Developing access to psychological therapies. Dr Kay Macdonald Director of Therapies. Content. Background to psychological therapies training plan Whole systems design : governance structure through to training plan and delivery Training plan :
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Dr Kay Macdonald
Director of Therapies
governance structure through to training plan and delivery
specific examples of roll-out (CBT and Personality Disorders
problems and pitfalls
- National policy/ agenda / IAPT
- Trust business plan
- Development of specialist services / service redesign/p.care
(10 high impact changes/vocational strategy/job centre plus)
(multiprofessional agenda / CNO review of nursing
capacity to deliver on the agenda/A4C/KSF/NWW/Skills for health)
- Governance framework - safe and effective practice
- Performance indicators as a measure of success!!
- in eclectic therapies
- in specialist interventions
and service managers aware of the impact of training on meeting service needs
Aim: to embed training into clinical practice
Increasing profile of psychological therapies
- governance / management structures
Care pathway : - service design: seeing right people at right time
- ensuring staff have skills at required appropriate point
in care pathway
- general approach : stepped model of care
- skill mix of staff / new ways of working/ new roles
- skills development of existing staff
- support and supervision networks
The most effective services will be those that: Have a clear and defined leadership structure
The most effective services will be those that: Find ways to involve service users and carers.
Three major elements :
1. Psychological therapies Questionnaire all clinical staff
2. Stakeholder groups
3. Review of current training
Therapy types being practiced:
Provision of Therapy
TYPE A - General psychotherapeutic skills that are provided in primary care, secondary and tertiary care and are part of the basic mental health skills for all practitioners. General psychotherapeutic skills are delivered within a uni-disciplinary care package and would be informed by both generic and formal psychotherapeutic approaches
TYPE B - A complete stand alone psychological treatment intervention informed by a range of different models tailored to individual goals. Service users could be referred for a specific Type B psychological therapy directly or as a component of CPA. Individuals who had undertaken further training in a specific therapy model would provide these therapies.
TYPE C - A complete stand alone delineated psychotherapeutic intervention based upon clear theoretical underpinnings with implications for the use of different interventions to achieve different aims. The provider would be formally trained in approaches such as CBT, CAT, psychoanalytic and/or systemic therapies. Again, service users could be referred directly or as a component of CPA.
Individual learning outcomes
Service related outcomes
training, research and consultation skills
Module 6: Working with complex problems
Module 5:Practice Development: Utilising skills within teams, understanding research, developing supervision skills
Module 4:CBT applied to specific client group
(psychosis/ ED/ OCD/ trauma etc.)
Module 3:Development of CBT therapeutic skills including assessment, formulation, intervention, discharge and evaluation
Module 2: The development of basic CBTconcepts and skills to enhance work, case discussion, role-play and reflective practice
Module 1: Application of CBT theory: appreciation of the relationship between thinking and emotion and how this informs understanding of mental health problems and their treatment.
All New Staff
The definitions are for guidance.
On occasion a practitioner may not fit neatly into this system of classification. In these instances factor such as length and breath of supervised experience should be taken into account in determining practitioner type
Type A practitioner
Type B practitioner
Type C practitioner.
The approach has been national / regional and local
Involving all relevant clinical staff (including reception staff)