Pub Date : 2024-03-01DOI: 10.53841/bpscpf.2024.1.373.50
Sade-Louise Fergus, Helen Eracleous
Family safeguarding services bring together multi-agency professionals to support children and families. The recruitment of clinical psychologists has led to the further development of psychological interventions to support families. Reflective parenting groups are an evidence-based intervention offered in family safeguarding services which aim to enhance parents’ capacity to reflect on and mentalise their own and their child or children’s thoughts, feelings, behaviours and intentions and thus better equip them to develop positive parenting practices and relationships with their children. The importance of evaluating services is recognised as best practice. This service evaluation aims to explore parents’ experiences of reflective parenting (RP) groups and their perceptions of how useful the groups are in improving parental reflective functioning. The study employed a qualitative design and eight parents recruited through opportunistic sampling completed semi-structured interviews. Results were analysed using thematic analysis which yielded four main themes and eight subthemes. The four main themes identified were: (1) Benefits of RP groups, (2) Barriers to engaging in RP groups, (3) Different perspectives on online groups, (4) The importance of including fathers. The findings suggest that the groups are effective in improving parental reflective functioning and parents identified several benefits which are supported by the current literature. The study highlights areas of improvement which could enhance parents’ experiences such as facilitating safe and collaborative spaces for parents to share their experiences, offering in person as well as online groups and actively engaging more fathers in the groups.
家庭保障服务汇集了多个机构的专业人员，为儿童和家庭提供支持。临床心理学家的招聘促进了心理干预措施的进一步发展，从而为家庭提供支持。反思性养育小组是家庭保障服务中提供的一种以证据为基础的干预措施，旨在提高家长对自己及其子女的思想、情感、行为和意图进行反思和心理化的能力，从而使他们能够更好地发展积极的养育方式以及与子女的关系。评估服务的重要性已被公认为最佳做法。这项服务评估旨在探讨家长参加反思性教养（RP）小组的经历，以及他们对这些小组在提高家长反思功能方面的作用的看法。研究采用了定性设计，通过机会性抽样招募的八位家长完成了半结构化访谈。研究采用主题分析法对结果进行了分析，得出了四个主题和八个次主题。确定的四个主题是(1) RP 小组的益处，(2) 参与 RP 小组的障碍，(3) 对在线小组的不同看法，(4) 父亲参与的重要性。研究结果表明，这些小组能有效改善父母的反思功能，父母们也发现了一些益处，这些益处得到了现有文献的支持。研究强调了可以改善家长体验的领域，如为家长分享经验提供安全和协作的空间，提供面谈和在线小组，以及积极让更多父亲参与到小组中来。
{"title":"Service evaluation of reflective parenting groups: What are parents’ perspectives on the usefulness of RP groups in improving parental mentalisation and reflective functioning?","authors":"Sade-Louise Fergus, Helen Eracleous","doi":"10.53841/bpscpf.2024.1.373.50","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.373.50","url":null,"abstract":"Family safeguarding services bring together multi-agency professionals to support children and families. The recruitment of clinical psychologists has led to the further development of psychological interventions to support families. Reflective parenting groups are an evidence-based intervention offered in family safeguarding services which aim to enhance parents’ capacity to reflect on and mentalise their own and their child or children’s thoughts, feelings, behaviours and intentions and thus better equip them to develop positive parenting practices and relationships with their children. The importance of evaluating services is recognised as best practice. This service evaluation aims to explore parents’ experiences of reflective parenting (RP) groups and their perceptions of how useful the groups are in improving parental reflective functioning. The study employed a qualitative design and eight parents recruited through opportunistic sampling completed semi-structured interviews. Results were analysed using thematic analysis which yielded four main themes and eight subthemes. The four main themes identified were: (1) Benefits of RP groups, (2) Barriers to engaging in RP groups, (3) Different perspectives on online groups, (4) The importance of including fathers. The findings suggest that the groups are effective in improving parental reflective functioning and parents identified several benefits which are supported by the current literature. The study highlights areas of improvement which could enhance parents’ experiences such as facilitating safe and collaborative spaces for parents to share their experiences, offering in person as well as online groups and actively engaging more fathers in the groups.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":" 932","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140092026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.53841/bpscpf.2024.1.373.10
Sharon Pettle
In the following account, the author reflects on her experiences with individuals and families who have used Medically Assisted Reproduction (MAR) in order to create their families. The article covers some of the history of this constantly developing field, the legislation and regulations in the UK, and some of the inherent complexities. She suggests that Clinical Psychologists need to know more about this area, in order to respond appropriately to those they assess and treat, as in all specialties, issues relating to conception may have a relevance to the issues to be addressed.
