Centre of Population Health Sciences, College of Medicine, Veterinary and LifeSciences, University of Glasgow, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, UK.
Behav Cogn Psychother. 2011 Mar;39(2):139-49. doi: 10.1017/S1352465810000445. Epub 2010 Aug 23.
The use of Cognitive Behavioural Therapy (CBT) self-help materials for depression is increasingly recommended as part of stepped care service models. Such resources can be delivered by both new specialist workers (such as the IAPT services in England), or by introducing this style of working into an existing workforce as described in the current paper. The Structured Psychosocial InteRventions in Teams (SPIRIT) course consists of 38.5 hours of workshops, and 5 hours of clinical supervision in the use of CBT self-help (CBSH).
This study describes an evaluation of the effectiveness of the course when offered to community and inpatient mental health staff from a wide range of adult and older adult mental health teams in NHS Greater Glasgow Mental Health Division.
Training resulted in both subjective and objective knowledge and skills gains at the end of training that were largely sustained 3 months later. At that time point, 40% of staff still reported use of CBSH in the last week. Satisfaction with the training is high, using validated rating scales.
The SPIRIT training has gone some way to increasing access to CBSH for use in everyday clinical practice.
认知行为疗法（CBT）自助材料在抑郁症治疗中的应用正越来越多地被推荐作为分层护理服务模式的一部分。此类资源可以由新的专业工作人员（如英格兰的 IAPT 服务）提供，也可以按照本文所述，将这种工作方式引入现有的员工队伍中。结构化心理社会干预团队（SPIRIT）课程包括 38.5 小时的讲习班和 5 小时的 CBT 自助使用临床监督。
本研究描述了在 NHS 大格拉斯哥心理健康分部的各种成人和老年心理健康团队中，向社区和住院精神卫生工作人员提供该课程时的有效性评估。
培训结束时，无论是主观还是客观的知识和技能都有了明显的提高，而且在 3 个月后仍基本保持不变。在那时，40%的员工仍报告在过去一周内使用了 CBSH。使用经过验证的评分量表，培训满意度很高。
SPIRIT 培训在某种程度上增加了 CBSH 在日常临床实践中的可及性。
