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CBT for Culture Change: Formulating Teams to Improve Patient Care

Published online by Cambridge University Press:  22 February 2012

Katherine Newman Taylor  and
Suzanne Sambrook
Katherine Newman Taylor*
Affiliation:
Southern Health NHS Foundation Trust, Southampton, UK
Suzanne Sambrook
Affiliation:
Southern Health NHS Foundation Trust, Southampton, UK
*
Reprint requests to Katherine Newman Taylor, Southern Health NHS Foundation Trust - Clinical Psychology, Grove House, Meridians Cross, Ocean Way, Southampton SO14 3TJ, UK. E-mail: knt@soton.ac.uk
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Abstract

Background: Increasingly, clinical psychologists and CBT trained clinicians work with and within teams. The cognitive model enables us to formulate the processes maintaining distress, and work with people to effect change. The model tends to be used to understand individuals’ difficulties, but may be effective in making sense of problems within teams. Aims: This study aimed to (i) explore the value of the cognitive model in formulating key staff-service user relationships; and (ii) determine whether such an approach would yield useful team based interventions. Method: The cognitive interpersonal model was used to develop an idiosyncratic conceptualization of key staff-service user interactions in an in-patient setting. This then informed management team planning aimed at improving provision for service users, and staff experience. Additionally, frequency of challenging behaviours and levels of staff burnout were assessed before and after service changes, as preliminary outcome data. Results: The team formulation was effective in (i) making sense of interactions contributing to the maintenance of service users’ challenging behaviours and staff burnout, and (ii) deriving systemic interventions likely to effect change. This was then used to guide service development planning. In support of a CBT approach to understanding and intervening with teams, preliminary data indicate that staff burnout and incidents of challenging behaviours reduced over time. Conclusion: The cognitive interpersonal model can be used to formulate relationships within teams and guide systemic change. This is likely to have a beneficial impact for both service users and staff.

Keywords

Formulating teamschallenging behaviourburnoutcognitive interpersonal model
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 40 , Issue 4 , July 2012 , pp. 496 - 503
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

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