Training In CBT & Other Evidence-Based Psychological Therapies
Introduction
Maximising wellbeing and staying well is a primary aim of people accessing secondary care community mental health services. Ending service contact well, managing worker/service transitions and having confidence in staying well in the longer term brings challenge and also great satisfaction for the individuals themselves and for all those involved in their care. Community transformation of secondary care mental health services has changed the landscape of services and the options available to how we manage people to stay well beyond our involvement. How do we best support individuals to stay well? What is the evidence for this? What does staying well mean for the people we see and their carers?
The event will be equivalent to 2.3/4 hrs of CPD.
Content
Attendees will be encouraged to reflect on their experiences and practice of supporting individuals to stay well after contact with secondary care mental health services. During this workshop participants will revisit some of the fundamental aspect of planning to support people to stay well. This will include understanding the rationale and evidence for their inclusion in treatment delivery and experiment with new ways to maximise the ending of therapy. Consideration will be given to: Practical clinical approaches to planning to staying well; System approaches to reducing cliff edges after intensive support; the use of digital technology; Mindfulness Based Cognitive Therapy (MBCT) in preventing relapse in depression; Peer support; IPS; Trauma informed care; and linkage with the voluntary, community, faith and social enterprise (VCFSE) sector.
Hear accounts from individuals with Severe and Enduring mental Health issues and what helps them to stay well. Also hear accounts from carers and the importance of consideration for carers’ in maintaining positive change.
The overall aim of this workshop is to share useful strategies and promote reflection on practice in order to inspire positive improvements that support people to stay well.
Learning Objectives
You will learn:
• Understand the research evidence relating to staying well/relapse management in secondary care mental health.
• How to incorporate strategies to support the end of therapy.
• How to spot the early warning signs and potential triggers associated with setbacks and relapse
• Consider how community transformation assists people in staying well
Training Modalities
This workshop will include didactic content, as well as experiential exercises with feedback in the chat, polls and Q&A.
Key References
Bighelli, I, Rodolico, A, García-Mieres, H, Pitschel-Walz, G, Hansen, W-P, Schneider-Thoma, J, Siafis, S, Wu, H, Wang, D, Salanti, G, Furukawa, TA, Barbui, C and Leucht, S (2021) Psychosocial and psychological interventions for relapse prevention in schizophrenia: A systematic review and network meta-analysis. Lancet Psychiatry 8(11), 969–980. https://doi.org/10.1016/s2215-0366(21)00243-1.
Buckman, J. E. J., Underwood, A., Clarke, K., Saunders, R., Hollon, S. D., Fearon, P., & Pilling, S. (2018). Risk factors for relapse and recurrence of depression in adults and how they operate: A four-phase systematic review and meta-synthesis. Clinical Psychology Review, 64, 13–38. https://doi.org/10.1016/j.cpr.2018.07.005
Buus, N, Ong, B, Einboden, R, Lennon, E, Mikes-Liu, K, Mayers, S and McCloughen, AJF (2021) Implementing open dialogue approaches: A scoping review. Family Process 60(4), 1117–1133. https://doi.org/10.1111/famp.12695.
Copeland, M.E. (2002) Wellness Recovery Action Plan.USA: Peach Press
Clari, R, Headley, J, Egger, J, Kaaya, S and Baumgartner, JN (2022) Perceived burden and family functioning among informal caregivers of individuals living with schizophrenia in Tanzania: A cross-sectional study. BMC Psychiatry 22, 10. https://doi.org/10.1186/s12888-021-03560-0
Gumley, Andrew. (2007). Staying Well after Psychosis: A Cognitive Interpersonal Approach to Emotional Recovery and Relapse Prevention. Journal of the Norwegian Psychological Association. 44. 2-11.
Witkiewitz, Katie, and Megan Kirouac, 'Relapse Prevention', in Christine Maguth Nezu, and Arthur M. Nezu (eds), The Oxford Handbook of Cognitive and Behavioral Therapies, Oxford Library of Psychology (2015; online edn, Oxford Academic, 2 June 2014), 215-228. https://doi.org/10.1093/oxfordhb/9780199733255.013.31
About the presenter
Steve is the Service Development Lead for the Adult Community Division at Lincolnshire Partnership NHS Trust. Prior to this he was a Clinical lead in NHS Talking Therapies. He advocates for patients accessing evidence based psychological interventions, the development of digital pathways in clinical services and career development pathways in psychological therapies.
Who should attend
The session is focused on secondary care registered professionals: Nurses, Occupational Therapists, and Social Workers.