{"title":"Building families through MAR (medically assisted reproduction), donor conception and surrogacy: Where does this fit into clinical psychology?","authors":"Sharon Pettle","doi":"10.53841/bpscpf.2024.1.373.10","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.373.10","url":null,"abstract":"In the following account, the author reflects on her experiences with individuals and families who have used Medically Assisted Reproduction (MAR) in order to create their families. The article covers some of the history of this constantly developing field, the legislation and regulations in the UK, and some of the inherent complexities. She suggests that Clinical Psychologists need to know more about this area, in order to respond appropriately to those they assess and treat, as in all specialties, issues relating to conception may have a relevance to the issues to be addressed.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":" 417","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140092249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.53841/bpscpf.2024.1.373.22
Carlos Kwei Amartey, Kirsty Harris, Jessica Fox
Policies such as The Perinatal Mental Health Care Pathways document (2018) state mothers and birthing people experiencing psychological difficulties should have timely access to evidence-based psychological therapies. However, psychological distress often goes unidentified in racialised minority women and birthing people who have poorer experiences and outcomes within perinatal contexts compared to White women. Whilst limited research has focused on this within the perinatal period, there is greater recognition concerning how culturally sensitive practices can facilitate equity in care outcomes. This service evaluation aimed to explore racialised minority women’s experiences of psychological intervention within a Perinatal and a Maternal Mental Health Service to evaluate service provision and inform service development. Semi-structured interviews with eight women who accessed psychological intervention were analysed using thematic analysis. Two superordinate themes were constructed, with findings suggesting participants had mostly positive experiences of psychological intervention. Cornerstones of therapeutic engagement comprised six subthemes: empathy, flexibility, the utility of psychological approaches, acknowledging family and community systems, points of difference and cultural context as a ‘spotlight’. This theme encapsulated psychological therapist’s relational and interventional approaches alongside participant preferences which influenced intervention experiences. Therapists were generally experienced as empathic and flexible although some participants desired greater flexibility relating to various practical aspects. Psychological approaches were experienced as beneficial although some wanted greater exploration of childhood trauma and found trauma-focused CBT emotionally demanding. Most participants preferred female therapists due to various socio-cultural reasons and felt systemic factors and their cultural context were acknowledged which enhanced the therapeutic relationship and outcomes where relevant with the inverse also apparent. History repeating itself comprised three subthemes (lack of representation, mistrust of the system and disorientation in help-seeking). This reflected mainly Black participants’ negative healthcare experiences and structural racism. Therapeutic and organisational implications are discussed.
{"title":"Racialised minority women’s experiences of psychological intervention across perinatal and maternal mental health services","authors":"Carlos Kwei Amartey, Kirsty Harris, Jessica Fox","doi":"10.53841/bpscpf.2024.1.373.22","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.373.22","url":null,"abstract":"Policies such as The Perinatal Mental Health Care Pathways document (2018) state mothers and birthing people experiencing psychological difficulties should have timely access to evidence-based psychological therapies. However, psychological distress often goes unidentified in racialised minority women and birthing people who have poorer experiences and outcomes within perinatal contexts compared to White women. Whilst limited research has focused on this within the perinatal period, there is greater recognition concerning how culturally sensitive practices can facilitate equity in care outcomes. This service evaluation aimed to explore racialised minority women’s experiences of psychological intervention within a Perinatal and a Maternal Mental Health Service to evaluate service provision and inform service development. Semi-structured interviews with eight women who accessed psychological intervention were analysed using thematic analysis. Two superordinate themes were constructed, with findings suggesting participants had mostly positive experiences of psychological intervention. Cornerstones of therapeutic engagement comprised six subthemes: empathy, flexibility, the utility of psychological approaches, acknowledging family and community systems, points of difference and cultural context as a ‘spotlight’. This theme encapsulated psychological therapist’s relational and interventional approaches alongside participant preferences which influenced intervention experiences. Therapists were generally experienced as empathic