allán laville is senior pwp clinical educator in the ... · volume 43 number 3 | september 2015 on...

Volume 43 Number 3 | September 2015

On qualifying as a PWP in 2010, I realised that the optionsas a qualified PWP were limited. First of all, very few, if anyqualified PWPs were delivering supervision to traineePWPs. Secondly, there was some room for qualified PWPsto work in a specialist area; however, these opportunitieswere few and far between. Thirdly, there was very littlepost-qualification training, so this left qualified PWPsfeeling frustrated and that they had ‘reached the ceiling’ asfar as the PWP role was concerned.

At that time, the Senior PWP role was in its infancy andvery few posts existed. The result of this was that many ofmy fellow PWPs left the role to complete other clinical orCBT training. However, the picture now in 2015 is far fromwhat I experienced upon qualifying in 2010.

Continued on page 3

“ ”What can I do once I have

qualified as a PWP?

Allán Laville is Senior PWP Clinical Educator in the Charlie Waller Institute at the University of Reading, andhas trained over 200 PWPs since 2011. As an advocate of the PWP role, he explains how far the position hasdeveloped in that time

CBT Today | September 20152

CBT Today is the official magazine of the BritishAssociation for Behavioural & CognitivePsychotherapies, the lead organisation for CBT in theUK and Ireland. The magazine is published fourtimes a year and posted free to all members.Back issues can be downloaded fromwww.babcp.com/cbttoday.

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DisclaimerThe views and opinions expressed in this issue ofCBT Today are those of the individual contributors,and do not necessarily reflect the views of BABCP, itsTrustees or employees.

Next deadline9.00am on 26 October 2015 (for distribution weekcommencing 27 November 2015)

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© Copyright 2015 by the British Association forBehavioural & Cognitive Psychotherapies unlessotherwise indicated. No part of this publication maybe reproduced, stored in a retrieval system nortransmitted by electronic, mechanical, photocopying,recordings or otherwise, without the prior permissionof the copyright owner.

Volume 43 Number 3September 2015

Managing EditorPeter Elliott

Associate EditorPatricia Murphy

Editorial ConsultantStephen Gregson

ContributorsJaime Delgadillo, Kayleigh Hopkins, Allán Laville,Patricia Murphy, Eoin O’Shea, Sophie Pratt

InsideInside4 ‘Coercive’ therapy proposals

for job centresThe BABCP Board responds to reports oftreatment being provided in job centres

6 Prestigious award for GuernseyCBT therapistsPatricia Murphy speaks with Michelle Ayres and Carol Vivyan about their ground-breaking work in Guernsey

8 Healing hidden wounds BABCP-accredited PWP Kayleigh Hopkins talks about her work with military veterans and their families

11 Message from the PresidentRob Newell looks ahead to his second year asBABCP President

16 Unmissable opportunitySophie Pratt reflects on the benefits ofplacements during study

17 the Cognitive Behavioural Therapist –call for papersSpecial issue planned for 2016

ALSO IN THIS ISSUE:10 Welcome back to the Board

12 Jolly good Fellows

14 In the company of the Becks

15 International recognition for CBT pioneer

18 Doing the rights thing

20 Northern IAPT Practice Research Network

20 Delivering and augmenting CBT with technology

22 Accreditation enquiries

Correction The previous issue of CBT Today wasincorrectly labelled as Volume 44, instead of Volume 43.CBT Today apologies for any confusion caused. Pleasenote that the electronic version of the previous issue,found on the BABCP website, has been amended to showthe correct volume number.

“ ”CBT Today | September 2015 3

Many trainee PWPs are now beingsupervised by a qualified PWP. This isseen in the number of qualified PWPscompleting supervisor training withus and the impact of this is two-fold.Firstly, the supervisor has worked or isworking at low intensity so they arefamiliar with this approach. This isimportant so to ensure fidelity to theevidence-base and to avoid ‘mediumintensity’ drift.

Secondly, after receiving supervisionfrom a qualified PWP, trainee PWPsare motivated to complete supervisortraining after their initial PWPtraining. This serves as a good way todevelop a qualified PWP as well asretaining the workforce.

Within the initial PWP training, manyareas of diversity are covered. In fact,the current PWP curriculum containsan entire module on diversity issues.The main areas reviewed are workingwith long-term conditions,interpreters, culture and diversity,older adults, gender and sexuality. Inpractice, qualified PWPs are nowbeing provided with moreopportunities to work within aspecialist area and to develop theirknowledge and understanding.

This is dependent on the service thePWP is based in, however specialistareas such as veterans, medicallyunexplained symptoms, offenders,perinatal care, and learning disabilityare becoming part of the PWP role.From the conversations I have hadwith both trainee and qualified PWPs,the opportunity to work in aspecialist area is regarded asinteresting, motivating and an

excellent opportunity to developwithin the PWP role. It is alwaysencouraging to hear PWPs tell methey are aware of how they candevelop within the role and that theydo not necessarily have to retrain.

The provision of post-qualificationtraining for PWPs has also improvedover the past five years. Oneconstraint of the current PWPcurriculum is the limited number ofdays for the intervention teaching. Inresponse to this, post-qualificationtraining has aimed to develop thePWP’s skills in conducting treatmentinterventions.

As far back as 2011, post-qualificationtraining for Behavioural Experimentshas been offered nationally. Morerecently, post-qualification trainingfor using worry techniques for GAD aswell as Exposure and ResponsePrevention for OCD have also beendelivered. All PWPs will be workingwith GAD at Step 2 and so thistraining supports PWPs to use worrymanagement techniques.

This is important so the PWP feelsconfident and competent in thetreatment of GAD. All PWPs will beassessing for OCD with some Step 2services also requiring PWPs to treatmild OCD. The training of ERP forPWPs is crucial for the treatment ofOCD at Step 2 and is the centralintervention within the 2005 NICEguidance.

Another area for post-qualificationtraining is working with sleepdifficulties or insomnia. The currentcurriculum does offer training on

Sleep Hygiene; however, this post-qualification training aims to developPWPs’ understanding of how sleepdifficulties can impact on anindividual’s wellbeing. Collectively, thisrange of post-qualification training isimportant to support qualified PWPsto develop within the role.

Back in 2010, the Senior PWP role wasonly beginning to come intoexistence. The Senior PWP role,dependent on service, offers qualifiedPWPs to have a managerial/supervisory role within the PWPworkforce. This role often includesdelivering Case Management, ClinicalSkills and line managementsupervision. This is in addition to theclinical or specialist areacommitments of a qualified PWP.

In recent years, with the increase ofSenior PWP roles, some services haveintroduced the Lead PWP role, whichhas greater managerial responsibilitythan a Senior PWP. In addition, theLead PWP is often involved in thestrategic development of the PWPteam. These two roles support thecareer progression of qualified PWPsand provide a pathway to holdingeither a Band 6 (Senior PWP) or Band7 (Lead PWP) role.

The areas discussed here highlighthow PWPs can be supported todevelop within their role. It is ofparamount importance that PWPs areprovided with these opportunities inorder to address the current issueswith retention.

What can I do once I have qualified as a PWP?Continued from page 1

The PWP role has come a long way since I completedtraining in 2010 and exciting developments for PWPsare happening all the time!

@ALaville10


Statement from the Board

‘Coercive’ therapyproposals for jobcentresWe note recent suggestions in various articles that the proposal to site 350 IAPT therapists in job centresmight lead to a coercive approach to unemployed claimants and an attempt to attribute joblessness to the individual attitudes of claimants

It is also noted that claimants will beoffered online CBT to increase their‘employability’. Subsequentcommunications on Twitter haveasked what BABCP’s view of theseissues might be.

BABCP is not aware of the specificsof how CBT is to be offered in these settings.

However, the position of BABCP’sBoard of Trustees is that BABCP isagainst any offer of any treatment(including CBT) based on coercion orassociated with unfair ordisproportionate inducements.

This applies to whether CBTinterventions are offered as part oftherapy, research, or in any othercontext (for example, corporatetraining/development).

Coercion is defined by BABCP as thethreat of punishment, and unfair anddisproportionate inducements aredefined by us as rewards forparticipation which are such that anindividual is pressurised by theextent or form of the inducement to

accept an offer which they wouldotherwise refuse.

