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An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner

Published online by Cambridge University Press:  18 January 2019

Naheem Hakim
Affiliation:
Sheffield Health and Social Care NHS Foundation Trust, UK
Andrew R. Thompson
Affiliation:
Department of Psychology, University of Sheffield, 1 Vicar Lane, Sheffield S1 2LT, UK
Gail Coleman-Oluwabusola
Affiliation:
University of Sheffield and Independent Inquiry Into Child Sexual Abuse (IICSA), Home Office, UK

Abstract

The Improving Access to Psychological Therapies (IAPT) programme started in 2008, but it contained little provision for specifically meeting the needs of Black, Asian and minority ethnic (BAME) groups. The purpose of this evaluation was to describe the experience of transition from BAME community mental health worker (CMHW) to IAPT low-intensity psychological wellbeing practitioner (PWP) in order to identify possible gains and losses for the former communities served, and the factors that might contribute to successful training of people with BAME expertise. Four former CMHWs who had transitioned into working as PWPs were interviewed. Semi-structured interviews were used. The data were analysed using thematic analysis. Six major themes were identified with the benefits of training emerging as an important factor for the participants in enhancing their role. Three of the themes interconnected and focused on the impact for BAME communities in terms of access to service and barriers. Evident in the interviews were descriptions of adaptations that were made as a result of CMHW having access to both new and old skills. Finally, two themes focused on the participant recommendations as to how IAPT services might become more culturally responsive. The findings suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. The participants reported that low-intensity cognitive behavioural therapy (LICBT) was effective, but only when cultural sensitive adaptations were made. The evaluation has some clear recommendations as to how IAPT services might seek to offer culturally responsive CBT. Suggestions for carrying out further practice-based evaluations are made.

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Type
Original Research
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2019 

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References

Recommended follow-up reading

Abudabbeh, N, Hays, PA (2006). Cognitive-behavioral therapy with people of Arab heritage. In Hays, PA and Iwamasa, GY (eds), Culturally Responsive Cognitive-Behavioral Therapy: Assessment, Practice, and Supervision (pp. 141159). Washington, DC, USA: American Psychological Association.Google Scholar
Islam, F, Campbell, RA (2014). ‘Satan has afflicted me!’ Jinn-possession and mental illness in the Qur'an. Journal of Religion and Health 53, 229243.Google Scholar
Naeem, F, Gobbi, M, Ayub, M, Kingdon, D (2010). Psychologists experience of cognitive behaviour therapy in a developing country: a qualitative study from Pakistan. International Journal of Mental Health Systems 4, 2.Google Scholar

