MacLiam Fionnula
1Department of Psychiatry,Trinity College Dublin,Dublin,Ireland.
Ir J Psychol Med. 2015 Jun;32(2):187-195. doi: 10.1017/ipm.2014.51.
Training in cognitive behavioural psychotherapy (CBT) is expensive both for the students and their funding bodies.
It is important to know how graduates of CBT courses are putting their skills to use, and whether they are continuously updating those skills to achieve best practice. We also wanted to discover the similarities and differences between CBT trainees in the United Kingdom and in the Republic of Ireland (courses in the United Kingdom being analogous to those in Ireland in content and participants).
An internet survey, derived from previous postal questionnaires, was used to enquire into the practice, experience, and continuing professional development of graduates from the CBT courses at Trinity College Dublin.
Most MDT professions were represented in the graduates, preponderantly psychiatrists and mental health nurses, but also including social workers and occupational therapists. Most participants believed that the course had enhanced their careers, and almost half had changed job since graduating. Half said that CBT was now the main focus of their job, but others reported lack of resources, funding, time, and other duties impeded their ability to conduct CBT with clients. However, most participants engaged in continuous professional development regarding CBT, and received CBT clinical supervision. Discussion There was a difference in the proportion of the different professions undertaking this course compared with the United Kingdom and our response rate here was significantly lower. As in UK surveys, participants who may have been supported and funded to undertake the training may not afterwards be supported in implementing their skills in the workplace. The broader implications of this are discussed.
认知行为心理治疗(CBT)培训对学生及其资助机构而言成本高昂。
了解CBT课程毕业生如何运用其技能,以及他们是否持续更新这些技能以实现最佳实践,这很重要。我们还想探究英国和爱尔兰共和国CBT学员之间的异同(英国的课程在内容和学员方面与爱尔兰的类似)。
采用一项源自先前邮寄问卷的网络调查,以探究都柏林三一学院CBT课程毕业生的实践、经验和持续专业发展情况。
毕业生中大多代表了多学科团队(MDT)职业,主要是精神科医生和心理健康护士,但也包括社会工作者和职业治疗师。大多数参与者认为该课程促进了他们的职业发展,近一半人自毕业以来换了工作。一半人表示CBT现在是他们工作的主要重点,但其他人报告称资源、资金、时间和其他职责的缺乏阻碍了他们为客户开展CBT的能力。然而,大多数参与者参与了关于CBT的持续专业发展,并接受了CBT临床督导。讨论与英国相比,参加该课程的不同职业的比例存在差异,而且我们这里的回复率明显较低。与英国的调查一样,那些可能获得支持和资助参加培训的参与者之后在工作场所运用其技能时可能得不到支持。对此的更广泛影响进行了讨论。