Increasing access to psychological therapies for people with psychosis: predictors of successful training.
BACKGROUND
Cognitive behavioural therapy for psychosis (CBTp) is recommended for people with schizophrenia, but routine delivery remains limited. Obstacles to increasing access include inadequate training, organisational support and supervision, resulting in low levels of staff competence and confidence. This study is a preliminary evaluation of a CBTp training programme, designed to overcome these obstacles and to increase routine delivery of competent CBTp.


METHODS
Training outcomes for a pilot group and for the first three cohorts to complete training were analysed to identify predictors of successful completion and of therapy delivery after training.


RESULTS
Objective competence was attained by 37 students (out of 58), who delivered therapy to over 160 service users. Successful completion was associated with previous CBT therapy experience. Delivery after one year was associated with working in a therapy rather than a care co-ordination role.


CONCLUSIONS
The programme succeeded in training therapists to deliver competent therapy. Our results suggest that preliminary training in CBT for other disorders may improve success rates in CBTp. Despite extensive service liaison, delivery remained problematic for care co-ordinators without role change and provision of dedicated time. The findings should inform future implementation strategies.
King's College London, Institute of Psychiatry, PO77 Department of Psychology, University of London, 16 De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Suzanne.Jolley@kcl.ac.uk
Suzanne
S
Jolley
Juliana
J
Onwumere
Elizabeth
E
Kuipers
Tom
T
Craig
Anna
A
Moriarty
Philippa
P
Garety
D000288:Administrative Personnel / Q000523:psychology; D002983:Clinical Competence / Q000592:standards; D015928:Cognitive Behavioral Therapy / Q000193:education* / Q000592:standards; D005500:Follow-Up Studies; D006282:Health Personnel / Q000193:education* / Q000592:standards; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D010865:Pilot Projects; D015397:Program Evaluation; D011618:Psychotic Disorders / Q000628:therapy*; D013337:Students, Medical / Q000523:psychology; D013663:Teaching / Q000458:organization & administration