Details

Autor(en) / Beteiligte

• Ruth, Elizabeth,
• Spiers, James,

Titel

A pragmatic guide to low intensity psychological therapy : care in high volume

Ort / Verlag

London, England : Academic Press,

Erscheinungsjahr

[2023]

Link zum Volltext

• Elsevier Books AutoHoldings

Beschreibungen/Notizen

• Includes bibliographical references and index.
• Intro -- Care in High Volume: A Pragmatic Guide to Low Intensity Psychological Therapy -- Copyright -- Dedication -- Contents -- Foreword -- Acknowledgements -- Introduction -- References -- Chapter 1 Low-intensity psychological interventions -- Who are you? -- Low intensity' defined -- Something new -- A bigger picture -- Who are we, and where did we come from? -- Barefoot therapy -- Evolution -- The land before IAPT -- No help -- PHASING -- Self-help -- Bibliotherapy -- Guided self-help -- Self-help resources -- Low-intensity group work -- Graduate Mental Health Workers -- High volume -- NICE -- Stepped care -- Options -- Base or apex -- Who does what? -- Bringing it all together -- Evidence, economics, and serendipity -- Training and competencies -- IAPT into action -- Give me the right lever -- What's in a name? -- Informed consent -- Professional terms -- Outcome measures -- High volume and low intensity -- Outcomes vs experience -- Predictable problems -- Stability -- Really high volume, really not low intensity -- Low-intensity supervision -- Social context -- Expand or exchange? -- Psychological safety -- Gaps in guidelines -- What now? -- References -- Further reading -- Chapter 2 Defining success -- Key aims for this chapter -- IAPT: Debating success -- The business of wellbeing -- Wrong doors -- Right doors -- Locked doors -- Revolving doors -- The journey to IAPT: Kasia's story -- Urban myths: A panacea -- Progressive stepped care -- Stratified stepped care -- Challenges with progressive stepped care in IAPT -- Stepped care: My [un] successful experience -- Evidence for progressive care in IAPT -- Defining success: Low-intensity intervention -- Defining success: Routine outcome measurement -- Psychoeducational groups -- Individual guided self-help -- Re-humanising systems -- References -- Chapter 3 Training and competency.
• Simple and agile -- What makes us different? -- Medication management -- What is in an 'intervention'? -- Self-help material -- Not everybody reads… -- Where book and relationship meet -- Stay in your shipping lane -- A unifying model -- Step-by-step -- On teaching new practitioners -- Training cultures -- Manualised training -- Principles to practice -- Celebrating grace -- The social graces ( Birdsey and Kustner, 2021) -- Assessing competence -- SPSR -- Single-strand versus multi-strand -- Two options for multi-strand work -- Implications for ethical implementation -- Complexity and burnout -- Differences between high-intensity CBT and low-intensity interventions -- What is our model and method? -- Training a profession -- Can training help with burnout? -- Some solutions are worse than the cure -- Don't be common -- Types of practitioner -- The manualised practitioner -- The free for all practitioner -- The reflective practitioner -- Research to practice -- Exclusion -- Manualisation as the first step towards integration -- Problems with 'free-for-all' practice -- Assessment -- The reflective practitioner in action -- An effective course of low-intensity treatment -- Start with an assessment of the presenting problem -- Use supervision -- Choose an intervention -- Keep track of progress -- Incorporate relapse prevention -- Facilitated by the common factor skills -- Reflective space -- References -- Further reading -- Chapter 4 Working with challenging social contexts -- Key aims of this chapter -- Between a clinical rock and a socially hard place -- Assessment challenges in low-income areas -- Social neglect -- Social disorder -- Problems with suitability -- Anger and low-intensity intervention -- Anger and IAPT -- Suitability: People vs systems -- Case study: Tom -- Power and prognosis -- Assessment phase: Tom.
• Second assessment session (treatment session one) -- Complicated maintaining factors: Barriers to change -- Dissociated systems -- Motivation for change -- The human story of anger and shame -- Difficulty containing disclosure -- Reflecting on Tom's case -- Adaptations and flexibility -- Core conditions -- Problems in supervision -- Informed care -- Neglecting and dismissing our own needs as clinicians -- Reflective exercise -- References -- Chapter 5 The role of low-intensity psychological interventions in physical healthcare -- In this chapter -- Part 1: Defining terms and background information -- Long-term health conditions: Context and considerations -- Medically unexplained symptoms -- Terms used in this chapter -- Mental health in physical healthcare -- The IAPT long-term conditions expansion -- NHS planning -- What's a low-intensity practitioner to do? -- Specialisation -- Part 2: Identifying themes in this area of work -- An intersectional lens -- Patient A -- Reflect -- What should we hold in mind? -- Levels of response -- Acute illness compared to chronic illness -- Reflect -- Dual-trained practitioners -- Bridging the gap -- The elephant in the room -- Root or rhizome? -- A breakdown of trust -- The whole person -- The body plays a part -- Culture clash -- Still in our lane -- More complicated anxiety -- Proportionate response -- The circle of care -- Integration -- Part 3: Implementation -- Getting started -- Assessment -- WWIM -- Since you became ill, what has changed…? -- Condition self-management and low-intensity interventions -- Medical management -- Role management -- Emotional management -- In the room -- More aspects of self-management -- Differentiating depression from a physical disability -- Back to basics -- Reflect -- Supplementary interventions -- Acceptance -- Multistrand interventions in LTC -- New ideas -- Pacing.
• Valued activity -- Functional equivalence -- In addition -- On kindness -- Bringing it together -- Limitations -- Step up -- Reciprocal support -- A possible future? -- Outcomes -- What could happen in the future? -- References -- Chapter 6 Working inclusively with gender and sexual diversity -- Being queer -- Reflective learning task -- Construction and deconstruction of LGBT identities in psychotherapy -- Conversion' therapy -- Age as a factor in LGBT experiences -- Social relationships: Power and intersectionality -- Minority stress modelling -- LGBT access and outcomes in mainstream UK psychological services -- Outcomes: Considering therapeutic paradigms -- The journey to therapy as LGBTQ + -- LGBT visibility: Reducing access barriers? -- Affirmative practice -- Active inclusion vs inactive tokenism -- The LGBT champion -- Common fears: Working with gender and sexual diversity -- Case study: David -- Assessment of risk -- Initial impressions -- Adjustments to the service policy -- Session 2: Barriers to engagement (COM-B) -- Five areas: The right here, right now -- Complex problem or complex context? -- Fine-tuning the problem -- Supervision: Fine-tuning the intervention -- Session 3: Selecting materials -- Guided self-help: Standardisation -- Equality of access vs equity of access -- Adaptations in guided self-help -- Deficits vs strengths -- Sessions 4-8: Outcome and ending -- Challenges to the alliance: Therapeutic boundaries -- Reflecting on the work with David -- Summary and reflective task -- Next steps to active inclusive practice -- Reflective questions for individual clinical practice -- References -- Chapter 7 Psychological practitioner wellbeing -- Why wellbeing? -- Mapping the problems -- High-volume, low-intensity work -- Recognition, reward, and respect -- Comparative deprivation -- Complex work -- Not a guru -- Normalising Step 2.5.
• Clinical drift -- Supervision and reflection -- Target driven -- Micromanagement -- Progression frustration -- Consequences -- What are vicarious trauma, compassion fatigue, and burnout? -- Trauma -- Vicarious trauma -- Compassion fatigue -- Burnout -- Sick leave -- Loss of reward -- Complaints and whistleblowing -- Go private? -- Plugging the gaps -- Consequences -- So what are we going to do? -- Understanding interpersonal elements -- Handover -- Acknowledge the burden of responsibility -- Allow some time -- Progressing a career -- Role definition -- Specialisation -- Negotiating targets -- Recognition -- Gaslight … -- Or learn -- Top tips: Do's -- Top tips: Don'ts -- Finally -- There's always room for a sequel -- References -- Chapter 8 Navigating relationships and therapeutic boundaries -- Key aims of this chapter -- Professional boundaries in human services -- The mill pond -- The wing mirror -- Therapist effects -- Challenges with engagement -- Patients who drop out of treatment -- Relational drift -- Therapeutic content and process -- Low-intensity coaches -- Low-intensity psychological practitioners -- The laboratory vs home testing kits -- Clinical drift -- Upward vs downward drift -- Intentionality of drift -- Understanding therapeutic relationships -- Transference and countertransference -- Transference relationship -- Transference -- Countertransference -- Case vignette: Jane -- Navigating ethical relationships in low-intensity practice -- Exiting defensive practice -- The relational dynamics of systems -- Relational challenges in the current IAPT system in England -- Understanding ruptures in systems: Whose anxiety is this? -- Navigating relational boundaries in systems -- The importance of empathic and compassionate relationships -- Key messages -- References -- Chapter 9 Reflecting on interpersonal practice -- Key aims of this chapter.
• Personal motivation for LICBT training.
• Description based on print version record.