title: Training the wider workforce in cognitive behavioural self-help: the SPIRIT (Structured Psychosocial InteRventions in Teams) training course.
abstract: BACKGROUND
  The use of Cognitive Behavioural Therapy (CBT) self-help materials for depression is increasingly recommended as part of stepped care service models. Such resources can be delivered by both new specialist workers (such as the IAPT services in England), or by introducing this style of working into an existing workforce as described in the current paper. The Structured Psychosocial InteRventions in Teams (SPIRIT) course consists of 38.5 hours of workshops, and 5 hours of clinical supervision in the use of CBT self-help (CBSH).
  
  
  METHODS
  This study describes an evaluation of the effectiveness of the course when offered to community and inpatient mental health staff from a wide range of adult and older adult mental health teams in NHS Greater Glasgow Mental Health Division.
  
  
  RESULTS
  Training resulted in both subjective and objective knowledge and skills gains at the end of training that were largely sustained 3 months later. At that time point, 40% of staff still reported use of CBSH in the last week. Satisfaction with the training is high, using validated rating scales.
  
  
  CONCLUSIONS
  The SPIRIT training has gone some way to increasing access to CBSH for use in everyday clinical practice.
authors: Centre of Population Health Sciences, College of Medicine, Veterinary and LifeSciences, University of Glasgow, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, UK. Chris.williams@glasgow.ac.uk
authors: Chris
authors: C
authors: Williams
authors: Rebeca
authors: R
authors: Martinez
authors: Rebecca
authors: R
authors: Dafters
authors: Lisa
authors: L
authors: Ronald
authors: Anne
authors: A
authors: Garland
mesh_terms: D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D001291:Attitude of Health Personnel; D015928:Cognitive Behavioral Therapy / Q000193:education*; D003479:Curriculum; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007318:Inservice Training; D008297:Male; D008611:Mentors; D008875:Middle Aged; D010348:Patient Care Team; D011361:Professional Competence; D012606:Scotland; D012648:Self Care / Q000523:psychology*; D011795:Surveys and Questionnaires