Cognitive Behaviour Therapy for Acute Inpatient Mental Health Units

Working with Clients, Staff and the Milieu

Cognitive Behaviour Therapy for Acute Inpatient Mental Health Units: Working with Clients, Staff and the Milieu

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About the Book

Cognitive Behaviour Therapy for Acute Inpatient Mental Health Units presents innovative ways of delivering CBT within the inpatient setting and applying CBT principles to inform and enhance inpatient care.

Maintaining staff morale and creating a culture of therapy in the acute inpatient unit is essential for a well-functioning institution. This book shows how this challenge can be addressed, along with introducing and evaluating an important advance in the practice of individual CBT for working with crisis, suited to inpatient work and crisis teams.

The book covers a brief cross-diagnosis adaptation of CBT, employing arousal management and mindfulness, developed and evaluated by the editors. It features ways of supporting and developing the therapeutic role of inpatient staff through consultation and reflective practice. Chapters focus on topics such as:

Cognitive Behaviour Therapy for Acute Inpatient Mental Health Units will be essential reading for those trained, or those undergoing training in CBT as well as being of interest to a wider public of nurses, health care support workers, occupational therapists, medical staff and managers.

Reviews

"This book will be an invaluable tool for mental health professionals working in inpatient settings, and will hopefully inspire people to increase access to such approaches and conduct the research required to firmly establish the evidence base." Anthony P. Morrison, From the foreword.

"Isabel Clarke and Hannah Wilson have addressed the difficult political, strategic and organisational issues, which limit the availability of CBT and related psychological therapies in inpatient settings. In doing so, they draw upon on a broad evidence base, a depth of clinical experience, and self-reflective and compassionate commitment to an often marginalised group of service users and a frequently demoralised group of mental health staff." - Andrew Gumley, Senior Lecturer in Clinical Psychology, University of Glasgow.

Table of Contents

Morrison, Foreword. Clarke, Introduction. Part I: Setting the Scene. Hanna, The Context of the Acute In-patient Hospital in the UK, and the Place for Therapy Within It. Kinderman, New Ways of Working and the Provision of CBT in the Inpatient Setting. Marie, The Service User Perspective. Kennedy, The Use of Formulation in Inpatient Settings. Part II: Individual CBT in the Inpatient Setting. Clarke, Pioneering a Cross Diagnostic Approach, Founded in Cognitive Science. Clarke, Wilson, Working With Overwhelming Emotion: Depression, Anxiety and Anger. Freemantle, Clarke, Making Sense of Psychosis in Crisis. McGowan, Working With Personality Disorders in an Acute Psychiatric Ward. Part III: Working With the Staff Group to Create a Therapeutic Culture. Cowdrill, Dannahy, Running Reflective Practice Groups on an In-patient Unit. Sambrook, Working With Crisis – The Role of the Clinical Psychologist in a Psychiatric Intensive Care Unit. Rosebert, Hall, Training Acute In-Patient Ward Staff to use CBT Techniques. Part IV: CBT Group Work. Hill, Clarke, Wilson, The ‘Making Friends With Yourself Group’ and the ‘What is Real and What is Not Group’. Rendle, Wilson, Delivering Dialectical Behavior Therapy Based Emotional Coping Skills Group Across Diagnostic Groups. Part V: The Challenge of Evaluating This Service. Durrant, Tolland, ‘Evaluating Short-term CBT in an Acute Adult In-patient Unit’.

About the Author(s)

Isabel Clarke and Hannah Wilson are working together to develop an innovative psychological therapies service at Woodhaven, an acute mental health in-patient unit, serving West Southampton and the New Forest. They are both clinical psychologists working for the Hampshire Partnership NHS Trust.

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