BABCP does not have a blanket policyon the offer of CBT in any particularsetting, including Job Centres, norwith any reasonable aim, such asincreasing people’s fitness for work orany other activity.

However, it is BABCP’s view that such anoffer must be made in response to anidentified need for intervention wherethe person involved freely expresses adesire for such intervention.

BABCP recognises that individualsmay have personal needs which willhinder them in finding jobs and forwhich CBT may be useful.

Naturally, BABCP expects suchinterventions to be evidence basedand offered by a delivery methodwhich is likewise supported byevidence of success.

Such interventions should be basedon the needs of the individual. BABCPsupports the rights of people to haveadequate access to effective

interventions which will help themlive all aspects of their lives, includingemployment.

Similarly, people have the right toadequate and appropriateassessment of their personal needs inhelping them find work, includingpsychological assessment.

Results of any assessment, includingpsychological assessment andassessment for suitability for CBTshould not be used coercively.

BABCP does not recognise thevalidity or applicability of generalisedpsychological explanations of socialissues such as joblessness.

Unfortunately, the evidence so fargathered by the Department ofHealth in partnership with theDepartment for Work and Pensionspublished in An Evaluation of the ‘IPSin IAPT’ Psychological Wellbeing andWork Feasibility pilot clearly indicatesthat much more work in the form of alarger pilot is required before theprogramme is rolled out.

Furthermore, there is currentlyinsufficient evidence to indicatewhether it is effective and suchevidence as there is indicatessignificant problems with thestructure and implementation of the programme.

President Rob Newell, ElectedMember Steve Flatt, and LayMember Bill Davidson, on behalf of the BABCP Board of Trustees“ ”

It is BABCP’s view that such an offer must bemade in response to an identified need forintervention where the person involved freelyexpresses a desire for such intervention

CBT Today | September 2015 5

The 2015 Annual Conference inWarwick has passed in the nowtraditional burst of hot weather.

A preliminary look at the feedbacktells us that there were lots of positivecomments about the content anddiversity of the meeting, with a lot ofpeople saying how happy they werewith the balance of clinical and

research content. We are grateful toall those who submitted theexceptionally large number of papers,posters, workshops, skills classes,clinical round tables and more. Wehad an embarrassment of riches fromwhich to choose.

Now the Scientific Committee beginsplanning for next year, and we hope

2016 Annual Conferencegoes to Belfast

14 -16 June 2016

Full details will soon be forthcoming. However, there will be some differences next year, so here is what you need toknow now:

1. The meeting will be in Belfast next year. If that detersyou, then check flights, because they are cheaper than alot of train fares when we hold the meeting on themainland. Belfast is a fabulous place, and if you havenever been there then you are missing a great city.

2. The venue is a conference hall which is a five-minutetaxi ride from the George Best Belfast City Airport, and ashort stroll from the city centre, so there will be noisolation from the centre of town.

3. The accommodation will be in local hotels, rather thanstudent halls, so apologies to those who love to bereminded of their student days.

4. The dates will be in June 2016. There are several reasons– particularly the availability of the venue. However, wehave had repeated requests over the years that weshould have some meetings in school term time to aidchild cover, so this is a chance for all the requesters toget to a Conference. We normally cannot do this,because university venues host graduation ceremoniesin the weeks we would like to be there, but this is achance to find out if more people can attend theConference if we hold it at this time of year.

5. Because the meeting is a month earlier in 2016, the callfor papers and deadlines for submissions is earlier too.The closing date for Workshops, Clinical Skills Classesand Symposia is Friday 6 November. As always, freshideas from new presenters are welcome.

The closing date for Workshops, Clinical Skills Classes andSymposia is Friday 6 November

www.babcpconference.com

you will make our job just as difficultnext time. Let’s see those submissions,and the more we can encourage fromnew people, the better.

So if you are sat there thinking ‘Icould do that’, then give it a go. Thesubmission portal is open now, with aclosing date of 6 November 2015, soget your submissions in!

Notifications about dates and details of the venue will follow by email and post, and you can always check up via thewebsite. Looking forward to seeing you in Belfast.

Glenn WallerChair, Scientific Committee


Prestigious award forGuernsey CBT therapistsThis year Guernsey-based Michelle Ayres and Carol Vivyan were named by the British Journal of Nursingas Mental Health Nurses of the Year. CBT Today Associate Editor Patricia Murphy spoke with them abouttheir innovative work on the island of Guernsey that brought them this award

Both Michelle and Carol - each withthree decades of mental health workexperience - are BABCP accreditedCBT therapists with a background inmental health nursing.

This year they were named MentalHealth Nurses of the Year by theBritish Journal of Nursing for theirinnovative work in mental health careand particularly their handbook, TheDecider, which blends CBT andDialectical Behaviour Therapy (DBT)techniques.

The Decider was developed inresponse to an identified need in

Guernsey’s adult mental healthservices to provide treatment optionsfor patients where impulsivity wasassessed as being problematic.

As a fully comprehensive DBT serviceis expensive and impractical for thekinds of smaller service found inGuernsey to commission, in 2010Michelle and Carol were tasked withdeveloping a programme for clientswho presented with impulse disorders.

Michelle explained its genesis further:‘Our thinking was shaped followingfeedback from an initial pilot group ofclients who told us about their

experiences in mental health servicesincluding what they had foundhelpful and what had been less so.The evidence base for the project wasinformed by CBT and DBT; inparticular, Beck, Ellis, Padesky, Youngand Linehan.

‘DBT is probably the best knownempirically validated therapy forborderline personality disorder andwe felt that the original intensiveformat, which can be difficult forservices to provide, could be adapted.Other studies have found that DBTskills groups can be useful where fullDBT is unavailable.

Michelle Ayres and Carol Vivyan receiving their British Journal of Nursing Mental Health Nurse of the Year Award 2015,presented at Shakespeare’s Underglobe in March 2015


‘By bringing aspects of these twoevidence-based therapies together,we were able to introduce a new CBTand DBT informed Skills Group to ouradult mental health service. Boththerapy approaches recognise thevalue of developing effective life skillsfor complex presentations.’

The Decider consists of clienthandouts and a therapist manualwhich provides detailed explanationsfor the clinician on how to presenteach skill as part of a structured12-session group. The client is able toutilise a reference card showingpictures each of which relate to each‘decider skill’. Clear pictorial images onthe card summarise the 32 CBT andDBT skill sets.

Clinicians can adapt the skills to suitindividuals or client groups. Bydrawing on their knowledge of theclient, they are able to demonstrateand model skill sets to ensure thatthe manual is tailored to individualclient needs.

There is regular training in Guernseyfor all mental health staff and clientgroups are run twice a year. These arefacilitated by mental health staff fromdifferent disciplines. Clients are alsoable to attend a monthly graduategroup after completion.

Michelle and Carol also facilitateworkshops in the UK, Ireland andRomania. In order to bring the skillstraining to life, there is a strongemphasis on therapist modelling and,having witnessed Carol and Michellein action, I can testify that effectiveuse of The Decider requires energy,action and conviction, and ispresented in a fun and engaging way.

Presenting the skills as crediblerequires a willingness by the therapistto demonstrate alternativebehaviours, and a sense of playfulnessand good humour are essentialrequisites. It is unsurprising thatfollowing such a rigorous workoutMichelle reports that many therapiststestify to an increase in their ownteaching confidence and clinical skills.

Whilst The Decider is being usedextensively in adult mental healthservices in Guernsey, it has also beenadapted for use by other servicesettings on the island. The potentialto modify and adapt this teaching aidfor children and young people hasbeen recognised by the pair whohave been spurred on by feedbackfrom staff and patients routinelycommenting,‘I wish I had beentaught these skills when I was young!’

This desire to improve thepsychological wellbeing of the youngis timely. Child and adolescentservices are in crisis. NHS spendinghas been cut and fallen in England bynearly £50m since 2010, while therehas been a steep increase in self-harm and inpatient admissions.

The duo recognise that pre-emptiveapproaches to improving thepsychological wellbeing of the youngcan help prevent emotional problemsdeveloping in later life. In response,they have developed a simplifiedversion of The Decider for use inschools and youth groups for childrenaged 8 to 11 years.

