Seeking to improve cognitive behavioural therapy delivery in the NHS through the practical application of outcome predictors and therapist development
PhD Thesis
Brown, D. 2021. Seeking to improve cognitive behavioural therapy delivery in the NHS through the practical application of outcome predictors and therapist development. PhD Thesis Canterbury Christ Church University Salomons Institute of Applied Psychology
Authors | Brown, D. |
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Type | PhD Thesis |
Qualification name | Doctor of Philosophy |
Abstract | The PhD in Professional Practice (Canterbury Christ Church University, 2014) is a service focused research programme, designed to investigate how psychological and research principles can be applied to a practical setting. The programme differs from a traditional PhD programme in that it requires that multiple approaches are taken to research on a common theme, each applying a different theoretical approach or addressing a different aspect of the subject. Within this context, the purpose of this thesis is to investigate the delivery of Cognitive Behavioural Therapy (CBT), within a large National Health Service Mental Health Foundation Trust in the United Kingdom, with a focus on possible ways of making that delivery more effective. Drawing on the author’s experience as a therapist, trainer and leader in CBT services in the aforementioned Trust the thesis focuses primarily (though not exclusively) on the implementation of CBT in the Improving Access to Psychotherapies (IAPT) service that the author came to lead over the course of the PhD programme. The thesis is divided into two distinct sections. Section 1 (Chapters 2 and 3) focuses on the prediction of therapy outcomes for CBT treatment of common anxiety and depressive disorders as may be applied to an IAPT service, and the possible practical applications of these. Chapter 2 is a The client is not the only participant in therapy however and the quality of the therapy provided can also correlate significantly with client outcomes (Simons et al., 2000; Westbrook et al., 2008). In addition to the critical review of literature and investigative research projects, the PhD in Professional Practice requires the completion of two other studies, a smaller scale service related project, designed to improve the quality of services in the author’s field of work, and a more personal study based on their own practice. Section 2 (Chapters 4 and 5) of this thesis incorporates both the service related project and the report of professional practice for this PhD programme. As Section 1 focused on how client predictors f therapy outcome might be utilised to improve the quality of CBT provision, Section 2 addresses the Taken as a whole this thesis addresses the question of how can what we know about the people attending for CBT, and those providing CBT be utilised practically to improve the quality of therapy provided by NHS services. Section 1 asks the question “what do we know about who is likely to benefit from CBT and can we use this to improve the therapy they receive?”, and Section 2 asks “How can we improve the competence of therapists, in the most effective way, without detracting from the service provided?", and “how do we balance the conflicting demands of therapist development and service delivery?”. Taken together it is hoped that this knowledge can be applied to the delivery of CBT services, in order to provide the most clinically effective treatments in the most efficient manner. |
Keywords | Cognitive behavioural therapy delivery ; NHS; Outcome predictors; Therapist development |
Year | 2021 |
File | File Access Level Open |
Supplemental file | File Access Level Restricted |
Publication process dates | |
Deposited | 03 Oct 2023 |
https://repository.canterbury.ac.uk/item/95z07/seeking-to-improve-cognitive-behavioural-therapy-delivery-in-the-nhs-through-the-practical-application-of-outcome-predictors-and-therapist-development
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