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Open group cognitive behaviour therapy on acute in-patient units

Published online by Cambridge University Press:  20 January 2021

Victoria Boynton Open the ORCID record for Victoria Boynton [Opens in a new window]  and
Christopher Sanderson
Victoria Boynton*
Affiliation:
Humber NHS Foundation Trust, Willerby Hill, Hull, UK
Christopher Sanderson
Affiliation:
University of Hull, Cottingham Road, Hull, UK
*
*Corresponding author. Email: vicky.boynton@nhs.net
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Abstract

Background:

Adult mental health in-patient units primarily provide a service for people deemed to be at significant risk to themselves or others, where treatment cannot be provided safely in the community. Whilst psychological interventions are indicated during episodes of acute mental distress, they are often psychoeducational and skills-based in nature. A common complaint amongst those admitted is the lack of psychological provision at a time of crisis when they most need to make sense of their difficulties

Aims:

This article reports on service users’ experiences of open group cognitive behavioural therapy where participants choose the therapeutic targets.

Method:

A total of 75 patients admitted to acute in-patient wards over a 6-month period accessed open group cognitive therapy as part of routine care. Participants completed an evaluation questionnaire that measured their experiences of the group and the usefulness of them within an in-patient setting.

Results:

A total of 27 participants completed anonymous questionnaires (36%) and the results indicated that participants felt understood, respected and accepted within the group and felt that the group setting was helpful for sharing experiences. In addition, all participants reported that following the group they would be more likely to access psychological therapies in the future.

Conclusions:

Open group therapy where participants define the therapeutic targets each session is feasible and achievable on acute in-patient units and patients report finding this useful.

Keywords

CBTgroup psychotherapyin-patient CBT
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 50 , Issue 1 , January 2022 , pp. 106 - 110
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2021

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References

Bieling, P. J., & Kuyken, W. (2003). Is cognitive case formulation science or science fiction? Clinical Psychology-Science and Practice, 10, 52–69.CrossRefGoogle Scholar
British Psychological Society (2012). Commissioning and Delivering Clinical Psychology in Acute Adult Mental Health Care. Retrieved from: http://www.bps.org.uk/system/files/Publicfiles/DCP/cat-1138.pdf Google Scholar
Raune, D., & Daddi, I. (2011). Pilot study of group cognitive behaviour therapy for heterogeneous acute psychiatric inpatients: treatment in a sole standalone session allowing patients to choose the therapeutic target. Behavioural and Cognitive Psychotherapy, 39, 359–365.CrossRefGoogle Scholar
Mental Health Taskforce for NHS England (2016). The Five Year Forward View for Mental Health. NHS England, London, UK.Google Scholar
Vivyan, C. (2013) CBT Open Group Therapy. Retrieved from: https://www.getselfhelp.co.uk/docs/CBT-OpenGroupTherapy.pdf Google Scholar
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