and flexible although some participants desired greater flexibility relating to various practical aspects. Psychological approaches were experienced as beneficial although some wanted greater exploration of childhood trauma and found trauma-focused CBT emotionally demanding. Most participants preferred female therapists due to various socio-cultural reasons and felt systemic factors and their cultural context were acknowledged which enhanced the therapeutic relationship and outcomes where relevant with the inverse also apparent. History repeating itself comprised three subthemes (lack of representation, mistrust of the system and disorientation in help-seeking). This reflected mainly Black participants’ negative healthcare experiences and structural racism. Therapeutic and organisational implications are discussed.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"22 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ethnicity recording within the NHS is vital to gain understanding of local communities and to shape services appropriately. Health inequalities within perinatal mental health services are evident and have been linked to poor outcomes for mothers. Initial ethnic monitoring audits indicated barriers to ethnicity recording. A staff survey to explore staff attitudes to ethnic monitoring was completed within the service. Data was collected using a survey exploring difficulties and attitudes towards ethnicity monitoring. Results revealed themes including time pressures and discomfort with exploring race and culture. Recommendations to improve ethnicity recording and staff confidence included making changes to service procedures, introducing conversations about difference and diversity into teams and developing resources for staff. The service evaluation highlighted the need for clear and regular ethnicity monitoring reporting within the service. It is essential that services understand the different cultural and contextual factors that might influence patient care and that service users receive a high-quality service regardless of their background.
{"title":"A service evaluation exploring ethnic monitoring in a Specialist Perinatal Mental Health service: Barriers and improvement opportunities","authors":"Monique Mathurin, Chidera Okoh, Ramsay Lochhead Devaraj, Eloise Wynter, Rebecca Deegan, Ruth O’Shaughnessy","doi":"10.53841/bpscpf.2024.1.373.35","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.373.35","url":null,"abstract":"Ethnicity recording within the NHS is vital to gain understanding of local communities and to shape services appropriately. Health inequalities within perinatal mental health services are evident and have been linked to poor outcomes for mothers. Initial ethnic monitoring audits indicated barriers to ethnicity recording. A staff survey to explore staff attitudes to ethnic monitoring was completed within the service. Data was collected using a survey exploring difficulties and attitudes towards ethnicity monitoring. Results revealed themes including time pressures and discomfort with exploring race and culture. Recommendations to improve ethnicity recording and staff confidence included making changes to service procedures, introducing conversations about difference and diversity into teams and developing resources for staff. The service evaluation highlighted the need for clear and regular ethnicity monitoring reporting within the service. It is essential that services understand the different cultural and contextual factors that might influence patient care and that service users receive a high-quality service regardless of their background.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":" 931","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140092027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.53841/bpscpf.2024.1.373.59
Lucy Purnell, Liam Gilligan, Francesca Woolgar
Team formulation refers to the ‘process of facilitating a group of professionals to construct a shared understanding of a service user’s difficulties’ (Johnstone & Dallos, 2013, p. 5). This project was conducted at a specialist inpatient CAMHS service for young people under the age of 13 to understand staff views on the usefulness of team formulation and how it could be further developed. The project also assessed the service’s involvement of young people and their parents/carers in formulations following NHS England’s service specification for tier four CAMHS. The study used a sequential mixed methods design. Quantitative data was collected with a questionnaire and analysed, and then qualitative data was collected through focus groups and analysed using reflective thematic analysis. The results were then integrated through triangulation. A high proportion of the staff team took part in the project. Team formulation was reported as generally helpful by staff, especially in developing a shared team understanding and gathering all the information about a young person in one place. Further, staff reported feeling passionate about team formulation, and that it positively impacted their practice. Staff reported difficulties regarding the meeting dynamics and feeling that it is important to involve young people and families in formulations in a different way. The results of this project have inspired discussions about how team formulation is used in the service.
