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I share your fears re quantity over quality. Good luck with the advanced Cert. -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of JOSEPH BUGGY Sent: 20 February 2008 13:11 To: [log in to unmask] Subject: Re: [OCC-HEALTH] CBT IN THE WORKPLACE Agree with the comments by Chris - well answered It is hard to do CBT well and easy to do it badly! I am currently undertaking an Advanced Cert in CBT to run a Work Related Stress Management clinic. I would not classify myself as a CBT'er but will use CBT skills to add to existing counselling training to address stress and aim for effective management of same With the NICE guidelines and BOHRF guidance, there is an increase in the use of CBT and an increase in the uptake of CBT training However, this should be welcomed with caution - my fears is that there will be quantity CBT without quality Joseph Joseph Buggy Occupational Health Advisor QEQMH East Kent Hospitals NHS Trust 01843-234478 Direct 0r 01843-225544 Ext 62301 [log in to unmask] >>> [log in to unmask] 16/02/2008 17:10 >>> Hi a) because it is evidence based, goal focussed, problem solving, solution focussed - hence the patient sets the goals, the treatment works toward these. Depression is lifted by increased activity; research indicates that medication is not the cure for anxiety as it is a cognitive distortion - which requires thoughts to be explored, identified and changed (by behaviour). b)any mental health symptom, could affect ability to work, therefore addressing it, is a proactive approach to maintaining health and avoiding future absence. c)CBT sessions are usually only 1 hour; AN OH trained to use CBT techniques surely wouldn't be running a full therapy clinic? But instead, using the skills to establish the need for referral onto a fully qualified therapist. d) I hold a certificate in CBT and could practice but I do not think I come close to being as effective as the clinician who holds a degree and is accredited in the subject. Those that we employ are amazing to watch work and can get results in just a few sessions. I use the techniques to question effectively, task toward activities that benefit health, to educate about anxiety/depression/stress and to know when to make appropriate referral onward to an accredited therapist. e)yes f) Most GP's we work with, are grateful for the opportunity to access CBT the courses offered to train OH's that I have seen only teach the basics and do not include supervised practice of skills. Therefore according to the BABCP this would not make them practitioners of Cognitive Behavioural Therapy. Those that practice CBT under their own governing body regulations are required to have regular supervision. I don't see how an OHN could accommodate this into the rest of their duties. I am sure to have missed something out! Chris -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Chrissie Baldwin Sent: 01 February 2008 17:43 To: [log in to unmask] Subject: [OCC-HEALTH] CBT IN THE WORKPLACE I would very much appreciate some feedback and evidence from the group re their opinions on the role of OH in delivering CBT in the workplace. I have some reservations at the moment that may be my own personal viewpoint on its efficacy and its place within an OH setting and would like to take the evidence back before shooting myself in the foot potentially. As an OHN without mental health training or experience,or a counselling qualification, I need to learn more about the broader issues around a. why it is seen as the current therapy of choice for mental health issues. b.If the mental health issues that the employee is expriencing are not work related, should this not be dealt with by the community, GP etc? c. could this not take up a huge slice of an OHNs working day undertaking the therapy sessions. d. would colleagues who have undertaken courses comment on their efficacy in enabling us to deliver CBT? e. if we are not mental health trained,is there not a risk that we could be delivering inappropriate care? f. is this a therapy that GPs are likely to be receptive to as the primary carer for that patient? lots of concerns as you can see. I am of course researching as much evidence as I can. Happy weekend everyone ~~~~~~~~~~~~~~~ Please remove this footer before replying. 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