Cognitive Behaviour Therapy for Acute Inpatient Mental Health Units : Working with Clients, Staff and the Milieu book cover
1st Edition

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

ISBN 9780415422123
Published September 2, 2008 by Routledge
248 Pages 11 B/W Illustrations

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Book Description

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:

  • providing staff training
  • working within psychiatric intensive care
  • innovative psychological group work.

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.

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’.

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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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Author - Isabel  Clarke

Isabel Clarke

Consultant Clinical Psychologist, Southern Health NHS Foundation Trust
Southampton, Hampshire, UK

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"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, UK

"Isabel Clarke and Hannah Wilson are to be congratulated for providing an informative and timely text on applying approaches based on cognitive behaviour therapy (CBT) to acute inpatient mental health units.. This is essential reading for those providing training to staff in acute care services." - Graham Sloan, Nursing Standard, Vol. 23, No. 12, November 26, 2008

"Overall, this book draws together the voices of clinical and research psychologists, nurses, occupational therapists and service users in a practical and enthusiastic guide to the successes, challenges and realities of CBT in such a setting. For anyone contemplating or already trying to bring CBT to inpatient settings, this book is an invaluable resource." – Emese Csipke, Behavioural and Cognitive Psychotherapy, 37, 2009

"Since we purchased a copy of this book for our library, it has rarely sat on the shelves. In fact it proved so popular and the feedback from readers was so positive that we decided to invest in the electronic version... Our copy of this book has been read by a wide range of staff from psychologists to nurses to service managers. Readers can relate to it because it has been written by other NHS professionals and offers real life accounts of CBT in inpatient settings through first hand experience." - Lorna Burns, Journal of Mental Health, Vol. 19 No. 1, Feb 2010