{"title":"Team formulation in a specialist inpatient child and adolescent mental health service: Staff perspectives","authors":"Lucy Purnell, Liam Gilligan, Francesca Woolgar","doi":"10.53841/bpscpf.2024.1.373.59","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.373.59","url":null,"abstract":"Team formulation refers to the ‘process of facilitating a group of professionals to construct a shared understanding of a service user’s difficulties’ (Johnstone & Dallos, 2013, p. 5). This project was conducted at a specialist inpatient CAMHS service for young people under the age of 13 to understand staff views on the usefulness of team formulation and how it could be further developed. The project also assessed the service’s involvement of young people and their parents/carers in formulations following NHS England’s service specification for tier four CAMHS. The study used a sequential mixed methods design. Quantitative data was collected with a questionnaire and analysed, and then qualitative data was collected through focus groups and analysed using reflective thematic analysis. The results were then integrated through triangulation. A high proportion of the staff team took part in the project. Team formulation was reported as generally helpful by staff, especially in developing a shared team understanding and gathering all the information about a young person in one place. Further, staff reported feeling passionate about team formulation, and that it positively impacted their practice. Staff reported difficulties regarding the meeting dynamics and feeling that it is important to involve young people and families in formulations in a different way. The results of this project have inspired discussions about how team formulation is used in the service.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"80 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.53841/bpscpf.2024.1.373.44
Anna Campion, Nikolaos Sarras, Sophie Doswell
This article details the reflection process that arose as a result of our recent experiences with client handover within a national, specialist, adult neurodevelopmental psychology service, following one clinician leaving the service. The departing clinician and the team used this ‘learningfrom experience’ opportunity to collectively reflect on handover with neurodiverse clients, thinking about what went well with the whole process, what could have been done differently and to consider the adaptations that this population may require in order to make handovers as smooth as possible. We have summarised the learning points from these reflections into ‘good practice guidance’ for our own service. Literature on best handover practice is limited, especially with respect to neurodiversity, and given the increasing number of neurodiverse clients accessing local or secondary care services, we are sharing our first-hand experiences in the hope that this may be relevant, helpful and/or stimulate discussion for other services experiencing similar situations.
{"title":"Learning from reflection – good practice in handover with neurodiverse clients","authors":"Anna Campion, Nikolaos Sarras, Sophie Doswell","doi":"10.53841/bpscpf.2024.1.373.44","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.373.44","url":null,"abstract":"This article details the reflection process that arose as a result of our recent experiences with client handover within a national, specialist, adult neurodevelopmental psychology service, following one clinician leaving the service. The departing clinician and the team used this ‘learningfrom experience’ opportunity to collectively reflect on handover with neurodiverse clients, thinking about what went well with the whole process, what could have been done differently and to consider the adaptations that this population may require in order to make handovers as smooth as possible. We have summarised the learning points from these reflections into ‘good practice guidance’ for our own service. Literature on best handover practice is limited, especially with respect to neurodiversity, and given the increasing number of neurodiverse clients accessing local or secondary care services, we are sharing our first-hand experiences in the hope that this may be relevant, helpful and/or stimulate discussion for other services experiencing similar situations.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":" March","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140092782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-14DOI: 10.53841/bpscpf.2024.1.372.16
Catherine Butler, Jenny Cove, Hannah Sherbersky
‘The clinical psychology trainee requires support not only with systemic ideas and their application, but also with the process of transition in which new ideas come into contact with and challenge old assumptions’ (Hill, 2014, p.280)John Burnham (2017) created a quadrant to map out how any situation holds possibilities and draws on/creates resources, but in parallel, problems and restraints need to be considered. This has been our experience of embedding systemic training in a DClinPsy programme. As many DClinPsy programmes now offer, or plan to offer, embedded systemic Foundation and Intermediate courses, we share our learning from Exeter in the hope of supporting others on this journey. We include the voices of trainees who we invited to be part of this article.
{"title":"Embedding systemic training into a DClinPsy programme: The possibilities and restraints","authors":"Catherine Butler, Jenny Cove, Hannah Sherbersky","doi":"10.53841/bpscpf.2024.1.372.16","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.16","url":null,"abstract":"‘The clinical psychology trainee requires support not only with systemic ideas and their application, but also with the process of transition in which new ideas come into contact with and challenge old assumptions’ (Hill, 2014, p.280)John Burnham (2017) created a quadrant to map out how any situation holds possibilities and draws on/creates resources, but in parallel, problems and restraints need to be considered. This has been our experience of embedding systemic training in a DClinPsy programme. As many DClinPsy programmes now offer, or plan to offer, embedded systemic Foundation and Intermediate courses, we share our learning from Exeter in the hope of supporting others on this journey. We include the voices of trainees who we invited to be part of this article.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"160 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140457339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-14DOI: 10.53841/bpscpf.2024.1.372.54
Jenny Coles, Linzi Smeaton, Fiona McKendrick, Kevin Hawkes, Lauren Mawn
PHOTO CREDIT: Anima visualThis paper discusses the development of a systemic family clinic in a Paediatric Health Psychology setting. Appreciative Inquiry (AI) was used in the development of the clinic and to consider future plans. Reviewing the development of the clinic a year on from the AI session we identified the benefits of embedding systemic family work and training strategy within the department. This was enabled by a willingness to lean into uncertainty, clear boundaries, structure and protected time. AI also helped us to look towards growth in the future. We reflect on the process and offer some key learning points that we hope will inspire others in their own service development.
