clinical practice Flashcards
(32 cards)
how many people will experience a diagnosable mental health problem in any one year? according to the office for national statistics(2001)
1 in 4 people
what does IAPT stand for?
Improving Access to Psychological Therapies
what does IAPT intend to do?
provide training for a larger number of psychological therapies within practitioners
why is CBT used to treat common mental health problems?
it aims to help people to return to work quicker which reduces the cost of mental health problems that are caused by a loss of productivity (Layard, 2006)
what mental health professionals are there?
- local GP as first point of contact
- community mental health nurses
- psychiatrists
- clinical/counselling psychologists
- counsellors
- psychotherapists
- occupational therapists
- social workers
- clinical associates of applied psychology (CAAP)
- assistant psychologists/guided self-help workers
- peer support workers
what are MDT’s?
multi disciplinary teams that include workers from a range of disciplines that specialise in different aspects. this brings a range of skills for supporting the recovery of people experiencing MHPs
what problems are there with MDTs?
- communication
- people come from different backgrounds eg psychological or medical. this means they have differing opinions
what do we expect a mental health service to operate like?
systems need to be flexible and geared towards managing symptoms that are varied in type and severity.
where are most people treated?
in primary healthcare services or with a GP
what tends to be the treatment strategy in primary care settings?
1-12 CBT sessions
how are mental health services structured in the UK?
they are organised according to client group
give examples of different client groups
- CAMHS (childrens services)
- working age adults
- older adults
- learning difficulties
- substance misuse
- brain injury and neurological deficits
- forensic services
- other specialisms eg early psychosis
what is the recovery model and what does it propose?
- a holistic approach to MH provision that embraces the view that good MH services require more than just treatment of individual symptoms
- a system which helps people at home
- a broad ranging treatment approach that acknowledges the influence of socio-economic factors, employment and inclusion in helping to achieve recovery.
what do pepper and perkins (2006) propose are the features of recovery?
hope a secure base self supportive relationships empowerment coping strategies
what are the 4 core skills of a clinical/counselling psychologist?
assessment
formulation
intervention
evaluation
what does Lucy Johnstone campaign for?
stop the diagnosis movement
what is the ‘hot cross bun’ model?
a cross-sectional formulation
- looks at the here and now, no predisposing factors
- displays the physical symptoms, unhelpful thinking styles and safety behaviors that are perpetuating the presenting difficulties
what is the reflective practitioner model?
clinicians reflect on their own experience when working with clients and reflect on their process of interactions
what advantages are there of the reflective practitioner model?
- fascilitates the process of developing the CP
- enables the CP to develop their practice and overcome habitual approaches
- encourages self-motivation and self-directed learning
how are clinical psychologists regulated?
since 2009 CPs are regulated by the Health and Care Professions Council (HCPC)
what advantages are there of regulating CPs?
ensures that CPs meet specific standards of training, professional skills, behaviour and health
- maintains a register of CPs who meet the required standards
how do you train to become a clinical/counselling psychologist?
- obtain a degree in psychology and recieve graduate basis for chartered membership of BPS
- 3 year training programme - doctorate
- 1 year CAAP masters as a stepping stone (cuts the doctorate to 2.5 years)
what is the process of applying for the doctorate?
- evidence is required of academic and research ability and clinical experience
- a long application and interview process
- ratio of applicants to spaces is 6.5 : 1.
what does the MSc Psychological Therapies in Primary Care course allow you to do?
work as a Clinical Associate of Applied Psychology (CAAP)