The pair have conducted a pilot studyof their work with 50 clients and thefindings have recently beensubmitted for publication. In addition

they are currently conducting a pilotstudy in a Guernsey girls’ school andthe local Les Nicolles Prison hasintroduced The Decider as part oftheir rehabilitation programme. It isalso being used by staff from theYouth Commission and Children andYoung People’s Services.

Their decision to collaborate hasclearly paid dividends, and theenthusiasm and passiondemonstrated in their work iscontagious. They have overcome alack of resources, apathy and roleconstraints and have always kept theclient at the centre of what they do.

Carol said: ‘The Decider has almostdeveloped a life of its own. Weencourage clinicians to be creativewith our work and we get greatfeedback from them about theirsuccess and ideas.’

One of the key messages embeddedin the life skills training remindsparticipants: ‘If you always do whatyou always did you’ll always get whatyou always got’. I doubt Michelle andCarol could ever be accused of that.

More information can be obtained atwww.thedecider.org.uk

“ ”This desire to improve the psychological wellbeing ofthe young is timely. Child and adolescent services arein crisis. NHS spending has been cut and fallen inEngland by nearly £50m since 2010, while there hasbeen a steep increase in self-harm and inpatientadmissions


One of the aims of the Help forHeroes charity is to help militaryveterans who have encountereddifficulties with their mentalhealth, which a recent study hasshown is twice more likely tooccur with this population thanthe national average. KayleighHopkins (pictured above) is aPWP working for the charity’sHidden Wounds service. HereKayleigh talks about her rolewith the service

As an undergraduate I set my sightson working towards a Doctorate inClinical Psychology and spent theyears after my study working indifferent mental health services.

Two years after graduating I wasinvolved in the setting up of a newIAPT service in Bristol and worked asan Assistant Psychology Practitioner.It was while I was in this role that Ibecame aware of the position of aPWP. This was something that reallysparked my interest, as the idea ofworking with fidelity to an evidencebase meant that the treatmentswould develop and evolve as a resultof research, and that I would be ableto actively keep up with theseadvances. I was also keen on the ideaof providing guided self-help andseeing people develop their own

understanding of the treatments withtheir lives improving as a result.

I successfully applied for a trainingposition with the NHS service I wasworking for at the time. This meant Iwould spend two days a week eitherat the University of Exeter or studyingfor just under a year. I continued towork in the NHS for six months aftergaining my qualification, when I wasmade aware of the position availableat Help for Heroes, working as part of the team delivering their newHidden Wounds psychologicalwellbeing service.

Initially I was somewhat resistant tothis change, as I had worked at theNHS since graduating and feltcompelled to stay with theconventional PWP pathway. However,

“ ”I was also keen on the idea of providing guided self-helpand seeing people develop their own understanding of thetreatments with their lives improving as a result

Helping to heal hidden wounds


the opportunity to work for such aninspiring charity and to help shape aground-breaking new service was notone to be missed.

Hidden Wounds was created as apurely Step 2, low intensity, evidence-based service, providing support forveterans, their families and thefamilies of those currently serving.The idea of providing support to theArmed Forces is something that I amvery passionate about, so this reallyappealed to me on a personal level.

The military community is notoriouslyhard to reach when it comes tomental health support, although ourbeneficiaries have long been tellingus that there is a need for it. Often,the problems they are presentingwith are very similar to those faced bythe general population but it is thecontext within which support isprovided that differs.

As a team we are at the forefront ofdevelopment, working with theUniversity of Exeter to identify andassist in the introduction of newinterventions to support veteranswith the variety of mental healthissues they experience.

I am aware that the support weprovide could feed into nationalresearch into supporting the militarypopulation, which is a really excitingprospect. This research could lead todevelopments and hopefullyimprovement being made in currentservices, hopefully resulting in areduction in stigma around mentalhealth. This is something I feel is atrue positive, as this will only help

To find out more about the Hidden Wounds service, visitwww.helpforheroes.org.uk/hidden-wounds

“ ”The whole charity buzzes with excitement andadventure, and you feel an instant desire to be involvedand test your own personal limits

smooth the transition of servicepersonnel into civilian life and helpfamilies feel supported too.I quickly learnt that working for Helpfor Heroes would mean that I becamemuch more than a PWP. The wholecharity buzzes with excitement andadventure, and you feel an instantdesire to be involved and test yourown personal limits.

Prior to leaving the NHS I had beenworking towards becoming a BABCPAccredited PWP and this was notsomething I felt I wanted to give upon. Initially this was difficult giventhat I was now a part of a service thatwas neither NHS nor a part of IAPT.

After some discussion and supportfrom the University of Exeter, I wasgranted my accreditation and amproud to be the first PWP to beaccredited outside of the NHS or IAPT.


Welcome to the Board

Professor ChrisWilliams waselected unopposedto the role ofPresident Elect,which he will holduntil he takes over

from Professor Rob Newell as BABCPPresident after next year's AnnualGeneral Meeting. This is a return tothe Board for Chris, who was BABCPPresident in 2001-2.

Chris said: ‘It is an honour to have theopportunity to be BABCP Presidentfor the second time. I am reallylooking forward to working with RobNewell, Ross White and the widerBABCP Board and team over the nextfour years. There are lots to do as theCBT approach grows.

‘We also need to maintain a focus on

people - not just BABCP members butespecially those we work with - sothat BABCP as an organisation helpsmore people gain access to evidence-based and hopefully life-changing help’.

Gerry McErlane was elected foranother three-year term as HonoraryTreasurer.

There were also two Elected Membervacancies up for election. Thesuccessful candidates were GillianTodd and Tom Reeves.

With over 35 years of mental healthexperience, Gillian is currentlyemployed as a Senior Lecturer andDirector of CBT in the Department ofClinical Psychology, Norwich MedicalSchool. This involves being CourseDirector for two PostgraduateDiploma Courses in CBT, one of which

is for High Intensity Therapist - IAPTtraining, and the organisation of CBTCPD through annual advanced CBTworkshop series.

She is also a BABCP AccreditedPractitioner, Supervisor and Trainerand, more recently, was appointed asa BABCP Ambassador.

Tom is a registered mental healthnurse who has worked almost threedecades in the NHS and, for the last 16years, as a Cognitive BehaviouralPsychotherapist in adult mental health.

He has also worked in education,teaching and supervising onDoctorate courses, CBT diploma anddegree courses, and IAPT. Tom iswidely known within the BABCPgrassroots, particularly as an activecommittee member of his localBranch, North East and Cumbria.

More recently, he has been involvedat a national level within BABCP. Hecurrently chairs the CommunicationsCommittee and previously chairedthe Branch Liaison Committee.

backV

BABCP members were presented with a selection of candidates at this year's election for the Board of Trustees.This was the first competitive election since 2011.The election also saw the return of some familiar faces

New Board Trustees Gillian Todd andTom Reeves


Message from the PresidentAs he begins the second year of his two-year term, BABCP President Rob Newell writes aboutthe changes in personnel and the plans moving forward on the Board

Since I wrote in this magazine lastDecember to introduce myself asBABCP President, it seems like a lothas happened, and it has been anexciting year. My first pleasant duty isto thank departing Trustees andwelcome new ones.

Chris Cullen is well known to BABCP,having spent a good many years asChair of BABCP’s Conduct Committee,before being a Trustee for the pastyear. His wise counsel will be greatlymissed. Trudie Chalder has completedher term as President Elect, Presidentand Past President, but will continueto be involved with us through herwork on the Scientific and ConferenceCommittees. I have referred before toTrudie’s great work as President andpersonal support for me, but I didn’twant to let the opportunity go tothank her again.

This year we welcome Chris Williamsas President Elect, in what I believe isa first for BABCP, in that Chris haspreviously served in this capacity,albeit some years ago. I look forwardvery much to working with him in thefuture, especially since his work indisseminating cognitive-behaviouralapproaches fits so well with ourcurrent aims as an organisation toincrease the public face of CBT.

Tom Reeves is well known to themembership through his work withBranches and Special Interest Groups(SIGs), whilst Gill Todd has previouslybeen a BABCP Ambassador. Tom andGill have been elected as Boardmembers and we as a Board lookforward to their experience andexpertise. Finally, Gerry McErlane hasbeen re-elected to serve a furtherterm as Honorary Treasurer.

