Thompson Andrew R, Donnison Jenny, Warnock-Parkes Emma, Turpin Graham, Turner James, Kerr Ian B
Clinical Psychology Unit, Department of Psychology, University of Sheffield, Western Bank, Sheffield, UK.
Int J Ment Health Nurs. 2008 Apr;17(2):131-7. doi: 10.1111/j.1447-0349.2008.00521.x.
This study sought to explore community mental health teams' (CMHTs) experiences of receiving an innovative introductory level training in cognitive analytic therapy (CAT). CMHTs are important providers of care for people with mental health problems. Although CMHTs have many strengths, they have been widely criticized for failing to have a shared model underlying practice. Inter-professional training which develops shared therapeutic models from which to plan care delivery is, therefore, essential. We have been developing such a training based on the psychotherapeutic principles of CAT. Twelve community mental health staff (six mental health social workers and six community psychiatric nurses) were interviewed by an independent interviewer following the completion of the training programme. The interviews were analysed using a qualitative thematic analysis. The analysis revealed that the programme increased the participants' self-assessed therapeutic confidence and skill and fostered the development of a shared model within the team, although the training was also perceived as adding to workload. The results of this study suggest that whole-team CAT training may facilitate cohesion and also suggest that having some shared common language is important in enabling and supporting work with 'difficult' and 'complex' clients, for example, those with personality disorders. Further development of such training accompanied by rigorous evaluation should be undertaken.
本研究旨在探索社区心理健康团队（CMHTs）接受认知分析疗法（CAT）创新入门级培训的经历。CMHTs是为有心理健康问题的人提供护理的重要机构。尽管CMHTs有诸多优势，但它们因缺乏统一的实践基础模型而受到广泛批评。因此，开展跨专业培训以建立共同的治疗模型来规划护理服务至关重要。我们一直在基于CAT的心理治疗原则开发这样一种培训。在培训项目结束后，一名独立访谈者对12名社区心理健康工作人员（6名心理健康社会工作者和6名社区精神科护士）进行了访谈。采用定性主题分析法对访谈进行了分析。分析结果显示，该项目提高了参与者自我评估的治疗信心和技能，并促进了团队内部共同模型的发展，尽管培训也被认为增加了工作量。本研究结果表明，团队整体CAT培训可能有助于增强凝聚力，还表明拥有一些共同的通用语言对于与“困难”和“复杂”客户（例如患有个性障碍的客户）开展工作并提供支持非常重要。应进一步开展此类培训并进行严格评估。
