please sign this petition to end the bias towards Cognitive Behavioural Therapy within the IAPT programme (UK)

When IAPT was launched it’s remit was to deliver talking therapies ‘including CBT’; however most IAPT services across the UK are delivering wholly or substantially CBT.

This is inspite of the fact that positive outcomes in psychotherapy research have consistently been linked to the resources a client brings to therapy (40%) and the therapeutic relationship (30%) rather than any particular technique or modality (15%) (Lambert & Barley, 2002); more recently Miller, Hubble and Duncan (2008) found that ‘when a measure of the alliance is used with a standardised outcome scale, available evidence shows that clients are less likely to deteriorate, more likely to stay longer and twice as likely to achieve a change of clinical significance’.
Finally, more recently still…..a meta-analysis of more than 80 studies presented by Robert Elliott and Beth Freire at the World Association for Person Centred and Experiential Psychotherapy conference in Norwich (2011) found that person-centred and related therapies (PCTs) are shown to be as effective as other forms of psychotherapy, including CBT.

There is no doubt that the evidence base for CBT is the strongest but most other modalities have a body of evidence that supports their efficacy.

CBT is not effective with all clients and across all diagnoses; in my opinion, if IAPT services  are to genuinely serve their clients what they offer must reflect the diversity of those clients referred and their needs and to offer some choice; ‘oranges are not the only fruit’ and CBT is not the only therapy…..a more plural or heterogenous service ought to be available.

please sign this petition….REFORM THE NICE GUIDELINES AND END THE BIAS TOWARDS CBT IN IAPT SERVICES

 

This is petition for Reform the NICE guidelines and end the bias towards Cognitive Behaviour Therapy (CBT) in the IAPT programme. Join the movement! Sign now! THANK YOU

15 hours ago

• Close viewer

 

anger is the poor relation of other mental health issues

Outlook Southwest, the psychology services commissioned by Cornwall Healthcare Trust, has recently announced that it will no longer be commissioned to deliver their ‘Understanding Anger’ course or to accept referrals for one-to-one counselling where the client’s main presenting issue is anger.

This is hard to believe because anger problems affect a significant proportion of the UK population.

free download at  http://www.mentalhealth.org.uk/publications/boiling-point-report/

The Mental Health Foundation carried out a telephone poll involving 1974 people from all the regions in the UK, across the age groups and with a gender and social class balance. They produced The Boiling Point Report (2008) which found that

• 64% either strongly agree or agree that Britain is getting angrier
• 28% worried about how angry they become at times
• 12% reported having trouble controlling their anger
• 20% had ended a relationship with someone because of how they behaved when they were angry

I am concerned and curious about how a whole group of mental health patients can be annexed and deemed not worthy of a service. Interestingly I have come across this in The Prison Service as well where departments compete for funding and ring-fence their spending;  those with anger difficulties often fall between two stools and the prison mental health department will argue that anger problems are an educational issue and the education department will argue that it is a mental health issue.

Anger management difficulties do not constitute a discrete mental health diagnosis in the DSM V but its presence or absence is a symptom of many of the diagnoses. Why do commissioning authorities and other institutions ignore anger as an issue in a way they would not ignore anxiety or depression?