During the past year, BABCP has beenactive in pressing for the appropriateapplication of CBT during a time ofcontinuing economic challenge, and Inoted our activity in BABCP’s AnnualReport. Members will be aware of two

particular issues; the possibility thatusers of our services are receivingtreatment to a suboptimal level, andthe possibility that CBT might beapplied under circumstances ofcoercion.

In the first case, BABCP members raisedthe issue of inappropriate decision-making regarding how CBT wasoffered. This revolved around theimposition of arbitrary numbers oftreatment sessions. BABCP respondedwith a statement based on the notionof clinical autonomy in response toindividual need, and we saw a verywelcome joint letter from NormanLamb and David Clark to IAPT Clinicaland Service Leads addressing the issue.

Concerning possible coercion, Ishould stress that this is an issuewhich is by no means evidenced asyet. However, it has been raised byBABCP members, academics and alsoin the press. Essentially, thecontroversy concerns the proposedsiting of IAPT therapists in jobcentres.It has been suggested by somecommentators that people claimingbenefits may be offered CBTinterventions in some conditionalway which amounts to coercion.

Should this happen, such anapproach to therapy and to people isdeplorable, and BABCP has issued astatement - which is published in fullin this issue - reaffirming ouropposition to the offer of anyintervention in the context ofcoercion or inappropriateinducement. At the same time, thisafforded us the opportunity both tosupport the right of people to accessappropriate, evidenced interventionswhere they wish it, and to deny thevalidity of wholesale explanations ofsocial issues such as joblessness interms of purported individualpsychological difficulties.

For me these two matters emphasisethe need for increased public

awareness of CBT, since such anincrease in awareness is a key factorin securing protection for the publicfrom any possible inappropriate useof therapy – only through awarenesscan a large scale defence of theintegrity of therapy be initiated. Ibelieve BABCP has a key role to playin this, and we will continue to seekreal public involvement in our work.The Board has asked that each Branchand SIG considers how it willappropriately involve the lay public inits activities. At Board level, we willseek to enrol more lay people, eitheras co-opted or elected members.

As a result of CBT’s increasingly highprofile in the provision ofpsychological therapy, we are oftenasked to participate in high leveldiscussions in a range of forums.Partly as a result of this, we will belooking at making a seniorappointment of someone with a CBTbackground who can drive forwardthe involvement of BABCP at anational level, both through regularpromotion of CBT in key political andclinical arenas and throughinvolvement of lay groups with aninterest in CBT. This appointment isimportant to us because other majortherapy organisations all have thecapacity to give this kind of regularinput, whilst we rely on the goodwilland availability of members. We willconsult you as a membership on thisappointment as it develops, and Iinvite you warmly to contact me withcomments at [email protected].

Finally, our office staff and membersin the Branches and SIGs do afantastic job, and I thank them onbehalf of the Board for all their hardwork. I look forward to working withyou in the coming year.


Jolly good Fellows At the BABCP AGM held on 23 July during the Annual Conference at the University of Warwick, President RobNewell announced this year’s five recipients of the Honorary Fellowship in recognition of distinguished serviceto the Association and the CBT community as a whole

Dr Roger Baker's honour is inrecognition of his contribution to theearly establishment of behaviourtherapy and, more recently, to thedevelopment and practice of CBT inthe UK, as a practitioner, researcher,author and trainer. He was one of thefirst psychologists in the UK to usebehaviour modification withschizophrenic patients, in particularimplementing innovative tokeneconomy approaches that helpedpatients' health and functioning, aswell as developing the standing ofthe emerging field of behaviourtherapy within the NHS.

Later developments in CBT weresignificantly informed by his work,not only in terms of credibility butalso in bringing hope to patients andtheir families in the treatment of whathad previously been seen asintractable conditions.

Dr Baker's work has moved with thetimes and, over the last 25 years, hehas investigated, taught and publishedhis work, in both academic and self-help formats, on emotional processingin panic disorder and PTSD.

Within the Association, Dr Baker hasbeen involved from the outset,helping to lay the foundations for thenow thriving BABCP.

Professor Chris Brannigan, who hasalso received an Honorary Fellowship,has been an Association membersince its foundation in 1972 and has

contributed his time and efforts tofurthering the objectives of theorganisation and CBT continuouslysince then.

In his professional life, ProfessorBrannigan has been involved in childand adolescent psychology, havingtaught, researched and held honoraryposts in the UK as well as Africa, Asia,Australia, North America and variousEuropean countries. He has acted asan organisational consultant withinthe European Union and worked withseveral UK Government agencies andcommercial organisations. He iscurrently Professor Emeritus inPsychotherapy at the University ofDerby.

Professor Brannigan has been veryactive in many capacities in theAssociation from the start includingrunning introductory workshops forbehaviour therapy. He served asAssociation Chair in 1986-7 and as anElected Member on the Board from1996 to 1998, while he continues towork tirelessly on the BABCPcommittees for Course Accreditationand Conduct.

Colin Espie is a clinical psychologistwho has made an outstandingcontribution to research, training andservice development, and isparticularly known for hispsychological treatment of insomnia.He is a well-known and respectedacademic speaker and trainerthroughout the UK and abroad.

Currently he is Professor of SleepMedicine in the Nuffield Departmentof Clinical Neuroscience at theUniversity of Oxford. He has heldseveral international adjunctiveprofessorial positions at theuniversities of Sydney, Rome, Lavaland at Rochester.

He was previously the Chair in ClinicalPsychology at the University ofGlasgow where he led the coursefrom a two-year to a three-yearDoctorate in Clinical Psychology. Heestablished the research portfoliomodel now widely used throughoutthe UK in clinical trainingprogrammes. He has manualised anapproach to small group CBT forinsomnia that has been validated byresearch trials where nurses aretrained as therapists and co-foundedthe award-winning digital CBTprogramme Sleepio.

His self-help packages are verypopular in the NHS Books onPrescription scheme and NHSChoices. Colin Espie is highlydeserving of a BABCP HonoraryFellowship in recognition of hisoutstanding contribution to the field.

Mark Freeston is Professor of ClinicalPsychology at Newcastle University.He has made outstandingcontributions to our understanding ofObsessive Compulsive Disorder (OCD)and Generalised Anxiety Disorder(GAD) in relation to intrusivethoughts, worry and rumination. Hecompleted a Doctorate in 1995 atUniversité Laval, Québec, and afterworking in Montreal, moved toNewcastle in 2000 to take up the postas Director of Research and Training atthe Newcastle Cognitive andBehavioural Therapies Centre (NCBTC).

In 2001, he was appointed Professorof Clinical Psychology at NewcastleUniversity where he is Senior

Dr Roger Baker and Rob Newell Chris Brannigan and Rob Newell


Research Tutor for the Doctorate inClinical Psychology. He was CourseDirector for the NewcastlePostgraduate Diploma in CognitiveTherapy from 2000 to 2010 and Chairof the NICE guidelines on OCD andBody Dysmorphic Disorder (BDD) in2005. He divides his time betweenNCBTC and the University andregularly provides workshops in CBTfor OCD and GAD as well as clinicalsupervision, approaches tocomorbidity, and single caseexperimental designs.

His current research and traininginterests are in the role of intoleranceof uncertainty as a transdiagnosticprocess.

We are delighted to give an HonoraryFellowship to David Veale. David hasbeen a BABCP member since 1987and has contributed his time andefforts to furthering the objectives ofthe organisation and CBT. He wasBABCP Honorary Treasurer from 1996to 1999 during which time he helpedto set up the Research Fund, and wasPresident from 2006 to 2008.

David also established Fellowshipsin BABCP and the online journal theCognitive Behaviour Therapist.Even after he ended his presidentialterm, he has continued to supportBABCP, currently as chair of theResearch Fund Committee and chairof the Fellowship Committee. He isalso on the editorial board of theBABCP journals.

This award may come as a surprise toDavid as he is Chair of the FellowshipCommittee but the committee,behind his back, thought that he wasan excellent example of someone towhom the award should be given. Hehas also made a major national andinternational contribution to CBT as apsychiatrist. He has carried outresearch in anxiety disorders and iswell known for his work on bodydysmorphic disorder and a specificphobia of vomiting.

