–111. https://doi.org/10.1017/S1352465820000442 CrossRefGoogle Scholar
Long, T., & Johnson, M. (2000). Rigour, reliability and validity in qualitative research. Clinical Effectiveness in Nursing, 4, 30–37. https://doi.org/10.1054/cein.2000.0106 CrossRefGoogle Scholar
Meadows, J., & Kellett, S. (2017). Development and evaluation of cognitive analytic guided self-help for use in IAPT Services. Behavioural and Cognitive Psychotherapy, 45, 266–284. https://doi.org/10.1017/S1352465816000485 CrossRefGoogle ScholarPubMed
Mental Health Taskforce (2016). The Five Year Forward View for Mental Health. https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf Google Scholar
National Health Service (2019). The NHS Long Term Plan. https://www.longtermplan.nhs.uk/wp-content/uploads/2019/08/nhs-long-term-plan-version-1.2.pdf Google Scholar
National Institute for Health and Care Excellence (2009). Depression in Adults: Recognition and Management (NICE Clinical Guideline 90). https://www.nice.org.uk/guidance/cg90 Google Scholar
National Institute for Health and Care Excellence (2011). Generalised Anxiety Disorder and Panic Disorder in Adults: Management (NICE Clinical Guideline 113). https://www.nice.org.uk/guidance/cg113 Google Scholar
National Collaborating Centre for Mental Health (2018). The Improving Access to Psychological Therapies Manual. https://www.england.nhs.uk/wp-content/uploads/2018/06/the-iapt-manual-v5.pdf Google Scholar
Ryle, A. (ed) (1995). Cognitive Analytic Therapy: Developments in Theory and Practice. John Wiley & Sons.Google Scholar
Ryle, A., Kellett, S., Hepple, J., & Calvert, R. (2014). Cognitive analytic therapy at 30. Advances in Psychiatric Treatment, 20, 258–268. https://doi.org/10.1192/apt.bp.113.011817 CrossRefGoogle Scholar
Ryle, A., & Kerr, I. B. (2002). Introducing Cognitive Analytic Therapy: Principles and Practice. John Wiley & Sons. https://doi.org/10.1002/9780470713587 CrossRefGoogle Scholar
Sekhon, M., Cartwright, M., & Frances, J. (2017). Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Services Research, 17. https://doi: 10.1186/s12913-017-2031-8CrossRefGoogle Scholar
Shepherd, M., & Rosairo, M. (2008). Low-intensity workers: lessons learned from supervising primary care mental health workers and dilemmas associated with such roles. Mental Health in Family Medicine, 5, 237.Google ScholarPubMed
Shafran, R., Myles-Hooton, P., Bennett, S., & Öst, L. G. (2021). The concept and definition of low intensity cognitive behaviour therapy. Behaviour Research and Therapy, 138, 103803. doi: 10.1016/j.brat.2021.103803 CrossRefGoogle ScholarPubMed
Swift, J. K., Mullins, R. H., Penix, E. A., Roth, K. L., & Trusty, W. T. (2021). The importance of listening to patient preferences when making mental health care decisions. World Psychiatry, 20, 316–317. doi: 10.1002/wps.20912 CrossRefGoogle ScholarPubMed
Taylor, P. J., Jones, S., Huntley, C. D. & Seddon, C. (2017). What are the key elements of cognitive analytic therapy for psychosis? A Delphi study. Psychology and Psychotherapy: Theory, Research and Practice, 90, 511–529. doi: 10.111/papt.12119 CrossRefGoogle ScholarPubMed
Thompson, A., Donnison, J., Warnock-Parkes, E., Turpin, G., Turner, J., & Kerr, I. B. (2008). Multidisciplinary community mental health team staff’s experience of skill level training in cognitive analytic therapy. International Journal of Mental Health Nursing, 17, 131–137. https://doi: 10.1111/j.1447-0349.2008.00521.x CrossRefGoogle ScholarPubMed
University College London (2015). National Curriculum for the Education of Psychological Wellbeing Practitioners. https://www.ucl.ac.uk/pals/sites/pals/files/pwp_review_-_final_report.pdf Google Scholar
Wakefield, S., Kellett, S., Simmonds-Buckley, M., Stockton, D., Bradbury, A., & Delgadillo, J. (2020). Improving Access to Psychological Therapies (IAPT) in the United Kingdom: a systematic review and meta-analysis of 10-years of practice-based evidence. British Journal of Clinical Psychology, 60, 1–37. https://doi.org/10.1111/bjc.12259 CrossRefGoogle ScholarPubMed
Westwood, S., Morison, L., Allt, J., & Holmes, N. (2017). Predictors of emotional exhaustion, disengagement and burnout among improving access to psychological therapies (IAPT) practitioners. Journal of Mental Health, 26, 172–179. https://doi.org/10.1080/09638237.2016.1276540 CrossRefGoogle ScholarPubMed
Worrell, M., Samuels, R. & Woo, R. (2018). Training high intensity CBT therapists in other modalities of therapy: can we change their minds? Journal of Psychological Therapies, 3, 9–16.Google Scholar
Supplementary material: File

Wray et al. supplementary material

Wray et al. supplementary material

Download Wray et al. supplementary material(File)
File 15.6 KB
Submit a response

Comments

No Comments have been published for this article.