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Description

Evidence-based Low Intensity Treatments for Common Mental Health Problems

Module titleEvidence-based Low Intensity Treatments for Common Mental Health Problems
Module codePYCM068
Academic year2020/1
Credits20
Module staff

Mrs Elaine Norton (Convenor)

Duration: Term123
Duration: Weeks

11

Number students taking module (anticipated)

30

Description - summary of the module content

Module description

A range of low intensity cognitive behavioural interventions are recommended by NICE for the treatment of patients with mild-to-moderate common mental health problems, and are presented and used in a variety of methods used by different services and practitioners. The overall delivery of these interventions is informed by behaviour change models and strategies. Examples of interventions include providing support for a range of low-intensity self-help interventions (often with the use of written self-help materials) informed by cognitive-behavioural principles, such as behavioural activation, exposure, cognitive restructuring, panic management, problem solving, CBT-informed sleep management, and computerised cognitive behavioural therapy (cCBT) packages as well as supporting physical exercise and medication adherence.

In this module you will gain competency in recognising appropriate interventions from those available, an appreciation of what makes a good self-help resource, develop key skills in motivating and supporting the use of self-help materials with step 2 patients. You will learn how to identify common problems arising and support patients’ use of these interventions, and you will learn about motivational interviewing and continue your skills around the COM-B model to aid this process. You will also gain knowledge and competencies required to support medication concordance. The module will also equip you with the knowledge and skills to deliver interventions individually through face-to-face, telephone, email or other contact methods, and also develop your skills in group delivery. You will learn how to end treatment with relapse prevention. A heavy focus upon clinical skills teaching will enhance your general and disorder-defined ‘specific factors’ competencies in support of these interventions. 

Module aims - intentions of the module

The aim of this module is to provide you with a good understanding of the process of therapeutic support for a range of evidence-based, low intensity cognitive behavioural interventions and to manage the learning and development of individuals and groups of patients. 

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Critically evaluate a range of evidence-based interventions and strategies to assist patients manage their emotional distress and disturbance
  • 2. Demonstrate competency in maintaining a therapeutic alliance with patients during their treatment programme, including dealing with issues and events that threaten the alliance
  • 3. Plan competently a collaborative low-intensity psychological or pharmacological treatment programme for common mental health problems, including managing the ending of contact
  • 4. Describe in depth and use competently a range of low-intensity, evidence-based psychological interventions for common mental health problems
  • 5. Use competently behaviour change models and strategies in the delivery of low-intensity interventions
  • 6. Critically evaluate the role of case management and stepped care approaches to managing common mental health problems in primary care including ongoing risk management appropriate to service protocols
  • 7. Support people with medication for common mental disorders to help them optimise their use of pharmacological treatment and minimise any adverse effects
  • 8. Deliver low-intensity interventions using a range of methods including face-to-face, telephone and electronic communication

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 9. Summarise basic and essential factual and conceptual knowledge of the subject, and demonstrate a critical understanding of this knowledge
  • 10. Review and evaluate established work and identify some of the strengths and weaknesses of this work.

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 11. Record accurately interviews and questionnaire assessments using paper and electronic record-keeping systems
  • 12. Evaluate your strengths and weaknesses, challenge received opinion and develop your own criteria and judgement, and to seek and make use of feedback

Syllabus plan

Syllabus plan

The module content, module-specific learning objectives, style of delivery and assessment for this module are as informed by the UCL (2015) revised curriculum for the training of Psychological Wellbeing Practitioners to support the delivery of low intensity CBT associated with the Improving Access to Psychological Therapies programme. Teaching content will include:

Evidence-based interventions and strategies

  • Developing and maintaining a therapeutic alliance
  • Dealing with issues and events that disrupt the alliance – engaging patients
  • Motivational interviewing
  • Use of the COM-B model
  • Supporting use of low intensity or pharmacological treatments
  • Competence in introducing low intensity interventions (intervention specific and problem specific)
  • Recognising common problems encountered by patients when using interventions
  • Knowledge of the theory and various models:
    • Behavioural Activation
    • Problem Solving
    • Exposure
    • Sleep Management
    • Cognitive Restructuring
    • Dealing with Worry
    • Medication Management

Context of delivery

  • Case management
  • Stepped care
  • Risk management
  • Supporting low intensity interventions (face-to-face, telephone, e-mail, group work)