We thank David for his work in aidingthe development of CBT in clinicalpractice and through teaching,workshops, his helpful treatmentmanuals and research. As well as fourself-help books and a treatmentmanual in BDD, David has over 100peer-reviewed publications. He is aconsultant psychiatrist at the SouthLondon and Maudsley Trust as well asat The Priory Hospital North Londonand a Visiting Reader at the Instituteof Psychiatry, King’s College London.

This year BABCP also bestowedFellowship status on Dr FionaKennedy for the significantcontribution that she has made to theadvancement of behavioural andcognitive psychotherapies.

Dr Kennedy has extensive clinicalexperience in mental health (fromanxiety through eating disorders andPTSD, to psychosis and personalitydisorders) and learning disabilityfields. Fiona’s main orientation for

many years has been CBT and shebuilt an NHS psychology andcounselling service from scratch withthis orientation. She has served onBABCP committees and as a Trusteeand is a founder member of the DBTSpecial Interest Group. She hasextensive experience of teaching,including on doctoral trainingprogrammes and supervising andteaching other professionals.

She has studied dissociation as apsychological process, leading to anew CBT theoretical model and scale,as well as innovative new treatments.The creation of an effective treatmentservice for self-harming, suicidal,‘revolving door’ inpatients wasquoted as an example of nationalexcellence by the Government’sNational Audit Office in its House ofCommons report Safer Patient Services in 2005.

She has presented her research atmany national and internationalconferences and received an awardfor clinical excellence from BUPA.With her deep knowledge of thesubject and outstanding leadershipqualities Dr Kennedy is a trulyinspirational tutor.

For the past nine years Fiona hastaken CBT into a developing worldcontext, working pro bono for anNGO in Bangalore. Here, she hasdeveloped psychological measures of programme effectiveness andjointly created and delivered amentoring programme for ‘street’children. After receiving this training,Indian volunteers mentor rescuedyoung people.

The programme has been adopted bythree universities in Bangalore. This model has much to offer as a cost-effective means of addressing global mental health problems.

David Veale and Rob Newell Fiona Kennedy and Rob Newell

14 CBT Today | September 2015

Dublin-based BABCP memberEoin O’Shea was one of only 12scholarship winners invited toattend this year’s AnnualGraduate Student and MentalHealth Trainee workshop at theprestigious Beck Institute inPhiladelphia, USA. Here he tellsCBT Today readers about his visitto the ‘City of Brotherly Love’

As a counselling psychologist and CBTtherapist, it was an honour andprivilege to be accepted to attendtraining delivered by the BeckInstitute in Philadelphia. Heldbetween 3 and 5 August 2015, wellover 100 trainees from around theworld gathered to receive tuition fromDrs Aaron and Judith Beck as well assenior colleagues at the Institute.

The workshop focused on the use ofCBT for both depression andsuicidality. From the outset, attendeeswere greeted with a warmth andopenness later to be discussed as oneof the core components of modernCBT itself.

Opportunities to role-play attendees’clients (unrehearsed) with Drs Aaronand Judith Beck were encouraged,and it was intriguing to see how anynumber of ‘stuck’ clients, or difficultchallenges in sessions, were handledwith a genuine yet skilled ease by theexperts present.

Given the large audience present, itwas refreshing to have such role-plays (and also group discussions)included in what would otherwisehave been a more traditional, lecture-

based format of instruction. Thoughspecific examples of research studieswere touched upon, the workshopwas focused far more so on providingattendees – many of them relativelynew to CBT – with a ‘hands on’practical guide to things such asstructuring sessions, conductingcognitive and behavioural exercises(both in and between sessions), aswell as navigating common pitfallssuch as non-completion ofhomework or exploring andchallenging unhelpful beliefs abouttherapy and clients’ future progress.

It was noted that homework is nowreferred to as ‘Action Plans’ within theInstitute, having found the formerterm to be unfavourable for someclients. Given mixed experiences ofschool earlier in life, as well as thepotential for the term ‘homework’ tobe found condescending by someclients in any event, this seems awelcome change.

On the second day, Dr Aaron Beckmade an appearance and discussedthe development of CBT, along withwhat he views as the majordevelopments of the approach in thecoming years. He proposed that CBT –

In the company of the Becks


and indeed clients’ actual problems –seem to have become more complexover the decades of his work, jokingthat perhaps the most complexclients seen these days are workedwith by those least experienced inmany organisations - an idea not lostto those who have seen how oftenfront-line (and more experienced)clinicians often find themselvesdiverted from service delivery andsupervision to more administrativetasks. He also discussed his views onwhere CBT, and therapy moregenerally, will develop from now.

Dr Beck envisages a move towards asingle ‘psychotherapy’ – making acomparison to surgery in this regard– and acknowledged the importantcontributions of various approachessuch as mindfulness and ‘third wave’approaches, client-centred relationalfocuses, and the development of DBT specifically.

Also highlighted was the relativelymodern application of CBT in workingwith psychosis. Dr Beck discussed aninspiring example of a psychoticpatient who, over a somewhat longercourse of CBT, came to overcomedelusions of grandeur, which, in turn,were formulated as compensatoryfeatures derived from core beliefs of unacceptability and isolation from others.

Perhaps most refreshing of all was DrBeck’s underscoring of theimportance of working in anidiosyncratic, formulation-driven waywith all clients when using CBT. Heexpressed his own misgivingsconcerning the way in which therehas been an increasing drive towardsoverly-simplistic manualisation of theapproach in recent decades andespoused the importance, instead, ofapplying CBT through a balancebetween its proposed structures and

techniques, but also considerableflexibility on the part of the therapist.

Finally, it was an honour to have aprivate audience with both Drs Beckduring which the recipients of thisyear’s scholarships for the event – 12delegates selected from over 800international applicants – discussedtheir work with the ‘Founder of CBT’.

Scholars were involved in a myriad ofCBT-related projects and it wasinspiring to have Dr Beck respond sopositively to our work, suggestingthat he saw us as ‘the future of thedevelopment of the approach’.

To anyone considering a trip to theUSA and some intensive, short-termworkshops on a variety of CBT topicsand client populations, I heartilyrecommend training at the BeckInstitute. I know I will be back myselfsome day soon.

International recognition for CBT pioneerProfessor Douglas Turkington, who has presented at numerous BABCP conferences, has beenhonoured for his pioneering work in CBT with a prestigious international award.

A Consultant Psychiatrist with the Northumberland, Tyne and Wear NHS Foundation Trust andProfessor of Psychosocial Psychiatry with the Institute of Neuroscience at Newcastle University, heis the recipient of this year's Aaron T Beck Award in recognition for his outstanding contributionto the development of CBT for schizophrenia.

This award is made annually by the Academy of Cognitive Therapy in Philadelphia. Professor Turkington is one ofonly three other non-Americans to receive the honour, alongside Professors David M Clark and Paul Salkovskis.

Professor Turkington has project managed a number of high impact RCTs in CBT for schizophrenia, while his workhas strongly influenced the NICE guidelines recommending the routine use of CBT for the treatment ofschizophrenia.

Eoin O’Shea (pictured second right) speaking with the Becks Scholarship winners (Eoin is pictured standing fifth right)with Judith and Aaron Beck


Unmissableopportunity

When faced with a barrage ofbrochures and a parade of glossysmiles at various open days, thedecision about which university topick can be incredibly tough. Yet, aftervisiting the University of Bath, mymind was made up. In particular, theopportunity of a year-long placementas a mandatory part of a Psychologydegree was too valuable to overlook.

Luckily for me, the experience livedup to my expectations and I haverecently finished a fantasticplacement with iCope, the IslingtonPsychological Therapies andWellbeing Service.

It may not be immediately clear howa placement student could be usefulin a thriving IAPT service in centralLondon. My main worry whenstarting the placement was whether Iwould be more of a hindrance than ahelp; asking questions that I ought toalready know the answer to andtaking up the time of staff who wereclearly working incredibly hard todeliver high-quality care in ademanding environment.

Yet these worries quickly diminishedwith the help of a welcoming team,who, from the outset, made it clearthat they wanted to enable me tomake the most of my time there, andwere grateful of anything I did to helpthem out, however small it was.

