Using an Evidence-Based Methodology to Identify the Competences Required to Deliver Effective Cognitive and Behavioural Therapy for Depression and Anxiety Disorders

Roth, Anthony; Pilling, Stephen

doi:10.1017/s1352465808004141

Cited by 335 publications

(465 citation statements)

References 22 publications

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“…Within the context of Cognitive Behavioural Therapies (CBT), Roth and Pilling (2007) identify five key domains of competence required to deliver effective treatment. One domain reflects generic therapeutic competences, such as knowledge of mental health and patient engagement.…”

mentioning

confidence: 99%

Development and psychometric evaluation of the Assessment of Core CBT Skills (ACCS): An observation-based tool for assessing cognitive behavioral therapy competence.

Muse¹,

McManus²,

Rakovshik³

et al. 2017

Psychological Assessment

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This paper outlines the development and psychometric evaluation of the Assessment of Core CBT Skills (ACCS) rating scale. The ACCS aims to provide a novel assessment framework to deliver formative and summative feedback regarding therapists' performance within observed cognitive-behavioural treatment sessions, and for therapists to rate and reflect on their own performance. Findings from three studies are outlined: 1) a feedback study (N = 66) examining content validity, face validity and usability, 2) a focus group (N = 9) evaluating usability and utility, and 3) an evaluation of the psychometric properties of the ACCS in 'real world' CBT training and routine clinical practice contexts.Results suggest that the ACCS has good face validity, content validity, and usability and provides a user-friendly tool that is useful for promoting self-reflection and providing formative feedback. Scores on both the self and assessor-rated versions of the ACCS demonstrate good internal consistency, inter-rater reliability, and discriminant validity. In addition, ACCS scores were found to be correlated with, but distinct from the Revised Cognitive Therapy Scale (CTS-R) and were comparable to CTS-R scores in terms of internal consistency and discriminant validity. Additionally, the ACCS may have advantages over the CTS-R in terms of inter-rater reliability of scores. The studies also provided insight into areas for refinement and a number of modifications were undertaken to improve the scale. In summary, the ACCS is an appropriate and useful measure of CBT competence that can be used to promote self-reflection and provide therapists with formative and summative feedback.

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mentioning

confidence: 99%

Development and psychometric evaluation of the Assessment of Core CBT Skills (ACCS): An observation-based tool for assessing cognitive behavioral therapy competence.

Muse¹,

McManus²,

Rakovshik³

et al. 2017

Psychological Assessment

View full text Add to dashboard Cite

show abstract

“…We did this with reference to the distinction made between high-and low-intensity therapies, as commonly used in training and competency frameworks (e.g. increasing access to psychological therapies, IAPT; Roth & Pilling, 2008). As the clinical psychology role was funded halftime, PJ could be directly involved in delivering groups on 2 days a week.…”

Section: Developing the Programmementioning

confidence: 99%

‘Give us something to do’: reflections on running a group therapy programme

Jacobsen¹,

Clark

2016

Mental Health Practice

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People on inpatient psychiatric wards often report feeling bored, and say that they would like access to therapy groups on the ward to help aid their recovery. However, there are many challenges to providing groups on wards, including lack of staff with the requisite time and expertise. This paper describes how a therapy group programme was designed and implemented on a psychiatric triage ward. The group programme was psychology-led, with involvement from the nursing team as cofacilitators. Challenges and opportunities arising from this approach are discussed, with some suggestions for areas of research and practice warranting further exploration.

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“…Roth and Pilling (2008) use the term "competence" for a therapist's ability to deliver a specific intervention. Basic competences for any therapist include forming a relationship, negotiating a therapy contract, accurately empathizing with a client's experience, or accurately reflecting it back.…”

Section: Competences and Metacompetencesmentioning

confidence: 99%

“…It is increasingly recognized that clinicians need specialized competences relevant to the kind of problem clients present with (Roth & Pilling, 2008). Within the broad domain of CBT, it is not enough for a therapist to have a generic training.…”

Section: Competences and Metacompetencesmentioning

confidence: 99%

Treating Posttraumatic Stress Disorder in South Africa: An Integrative Model Grounded in Case-Based Research

Edwards

2010

PCSP

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The article presents a model for formulating and planning treatment for post-traumatic stress disorder (PTSD) in South Africa derived from the existing literature and in conjunction with a review of a series of studies of cases treated using the guidelines of Ehlers and Clark's cognitive therapy. It is argued that the construction of psychotherapies (or even components of psychotherapy) for PTSD in terms of traditional categories ("psychodynamic", "cognitive-behavioural", "narrative" etc.) is misleading and unhelpful. Instead, superordinate concepts derived from thinking about evidence-based practice provide a more grounded focus on the practical issues faced by therapists treating PTSD. These concepts, which include competences and metcacompetences, therapist responsiveness, stages of therapy and case formulation, provide a basis for a genuinely integrative approach. The proposed model suggests seven broad areas of clinical focus for work with PTSD which can be arranged at three levels of priority: level 1 crisis intervention and stabilization; level 2 promoting engagement with treatment, and level 3 selection, sequencing and timing of active treatment interventions. Material from the case series is used to illustrate the application of the model.

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Using an Evidence-Based Methodology to Identify the Competences Required to Deliver Effective Cognitive and Behavioural Therapy for Depression and Anxiety Disorders

Cited by 335 publications

References 22 publications

Development and psychometric evaluation of the Assessment of Core CBT Skills (ACCS): An observation-based tool for assessing cognitive behavioral therapy competence.

Development and psychometric evaluation of the Assessment of Core CBT Skills (ACCS): An observation-based tool for assessing cognitive behavioral therapy competence.

‘Give us something to do’: reflections on running a group therapy programme

Treating Posttraumatic Stress Disorder in South Africa: An Integrative Model Grounded in Case-Based Research

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