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
451150

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled Learning and Teaching25Practical classes – these will be used to develop clinical competencies in assessment and engagement through tutor supervised small group role-play
Scheduled Learning and Teaching7Lectures
Scheduled Learning and Teaching10Seminars – these will be led by the tutor and address a range of important topics covered in the module
Scheduled Learning and Teaching8Tutorials – these will take the form of small group sessions led by the tutor
Guided independent study80Reading and preparation for seminars in ‘flipped classroom’ delivery model
Guided independent study50Self-practice and self-reflection on role plays of interventions with fellow students undertaken outside of teaching sessions
Guided independent study20Undertaking structured reflective ‘blogging’ of undertaking intervention practice with colleagues during workplace role-play or patient work

Assessment

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Clinical skills competency assessment35 minutes2-5, 7-8Oral
Written reflections300 words12Oral
Assessment of live patient recording35 minutes2-10Oral

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
30070

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Examination (this assessment must be passed; failure in this assessment will lead to failure in the module and the programme)301 hour1-7, 9-12Written
Clinical skills competency assessment of a treatment session with a patient in service, comprising seven sections (this assessment must be passed with a mark of 21/42 overall and with marks of 3/6 in sections 2, 3, 4, 5 and 7; failure in this assessment will result in a maximum fail mark of 49 and lead to failure in the module and the programme)7035 minutes2-5, 7-8Written and oral
Clinical practice outcome – assessment of competency in clinical practice and is pass/fail only (this assessment must be passed; failure in this assessment will lead to failure in the module and the programme)0n/a2-3, 5, 7-8, 11-12Written and oral

Re-assessment

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
ExaminationExamination1-7, 9-12Four weeks from the date feedback was provided
Clinical skills competency assessmentClinical skills competency assessment2-5, 7-8Six weeks from the voluntary additional top up skills date
Clinical practice outcomeClinical practice outcome2-3, 5, 7-8, 11-12Four weeks from the date feedback was provided

Re-assessment notes

Three assessments are required for this module. In all cases re-assessment will be the same as the original assessment. Where you have been referred/deferred for any form of assessment detailed above you will have the opportunity to retake within four weeks from the date that feedback was provided.

If you pass re-assessments taken as a result of deferral, your re-assessment will be treated as it would be if it were your first attempt at the assessment and the overall module mark will not be capped.

If you pass re-assessments taken as a result of referral (i.e. following initial failure in the assessment), the overall module mark will be capped at 50%.

If you fail re-assessments taken as a result of referral (i.e. following initial failure in the assessment), you will be failed in the module. You may be permitted to transfer to the GradCert Psychological Therapies Practice (Low Intensity Cognitive Behavioural Therapy) providing you have passed all competency assessments, and passed all marked assessments with a mark of 40-49%, in all modules that comprise the programme. If your marks are less than 40% in any module you will be failed in the programme and your registration as a student of the University will be terminated.

Resources

Indicative learning resources - Basic reading

Core reading:

  • Bennett-Levy, J., Richards, D., Farrand, P. et al (2010). Oxford Guide to Low Intensity CBT Interventions. Oxford: Oxford University Press.
  • Bennett-Levy, J., Thwaites, R., Haarhoff, B. & Perry, H. (2015). Experiencing CBT from the Inside Out: A Self-Practice/Self-Reflection Workbook for Therapists. Guilford, New York.
  • Silverman, J., Kurtz, S. and Draper, J. (2005). Skills for Communicating with Patients. Oxford: Radcliffe.

Wider reading:

  • Farrand, P. and Woodford, J. (2013). Impact of support on the effectiveness of written cognitive behavioural self-help: a systematic review and meta-analysis of randomised controlled trials. Clinical Psychology Review, 33(1), 182-195
  • Goldberg, D. and Huxley, P. (1992). Common Mental Health Disorders: A Biosocial Model. London: Routledge.
  • Lovell, K. and Richards, D. (2008). A Recovery Programme for Depression. London: Rethink.

Module has an active ELE page

Key words search

Improving Access to Psychological Therapies, IAPT, low intensity, cognitive behavioural therapy, common mental health problems, primary care, evidence based psychological therapies, clinical competency

Credit value20
Module ECTS

10

Module pre-requisites

None

Module co-requisites

PYCM067 Engagement and Assessment of Patients with Common Mental Health Problems and PYCM069 Values, Diversity and Context

NQF level (module)

7

Available as distance learning?

No

Origin date

05/02/2018

Last revision date

10/10/2020