As my placement progressed, I wasable to take a more active role insome of the innovative projects atiCope, one of which involveddelivering talks in local schools todemystify psychological interventionsand normalise common mentalhealth problems.

I feel that my involvement in thisproject really highlights how aplacement student can benefit anIAPT service as, in addition toassisting with the delivery, I took alead role in preparation, throughliaising with the schools, recruitingstaff members as facilitators and, on apractical level, attending the talkswith all of the relevant materials.

While these may seem like simpleadministrative tasks, they can be

time-consuming, and I was pleased tobe able to take this burden off a PWPwho would have otherwise had to fitit into their jam-packed schedule.

My placement year also gave me theopportunity to observe some of thetreatments I had learnt about atuniversity first-hand. It was invaluableto see CBT in action, and gave me amuch more holistic understanding ofhow this treatment can benefitpatients compared with trying tograsp its concepts purely from auniversity textbook.

The opportunity to observe varioussessions ranging from one-to-onework with a patient presenting withanxiety around a stammer, to a groupintervention for insomnia, gave me anappreciation of how the CBT modelcan be adapted to suit each patient,and the skill of the therapists indelivering this.

I was also fortunate that Islington’sIAPT service is involved in manypioneering research projects. Thismade me more aware of the need for

Sophie Pratt, an undergraduate student at the University of Bath, spent a year on placement at iCope, theIslington IAPT service. Here she provides readers, and more pertinently, prospective students with her insight oftaking a placement during her studies


researchers and clinicians to work asa cohesive team, whereas prior to myplacement, I had not appreciated howclosely related the two are ineveryday practice.

It is important that undergraduatestudents have a realistic idea of thesort of role they could hope to secureafter graduation, with many studentsunderestimating how competitive itis to gain a place on a postgraduatecourse, or being unaware ofalternative routes they could take inorder to progress in a clinical career.

During my placement, I askedcolleagues what sort of path theytook following university, and it wascomforting to hear just how differenteveryone’s paths had been. There aremany job roles that my co-workers

had undertaken that I had not evenheard of, which has inspired me toexplore more avenues aftercompleting my degree, secure in theknowledge that I can still hope tomake a positive contribution in thefield of mental health.

One of the main things that I will takeaway from the placement is the levelof support that all of the iCope staffhad for each other, irrespective oftheir job title.

Working in mental health can beemotionally draining, yet I feel thatthe strong sense of a team identityand continual peer support that Iwitnessed and became a part of reallyhelped to alleviate the pressure thatcomes with the demands of workingin an IAPT service. I have been very

fortunate to have begun my clinicalexperience in such a supportiveenvironment and hope that I am ableto join a similar team in future.

To any prospective undergraduatesout there, I would highly recommendopting for a degree that offers aplacement as it provides aninvaluable opportunity for personaland professional development.

To all services and departments in thepsychology world, I urge you toconsider opening up your doors toundergraduate students, and give themvital, realistic experience and reapingthe benefits of the contribution theymay make to your team.

Finally, to my wonderful team atiCope – thank you for having me!

Call for papers - Special issue:

We are delighted to inform you that there will be a 2016 special issueof the Cognitive Behaviour Therapist (tCBT) on complexity. We will bethe guest editors and will consider all submissions which will, ofcourse, be peer reviewed. Details of manuscript preparation for tCBTcan be found at http://goo.gl/55KdaV. The special issue will describeand explore complexity as it manifests in CBT. It will attempt to define and model it to increase clarity for therapists, supervisors andclinical leads.

The proposed broad working definition of complexity is based on anunderstanding of interaction:‘complexity consists of interconnectedor interwoven parts, where the intersections between differentelements influence each other’.

Complexity can therefore derive from:

To reflect the breadth of this topic we are seeking papers that willcover, but not be limited to, the following topics:

1. What can CBT as a field learn about complexity from other disciplines?

2. What differentiates a ‘straightforward’ from a ‘complex’ case?

3. How do therapists respond to complex cases (with illustrations)?

4. How can evidence-based practice and practice-based evidence beused to understand complexity?

5. How is complexity dealt with in supervision?

6. What is the best way for psychological services to meet the needs of complex cases?

7. In what ways can healthcare systems interact with complexity?

We are writing to invite you to contribute a paper for this special issueon a relevant topic. The manuscript should be no more than 5,000words and be submitted by the end of January 2016. If you areinterested in contributing, please send a draft title direct to the guesteditors at the email addresses below by 30 September 2015.

Claire Lomax [email protected] Barton [email protected]

• the patient

• the therapist

• the supervisor

• patient-therapist-supervisor interactions

• socio-economic context

• the healthcare system, etc

Complexity within CBT Therapy,Supervision and Services


Doing the rights thing Against the backdrop of austerity economics, pursuing the principles and standards of human rights hasbecome shorthand for all that is wrong about a modern, diverse society. In this timely article, Associate EditorPatricia Murphy looks at the work of the British Institute of Human Rights, to highlight why paying attentionto human rights should matter to clinicians

Around the world human rights areabout real everyday lives. As clinicians,we have a duty to ensure that therights of our patients are protected.Given the importance of humanrights, then, it is surprising that therehas been little public education aboutwhat is contained in the HumanRights Act (HRA), which came intoforce in the UK in 2000. This state ofaffairs is one that the British Instituteof Human Rights (BIHR) has beenworking hard to rectify.

Founded over 40 years ago, BIHR is anindependent body that aims toprovide the public with authoritativeand accessible information throughcampaigning, organising communityevents and awareness training,producing fact sheets and otherresources, and issuing legal andpolicy briefings.

The BIHR’s mission statement is clear:

At the heart of everything we do is a commitment to makingsure the international promise of the Universal Declaration ofHuman Rights, developed afterthe horrors of World War II,is made real here at home.Our innovative work seeks toachieve a society where humanrights are respected as thecornerstone of our democracyand enable each of us to live wellin communities that value theequal dignity of each person.

Their expertise was critical to theproduction of Human Rights inHealthcare - A Framework for LocalAction, which was the result of acollaboration between BIHR, theDepartment of Health and five NHSTrusts. Published in March 2007, thepurpose of this framework is tosupport NHS staff and commissionedproviders to fulfil their specific dutieseffectively under the HRA.

More recently, in 2014, BIHR issued anopen invitation to service providersfrom every region to work inpartnership on the innovativeDepartment of Health-fundedproject, Connecting Human Rights tothe Frontline. The only criterion wasthat applicants had to have a role inmental health care provision ordecision-making on mental capacityissues. This had to be coupled with acommitment to tackle their legalduties under the HRA.

The seven project partners that were selected included the North and South Tees Early InterventionPsychosis Teams, the St Aubyn’sCAMHS centre based in Essex, and the NHS-run Windsweptrehabilitation service in Bristol.

I recently attended a training day inLondon hosted by BIHR for the thirdsector, as part of their ongoingcommitment to educate and inform.This event provided not only anopportunity to build on existingknowledge of the HRA, but also toconsider the relationship betweenmental health and human rights as well as reflect on the ways in which human rights are relevant toworking with people who use mentalhealth services.

Delegates were reminded thathuman rights provide a vital safety

net that goes beyond the courtroomto transform and improve theexperience of those using publicservices and everyone's quality of lifegenerally. In mental health it meansthat we have a legal duty to complywith the HRA when making clinicaldecisions about patient care. It alsomeans that we have a professionalduty to ensure that we can identify ahuman rights issue and use the HRAto frame a challenge.

Our excellent trainer StephanieDavies provided details of real lifecases where human rights werefound to have been breached, whilevignettes were used to facilitatediscussion in smaller groups to testour working knowledge of the HRAand identify violations. Examplesincluded: a patient detained underSection 3 of the Mental Health Act(MHA) waiting eight weeks for atribunal hearing; a man beingarrested and detained for more than72 hours in a police cell coming toharm; and a 51-year-old man withDown’s Syndrome and dementiahaving a 'do not resuscitate' orderplaced on his file without anyconsultation with him or his family.

