title: What IAPT CBT High-Intensity Trainees Do After Training.
abstract: BACKGROUND
  The UK Department of Health Improving Access to Psychological Therapies (IAPT) initiative set out to train a large number of therapists in cognitive behaviour therapies (CBT) for depression and anxiety disorders. Little is currently known about the retention of IAPT CBT trainees, or the use of CBT skills acquired on the course in the workplace after training has finished.
  
  
  OBJECTIVE
  This study set out to conduct a follow-up survey of past CBT trainees on the IAPT High Intensity CBT Course at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London (KCL), one of the largest IAPT High Intensity courses in the UK.
  
  
  METHODS
  Past trainees (n = 212) across 6 cohorts (2008-2014 intakes) were contacted and invited to participate in a follow-up survey. A response rate of 92.5% (n = 196) was achieved.
  
  
  RESULTS
  The vast majority of IAPT trainees continue to work in IAPT services posttraining (79%) and to practise CBT as their main therapy modality (94%); 61% have become CBT supervisors. A minority (23%) have progressed to other senior roles in the services. Shortcomings are reported in the use of out-of-office CBT interventions, the use of disorder-specific outcome measures and therapy recordings to inform therapy and supervision.
  
  
  CONCLUSIONS
  Past trainees stay working in IAPT services and continue to use CBT methods taught on the course. Some NICE recommended treatment procedures that are likely to facilitate patients' recovery are not being routinely implemented across IAPT services. The results have implications for the continued roll out of the IAPT programme, and other future large scale training initiatives.
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Sheena
authors.initials: S
authors.lastname: Liness
authors.affiliation: University of Greenwich,London,UK.
authors.forename: Susan
authors.initials: S
authors.lastname: Lea
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Steffen
authors.initials: S
authors.lastname: Nestler
authors.affiliation: Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.
authors.forename: Hannah
authors.initials: H
authors.lastname: Parker
authors.affiliation: University of Oxford,UK.
authors.forename: David M
authors.initials: DM
authors.lastname: Clark
mesh_terms: D000328:Adult; D002321:Career Choice; D015928:Cognitive Behavioral Therapy / Q000193:education* / Q000379:methods / Q000639:trends; D005260:Female; D005500:Follow-Up Studies; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010563:Personnel Turnover; D011613:Psychotherapy / Q000193:education* / Q000379:methods; D011795:Surveys and Questionnaires; D006113:United Kingdom; D000078329:Workforce
keywords: CBT; CBT supervision; CBT training; follow-up