Reference

Abudabbeh, N, Hays, PA (2006). Cognitive-behavioral therapy with people of Arab heritage. In Hays, PA and Iwamasa, GY (eds), Culturally Responsive Cognitive-Behavioral Therapy: Assessment, Practice, and Supervision (pp. 141159). Washington, DC, USA: American Psychological Association.Google Scholar
Al-Darmaki, F, Sayed, M (2004, August). Practising polymorphism in traditional gender-role Emirates: conflicts and challenges. In CZ Enns (Chair), Learning from international psychologists about feminist and social justice issues. Symposium conducted at the 112th annual meeting of the American Psychological Association, Honolulu, HI.Google Scholar
Armstrong, D, Gosling, A, Weinman, J, Marteau, T (1997). The place of inter-rater reliability in qualitative research: an empirical study. Sociology 31, 597606.Google Scholar
Bennett-Levy, J, Beedie, A (2007). The ups and downs of cognitive therapy training: what happens to trainees’ perception of their competence during a cognitive therapy training course? Behavioural and Cognitive Psychotherapy 35, 6175.Google Scholar
Bennett-Levy, J, Richards, DA, Farrand, P, Christensen, H, Griffiths, KM, Kavanagh, DJ, Proudfoot, J (2010). Low intensity CBT interventions: a revolution in mental health care. Oxford Guide to Low Intensity CBT Interventions, 318.Google Scholar
Birt, L, Scott, S, Cavers, D, Campbell, C, Walter, F (2016). Member checking: a tool to enhance trustworthiness or merely a nod to validation? Qualitative Health Research 26, 18021811.Google Scholar
Braun, V, Clarke, V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77101.Google Scholar
Clark, DM, Layard, R, Smithies, R, Richards, DA, Suckling, R, Wright, B (2009). Improving Access to Psychological Therapy: initial evaluation of two UK demonstration sites. Behaviour Research and Therapy 47, 910920.Google Scholar
Coull, G, Morris, PG (2011). The clinical effectiveness of CBT-based guided self-help interventions for anxiety and depressive disorders: a systematic review. Psychological Medicine 41, 22392252.Google Scholar
Department of Health (2009). Positive Practice Guide. Available at: https://www.uea.ac.uk/documents/246046/11919343/black-and-minority-ethnic-BAME-positive-practice-guide.pdf (accessed 28 January 2018).Google Scholar
Edwards, R, Holland, J (2013). What is Qualitative Interviewing? London: Bloomsbury.Google Scholar
Emmel, N (2013). Sampling and Choosing Cases in Qualitative Research: A Realist Approach. London: Sage.Google Scholar
Gellatly, J, Bower, P, Hennessy, S, Richards, D, Gilbody, S, Lovell, K (2007). What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychological Medicine 37, 12171228.Google Scholar
Ghassemzadeh, H (2007). The practice of cognitive-behavior therapy in Roozbeh Hospital: some cultural and clinical implications of psychological treatment in Iran. American Journal of Psychotherapy 61, 53.Google Scholar
Golafshani, N (2003). Understanding reliability and validity in qualitative research. The Qualitative Report 8, 597606.Google Scholar
Harper, D, Thompson, A (2012). Qualitative Research Methods in Mental Health and Psychotherapy: A Guide for Students and Practitioners. Oxford: John Wiley and Sons.Google Scholar
Islam, F, Campbell, RA (2014). ‘Satan has afflicted me!’ Jinn-possession and mental illness in the Qur'an. Journal of Religion and Health 53, 229243.Google Scholar
Jameel, B, , Ali S (2017). The effectiveness of low intensity cognitive behavioral therapy (LI-CBT) on reducing symptoms of depression in Arab clients.Google Scholar
Joffe, H (2012). Thematic analysis. Qualitative Research Methods in Mental Health and Psychotherapy: A Guide for Students and Practitioners 1, 210223.Google Scholar
Johnson, H, Thompson, AR, Downs, M (2009). Non-Western interpreters’ experiences of trauma: culturally protective factors following exposure to extreme stress. Ethnicity and Health 14, 407418.Google Scholar
Layard, R, Bell, S, Clark, DM, Knapp, M, Knapp, M, Meacher, M, Priebe, S (2006). The Depression Report: A New Deal for Anxiety and Depression Disorders. London: London School of Economics. Available at: http://cep.lse.ac.uk/pubs/download/special/depressionreport.pdfGoogle Scholar
Mattern, J (2002). Asia: World's Largest Continent. New York: The Rosen Publishing Group, Inc.Google Scholar
McIndoo, CC, Hopko, DR (2014). Cognitive-behavioral therapy for an Arab college student with social phobia and depression. Clinical Case Studies 13, 128145.Google Scholar
McQueen, RA, Knussen, C (2006). Introduction to Research Methods and Statistics in Psychology. Harlow: Pearson Education Ltd.Google Scholar
Muflinhun, (n.d.). Jami' at-Tirmidhi Book 35 Hadith 2517. Available at: https://muflihun.com/tirmidhi/35/2517 (accessed 28 January 2018).Google Scholar
Naeem, F, Gobbi, M, Ayub, M, Kingdon, D (2010). Psychologists experience of cognitive behaviour therapy in a developing country: a qualitative study from Pakistan. International Journal of Mental Health Systems 4, 2.Google Scholar
NICE (2009). Depression in adults: the treatment and management of depression in adults. Clinical guideline CG90. National Institute for Clinical Excellence: London.Google Scholar
Papworth, M, Marrinan, T, Martin, B, Keegan, D, Chaddock, A (2013). Low Intensity Cognitive Behaviour Therapy: A Practitioner's Guide. London: Sage Publications Ltd.Google Scholar
Pilkington, A, Msetfi, RM, Watson, R (2012). Factors affecting intention to access psychological services amongst British Muslims of South Asian origin. Mental Health, Religion and Culture 15, 122.Google Scholar
Rahman, A, Malik, A, Sikander, S, Roberts, C, Creed, F (2008). Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. The Lancet 372, 902909.Google Scholar
Rathod, S, Kingdon, D, Phiri, P, Gobbi, M (2010). Developing culturally sensitive cognitive behaviour therapy for psychosis for ethnic minority patients by exploration and incorporation of service users’ and health professionals’ viCMHT and opinions. Behavioural and Cognitive Psychotherapy 38, 511533.Google Scholar
Richards, D, Whyte, M (2011). Reach Out: national programme student materials to support the delivery of training for psychological wellbeing practitioners delivering low intensity interventions (3rd edn). London: Rethink Mental Illness.Google Scholar
Robinson, S, Kellett, S, King, I, Keating, V (2012). Role transition from mental health nurse to IAPT high intensity psychological therapist. Behavioural and Cognitive Psychotherapy 40, 351366.Google Scholar
Silverman, D (2013). Doing Qualitative Research: A Practical Handbook. London: Sage.Google Scholar
Tseng, WS, Chang, SC, Nishizono, M (2005). Asian Culture and Psychotherapy. Honolulu: University of Hawaii Press.Google Scholar
Willing, C (2013). Introducing Qualitative Research in Psychology. Maidenhead: Open University Press.Google Scholar
Webster, R, Thompson, AR, Webb, TL, Sheeran, P (2014). Self-help treatments and stepped care. In Emmelkamp, P and Ehring, T (eds), The Wiley Handbook of Anxiety Disorders (pp. 12421255). London: Wiley.Google Scholar
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