It was sobering to reflect on mypersonal clinical experience spanning30 years in mental health and recallall too easily instances when therewere clear breaches of the HRA thatwent unchallenged. Take thecommon clinical practice of‘specialing’, or the constantobservation of suicidal or othervulnerable patients, which has thepotential for human rightsinfringement, as constant observationoften causes conflict amongst patientand staff and can interfere withrecovery. Clearly keeping avulnerable patient safe is paramountbut, in order to do so, clinical


decisions may be arrived at thatviolate a patient’s human rights, so abalancing act is required to ensureproportionality.

Evidently the ability to identify ahuman rights issue requires a workingknowledge of the HRA and it isimportant to emphasise that not allrights carry the same weight. They canbe grouped into three broad types:

• Absolute rights, such as the right toprotection from torture andinhuman and degrading treatment,which the state can never withholdor take away

• Limited rights, such as the right to liberty

• Qualified rights, which require abalance between the rights of theindividual and the needs of thewider community or state interest,such as the right to manifest one’sreligion or beliefs, the right to aprivate and family life, the right tofreedom of expression, the right toeducation, and freedom of assemblyand association

The BIHR has produced a range ofresources designed to supportmental health advocacy, which can befound on their website, including ahandy eight-step flowchartexplaining the steps.

Although the work undertaken byorganisations like BIHR is invaluable,the HRA does have its share of

detractors and appears to dividepublic opinion. Moreover, the recentlyelected Conservative government hasstated its intention to repeal the HRA,replacing it with a British Bill of Rightsand Responsibilities. Omitting theword 'human’ from the proposed Billhas concerned many supporters ofthe HRA, such as AmnestyInternational UK and Liberty, both ofwhich have been campaigning toraise awareness that a change in thelaw could undermine the universalityof human rights, allowinggovernments to pick and choosewhen they apply and to whom.

The fight back from these and othercampaigners, such as senior lawyersand even MPs from the governmentbenches, likely influenced thedecision simply to detail proposals tointroduce such a Bill in this May'sQueen's Speech, rather than pursuefull-blown legislation at this stage. Itis hoped that this will allow for alengthy consultation periodpermitting all ramifications to be fullythought through.

The rights that many regard asimportant, even taken for granted, indaily life need to be protected,particularly at times of economichardship. Within our organisations,then, we need to ensure that thepatients we serve are protected fromboth government policy and clinicaldecisions that may contravene theHRA. As Rachel Logan, AmnestyInternational UK’s legal advisor,reminds us:

For more information on theConnecting Human Rights to theFrontline project, visit:www.bihr.org.uk/connecting-human-rights-to-the-frontline

“ ”Governments are just made up of human beings, who arefallible, have opinions, make mistakes. You need to be ableto hold them in check. The HRA helps you do that

Five things everyone should

know abouthuman rights

1 Human rights provide a basicsafety net for us all. Humanrights are universal, they belongto everyone and set down thestandards below which no-oneshould fall.

2 Here at home the Human RightsAct provides importantprotections for people, givinglegal force to 16 fundamentalrights and freedoms and dutiesto uphold them.

3 Human rights are about therelationship between peopleand those in power. The lawmeans that human rights shouldbe part and parcel of the waygovernment and services dotheir job, helping us all to livewith equal dignity and respect.

4 Human rights are thecornerstone of a healthydemocracy, ensuring thegovernment plays fair. Humanrights are an important part ofour constitution and helpstrengthen our democracy bygiving people a voice.

5 The UK championed humanrights laws as sharedinternational minimumstandards in the aftermath ofWorld War II. We shouldcelebrate our human rightsheritage and work to make surehuman rights are made real inpeople’s lives here at home.


Northern IAPT Practice Research NetworkJaime Delgadillo is a BABCP member affiliated to the University of York and practises at the LeedsCommunity Healthcare NHS Trust. Here he writes on behalf of the Northern IAPT Practice ResearchNetwork (PRN) to inform the wider BABCP community about its work

This PRN was initiated in 2014 as a partnership between northern IAPT services and academic researchers. PRNmembers share common goals to learn how psychological therapy works in routine care and to generate evidencethat will inform and influence practice.

The PRN has grown rapidly in the last year, with members representing more than 10 IAPT services and fiveuniversities, and is currently conducting two studies.

The first study is assessing the effectiveness of stress control interventions, while the second study is supporting thedissemination of psycho-educational seminars across three services.

In recent months, the PRN has launched a website that aims to promote debate about IAPT-related policy andpractice, and includes brief articles and public opinion surveys.

Since the launch of the ‘Debate’ page, the PRN’s website has attracted some 500 new readers, and one of the articleswill be presented at an upcoming national conference for commissioners of psychological services.

Publications arising from the stress control study are expected to emerge later in 2015, and a new pilot trial of relapseprevention interventions will also be conducted by services affiliated to the PRN.

If you are interested in the work of the PRN, you can visit its website at www.iaptprn.com or contact them [email protected]. You can also follow them on twitter at @iapt_prn

If the answer is yes, you might beinterested in joining the recentlylaunched CBT+IT Special InterestGroup (SIG).

The history of technology and CBT isa short one. Since the firstcomputerised self-help packageswere conceived in the 1980s,developers and clinicians haveproduced a myriad of technologicalmethods of delivering andaugmenting CBT. A search of therelevant literature will reveal over athousand academic papers,examining the efficacy ofcomputerised CBT (cCBT) in all itsmany forms.

Technological methods range fromgeneric self-help packages, disorderspecific self-help packages, apps,guided self-help, therapist deliveredCBT, video conferencing tools, onlinepeer support and virtual worlds.

There is very little training or supportto guide therapists in how they mightutilise technology in their work, whichmethods are most efficacious andwhat works for whom. This new SIGaims to help clinicians to learn how touse technology in their work.

There will be opportunities to gainhands-on experience of a range oftechnological methods, including

how to use avatars in schematherapy, how apps can be used toamplify the effect of CBT and howtechnology can be used to deliverCBT. Drawing from the latestevidence, SIG members can learn howto use these new and innovativemethods in their everyday work.

If you are interested in joining the CBT+IT SIG or would likemore information, please email [email protected]

Are you interested in howtechnology can be used todeliver and augment CBT?

Accreditation enquiriesMost of our members will be awarethat the Accreditation telephoneenquiry service resumed in April.Since then the service has beenavailable from 2.00 to 4.00 pm eachWednesday (with the exception of 22July as this was during the BABCPAnnual Conference) and, as such, wecan now offer some initial feedbackon how the service has been used.

It seems appropriate to begin bystating that most callers have beenappreciative of a telephone serviceresuming. A lot of members havestated the importance of ‘being ableto talk to someone’ and, as a team,we are pleased to be able to meetyour needs.

To date, we have received 134 callswith most seeking clarification onaspects of the ProvisionalAccreditation process. The recentchanges to SupervisionRequirements, along with loggingannual CPD activities using ReflectiveStatements, have also been high onthe agenda of callers. The thirdcategory of calls are in relation toextensions, maternity leave andsabbaticals, where callers havewished to discuss the process andtheir responsibilities as well as ask anAccreditation Liaison Officer (ALO) toupdate of their records.

From discussions with callers, it isclear that the majority have consultedthe website and found theinformation helpful, but have calledto seek that extra clarity orreassurance that their interpretationor perception of the information is accurate.

Please continue to consult the websiteas your first point of enquiry and, ifyou still require further information orclarity, then by all means give us acall. This reduces call times andenables us to answer as many calls aspossible in the timeframe available.

With the telephone service resuming,the continued availability to contact

us by email and an increase in theALO resource since early this year,there are now more options andincreased availability to have yourenquiry dealt with in as short atimescale as possible.

It is important that members contactour team in the various availableways for any enquires related toAccreditation.

Whilst BABCP has Branches andSpecial Interest Groups (SIGs)throughout the UK and Ireland, theseshould not be contacted aboutAccreditation enquiries. The role ofBranches and SIGs is only to signpostmembers to the BABCP website orour team should they receive anyenquiries related to Accreditation.