{"title":"Using appreciative inquiry to support the development of a family clinic in a paediatric psychology setting","authors":"Jenny Coles, Linzi Smeaton, Fiona McKendrick, Kevin Hawkes, Lauren Mawn","doi":"10.53841/bpscpf.2024.1.372.54","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.54","url":null,"abstract":"PHOTO CREDIT: Anima visualThis paper discusses the development of a systemic family clinic in a Paediatric Health Psychology setting. Appreciative Inquiry (AI) was used in the development of the clinic and to consider future plans. Reviewing the development of the clinic a year on from the AI session we identified the benefits of embedding systemic family work and training strategy within the department. This was enabled by a willingness to lean into uncertainty, clear boundaries, structure and protected time. AI also helped us to look towards growth in the future. We reflect on the process and offer some key learning points that we hope will inspire others in their own service development.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"66 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-14DOI: 10.53841/bpscpf.2024.1.372.27
Melanie Shepherd
PHOTO CREDIT: Antoni ShkrabaCouple Therapy for Depression (CTfD) is unique being the only NHS Talking Therapies Services (NHSTTS) therapy involving partners. As a couple therapy it is systemic as well as behavioural. CTfD is an effective intervention for both depression and relationship distress and achieves good recovery-rates for depression and anxiety compared with other ‘high-intenstty’ therapies.Delivery of CTfD in NHSTTS is inadequate. Over a third of NHSTTS provide no CTfD. When they do, delivery is so minimal that depressed clients cannot generally access CTfD. Since 2010, 1172 CTfD therapists have been trained yet, in 2021/2, only 1574 couples received CTfD (approximately one couple seen per year per therapist). This is wasteful given the investment of time and money.Constraints affecting delivery e.g. individually-focused organisational culture of NHSTTS, misunderstanding of the role of CTfD therapists, inappropriate referrals, inadequate supervision and delivery on a minimal scale, are discussed and recommendations outlined.Clients deserve genuine choice, staff need support to deliver CTfD effectively, and referral quantity and quality require urgent attention.
{"title":"Do NHS talking therapies services and couple therapy for depression have a relationship problem?","authors":"Melanie Shepherd","doi":"10.53841/bpscpf.2024.1.372.27","DOIUrl":"https://doi.org/10.53841/bpscpf.2024.1.372.27","url":null,"abstract":"PHOTO CREDIT: Antoni ShkrabaCouple Therapy for Depression (CTfD) is unique being the only NHS Talking Therapies Services (NHSTTS) therapy involving partners. As a couple therapy it is systemic as well as behavioural. CTfD is an effective intervention for both depression and relationship distress and achieves good recovery-rates for depression and anxiety compared with other ‘high-intenstty’ therapies.Delivery of CTfD in NHSTTS is inadequate. Over a third of NHSTTS provide no CTfD. When they do, delivery is so minimal that depressed clients cannot generally access CTfD. Since 2010, 1172 CTfD therapists have been trained yet, in 2021/2, only 1574 couples received CTfD (approximately one couple seen per year per therapist). This is wasteful given the investment of time and money.Constraints affecting delivery e.g. individually-focused organisational culture of NHSTTS, misunderstanding of the role of CTfD therapists, inappropriate referrals, inadequate supervision and delivery on a minimal scale, are discussed and recommendations outlined.Clients deserve genuine choice, staff need support to deliver CTfD effectively, and referral quantity and quality require urgent attention.","PeriodicalId":39686,"journal":{"name":"Clinical Psychology Forum","volume":"1173 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：