BABCP Accreditation team


Chester Wirral andNorth East Wales Branchpresents

An Introduction toDissociative Disorders(and what to do about them)With Mike Lloyd

14 October 2015 9.30am to 4.30pm

Chester Rugby Club, Hare Lane,Littleton, Chester CH3 7DB

Registration feesBABCP members: £65, Non-members: £85

Price includes lunch and refreshments.CPD certificates will be issued.

www.babcp.com


SCHEMA THERAPY UK

International Certification TrainingProgram in Schema Therapy

2015/16

Presented by

Vartouhi Ohanian Consultant Clinical Psychologist

3rd-5th December 2015The Basic Model

14th-16th January 2016The Mode Model: working with different

personality disorders including BorderlinePersonality Disorder

25th-27th February 2016Mode work with Narcissism

The Friends House, 173 Euston Road, London NW1 2BJ

To find out more about this Training Program or to apply visitwww.schematherapyuk.com


North West Wales Branchpresents

CBT for Clinical Perfectionism:A Transdiagnostic TreatmentWith Professor Roz Shafran

Tuesday 24 November 2015 9.30am to 5.00pm

Neuadd Reichel, Bangor University, Ffriddoedd Road,Bangor, Gwynedd LL57 2TR

This workshop is aimed at intermediate-advanced cognitive-behaviour therapists. It will provide a cognitive-behaviouralanalysis of clinical perfectionism and the factors thatcontribute to its maintenance. Relevant research literature andcurrent evidence-base for interventions will be provided. Themajority of the day will be spent on skills for the effectiveassessment and treatment of clinical perfectionism acrossdisorders within a CBT framework

Registration fees

Early Bird: for payment received up to 23 OctoberBABCP members: £65, Non-members: £75

Full fee from 24 OctoberBABCP members: £75, Non-members: £85


www.babcp.com

Southern Branchpresents

ACT for InsomniaWith Dr Guy Meadows

Friday 27 November 2015 9.30am to 4.30pm

Solent University Conference Centre,157-187 Above Bar, Southampton SO14 7NN

Topics to be covered:

• Introduction to ACT model and its application to chronic insomnia

• Discussion and experiential practice of ACT-I skills including acceptance,mindfulness, diffusion, self in context, values and committed action

• Application of ACT metaphors to insomnia

• Comparison between ACT-I and traditional CBT-I approaches includingcognitive restructuring, sleep scheduling, sleep restriction and stimulus control

• Introduction to insomnia including common risk factors, triggers andamplifying behaviours

• Insomnia assessment protocol-body clock, sleep drive, sleep and wake brain centres

• Interaction between sleep disorders and mental and physical health

• Opportunity for discussion of personal or patient case studies

• Every attendee will take home a workbook outlining the content of the course

Registration fees

Early Bird: For payments received up to 27 SeptemberBABCP members: £75, Non-members: £85, Students: £55*

Full fee from 28 SeptemberBABCP members: £90, Non-members: £100, Students: £60*

*Evidence of status must be provided on application

Mid-morning refreshments and afternoon tea are included. Lunch is notprovided. CPD certificates will be issued.

www.babcp.com

Yorkshire Branchpresents

Managing Chronic Pain: A PracticalSkills Workshop on Using CBT forPersistent PainWith Helen Macdonald

Friday 23 October 2015 9.30am to 4.00pm

Yorkshire Sculpture Park, West Bretton, Wakefield WF4 4LG

This workshop is aimed at participants who have existing CBTskills, but not necessarily experience in specific work withchronic pain conditions. The workshop may also be useful forpeople who have experience in persistent pain work, but wish to refresh their knowledge of applying cognitive-behavioural approaches.

Registration fees

BABCP members: £55Non-members: £65

Price includes lunch andrefreshments.

CPD certificates willbe issued.

www.babcp.com

South East Branchpresents

A talk by Dr Charlie Heriot-Maitland to celebrateWorld Mental Health Awareness Day

Developing a CompassionateMind in Daily LifeSaturday 10 October 2015 From 7.00pm

St Julians Club,Rumshott Estate Ltd,St Julians, Sevenoaks, Kent TN15 0RX

Registration fee: £50

Price includes drinks, canapésand a three-course meal.

www.babcp.com

Also at St Julians Club, and presented by Dr Charlie Heriot-Maitland

CFT for relating to voices andemotional selves in psychosisTuesday 24 November 20159.30am to 4.30pm

Registration fees

BABCP members: £50, Non-members: £60

Lunch and refreshments are included.CPD certificates will be issued.

To find out more about these workshops, or to register, please visit www.babcp.com/events or email [email protected]


www.babcp.com

Irish Association for Behavioural& Cognitive Psychotherapiespresents

Breaking Free of OCD without PainWith Professor Paul Salkovskis


Ashling Hotel, Parkgate Street, Dublin 8

In this workshop a multi-stage treatment will be describedwith the main focus being on providing practical clinicaldetails of cognitive-behavioural treatment as applied toobsessional problems. This training workshop will describeand demonstrate clinical strategies which allow theapplication of a personalised combination of severalcomponents and stages in each patient.

Registration fees



North East & Cumbria Branchpresents

Trauma Focused CBT for Childrenand Young People with PTSDWith David Trickey

Friday 13 November 2015 9.30am to 4.30pm

The Lancastrian Suite, Lancaster Road,Dunston, Gateshead NE11 9JR

Upon completion of this workshop, participants should:

• Be familiar with and understand the cognitive model of PTSD

• Be aware of how children and young people commonly react totraumatic events, (including PTSD) and how the cognitive model canaccount for these reactions

• Have some understanding of how developmental and systematicfactors impact on such a model

• Understand how to intervene effectively using TF-CBT, taking intoaccount developmental and systemic issues

• Be familiar with the evidence supporting TF-CBT for children andyoung people with PTSD

Registration fees


Price includes handouts, lunch and refreshments.CPD certificates will be issued.

www.babcp.com

Dialectical Behaviour Therapy Special Interest Grouppresents

Radically Open DBTIntroductory WorkshopWith Professor Tom Lynch


Centre for Research & Development,Kingsway Hospital, Derby DE22 3LZ

Upon completion of this one-day training, participants will be able to:

• Explain a new biosocial theory for OC

• Describe the RO-DBT treatment structure

• Describe new RO-DBT treatment strategies designed to enhancewillingness for self-inquiry and flexible responding

• Describe the RO-DBT treatment hierarchy

• Describe a novel treatment mechanism positing open expression =trust = social connectedness

• List examples of strategies designed to improve pro-socialcooperative signalling via activation of the parasympathetic nervoussystem’s social-safety system

Registration feesBABCP members: £100, Non-members: £130

Price includes refreshments but not lunch.CPD certificates will be issued.

www.babcp.com

Manchester Branchpresents

Effective and efficient treatments ofchildhood anxiety disorders:Working collaboratively with parentsWith Professor Cathy Cresswell


Hulme Hall, Oxford Place,Victoria Park, Manchester M14 5RR

This workshop will provide an overview of recentdevelopments in parent-led treatments for childhood anxietydisorders based on research within the Anxiety andDepression in Young People (AnDY) research unit at theUniversity of Reading. Given the high frequency of parentalanxiety disorders among highly anxious children and variousreports of poor child treatment outcomes in this context,particular attention will be paid to case conceptualisation andintervention in the context of parental anxiety disorder.

Registration fees


Lunch and refreshments are included.CPD certificates will be issued.

To find out more about these workshops, or to register, please visit www.babcp.com/events or email [email protected]


Scotland Branchpresents

Cognitive Therapy for Social Anxiety Disorder inAdults and AdolescentsWith Professor David M Clark

Thursday 19 &Friday 20 November 2015 9.30am to 4.30pm

Stirling Court Hotel,University of Stirling FK9 4LA

Registration feesBABCP members: £180Non-members: £210


www.babcp.com

Couples SIGpresents

Full-day workshopsled by Misa Yamanaka

Friday 4 December 2015

Comprehensive Clinical CaseConceptualisation and TreatmentPlanning for Couples Therapy

Saturday 5 December 2015

Infertility: Psychological Aspectsand Couple-Based Interventions

The Royal Foundation of St Katharine,2 Butcher Row, London E14 8DS

Registration fees for each workshop

BABCP Members: £90, Non-members: £110Students: £75*

* Evidence of status must be provided on application

www.babcp.com

allán laville is senior pwp clinical educator in the ... · volume 43 number 3 | september 2015 on...

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